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Trait-anger, hostility, and the risk of incident type 2 diabetes and diabetes-related complications: a systematic review of longitudinal studies

Published online by Cambridge University Press:  01 September 2022

M. Mohseni ,
N. Lindekilde ,
G. Forget ,
R. Burns ,
N. Schmitz ,
F. Pouwer  and
S. Deschenes
M. Mohseni
Affiliation:
University College Dublin, Psychology, Belfield, Ireland
N. Lindekilde
Affiliation:
University of Southern Denmark, Psychology, Odense, Denmark
G. Forget
Affiliation:
Carleton University, Psychology, Ottawa, Canada
R. Burns
Affiliation:
Carleton University, Psychology, Ottawa, Canada
N. Schmitz
Affiliation:
University of Tübingen, Medicine, Tubingen, Germany
F. Pouwer
Affiliation:
University of Southern Denmark, Psychology, Odense, Denmark
S. Deschenes*
Affiliation:
University College Dublin, Psychology, Belfield, Ireland
*
*Corresponding author.

Abstract

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Introduction

There is a well-established association between anger, hostility, and an increased risk of cardiovascular disease. Emerging evidence also suggests associations between anger/hostility and type 2 diabetes (T2D), though evidence from longitudinal studies has not yet been synthesized.

Objectives

To systematically review findings from existing prospective cohort studies on trait anger/hostility and the risk of T2D and diabetes-related complications.

Methods

Electronic searches of MEDLINE (PubMed), PsychINFO, Web of Science, and CINAHL were performed for articles/abstracts published up to December 15, 2020. Peer-reviewed longitudinal studies conducted with adult samples, with effect estimates reported for trait anger or hostility and incident T2D or diabetes-related complications, were eligible for inclusion. Risk of bias/study quality was assessed. The review protocol was published a priori in PROSPERO (CRD42020216356) and was in keeping with PRISMA guidelines. Screening for eligibility, data extraction, and quality assessment was conducted by two independent reviewers.

Results

Four studies with a total of 155,146 participants met the inclusion criteria. A narrative synthesis of extracted data was conducted according to the Synthesis Without Meta-Analysis guidelines. While results were mixed, our synthesis suggested a positive association between high trait-anger/hostility and increased risk of incident T2D. No longitudinal studies were identified relating to anger/hostility and incident diabetes-related complications. Geographical locations of the study samples were limited to the USA and Japan.

Conclusions

Further research is needed to investigate whether trait-anger/hostility predicts incident type 2 diabetes after adjustments for potential confounding factors. Longitudinal studies are needed to investigate trait-anger/hostility and the risk of diabetes-related vascular complications.

Disclosure

No significant relationships.

Keywords

hostilitydiabetessystematic reviewAnger
Type
Abstract
Information
European Psychiatry , Volume 65 , Special Issue S1: Abstracts of the 30th European Congress of Psychiatry , June 2022 , pp. S451
Creative Commons
Creative Common License - CCCreative Common License - BY
This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
Copyright
© The Author(s), 2022. Published by Cambridge University Press on behalf of the European Psychiatric Association
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