Is type-D a stable construct? An examination of type-D personality in patients before and after cardiac surgery

Dannemann, Stephanie; Matschke, Klaus; Einsle, Franziska; Smucker, Mervin R.; Zimmermann, Katrin; Joraschky, Peter; Weidner, Kerstin; Köllner, Volker

doi:10.1016/j.jpsychores.2010.02.008

Cited by 37 publications

(44 citation statements)

References 54 publications

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“…These results confirm, and possibly explain, the long-recognized high association among measures of negative affect, particularly the NA component of TDP, and the self-reported measures of depressive symptoms [5,6,7]. Concerning TDP and its independency from emotional distress [9], a recent study reported that TDP dimensions were stable over a long period of time [12]; however, that study did not control for co-occurring distress or affective psychopathology, while our findings suggest that even the presence of subthreshold depression (md) is associated with greater NA and SI. Therefore, the results of the present study suggest that the presence of depressive state is crucial when assessing TDP, since NA and anhedonic depression are partially overlapping and co-varying constructs.…”

Section: Figsupporting

confidence: 72%

“…While some evidence suggests that the NA dimension of TDP overlaps at least partially with depression [5,6,7], other studies underline how ‘TDP refers to a chronic, more covert form of distress that is distinct from depression' [8]. However, the stability of TDP is still far from being ascertained, with some studies indicating that TDP is a stable, mood-state-independent phenomenon, and others reporting that changes in TDP diagnosis occur in about 60% of patients after cardiac surgery [9], thereby suggesting that TDP includes a state-dependent component [10,11]. Therefore, the present study aims to clarify whether, among never depressed patients at their first acute coronary syndrome (ACS), there is an overlap between the constructs of TDP and depression, evaluating the stability of NA and SI 6 months after the ACS, and their relationship with depressive symptoms.…”

Section: Figmentioning

confidence: 99%

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Type D Personality in Never Depressed Patients at Their First Acute Coronary Syndrome

Marchesi

Ossola

Scagnelli

et al. 2014

Psychother Psychosom

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Section: Figsupporting

confidence: 72%

Section: Figmentioning

confidence: 99%

Type D Personality in Never Depressed Patients at Their First Acute Coronary Syndrome

Marchesi

Ossola

Scagnelli

et al. 2014

Psychother Psychosom

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“…8,10,11 Type D personality is a relatively stable trait, characterized by high negative affectivity, the tendency to experience negative emotions, and social inhibition, and the tendency to inhibit the expression of emotions/behaviors in social interactions. 12 Studies have shown that type D personality is associated with an increased risk of adverse clinical outcomes in coronary heart disease, including mortality and morbidity. 13 Taken together, as personality traits are associated with cardiovascular events, it can be hypothesized that they also play a role in the development of CAP.…”

Section: Introductionmentioning

confidence: 99%

Personality traits, cardiac risk factors, and their association with presence and severity of coronary artery plaque in people with no history of cardiovascular disease

Compare¹,

Mommersteeg²,

Faletra³

et al. 2014

Journal of Cardiovascular Medicine

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BACKGROUND Coronary artery disease (CAD) is a multifactorial complex disease. The aim of the present study is to verify whether the personality traits in CAD are associated with coronary artery plaque (CAP) presence and severity in people with no history of cardiovascular disease. DESIGN A cross-sectional monocenter study. METHODS Seventy five individuals with no history of CAD underwent 64-slice computed tomography coronary angiography (CTCA) and were screened for traditional cardiac risk factors and for hostility, anger, and type D personality traits. RESULTS In total, 48 patients (64%) had evidence of CAP, with mild (31%), moderate (33%), and severe (35%) coronary stenosis. Male sex, hypertension, being overweight, and number of cardiovascular risk factors increased the likelihood of CAP presence. Findings showed a significant difference between CAP presence vs. CAP absence for anger (26 vs. 30%, 2 = 6.82) and type D personality (23 vs. 35%; 2 = 8.23, P = 0.03), but not hostility (P > 0.05). Anger personality, and the type D subscale social inhibition, but not negative affectivity, were associated with an increased prevalence and severity of CAP. Univariate analysis confirms anger (odds ratio, OR = 1.38, 95% confidence interval, CI = 1.12-2.31), social inhibition (OR = 2.01, 95% CI = 1.81-2.93), 'negative affectivity by social inhibition' (OR = 1.24, 95% CI = 1.12-2.14), and type D personality (OR = 1.9, 95% CI = 1.11-2.03) as predictors of CAP presence. Moreover, multivariate analysis suggests social inhibition as also a unique CAP predictor (OR = 2.14, 95% CI = 1.89-2.96) after adjustment for having cardiac risk factors as a covariate. CONCLUSION The present data confirm the core role of traditional risk factors and suggest the primacy of social inhibition and anger personality traits in association with CAP presence and severity.

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“…However, in a recent study, type D diagnosis changed from pre- to post-surgery in nearly 60% of the cases [9]. …”

Section: Introductionmentioning

confidence: 99%

Type D Personality as a Cardiovascular Risk Marker in the General Population: Results from the Gutenberg Health Study

Beutel¹,

Wiltink²,

Till³

et al. 2012

Psychother Psychosom

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Background: Type D personality is considered as an independent risk factor for morbidity and mortality in cardiovascular patients and a vulnerability factor for distress in the general population. Because representative community studies are rare, we sought to determine the prevalence of type D personality and its relationship with demographic characteristics, different features of mental disorders, cardiovascular risk factors, health behavior, endothelial function and cardiovascular biomarkers in the general population. Methods: The prevalence of type D personality and its correlates were analyzed cross-sectionally in a population-based sample of 5,000 Mid-Europeans aged 35–74 years from the Gutenberg Health Study. Results: The prevalence of type D personality was 22.2% without remarkable differences in sex distribution. Type D subjects were characterized by lower socioeconomic status, lack of a partnership, increased depression, anxiety, depersonalization and health care utilization. Despite its strong association with mental disorders, type D personality emerged as psychometrically distinct. Although type D personality was independently associated with coronary heart disease (OR = 1.54, p = 0.044), no associations with traditional cardiovascular risk factors were found independently from depression or anxiety. Conclusions: Although type D personality is strongly associated with depression, anxiety, impaired mental and somatic health status, and increased health care utilization, the type D construct seems to comprise dysfunctional personality patterns not covered by depression and anxiety scales. Beyond these associations, the pathways of the cardiotoxic impact of type D personality remain to be elucidated. There is a need for prospective population studies on potential links between type D personality and cardiac disease.

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Is type-D a stable construct? An examination of type-D personality in patients before and after cardiac surgery

Cited by 37 publications

References 54 publications

Type D Personality in Never Depressed Patients at Their First Acute Coronary Syndrome

Type D Personality in Never Depressed Patients at Their First Acute Coronary Syndrome

Personality traits, cardiac risk factors, and their association with presence and severity of coronary artery plaque in people with no history of cardiovascular disease

Type D Personality as a Cardiovascular Risk Marker in the General Population: Results from the Gutenberg Health Study

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