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Hostility May Explain the Association between Depressive Mood and Mortality: Evidence from the French GAZEL Cohort Study.
Lemogne C., Nabi H., Zins M., Cordier S., Ducimetière P., Goldberg M., Consoli S. M.
Psychotherapy and Psychosomatics 79, 3 (2010) 164-171 - http://www.hal.inserm.fr/inserm-00464813
 (20185973) 
Hostility May Explain the Association between Depressive Mood and Mortality: Evidence from the French GAZEL Cohort Study.
Cédric Lemogne () 1, 2, Hermann Nabi3, Marie Zins3, 4, Sylvaine Cordier5, Pierre Ducimetière6, Marcel Goldberg3, Silla Consoli1
1:  Service Universitaire de Psychiatrie de l'Adulte et du sujet âgé
Hôpitaux Universitaires Paris-Ouest (HUPO) – Assistance publique - Hôpitaux de Paris (AP-HP)
4 parvis Corentin-Celton 92130 Issy-les-Moulineaux
France
2:  Centre Emotion
CNRS : USR3246 – Hôpital Pitié-Salpêtrière – Université Pierre et Marie Curie [UPMC] - Paris VI
France
3:  Santé publique et épidémiologie des déterminants professionnels et sociaux de la santé
http://www.u687.idf.inserm.fr/
INSERM : U687 – IFR69 – Université Paris XI - Paris Sud – Université de Versailles Saint-Quentin-en-Yvelines
Hôpital Paul Brousse 16, av Paul Vaillant Couturier 94807 VILLEJUIF
France
4:  Equipe RPPC
CETAF
Hôpital Paul Brousse Bat 15/16 16 av Paul Vaillant Couturier 94807 Villejuif
France
5:  GERHM - Groupe d'Etude de la Reproduction Chez l'Homme et les Mammiferes
INSERM : U625 – Université de Rennes 1 – IFR140 – IRSET
263, Avenue du Général Leclerc 35042 Rennes Cedex
France
6:  Epidémiologie cardiovasculaire et métabolique
INSERM : IFR69 – Université Paris XI - Paris Sud
Hôpital Paul Brousse 16, Avenue Paul Vaillant-Couturier 94807 VILLEJUIF CEDEX
France
Hostility, depression and mortality.
Background: Depressive mood is associated with mortality. Because personality has been found to be associated with depression and mortality as well, we aimed to test whether depressive mood could predict mortality when adjusting for several measures of personality. Methods: 20,625 employees of the French national gas and electricity companies gave consent to enter in the GAZEL cohort in 1989. Questionnaires were mailed in 1993 to assess depressive mood, type A behavior pattern, hostility, and the six personality types proposed by Grossarth-Maticek and Eysenck. Vital status and date of death were obtained annually for all participants. The association between psychological variables and mortality was measured by the Relative Index of Inequality (RII) computed through Cox regression. Results: 14,356 members of the GAZEL cohort (10,916 men, mean age: 49 years; 3,965 women, mean age: 46 years) completed the depressive mood scale and at least one personality scale. During a mean follow-up of 14.8 years, 687 participants had died. Depressive mood predicted mortality, even after adjustment for age, sex, education level, body mass index, alcohol consumption, and smoking [RII (95% CI) = 1.56 (1.16-2.11)]. However, this association was dramatically reduced (RII reduction: 78.9%) after further adjustment for cognitive hostility (i.e. hostile thoughts) [RII (95% CI) = 1.12 (0.80-1.57)]. Cognitive hostility was the only personality measure remaining associated with mortality after adjustment for depressive mood [RII (95% CI) = 1.97 (1.39-2.77)]. Conclusions: Cognitive hostility may either confound or mediate the association between depressive mood and mortality.
Life Sciences/Health Care Sciences and Epidemiology
English
0033-3190

Article in peer-reviewed journal
10.1159/000286961
Psychotherapy and Psychosomatics (Psychother Psychosom)
Publisher Karger
ISSN 0033-3190 (eISSN : 1423-0348)
international
2010-02-20
2010-02-20
79
3
164-171

Cohort – Depression – Hostility – Mood – Mortality – Personality
The GAZEL cohort is supported by Electricité de France-Gaz de France (EDF-GDF). The personality data collection was funded by the Caisse Nationale d‟Assurance Maladie and by the Ligue Nationale contre le Cancer.
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