Type-D personality but not implantable cardioverter-defibrillator indication is associated with impaired health-related quality of life 3 months post-implantation

Abstract

Type-D personality but not ICD indication was associated with impaired HRQL at the time of implantation and at 3 months. In the quest for enhancing risk stratification in clinical practice, personality factors, such as type-D, should not be ignored, as both type-D and poor HRQL have been associated with increased risk of mortality in cardiac patients.

Educational and Psychological Interventions to Improve Outcomes for Recipients of Implantable Cardioverter Defibrillators and Their Families

“…86,87 More recently, the dispositional factor of the type D personality feature, termed the distressed personality, has also been linked to poor psychological outcomes in ICD patients. 53,88,89 Type D personality was also an independent predictor of chronic anxiety in addition to the presence of diabetes mellitus and cardiac resynchronization therapy, 24 and when clustered with devicerelated concerns, it remains a predictor of distress independent of shocks. 76 Trait optimism, or the tendency to view situations as likely to turn out positive, has been associated with better mental health and social functioning several months after ICD implantation.…”

Risk of chronic anxiety in implantable defibrillator patients: A multi-center study

“…Patients implanted with an ICD between May 2003 and November 2007 at the Erasmus Medical Center, Rotterdam, the Catharina Hospital, Eindhoven, and Amphia Hospital, Breda, The Netherlands, were asked to complete a set of standardized and validated questionnaires at baseline and at 12-month follow-up. Patients included in the Erasmus Medical Center were part of the ongoing Mood and personality as precipitants of arrhythmia in patients with an Implantable cardioverter Defibrillator: A prospective Study (MIDAS) [11]. Exclusion criteria were significant cognitive impairments (e.g.…”

Type D personality in Poland: Validity and application of the Polish DS14

“…The risk of mortality of those diseases associated with Type D is 4-fold, with this risk being independent of disease severity, traditional biomedical risk factors and mood states . Type D personality seems not just to be a phenomenon that is relevant to patients with coronary heart disease, where the construct was initially developed, but also in patients with chronic heart failure (Schiffer, Pedersen, Broers, Widdershoven & Denollet, 2008;Schiffer, Pedersen, Widdershoven, Hendriks, Winter & Denollet, 2005), peripheral arterial disease , and in patients treated with state-of-the-art invasive treatment, including percutaneous coronary intervention with drug-eluting stents (van Gestel, Pedersen, van de Sande, de Jaegere, Serruys, Erdman et al, 2007;Spindler, Pedersen, Serruys, Erdman & van Domburg, 2007;Pedersen, Denollet, Ong, Serruys, Erdman & van Domburg, 2007;Denollet, Pedersen, Ong, Erdman, Serruys & van Domburg, 2006) and device therapy (Pedersen, Van Domburg, Theuns, Jordaens & Erdman, 2004;Pedersen, Theuns, Muskens-Heemskerk, Erdman & Jordaens, 2007). NA and SI were not predictive of outcome individually; only the joint presence of high scores on both dimensions was linked to disease morbidity and mortality (Habra, Linden, Anderson, Weinberg, 2003).…”