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Neuroticism

Psychiatry and Psychology · NLM MeSH · updated 2026-11-04 · version 1

Citations verified against PubMedNot yet clinician-reviewed10 referencesApproximately 5 min read

Personality trait related to tendency to respond to threat, frustration or a loss with negative emotions (e.g., anger; anxiety; frustration; embarrassment and sadness).

Table of Contents

1. Definition2. Research landscape3. Reading the evidence4. Open-access studies5. Key reviews6. References7. About this article

Definition and research guide

This page combines a MeSH definition, publication statistics and selected research abstracts. It is a starting point for reading the literature, not a medical textbook or a systematic evidence review.

Content available: 4 complete abstracts (916 words), 10 references. Full article text is not stored or reproduced here; follow the PMID, DOI or PMC links to read the original sources and their access terms.

Definition

Personality trait related to tendency to respond to threat, frustration or a loss with negative emotions (e.g., anger; anxiety; frustration; embarrassment and sadness).

Definition: NLM Medical Subject Headings (MeSH) scope note (Public domain (U.S. National Library of Medicine); attribution requested). View the MeSH record.

Also known as: Neuroticism Traits; Neuroticism Trait.

Where it fits in the MeSH classification

Broader topics
Personality

Related concepts

  • Anger
  • Anxiety
  • Frustration

Research landscape

PubMed indexes 2,255 records tagged with the MeSH heading “Neuroticism” (counts retrieved 2026-10-31). 1,097 of them (48.6%) were published from 2020 onward, and the busiest period so far is 2010-2019 with 1,159 records.

Reviews account for 137 records (6.1%) and meta-analyses for 83. Randomized controlled trials number 39 (1.7%) as a share of all records on the topic. Randomized trials make up only a small share of this literature, so much of what is known comes from laboratory, observational or descriptive work.

PubMed records by publication periodthrough 1999: 0 records; 2000-2009: 0 records; 2010-2019: 1,159 records; 2020 onward: 1,097 records0through 199902000-20091,1592010-20191,0972020 onward
Records in PubMed indexed with this heading, by publication period. Real counts from NCBI E-utilities; the final period covers only part of the current year. Volume reflects how much has been published, not how strong the evidence is.
Show the data
PeriodRecords
through 19990
2000-20090
2010-20191,159
2020 onward1,097
Share of records by publication typeReviews: 6.1 percent; Meta-analyses: 3.7 percent; Randomized controlled trials: 1.7 percentReviews6.1% (137)Meta-analyses3.7% (83)Randomized controlled trials1.7% (39)
Share of all PubMed records on this heading that carry each publication type. Types overlap with other records, so the shares do not sum to 100%.
Publication-type chart data
Publication types among 2,255 PubMed records
TypeRecordsShare
Reviews1376.1%
Meta-analyses833.7%
Randomized controlled trials391.7%

Method: PubMed query "Neuroticism"[MeSH Terms] with publication-type and date filters, retrieved 2026-10-31.

Reading the evidence in psychiatry and psychology

Research on mental health and behaviour relies on questionnaires, interviews and rating scales rather than physical measurements, so how a condition was defined and measured shapes every result. Many studies are observational or small, placebo responses can be large, and findings in one group or culture may not carry over to another. Nothing on this page is advice about diagnosis or treatment; anyone worried about their mental health should talk to a qualified clinician. Check how outcomes were measured, who took part and how long they were followed.

Evidence from open-access studies

These open-access studies come from PubMed’s best-match results for this heading (papers whose main topic it is), ranked here by citation count, with one recent addition. Each abstract is reproduced in full under its recorded open licence so that you can read the authors’ own words. They illustrate the literature; they are not a systematic summary of it. Citation counts measure attention, not reliability or clinical benefit.

