It is a fake latent variable cardiologists (who were being paid by tobacco companies) came up with to distinguish between people who had heart attacks and those who didn’t to mask the effect of smoking.
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3477961/
It’s not surprising that this vocabulary persists - it’s a nice shorthand to casually describe personality. But the idea that it represents anything objective, measurable or scientific needs to be stamped out.