Association of Type D personality and mild cognitive impairment in patients with hypertension

Ye, Qingfang; Liu, Li; Wang, Yini; Li, Ling; Wang, Zhengjun; Liu, Guojie; Lin, Ping; Li, Qiujie

doi:10.3389/fpsyg.2022.974430

Cited by 3 publications

(2 citation statements)

References 57 publications

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“…The dependence we identified requires confirmation in subsequent studies in healthy individuals. At the same time, for patients with cardiovascular diseases, an association of personality type D has already been shown with the presence of cognitive dysfunction [28,38,39]. The presence of cognitive dysfunction in medical students may contribute to worse academic performance (however, this could not be detected in the present study) or to greater stress load during the study process.…”

Section: Discussionmentioning

confidence: 44%

The Influence of Personality Type D and Coping Strategies on Cognitive Functioning in Students

Sumin,

Prokashko,

Shcheglova

2024

Behavioral Sciences

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Introduction: Academic and emotional challenges faced by medical students can affect their psychological well-being and health. Personal characteristics may also predispose one to the manifestation of distress reactions. Individuals with type D personality have an increased tendency to develop depressive reactions and somatic diseases, including the presence of cognitive dysfunction. In students, the presence of cognitive dysfunction may additionally adversely affect academic and psycho-emotional problems. The purpose of this study was to examine the influence of type D personality and coping strategies on cognitive functioning in medical students. Methods: A cross-sectional study included 258 medical students (age 19 ± 1.2 years, 79 men). All participants completed psychological questionnaires (DS-14 to identify type D personality, and The Coping Strategy Indication, CSI—to determine coping strategies), as well as extensive neuropsychological testing of cognitive functions. Results: Among the medical students examined, the frequency of identification of type D personality was 44%. In persons with personality type D, according to psychometric testing, a decrease in the level of functional mobility of nervous processes (FMNP) was noted, which was manifested in an increase in the test completion time (p < 0.001) and an increase in the number of errors (p < 0.001) during the FMNP test, and an increase in the test completion time in the attention concentration test. In addition, in type D participants, an increase in the test execution time during the attention test was noted (p = 0.007). Personality type D was an independent risk factor for cognitive decline in students in multiple linear regression analysis, when type D was analyzed as a dichotomous construct. Conclusions: Assessing personal characteristics and identifying personality type D is advisable for medical students, to develop subsequent programs to increase their resistance to academic challenges, improve cognitive function, and also to prepare for future stress loads during professional activities in the field of healthcare.

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Section: Discussionmentioning

confidence: 44%

The Influence of Personality Type D and Coping Strategies on Cognitive Functioning in Students

Sumin,

Prokashko,

Shcheglova

2024

Behavioral Sciences

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“…In a study conducted with patients with diabetes, TDP was found to be more prevalent in the patient group than in the control group, and adverse mental health outcomes, such as depressed mood, anhedonia, and anxiety, were linked to poor medication adherence and the adoption of an unhealthy lifestyle [ 26 ]. Another study reported a robust association between TDP and negative emotional states, as well as mild cognitive impairment, in patients with hypertension [ 27 ].…”

Section: Discussionmentioning

confidence: 99%

The Impact of Type D Personality Traits on Quality of Life, Sleep, Anxiety, and Depression in Fibromyalgia Patients: A Comparative Study with Healthy Controls

Topal,

Tuman

2023

Med Sci Monit

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Background Type D personality has been associated with adverse clinical outcomes and poor quality of life in many diseases. This study aimed to evaluate the effects of type D personality on pain, anxiety and depression, sleep quality, and quality of life in 50 patients with fibromyalgia syndrome. Material/Methods Fifty patients with fibromyalgia and 50 healthy controls were included in the study. Baseline and post-treatment evaluations encompassed a comprehensive battery of assessment tools: socio-demographic questionnaire, visual analog scale for pain, Beck Anxiety Inventory, Beck Depression Inventory, Fibromyalgia Impact Questionnaire, SF-36 Short Form Questionnaire, and Pittsburgh Sleep Quality Index. The effects of type D personality traits on clinical parameters were determined by evaluating the participants with the D-Type Personality Scale (DS-14). Results Twelve participants (24%) in the control group and 30 patients (60%) in the fibromyalgia group had type D personality traits, and the difference was significant ( P <0.001). The Beck Anxiety Inventory and Beck Depression Inventory scores were significantly higher, and the SF-36 domains of vitality and mental health were significantly lower in fibromyalgia patients with type D personality ( P =0.023, P =0.036, P =0.002, P >0.001). Conclusions This study draws attention to the high prevalence of type D personality in patients with fibromyalgia and demonstrates that this personality trait has a negative impact on patients’ clinical parameters.

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Pathogenetic Mechanisms Underlying Major Adverse Cardiac Events in Personality Type D Patients after Percutaneous Coronary Intervention: The Roles of Cognitive Appraisal and Coping Strategies

Sumin,

Shcheglova

2023

Diagnostics

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Background: This paper aimed to study the association of type D personality, coping strategies, and cognitive appraisal with annual prognosis after a percutaneous coronary intervention (PCI) in patients with coronary artery disease (CAD). Methods: The prospective study included 111 CAD patients who underwent a PCI. All participants, before the PCI, completed questionnaires designed to collect information about type D personality, cognitive appraisal, and coping styles. Information was also collected on the clinical and demographic characteristics of the patients. After 1 year of follow-up, the presence of major adverse cardiac events (MACEs) was assessed. Results: The presence of a MACE was noted in 38 patients, and the absence of a MACE was noted in 53 patients. In patients with type D personality, higher incidences of MACEs (54.1% versus 33.3%; p = 0.0489) and hospitalization rates (29.7% versus 7.4%; p = 0.004) were revealed. Patients with poor prognoses preferred a moderate use of the confrontation strategy than patients without a MACE (78.4% vs. 50.9%; p = 0.0082). Patients with MACEs had statistically significantly lower indicators of strong emotions (11.92 ± 5.32 versus 14.62 ± 4.83 points; p = 0.005) and future prospects (11.36 ± 3.81 versus 13.21 ± 3.41 points; p = 0.015) than patients without a MACE. In a multiple binary logistic regression model, the following factors had significant associations with MACE development: type D, moderate use of confrontation coping, moderate use of self-control coping, and strong emotions in cognitive appraisal. Conclusion: This study showed that not only personality type D, but also certain coping strategies and cognitive appraisals increase the likelihood of developing a MACE after a PCI. This provides a theoretical basis for understanding the mechanism underlying type D personality and MACEs in patients after a PCI.

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Association of Type D personality and mild cognitive impairment in patients with hypertension

Cited by 3 publications

References 57 publications

The Influence of Personality Type D and Coping Strategies on Cognitive Functioning in Students

The Influence of Personality Type D and Coping Strategies on Cognitive Functioning in Students

The Impact of Type D Personality Traits on Quality of Life, Sleep, Anxiety, and Depression in Fibromyalgia Patients: A Comparative Study with Healthy Controls

Pathogenetic Mechanisms Underlying Major Adverse Cardiac Events in Personality Type D Patients after Percutaneous Coronary Intervention: The Roles of Cognitive Appraisal and Coping Strategies

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