Psychological risk factors in heart disease

Denollet, Johan; Heck, G.L. van

doi:10.1016/s0022-3999(01)00230-6

Cited by 75 publications

(14 citation statements)

References 30 publications

(44 reference statements)

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“…Neuroticism predicts poorer prognosis in systemic disease, such as recovery from coronary heart disease and risk of cardiac events. (33) Neuroticism is also associated with Medically Unexplained Symptoms (MUS), correlating with possible biological substrates. (34) Neuroticism may represent a “distress proneness”(34); the higher Neuroticism domain reported in the PNES sample suggests that patients with PNES may be more sensitive to stressful events than patients with PMD.…”

Section: Discussionmentioning

confidence: 99%

Personality traits in psychogenic nonepileptic seizures (PNES) and psychogenic movement disorder (PMD): Neuroticism and perfectionism

Ekanayake

Kranick

LaFaver

et al. 2017

Journal of Psychosomatic Research

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Objective Psychogenic movement disorder (PMD) and psychogenic non-epileptic seizures (PNES) are two subtypes of conversion disorder (CD). In this case-control study, we asked whether these subtypes varied as a function of personality and history of childhood abuse, using the NEO Personality Inventory Revised (NEO PI-R). Methods Fifty-nine patients with PMD from the Human Motor Control Section Clinic at the National Institutes of Health, 43 patients with PNES from the Rhode Island Hospital Neuropsychiatry and Behavioral Neurology Division, and 26 healthy volunteers (HC) received a battery of neurological, psychiatric and psychological assessments. Results One-way ANOVA between the three groups indicated significant differences in overall domains of Neuroticism (p=0.001) and Conscientiousness (p=0.009): Patients with PNES reported significantly greater levels of Neuroticism (p=0.002) and lower levels of Conscientiousness (p=0.023) than patients with PMD. Levels of Neuroticism remained significantly higher in both PMD and PNES than HC following correction for multiple comparisons. Patients with PNES reported greater levels of depressive and anxiety symptoms, overall psychopathology, greater history of sexual abuse, greater levels of alexithymia, higher levels of dissociative symptoms, and an earlier age at which they experienced their most distressing traumatic event than patients with PMD. Conclusions These findings suggest that personality traits, type of abuse and age of onset of trauma varies as a function of CD subtype. Patients with PNES rated greater Neuroticism and lower Conscientiousness than patients with PMD. These differing psychological profiles may inform differing treatment approaches such as psychological therapies for PNES and physiotherapy (with/without psychotherapy) for PMD.

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Section: Discussionmentioning

confidence: 99%

Personality traits in psychogenic nonepileptic seizures (PNES) and psychogenic movement disorder (PMD): Neuroticism and perfectionism

Ekanayake

Kranick

LaFaver

et al. 2017

Journal of Psychosomatic Research

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“…Moreover, there are indications that the preimplantation psychological profile remains unchanged during 1 year follow-up [46]. Therefore, the preimplantation psychological profile (i.e., type D personality, history of depressive or anxiety disorder, and preimplantation depressive or anxiety symptoms) of the ICD patient seems to be a factor that should be carefully monitored, since it appears to be associated with an increased risk of worse prognosis and poorer health status in the longer term [14, 15, 20, 44, 47]. …”

Section: Discussionmentioning

confidence: 99%

“…Preliminary evidence suggests that personality factors may also help to identify patients at risk for developing adverse health outcomes in the future [14–18]. Type D personality, defined as the tendency to experience negative emotions combined with the tendency to inhibit these emotions in social interactions [14], seems to constitute a vulnerability factor for future anxiety, depression [19], and poor health status [16], regardless of the underlying cardiac disease pathology. Moreover, anxious ICD patients with a type D personality have a 70 % increased risk of ventricular arrhythmias, possibly due to the modulating effect of personality on emotional distress [20] and also a higher risk of mortality [21].…”

