Personality Traits, Coping, Health-related Behaviors, and Cumulative Physiological Health in a National Sample: 10 Year Prospective Effects of Conscientiousness via Perceptions of Activity on Allostatic Load

Background Personality traits, coping styles, and health-related behaviors show associations with various aspects of health. However, integrative life-course investigations of pathways by which these factors might affect later cumulative physiological health risk remain sparse. Purpose To investigate prospective associations of personality traits via coping styles and health-related behaviors on allostatic load in a national sample. Methods Using data from the Midlife in the United States study (MIDUS; N = 1,054), path analyses were used to test direct and indirect associations (via coping styles, smoking, frequency of alcohol consumption, leisure-time physical activity, and perceptions of activity) of personality traits on a latent measurement model of allostatic load informed by 10 biomarkers associated with cardiovascular, inflammation, glucose, and lipid subsystems. Results Direct 10 year associations of greater conscientiousness on healthier allostatic load and greater extraversion on less healthy allostatic load were observed. Consistent with hypothesized behavioral pathways, relationships between conscientiousness and extraversion on allostatic load were prospectively mediated by greater perceptions of activity. Physical activity and more frequent alcohol use were associated with healthier allostatic load but did not act as prospective mediators. Conclusions The results provide further evidence of conscientiousness' standing as a marker of health via cumulative physiological health. Moreover, a greater perception of activity was identified as a pathway through which conscientious individuals experienced healthier physiological profiles over time. Examining a more detailed picture of the psychosocial mechanisms leading to development of health risk, as was found with perceptions of activity, remains an important area for future research.