Negative affectivity and social inhibition are associated with increased cardiac readmission in patients with heart failure: A preliminary observation study

Abstract

Background Type D personality was hypothesized to influence clinical and patient-centered outcomes patients with heart failure. The aim of this study was to investigate the association between negative affectivity and social inhibition components of Type D personality and cardiac readmission in patients with heart failure. Methods A prospective observational study design was used. A total of 222 patients with heart failure were recruited from the department of cardiology in two regional hospitals in Taiwan. The 14-item Type D Scale-Taiwanese version was used to assess negative affectivity and social inhibition of the patients. Logistic regression analyses were conducted to determine the association of both Z-score transformed and dichotomized negative affectivity and social inhibition with 6-month and 18-month cardiac readmissions. Results A total of 55 patients (24.8%) and 89 patients (40.1%) had cardiac readmissions within 6 months and 18 months, respectively. Multiple logistic regression analyses of Z-score transformed negative affectivity and social inhibition were significantly associated with (1) 6-month cardiac readmission with odds ratios of 1.62 (P = 0.003) and 1.48 (P = 0.014), respectively and (2) 18-month cardiac readmission with odds ratios of 1.45 (P = 0.013) and 1.38 (P = 0.031), respectively. Similar findings were obtained when negative affectivity and social inhibition were analyzed as dichotomized scores. Conclusions Negative affectivity and social inhibition components of the Type D personality were significantly associated with a higher risk of cardiac readmission in both 6 months and 18 months after the initial hospitalization in patients with heart failure.

Mediating effects of social support between Type D personality and self‐care behaviours among heart failure patients

“…Some studies found that coronary heart disease patients with Type D personality reported a relatively poorer quality of life compared with those who did not have a Type D personality (Ginting et al., 2016; Widdershoven et al., 2013). Moreover, having the Type D personality was associated with adverse clinical outcomes, including hospital readmission and mortality in patients with heart failure (Bundgaard et al., 2019; Lin et al., 2019; Staniute et al., 2015). This personality type has also been reported to affect self‐care behaviours (Cao et al., 2016; Ginting et al., 2016; Widdershoven et al., 2013).…”

A Review of Applications of the Bayes Factor in Psychological Research

“…Data. Lin et al (2019) performed an observational study aimed at unravelling patient-level characteristics associated with hospital readmission after earlier heart failure hospitalization. They focused on the distressed personality construct (Type D personality) which is a joint disposition towards negative affectivity and social inhibition.…”

Is the concept of type D personality a component of personalized medicine or a prognostic factor in the treatment of cardiovascular diseases?

“…В последующих исследованиях на отдельных когортах пациентов получены также противоречивые результаты. Так, у больных стабильной ИБС при проспективном наблюдении не менее 1 года тип Д был ассоциирован с худшим прогнозом [35], при выполнении кардиохирургических операций наличие типа Д ассоциировано с более длительными периодами мозговой дисфункции (делирий/кома) [36], у больных после коронарного шунтирования -с более частым развитием сердечно-сосудистых событий в отдаленном периоде [37], у больных ХСН -с частотой повторных госпитализаций [38]. В то же время при неишемической ХСН не удалось выявить неблагоприятного прогностического влияния типа личности Д в исследовании DANISH [39], также не влиял тип личности Д на прогноз у больных после имплантации кардиовертера-дефибриллятора [40], а также в течение года после имплантации коронарных стентов [41].…”