Study comparison — selected abstracts, not a systematic review
Study / authorsYearSource label / designEurope PMC citationsLicence / source
Item-level analyses reveal genetic heterogeneity in neuroticism
Nagel M, Watanabe K, Stringer S, Posthuma D, van der Sluis S
2018Research article
Design not recorded in structured metadata
257cc by
PMID 29500382 · DOI · PMC5834468
Genetic contributions to two special factors of neuroticism are associated with affluence, higher intelligence, better health, and longer life
Hill WD, Weiss A, Liewald DC, Davies G, Porteous DJ, Hayward C, et al.
2020Research article
Design not recorded in structured metadata
74cc by
PMID 30867560 · DOI · PMC7577854
A genome-wide investigation into the underlying genetic architecture of personality traits and overlap with psychopathology
Gupta P, Galimberti M, Liu Y, Beck S, Wingo A, Wingo T, et al.
2024Meta-analysis
Design not recorded in structured metadata
73cc by
PMID 39134740 · DOI · PMC11576509
Sleep quality and mindfulness: mediating the relationship between neuroticism and subjective well-being in early adolescents
Ji X, Fang X, Leung PWL, Liu J
2025Research article
Design not recorded in structured metadata
2cc by
PMID 41162809 · DOI · PMC12627152

Item-level analyses reveal genetic heterogeneity in neuroticism [1]

Research article Nagel M, Watanabe K, Stringer S, Posthuma D, van der Sluis S · · 2018 · cited 257 times (Europe PMC)

Abstract reading summary — source excerpts
Opening excerpt
Genome-wide association studies (GWAS) of psychological traits are generally conducted on (dichotomized) sums of items or symptoms (e.
Closing excerpt
We conclude that the items used to measure neuroticism are genetically heterogeneous, and that biological understanding can be gained by studying them in genetically more homogeneous clusters.
Interpretation limits
Verbatim excerpts from the authors’ abstract; the closing excerpt may describe a finding, limitation or recommendation. Design, population, effect size and uncertainty have not been independently extracted or appraised. Read the complete abstract and linked paper before interpreting the findings.
Read complete abstract (145 words)

Genome-wide association studies (GWAS) of psychological traits are generally conducted on (dichotomized) sums of items or symptoms (e.g., case-control status), and not on the individual items or symptoms themselves. We conduct large-scale GWAS on 12 neuroticism items and observe notable and replicable variation in genetic signal between items. Within samples, genetic correlations among the items range between 0.38 and 0.91 (mean rg = .63), indicating genetic heterogeneity in the full item set. Meta-analyzing the two samples, we identify 255 genome-wide significant independent genomic regions, of which 138 are item-specific. Genetic analyses and genetic correlations with 33 external traits support genetic differences between the items. Hierarchical clustering analysis identifies two genetically homogeneous item clusters denoted depressed affect and worry. We conclude that the items used to measure neuroticism are genetically heterogeneous, and that biological understanding can be gained by studying them in genetically more homogeneous clusters.

Abstract reproduced from the open-access article under the recorded cc by licence; © the authors. PMID 29500382 · DOI · PMC5834468

Genetic contributions to two special factors of neuroticism are associated with affluence, higher intelligence, better health, and longer life [2]

Research article Hill WD, Weiss A, Liewald DC, Davies G, Porteous DJ, Hayward C, et al. · · 2020 · cited 74 times (Europe PMC)

Abstract reading summary — source excerpts
Opening excerpt
Higher scores on the personality trait of neuroticism, the tendency to experience negative emotions, are associated with worse mental and physical health.
Closing excerpt
Finally, we show that different neurological pathways are linked to each of these neuroticism phenotypes.
Interpretation limits
Verbatim excerpts from the authors’ abstract; the closing excerpt may describe a finding, limitation or recommendation. Design, population, effect size and uncertainty have not been independently extracted or appraised. Read the complete abstract and linked paper before interpreting the findings.
Read complete abstract (245 words)

