The Association of Type D personality with Heart Rate Variability and Lipid Profiles Among Patients with Coronary Artery Disease

Lin, I-Mei; Wang, San-Yu; Chu, I-Hua; Lu, Ye-Hsu; Lee, Chee-Siong; Lin, Tsung‐Hsien; Fan, Sheng–Yu

doi:10.1007/s12529-016-9571-x

Cited by 14 publications

(9 citation statements)

References 48 publications

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“…First, imbalance in the autonomic nervous system may play a role in the adverse cardiac events. A recent study in patients with coronary artery disease showed that NA was inversely correlated with standard deviation of all normal-to-normal intervals (SDNN) and total power of heart rate variability (HRV) [27]. In patients with heart failure, Type D personality was associated with an inadequate heart rate response [28], and there is strong evidence linking autonomic imbalance with heart failure [29].…”

Section: Discussionmentioning

confidence: 99%

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

et al. 2019

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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.

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Section: Discussionmentioning

confidence: 99%

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

et al. 2019

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“…The distress personality (also known as Type D) is based on personality type and is defined by complex and highly negative emotions plus social inhibition [20] This total personality is associated with increase depressive symptoms [21]. Surprisingly, about 30% of cardiac surgery patients that carry this personality [22] suffer adverse consequences [23] and previous research showed a significant association between Type D personality and hard endpoint-adjusted hazard ratios (HR:2.24, 95% CI [1.37–3.66]) in meta-analysis of 12 studies on 5341 patients [24]. Despite this initial evidence linking Type D personality with hazard ratios, a full explanation of the correlation between personality and postoperative delirium which lead to high mortality is still lacking.…”

Section: Introductionmentioning

confidence: 99%

Type D personality is a predictor of prolonged acute brain dysfunction (delirium/coma) after cardiovascular surgery

et al. 2019

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Background Previous studies have shown a relationship between delirium and depressive symptoms after cardiac surgery with distress personalities linking to negative surgical outcomes. The aim of the present study is to further investigate the association between patients with Type D (distressed) personality with regards to delirium after cardiac surgery. Methods We conducted a consecutive-sample observational cohort pilot study with an estimated 142 patients needed. Enrollment criteria included patients aged ≥18 years who were undergoing planned cardiovascular, thoracic and abdominal artery surgery between October 2015 to August 2016 at the University of Tsukuba Hospital, Japan. All patients were screened by Type-D Personality Scale-14 (DS14) as well as the Hospital Anxiety and Depression Scale (HADS) the day before surgery. Following surgery, daily data was collected during recovery and included severity of organ dysfunction, sedative/analgesic exposure and other relevant information. We then evaluated the association between Type D personality and delirium/coma days (DCDs) during the 7-day study period. We applied regression and mediation modeling for this study. Results A total of 142 patients were enrolled in the present study and the total prevalence of delirium was found to be 34% and 26% of the patients were Type D. Non-Type D personality patients experienced an average of 1.3 DCDs during the week after surgery while Type D patients experienced 2.1 days over the week after surgery. Multivariate analysis showed that Type D personality was significantly associated with increased DCDs (OR:2.8, 95%CI:1.3–6.1) after adjustment for depressive symptoms and clinical variables. Additionally, there was a significant Type D x depression interaction effect (OR:1.7, 95% CI:1.2–2.2), and depressive symptoms were associated with DCDs in Type D patients, but not in non-Type D patients. Mediation modeling showed that depressive symptoms partially mediated the association of Type D personality with DCDs (Aroian test =0.04). Conclusions Type D personality is a prognostic predictor for prolonged acute brain dysfunction (delirium/coma) in cardiovascular patients independent from depressive symptoms and Type D personality-associated depressive symptoms increase the magnitude of acute brain dysfunction.

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“…Long-term negative emotions are observed to be associated with cardiovascular diseases, while diabetes is associated with anxiety and depression, and its prognosis is also known to be influenced by it. [29][30][31] Pain is reported to be felt more acutely in cancer survivors who do not express their emotions despite wanting to. 32 A longitudinal study published by Haase et al confirmed the correlation between interpersonal emotional behaviours and physical health and propose preventive interventions focused on definite emotions to help address major public health problems such as lifestyle disorders.…”

Section: Introductionmentioning

confidence: 99%

Effect of Suppressed Emotions on Health—Homoeopathic Aspect

Bawaskar¹,

Shinde²

2019

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The disease pattern shifting nowadays is beyond the epidemiologic transition theory. The multifarious change in patterns of health and disease depends on demographic, psychological and socio-economical determinants and their consequences. It is strongly evident that disease pattern is shifting from communicable to lifestyle diseases.There is an association between mental well-being and the immune system, which can be either overactive or suppressed, leading to related diseases disturbance of mind–body axis that has an effect on several aspects of the immune reaction through behavioural, neural and endocrine reactions to stimuli.

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The Association of Type D personality with Heart Rate Variability and Lipid Profiles Among Patients with Coronary Artery Disease

Abstract: Pathophysiological mechanisms leading to higher rates of adverse outcomes in CAD in individuals with Type D personalities may involve cardiac autonomic imbalance and lipid dysregulation.

Cited by 14 publications

References 48 publications

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

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

Type D personality is a predictor of prolonged acute brain dysfunction (delirium/coma) after cardiovascular surgery

Effect of Suppressed Emotions on Health—Homoeopathic Aspect

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