Type D personality has recently attracted attention as a psychological factor closely related to the onset and progression of coronary heart disease CHD . e purpose of the present research was to develop the Japanese version of Type D scale and to evaluate its validity and reliability. Participants N 291; 133 CHD patients, 158 normal adults completed questionnaires including the Japanese version of the Type D Scale DS14 , Hospital Anxiety and Depression Scale HADS , Kikuchi s Social Skills Scale-18 Kiss-18 , and Negative Emotional Suppression Tendency Scale. Exploratory factor analysis of Japanese DS14 revealed two factors social inhibition: SI, and negative a ectivity: NA comprised of 14 items. Con rmatory factor analysis indicated an adequate index of tness. In addition, the scale had an acceptable internal consistency Cronbach s alpha, SI .862, and NA .799 , as well as adequate reliability. ese results indicate that the Japanese version of DS14 is a clinically useful scale for evaluating Type D personality in patients with CHD.
Abstract:Objectives: To identify risk factors, including aortic calcification, for persistent hypertension in primary aldosteronism (PA) patients who underwent laparoscopic adrenalectomies.
Methods:Between October 2000 and October 2015, we performed consecutive 101 laparoscopic adrenalectomies for unilateral PA patients. Of those, 95 patients who had at least one year follow-up periods were included. The patients were divided into two groups based on whether they had normal blood pressure without antihypertensive medications (resolved group) or still required medications (unresolved group) at one year after surgery.Variables included age, gender, body mass index, history of hypertension, dosage of antihypertensive medication score, presence of type 2 diabetes, subclinical Cushing syndrome, preoperative renal function, aldosteronoma resolution score (ARS), and abdominal calcification index (ACI). Univariate and multivariate logistic regression analyses were used to assess independent risk factors for persistent hypertension one year after surgery.
Results:The complete resolution of hypertension without antihypertensive medication one year after adrenalectomy was 36/95 (38%). Preoperative antihypertensive medication score, systolic blood pressure, ACI were significantly higher, and ARS were significantly lower in the unresolved group than in the resolved group. Using multivariate logistic regression analysis, independent risk factors significantly correlating with persistent hypertension one year after surgery were ARS and ACI.
Conclusions:Adrenalectomy improved blood pressure and the need for antihypertensive medications, whereas ARS and ACI were potential independent risk factors for persistent hypertension one year after adrenalectomy.
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