Specific Personality Traits and Coping Styles Predict Affective Symptoms in Early Post Acute Coronary Syndrome Inpatients

Abstract

These findings underlie the importance of assessment for Type D personality and coping strategies that could be useful to identify post-ACS patients at higher risk for affective symptoms. Using these brief instruments, as sensitive screening measures, we investigated the prevalence of depressive and anxiety symptoms in patients with ACS, we identified personality traits and coping strategies used to manage stress and estimated independent predictors of affectivity disorders after ACS.

Type D personality in never-depressed patients and the development of major and minor depression after acute coronary syndrome

“…NA and SI scores did not predict the development of depression after controlling for the severity of anxious and depressive symptoms at baseline. Therefore, our study does not confirm the results of previous studies which suggested that TDP is a risk factor for the development (Pedersen et al, 2006;Kuijpers et al, 2007;Spindler et al, 2009;De Fazio et al, 2012) or co-occurrence (Martens et al, 2008;Smith et al, 2008;Doyle et al, 2011a;Romppel et al, 2012a) of depressive symptoms in cardiac patients.…”

“…In most of these previous studies (Kuijpers et al, 2007;Spindler et al, 2009;Dannemann et al, 2010;De Fazio et al, 2012, Starrenburg et al, 2013 TDP and depression were evaluated at the same time; owing to the fact these constructs are highly correlated and partially overlapping (Denollet et al, 2010) no conclusion could reliably be drawn. Indeed in the aforementioned studies the hypothesis has been that TDP is a risk factor for depression, and this is what was tested.…”

“…Furthermore, type D personality (TDP) is also thought to be a risk for the development (Pedersen et al, 2006;Spindler et al, 2009;Yu et al, 2010;De Fazio et al, 2012), persistence (Martens et al, 2008;Smith et al, 2008;Doyle et al, 2011a, b;Romppel et al, 2012a) and worsening (Romppel et al, 2012a) of depressive symptoms in cardiac patients, and this effect has been particularly attributed to Negative Affectivity (NA). Although some studies suggested that Type D is a stable construct (Denollet, 2005;Martens et al, 2007;Kupper et al, 2011;Romppel et al, 2012b), with conceptual (Denollet et al, 1996(Denollet et al, , 2010Denollet and Pedersen, 2008;Denollet and Conraads, 2011) and biological basis (Kupper et al, 2007) and not influenced by mood changes (Denollet et al 2005;de Jonge et al, 2007;Martens et al, 2007;Yu et al, 2010), others found that TDP was associated with depressive features (Kuijpers et al, 2007;Spindler et al, 2009;Dannemann et al, 2010;Svansdottir et al, 2012), general distress (Bergvik et al, 2010) and a history of depression (Martens et al, 2008;Starrenburg et al, 2013); with the stronger association (Kudielka et al, 2004;Bergvik et al, 2010;Coyne et al, 2011;Coyne and de Voogd, 2012;Howard and Hughes, 2012;Starrenburg et al, 2013;Tully and Penninx, 2012) found for NA.…”

Impact of psychological factors on objective ambulatory measures in patients with intermittent claudication

“…This independence of type D from mood disorders is also evident in the cardiac literature. 15 In looking at fatigue in patients with ischemic heart disease, type D was found to be a predictor of fatigue independent of stage. 16 Type D is an independent risk factor for cardiovascular mortality after myocardial infarction.…”

The Relationship between Depression, Anxiety, Somatization, Personality and Symptoms of Lower Urinary Tract Symptoms Suggestive of Benign Prostatic Hyperplasia

“…In addition, personality traits may be associated with clinical characteristics including the severity of LUTS/BPH since one's personality profile may be a crucial factor to given stressors and/or diseases. 15 , 16 , 17 …”