Personality traits are unrelated to health (if you only measure traits that are unrelated to health)

In the NY Times, Richard Sloan writes:

It’s true that in some respects we do have control over our health. By exercising, eating nutritious foods and not smoking, we reduce our risk of heart disease and cancer. But the belief that a fighting spirit helps us to recover from injury or illness goes beyond healthful behavior. It reflects the persistent view that personality or a way of thinking can raise or reduce the likelihood of illness.

But there’s no evidence to back up the idea that an upbeat attitude can prevent any illness or help someone recover from one more readily. On the contrary, a recently completed study of nearly 60,000 people in Finland and Sweden who were followed for almost 30 years found no significant association between personality traits and the likelihood of developing or surviving cancer. Cancer doesn’t care if we’re good or bad, virtuous or vicious, compassionate or inconsiderate. Neither does heart disease or AIDS or any other illness or injury.

Sloan, a researcher in behavioral medicine, is trying to make a point about “a fighting spirit,” but in the process he makes a larger point about personality traits being unassociated with health. And when he overreaches, he is clearly and demonstrably wrong.

That study of 60,000 people (which the Times helpfully links to) used the Eysenck Personality Inventory and thus only looked at two personality traits, extraversion and neuroticism. They found no association between those traits and incidence of cancer or survival after cancer. But the problem is that the researchers didn’t measure conscientiousness, the personality trait factor that has been most robustly associated with all kinds of health behaviors and health outcomes (including early mortality).

Of course, conscientiousness isn’t really about upbeat attitude or a fighting spirit. It’s more about diligently taking care of yourself in many small ways over a lifetime. In that respect Sloan’s central point about “fighting spirit” isn’t disputed by the conscientiousness findings. (Researchers working in the substantial optimism and health literature may or may not feel differently.) Moreover, the moral and philosophical implications — whether we should praise or blame sick people for their attitudes — go well beyond the empirical science (though they certainly can and should be informed by it). But a reader could easily get confused that Sloan is making a broader point that personality doesn’t matter in health outcomes — and that just ain’t so.

I’m not sure Sloan intended to take such a broad swipe against personality traits, given that his own research has examined links between hostility and cardiac outcomes. Then again, browsing his publications leaves me confused. His op-ed says that being “compassionate or inconsiderate” has nothing to do with heart disease; but this abstract from one of his empirical studies concludes that “[trait] hostility may be associated with risk for cardiovascular disease through its effects on interpersonal interactions.” I haven’t read his papers — I just Google Scholared him this morning — so I’ll give him the benefit of the doubt that there’s some distinction I’m missing out on.

The ongoing legacy of a case of scientific misconduct

Almost a decade ago, a scientific misconduct scandal shocked social psychologists. A prominent researcher on a career fast track was discovered to have fabricated data and committed other forms of misconduct for 4 articles in prominent journals (JPSP, PSPB, and Psychological Science). The studies were funded by NIH and published while she was at Harvard. A joint investigation by NIH and Harvard resulted in the researcher, Karen Ruggiero, admitting to misconduct, retracting the articles, and leaving academia.

The other day I read a post by Ben Goldacre about a new blog called Retraction Watch that follows scientific retractions. Goldacre mentions a study that followed up on citations of a retracted article from the late ’80s. That immediately reminded me of the Ruggiero incident, which was a big deal when I was a grad student. And it made me wonder: are people still citing Karen Ruggiero’s retracted papers?

Fortunately, it’s relatively easy to do a quick check via Google Scholar — just look up the (now-retracted) articles, click the “Cited by” link, and count the number of hits. The investigation report came out in December 2001, and the last of the retractions was published in March 2002. We should probably allow for some publication lag, so let’s forgive anything with a publication year of 2002 or earlier. How many citations are there from 2003 onward?

Here’s what I found:

  • Ruggiero, K.M. & Marx, D.M (1999). Less pain and more to gain: Why high-status group members blame their failure on discrimination. Journal of Personality and Social Psychology, 77, 774-784. Cited 7 times since 2003. (Google Scholar gives 9 hits, but 2 appear to be duplicates.)
  • Ruggiero, K.M., Steele, J., Hwang, A., & Marx, D.M. (2000). Why did I get a ‘D’?  The effects of social comparisons on women’s attributions to discrimination. Personality and Social Psychology Bulletin, 26, 1271-1283. Cited 2 times since 2003.
  • Ruggiero, K.M. & Major, B.N. (1998). Group status and attributions to discrimination:  Are low- or high-status group members more likely to blame their failure on discrimination? Personality and Social Psychology Bulletin, 24, 821-838. Cited 9 times since 2003.
  • Ruggiero, K.M., Mitchell, J.P., Krieger, N., Marx, D.M., & Lorenzo, M.L. (2000). Now you see it, now you don’t:  Explicit versus implicit measures of the personal/group discrimination discrepancy. Psychological Science, 22, 57-67. Cited 3 times since 2003.

[Let me pause here to note that the investigation concluded Ruggiero acted alone. I have listed complete citations, but please keep in mind that her co-authors were not responsible for the misconduct.]

Are these numbers a lot or a little? You can judge for yourself, but it’s at least worth noting that all are greater than zero. Some of the citations are as recent as 2010. I did not read the citing articles, but based on the titles, none appeared to be discussions of scientific misconduct; all seemed to be related to the substance of the retracted papers.

How could that happen? Since most people find articles to cite through electronic databases, I thought I’d take a look to see how these articles are listed. When I looked up these articles in PsycINFO, all 4 listings clearly state that the articles were retracted. But that isn’t true of other databases.

When I looked up the JPSP article in Google Scholar, clicking on the title took me to a ScienceDirect link (ScienceDirect is a product of Elsevier, although Elsevier does not publish JPSP). The ScienceDirect listing contained the title, abstract, etc. but did not say anything about the article having been retracted.

Clicking on both of the PSPB articles and the Psychological Science article in Google Scholar led me to entries in the Sage Journals Online database (Sage publishes those journals). None of those links mentioned the retractions. In fact, in addition to the usual information on each article (title, abstract, etc.), Sage goes a step further and lists other articles that cite them!

Google Scholar seems to give different links depending on whether you are on an institutional network that has access to certain databases, so your results may vary depending on where you are (and perhaps what search terms you use). However, it’s also worth noting that Google Scholar itself did not flag the articles as having been retracted. Sometimes my searches separately brought up the retraction notices on the same page (but always lower), and sometimes they didn’t.

Perhaps worst of all, when I retrieved the electronic full text of all four articles, I got the articles in their original form. None of the articles was marked to indicate that the article had been subsequently retracted.

Is this a problem? I think it is. Papers do get corrected or retracted from time to time (not always for sinister reasons like scientific misconduct), and it is important that researchers don’t keep citing them. I don’t know if this is an anomaly, but it does make you wonder if some databases are not being properly updated with retractions — and what effect that is having on science.