Higher scores on the personality trait of neuroticism, the tendency to experience negative emotions, are associated with worse mental and physical health. Studies examining links between neuroticism and health typically operationalize neuroticism by summing the items from a neuroticism scale. However, neuroticism is made up of multiple heterogeneous facets, each contributing to the effect of neuroticism as a whole. A recent study showed that a 12-item neuroticism scale described one broad trait of general neuroticism and two special factors, one characterizing the extent to which people worry and feel vulnerable, and the other characterizing the extent to which people are anxious and tense. This study also found that, although individuals who were higher on general neuroticism lived shorter lives, individuals whose neuroticism was characterized by worry and vulnerability lived longer lives. Here, we examine the genetic contributions to the two special factors of neuroticism-anxiety/tension and worry/vulnerability-and how they contrast with that of general neuroticism. First, we show that, whereas the polygenic load for neuroticism is associated with the genetic risk of coronary artery disease, lower intelligence, lower socioeconomic status (SES), and poorer self-rated health, the genetic variants associated with high levels of anxiety/tension, and high levels of worry/vulnerability are associated with genetic variants linked to higher SES, higher intelligence, better self-rated health, and longer life. Second, we identify genetic variants that are uniquely associated with these protective aspects of neuroticism. Finally, we show that different neurological pathways are linked to each of these neuroticism phenotypes.

Abstract reproduced from the open-access article under the recorded cc by licence; © the authors. PMID 30867560 · DOI · PMC7577854

A genome-wide investigation into the underlying genetic architecture of personality traits and overlap with psychopathology [3]

Meta-analysis Gupta P, Galimberti M, Liu Y, Beck S, Wingo A, Wingo T, et al. · · 2024 · cited 73 times (Europe PMC)

Abstract reading summary — source excerpts
Opening excerpt
Personality is influenced by both genetic and environmental factors and is associated with other psychiatric traits such as anxiety and depression.
Closing excerpt
This study improves our comprehensive understanding of the genetic architecture underlying personality traits and their relationship to other complex human traits.
Interpretation limits
Verbatim excerpts from the authors’ abstract; the closing excerpt may describe a finding, limitation or recommendation. Design, population, effect size and uncertainty have not been independently extracted or appraised. Read the complete abstract and linked paper before interpreting the findings.
Read complete abstract (291 words)

Personality is influenced by both genetic and environmental factors and is associated with other psychiatric traits such as anxiety and depression. The 'big five' personality traits, which include neuroticism, extraversion, agreeableness, conscientiousness and openness, are a widely accepted and influential framework for understanding and describing human personality. Of the big five personality traits, neuroticism has most often been the focus of genetic studies and is linked to various mental illnesses, including depression, anxiety and schizophrenia. Our knowledge of the genetic architecture of the other four personality traits is more limited. Here, utilizing the Million Veteran Program cohort, we conducted a genome-wide association study in individuals of European and African ancestry. Adding other published data, we performed genome-wide association study meta-analysis for each of the five personality traits with sample sizes ranging from 237,390 to 682,688. We identified 208, 14, 3, 2 and 7 independent genome-wide significant loci associated with neuroticism, extraversion, agreeableness, conscientiousness and openness, respectively. These findings represent 62 novel loci for neuroticism, as well as the first genome-wide significant loci discovered for agreeableness. Gene-based association testing revealed 254 genes showing significant association with at least one of the five personality traits. Transcriptome-wide and proteome-wide analysis identified altered expression of genes and proteins such as CRHR1, SLC12A5, MAPT and STX4. Pathway enrichment and drug perturbation analyses identified complex biology underlying human personality traits. We also studied the inter-relationship of personality traits with 1,437 other traits in a phenome-wide genetic correlation analysis, identifying new associations. Mendelian randomization showed positive bidirectional effects between neuroticism and depression and anxiety, while a negative bidirectional effect was observed for agreeableness and these psychiatric traits. This study improves our comprehensive understanding of the genetic architecture underlying personality traits and their relationship to other complex human traits.

