Type D Personality as a Risk Factor in Coronary Heart Disease: a Review of Current Evidence

Kupper, Nina; Denollet, Johan

doi:10.1007/s11886-018-1048-x

Cited by 143 publications

(133 citation statements)

References 70 publications

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“…Previous research had already established that type D patients are at higher risk of depression (Kupper & Denollet, ). The current study shows that longer pre‐hospital decision delays are one potential mechanism that increases risk of depression in this group.…”

Section: Discussionmentioning

confidence: 99%

“…For instance, the reluctance of type D patients to share feelings and worries with other people may prevent them from telling others about their symptoms and seeking medical attention. In addition, type D personality has been identified as a vulnerability factor for depression and anxiety (Kupper & Denollet, ), suggesting that patients with type D personality may be more likely to report psychological distress post‐ACS.…”

Section: Introductionmentioning

confidence: 99%

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Psychosocial markers of pre‐hospital decision delay and psychological distress in acute coronary syndrome patients

Arrebola‐Moreno

Petrova

Garrido

et al. 2020

British J Health Psychol

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Objectives. Both pre-hospital decision delaythe time patients wait before seeking medical attention after symptoms have startedand high psychological distress after the cardiac episode predict poor prognosis of patients with acute coronary syndromes (ACS). We aimed to identify psychosocial markers of these prognostic factors. Design.A cross-sectional study of 102 consecutive, clinically stable ACS survivors.Methods. Participants completed a questionnaire measuring pre-hospital decision delay, psychological distress, and several known psychosocial factors related to cardiovascular health: type D personality, resilience, social support, and concerns during the cardiac event. Multiple linear regression and mediation analyses were conducted.Results. Type D personality and fewer concerns about the serious consequences of delaying help-seeking were related to more psychological distress post-ACS, and these relationships were mediated by longer pre-hospital decision delay. In contrast, resilience was related to lower psychological distress. Social support and social concerns about help-seeking were not related to the outcome variables.Conclusions. Type D personality may be a risk factor for more delayed help-seeking for an ACS and higher psychological distress after the cardiac event. Resilience, in contrast, emerged as a potential protective factor of patients' mental health after the cardiac event. Pre-hospital decision delay was related to thinking about serious consequences (e.g., complications, protecting one's family) but not about social concerns (e.g., wasting other people's time) during the cardiac episode.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Psychosocial markers of pre‐hospital decision delay and psychological distress in acute coronary syndrome patients

Arrebola‐Moreno

Petrova

Garrido

et al. 2020

British J Health Psychol

View full text Add to dashboard Cite

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“…Anxiety has been found to be associated with persistent chest pain, more severe cardiac symptoms, and lower rates of obstructive CAD overall among a female cohort with ischemia and a low rate of obstructive CAD [14][15][16] . In addition to anxiety, depression, anger and personality are among the most well-documented psychological risk factors associated with ischemic heart disease 12,[17][18][19] .…”

Section: Introductionmentioning

confidence: 99%

Psychological factors of suspect coronary microvascular dysfunction in patients undergoing SPECT imaging

Bekendam

Vermeltfoort

Kop

et al. 2022

Journal of Nuclear Cardiology

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Background Patients with myocardial ischemia in the absence of obstructive coronary artery disease (CAD) often experience anginal complaints and are at risk of cardiac events. Stress-related psychological factors and acute negative emotions might play a role in these patients with suspect coronary microvascular dysfunction (CMD). Methods and Results 295 Patients (66.9 ± 8.7 years, 46% women) undergoing myocardial perfusion single-photon-emission computed tomography (MPI-SPECT), were divided as follows: (1) a non-ischemic reference group (n = 136); (2) patients without inducible ischemia, but with a history of CAD (n = 62); (3) ischemia and documented CAD (n = 52); and (4) ischemia and suspect CMD (n = 45). These four groups were compared with regard to psychological factors and acute emotions. Results revealed no differences between the groups in psychological factors (all P > .646, all effect sizes d < .015). State sadness was higher for patients with suspect CMD (16%) versus the other groups (P = .029). The groups did not differ in the association of psychological factors or emotions with anginal complaints (all P values > .448). Conclusion Suspect CMD was not associated with more negative psychological factors compared to other groups. State sadness was significantly higher for patients with suspect CMD, whereas no differences in state anxiety and other psychological factors were found.

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“…Although several studies have demonstrated the role of behavioral-psychological factors on CAD [28,29], empirical studies on predictors of CAD prognosis such as MetS and its relationship with the severity of CAD are lacking, and their results are inconsistent [27,30]. Furthermore, the interconnections of different behavioral-psychological factors with different MetS components and the severity of CAD have not been investigated in detail.…”

Section: Introductionmentioning

confidence: 99%

Canonical Correlation between Behavioral-Psychological Variables and Predictors of Coronary Artery Disease Prognosis

Kim

Noh

Ryu

et al. 2020

IJERPH

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Metabolic syndrome (MetS) and severity of coronary artery disease (CAD) are considered predictors of CAD prognosis. Unhealthy lifestyles and type-D personality are associated with MetS and are potential causes of primary and secondary CAD. In this cross-sectional descriptive study, we aimed to investigate the relationship between behavioral-psychological variables and predictors of CAD prognosis. The behavioral-psychological variable set contained six lifestyle categories and two type-D personality categories. Descriptive analyses, t-tests, analysis of variance, Pearson’s correlation, and canonical correlation were used. The behavioral-psychological variable set was related to the predictor set for CAD prognosis, with a significant canonical variate of 0.67 (45% overlapping variance). Significant pairs of canonical variates indicated that poor physical activity and weight control (−0.77), poor dietary habits (−0.78), alcohol consumption and cigarette smoking (−0.37), lack of sleep and rest (−0.40), stress (−0.64) in the lifestyle set, higher negative affectivity (0.52), and social inhibition (0.71) in the type-D personality set were associated with a high MetS score (0.59) and severity of CAD (0.91). A combination of behavioral and psychological variables was found to be important in predicting the prognosis of CAD; therefore, interventions aimed at preventing combinations of these variables may be effective in improving CAD prognosis.

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Type D Personality as a Risk Factor in Coronary Heart Disease: a Review of Current Evidence

Cited by 143 publications

References 70 publications

Psychosocial markers of pre‐hospital decision delay and psychological distress in acute coronary syndrome patients

Psychosocial markers of pre‐hospital decision delay and psychological distress in acute coronary syndrome patients

Psychological factors of suspect coronary microvascular dysfunction in patients undergoing SPECT imaging

Canonical Correlation between Behavioral-Psychological Variables and Predictors of Coronary Artery Disease Prognosis

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