Section: Introductionmentioning

confidence: 99%

Association of Psychiatric History and Type D Personality with Symptoms of Anxiety, Depression, and Health Status Prior to ICD Implantation

et al. 2012

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BackgroundPersonality factors and psychiatric history may help explain individual differences in risk of psychological morbidity and poor health outcomes in patients with an implantable cardioverter defibrillator (ICD).PurposeWe examined associations between previous anxiety and depressive disorder, type D personality, anxiety or depressive symptoms, and health status in ICD patients prior to ICD implantation.MethodPatients (N = 278; 83 % men; mean age = 62.2 years ±11) receiving a first ICD from September 2007 through April 2010 at the Medisch Spectrum Twente, The Netherlands completed validated questionnaires before implantation assessing type D personality (14-item Type D Scale), anxiety and depressive symptoms (Hospital Anxiety and Depression Scale), and health status (36-item Short Form Health Survey). History of anxiety or depressive disorder was assessed with the Mini International Neuropsychiatric Interview structural interview.ResultsPrevious anxiety or depressive disorder was prevalent in 8 and 19 % of patients, respectively. Type D personality was present in 21 %, depressive symptoms in 15 %, and anxiety in 24 %. In adjusted analyses, type D personality was a dominant correlate of previous depressive disorder (odds ratio (OR) 6.2, p < 0.001) and previous anxiety disorder (OR 3.9, p = 0.004). Type D personality (OR 4.0, p < 0.001), age (OR 1.03, p = 0.043), and gender (OR 2.5, p = 0.013) were associated with anxiety symptoms at baseline. Type D personality (OR 5.9. p < 0.001) was also associated with increased depressive symptoms at baseline. Heart failure and type D personality were related to poorer health status.ConclusionIn ICD patients, prior to ICD implantation, a previous anxiety or depressive disorder, type D personality, and anxiety and depressive symptoms were associated with poorer health status. Type D personality was also independently associated with increased anxiety and depression symptoms.

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“…In the general population, the enduring, life-long tendency to experience negative affect, often measured as neuroticism (Deary, Chalder, & Sharpe, 2007), has been related to heightened reactivity to stressors (Bolger & Schilling, 1991); increased objectively measured negative life events (Magnus, Diener, Fujita, & Pavot, 1993); more physical illness (Huovinen, Kaprio, & Koskenvuo, 2001; Matthews, Yousfi, & Schmidt-Rathjens, 2003); poorer prognosis and untoward events in chronic illness (Denollet & Van Heck, 2001); and compromised immune function (Marsland, Cohen, Rabin, & Manuck, 2001). Several investigators have found that ACC-survivors who met criteria for diagnosis of post-traumatic stress disorder (PTSD) had higher scores on negative affect measures than those without PTSD (Bruce, 2006; Rourke, Hobbie, Schwartz, & Kazak, 2007; Schwartz & Drotar, 2006).…”

Section: Symptom Cluster Experience Profile Frameworkmentioning

confidence: 99%

The Symptom Cluster Experience Profile Framework

Finnegan¹,

Shaver²,

Zenk³

et al. 2010

Oncology Nursing Forum

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Purpose To present the novel Symptom Cluster Experience Profile (SCEP) Framework for guiding symptom research in adult-survivors of childhood cancers (ACC-survivors) and other subgroups at risk for high symptom burden. Data Sources Empirically-derived model of symptom cluster experience profiles, existing theoretical frameworks, data-based literature on symptoms and quality of life in ACC-survivors. Data Synthesis In a previous study, we generated a preliminary model to characterize subgroups of ACC-survivors with high-risk symptom cluster profiles. We developed the SCEP Framework that depicts symptom cluster experiences as subgroup-specific profiles that are driven by multiple sets of risk and protective factors. These risk and protective factors may directly and indirectly --through their effects on systemic stress -- contribute to or alleviate symptoms. Systemic stress instigates and sustains the symptom experience, which in turn is expressed through negative diffusion into other components of quality of life, such as functional status, general health perceptions, and overall quality of life. Conclusions The SCEP Framework is an initial approach to unbundle the complex heterogeneity that underlies the clustering of symptoms. By measuring a wide range of risk and protective factors in future studies of ACC-survivors and other subgroups at risk for high symptom burden, further development and validation of the SCEP Framework will occur. Implications for Nursing Research and Practice The SCEP framework can be used to specify mechanisms underlying symptom cluster profiles and derive interventions targeted to high-risk symptom profiles. Findings from future studies can be translated to risk-based surveillance and symptom management clinical practice guidelines.

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Psychological risk factors in heart disease

Cited by 75 publications

References 30 publications

Personality traits in psychogenic nonepileptic seizures (PNES) and psychogenic movement disorder (PMD): Neuroticism and perfectionism

Personality traits in psychogenic nonepileptic seizures (PNES) and psychogenic movement disorder (PMD): Neuroticism and perfectionism

Association of Psychiatric History and Type D Personality with Symptoms of Anxiety, Depression, and Health Status Prior to ICD Implantation

The Symptom Cluster Experience Profile Framework

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