Abstract reproduced from the open-access article under the recorded cc by licence; © the authors. PMID 39134740 · DOI · PMC11576509

Sleep quality and mindfulness: mediating the relationship between neuroticism and subjective well-being in early adolescents [4]

Research article Ji X, Fang X, Leung PWL, Liu J · · 2025 · cited 2 times (Europe PMC)

Abstract reading summary — source excerpts
Opening excerpt
BackgroundGood sleep quality, appropriate sleep timing, and mindfulness support emotional and mental health well-being.
Closing excerpt
The findings underscore the importance of healthy sleep and mindfulness-based strategies to support well-being in early adolescents high in neuroticism.
Interpretation limits
Verbatim excerpts from the authors’ abstract; the closing excerpt may describe a finding, limitation or recommendation. Design, population, effect size and uncertainty have not been independently extracted or appraised. Read the complete abstract and linked paper before interpreting the findings.
Read complete abstract (235 words)

BackgroundGood sleep quality, appropriate sleep timing, and mindfulness support emotional and mental health well-being. However, few studies have examined their role in the association between neuroticism and subjective well-being (SWB) among adolescents. This study investigated their potential moderating and mediating effects on the neuroticism-SWB relationship in early adolescents.MethodsWe enrolled 1110 adolescents in the China Jintan Child Cohort-Wave II study, with 543 providing complete data on sleep, neuroticism, and SWB (2011-2013, 12.98 ± 0.88 years old, 49% females) and 188 providing trait mindfulness data (2013-2014). The sleep variables included sleep quality (Pittsburgh sleep quality index) and chronotype (mid-sleep time on weekends corrected for sleep debt). SWB was measured via the Oxford happiness questionnaire, neuroticism was measured via the Big Five Inventory, and mindfulness was measured via the five facet mindfulness questionnaire. Linear regression was used to estimate the moderating effect, and generalized structural equation modeling was used to examine the mediating effects.ResultsNeuroticism (b = -5.07, P 0.05). Chronotype was not a moderator or a mediator between neuroticism and SWB, although a moderate (vs. late) chronotype was independently associated with better SWB (b = 5.91, P = 0.04).ConclusionsPoor sleep and mindfulness mediate, but do not moderate, the relationship between neuroticism and SWB. While the late chronotype predicts poorer SWB, it does not contribute to the neuroticism-SWB relationship. The findings underscore the importance of healthy sleep and mindfulness-based strategies to support well-being in early adolescents high in neuroticism.

Abstract reproduced from the open-access article under the recorded cc by licence; © the authors. PMID 41162809 · DOI · PMC12627152

Key reviews and meta-analyses

The most cited review-type papers among PubMed’s best-match results for this heading, listed with bibliographic details only. Follow the links for the full text and access terms.

  • Research article Meta-analysis of genome-wide association studies for neuroticism in 449,484 individuals identifies novel genetic loci and pathways [5]
    Nagel M, Jansen PR, Stringer S, Watanabe K, de Leeuw CA, Bryois J, et al. · Nat Genet · 2018 · cited 664 times (Europe PMC)
  • Research article Neuroticism's prospective association with mental disorders halves after adjustment for baseline symptoms and psychiatric history, but the adjusted association hardly decays with time: a meta-analysis on 59 longitudinal/prospective studies with 443 313 participants [6]
    Jeronimus BF, Kotov R, Riese H, Ormel J · Psychol Med · 2016 · cited 184 times (Europe PMC)
  • Research article Genome-wide association study of panic disorder reveals genetic overlap with neuroticism and depression [7]
    Forstner AJ, Awasthi S, Wolf C, Maron E, Erhardt A, Czamara D, et al. · Mol Psychiatry · 2021 · cited 130 times (Europe PMC)
  • Research article Addressing neuroticism in psychological treatment [8]
    Sauer-Zavala S, Wilner JG, Barlow DH · Personal Disord · 2017 · cited 70 times (Europe PMC)
  • Research article Genetic Associations Between Childhood Psychopathology and Adult Depression and Associated Traits in 42 998 Individuals: A Meta-analysis [9]
    Akingbuwa WA, Hammerschlag AR, Jami ES, Allegrini AG, Karhunen V, Sallis H, et al. · JAMA Psychiatry · 2020 · cited 62 times (Europe PMC)
  • Research article Polygenic risk scores for major depressive disorder and neuroticism as predictors of antidepressant response: Meta-analysis of three treatment cohorts [10]
    Ward J, Graham N, Strawbridge RJ, Ferguson A, Jenkins G, Chen W, et al. · PLoS One · 2018 · cited 59 times (Europe PMC)

References

  1. Nagel M, Watanabe K, Stringer S, Posthuma D, van der Sluis S. Item-level analyses reveal genetic heterogeneity in neuroticism. . 2018. PMID 29500382 · DOI · PMC5834468
  2. Hill WD, Weiss A, Liewald DC, Davies G, Porteous DJ, Hayward C, et al.. Genetic contributions to two special factors of neuroticism are associated with affluence, higher intelligence, better health, and longer life. . 2020. PMID 30867560 · DOI · PMC7577854
  3. Gupta P, Galimberti M, Liu Y, Beck S, Wingo A, Wingo T, et al.. A genome-wide investigation into the underlying genetic architecture of personality traits and overlap with psychopathology. . 2024. PMID 39134740 · DOI · PMC11576509
  4. Ji X, Fang X, Leung PWL, Liu J. Sleep quality and mindfulness: mediating the relationship between neuroticism and subjective well-being in early adolescents. . 2025. PMID 41162809 · DOI · PMC12627152
  5. Nagel M, Jansen PR, Stringer S, Watanabe K, de Leeuw CA, Bryois J, et al.. Meta-analysis of genome-wide association studies for neuroticism in 449,484 individuals identifies novel genetic loci and pathways. Nat Genet. 2018. PMID 29942085 · DOI
  6. Jeronimus BF, Kotov R, Riese H, Ormel J. Neuroticism's prospective association with mental disorders halves after adjustment for baseline symptoms and psychiatric history, but the adjusted association hardly decays with time: a meta-analysis on 59 longitudinal/prospective studies with 443 313 participants. Psychol Med. 2016. PMID 27523506 · DOI
  7. Forstner AJ, Awasthi S, Wolf C, Maron E, Erhardt A, Czamara D, et al.. Genome-wide association study of panic disorder reveals genetic overlap with neuroticism and depression. Mol Psychiatry. 2021. PMID 31712720 · DOI
  8. Sauer-Zavala S, Wilner JG, Barlow DH. Addressing neuroticism in psychological treatment. Personal Disord. 2017. PMID 29120218 · DOI
  9. Akingbuwa WA, Hammerschlag AR, Jami ES, Allegrini AG, Karhunen V, Sallis H, et al.. Genetic Associations Between Childhood Psychopathology and Adult Depression and Associated Traits in 42 998 Individuals: A Meta-analysis. JAMA Psychiatry. 2020. PMID 32293669 · DOI · PMC7160753
  10. Ward J, Graham N, Strawbridge RJ, Ferguson A, Jenkins G, Chen W, et al.. Polygenic risk scores for major depressive disorder and neuroticism as predictors of antidepressant response: Meta-analysis of three treatment cohorts. PLoS One. 2018. PMID 30240446 · DOI · PMC6150505

About this article

Sources
NLM Medical Subject Headings (definition, synonyms); NCBI PubMed (counts, identifiers); Europe PMC (open-access abstracts and citation counts).
Verification
Every reference was resolved against PubMed on 2026-11-04; title, year and DOI matched.
Review state
automated source verified; no human expert review has been recorded yet.
Version
1, last updated 2026-11-04.

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At a glance

2,255
PubMed records on this heading
49%
published since 2020
137
review articles
39
randomized trials
10
verified references below

Counts come from PubMed on 2026-10-31; they show how much has been written, not how strong the evidence is.

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