Type D personality impairs Quality of Life, coping and short-term psychological outcome in patients attending an outpatient intensive program of cardiac rehabilitation

Sogaro, Elena; Schininà, Francesca; Bürgisser, Costanza; Orso, Francesco; Pallante, Rachele; Aloi, Teresa; Vanni, Duccio; Pazzagli, Adolfo; Fattirolli, Francesco

doi:10.4081/monaldi.2010.259

Cited by 27 publications

(31 citation statements)

References 37 publications

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“…Also, in Italy, the prevalence of Type D personality was estimated up to 39% in patients attending a program of cardiac rehabilitation [32]. Moreover, in a recent Greek study, the prevalence of Type D personality for patients who met the diagnostic criteria for the metabolic syndrome was 44%, a percentage significantly higher than that of the control group (15%) [21].…”

Section: Discussionmentioning

confidence: 99%

A case-control validation of Type D personality in Greek patients with stable coronary heart disease

et al. 2013

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BackgroundType D personality has been associated with a variety of emotional and social difficulties as well as with poor prognosis in patients with established coronary heart disease (CHD). We examined the psychometric properties and validity of the Type D Scale-14 (DS14) and the prevalence of Type D personality among Greek patients with CHD while taking into account demographic; clinical, such as diabetes mellitus, hypertension, and hypercholesterolemia; as well as psychological variables such as depression, anxiety, and psychological stress.MethodsNinety-six patients with stable coronary heart disease and 80 healthy participants from the general population completed the Greek version of the DS14 and the Hospital Anxiety and Depression Scale (HADS).ResultsCronbach's α coefficient for the negative affectivity (NA) and social inhibition (SI) subscales was 0.83 and 0.72 for the CHD and 0.88 and 0.76 for the control group, respectively. Internal-structural validity was assessed by a factor analysis (two-factor solution), and the factor structure of the original DS14 was replicated. Using the standardized cutoff point of NA ≥10 and SI ≥10, instead of the median scores, in order to have compatible results with the majority of studies, the prevalence of Type D personality was 51% for the CHD patients and 13% for the control group. Higher NA and SI were connected with higher anxiety, depression, and total psychological stress. Finally, more patients with CHD and Type D personality than those without were diagnosed with type 2 diabetes; however, no differences were observed in hypertension or hypercholesterolemia.ConclusionsThese results indicate that the Type D construct is reliable and valid in a Greek population. The prevalence of Type D personality was higher in patients with stable coronary heart disease than in people from the general population. The DS14 subscales were positively correlated with higher anxiety, depression, and total psychological stress. Regarding other CHD risk factors, only diabetes mellitus was found more frequently in CHD patients with Type D personality.

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Section: Discussionmentioning

confidence: 99%

A case-control validation of Type D personality in Greek patients with stable coronary heart disease

et al. 2013

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“…137,138 Type D is present in approximately one third of patients with CVD. It seems to be significantly more prevalent in hypertensive patients (53%) than in CHD patients (28%) and healthy controls (20%).…”

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confidence: 99%

Psychosocial aspects in cardiac rehabilitation: From theory to practice. A position paper from the Cardiac Rehabilitation Section of the European Association of Cardiovascular Prevention and Rehabilitation of the European Society of Cardiology

Pogosova

Saner²,

Pedersen

et al. 2014

Eur J Prev Cardiolog

257

107

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A large body of empirical research shows that psychosocial risk factors (PSRFs) such as low socio-economic status, social isolation, stress, Type-D personality, depression and anxiety increase the risk of incident coronary heart disease (CHD) and also contribute to poorer health-related quality of life (HRQL) and prognosis in patients with established CHD.PSRFs may also act as barriers to lifestyle changes and treatment adherence and may moderate the effects of cardiac rehabilitation (CR). Furthermore, there appears to be a bidirectional interaction between PSRFs and the cardiovascular system. Stress, anxiety and depression affect the cardiovascular system through immune, neuroendocrine and behavioural pathways. In turn, CHD and its associated treatments may lead to distress in patients, including anxiety and depression. In clinical practice, PSRFs can be assessed with single-item screening questions, standardised questionnaires, or structured clinical interviews.Psychotherapy and medication can be considered to alleviate any PSRF-related symptoms and to enhance HRQOL, but the evidence for a definite beneficial effect on cardiac endpoints is inconclusive. A multimodal behavioural intervention, integrating counseling for PSRFs and coping with illness should be included within comprehensive CR. Patients with clinically significant symptoms of distress should be referred for psychological counseling or psychologically focused interventions and/or psychopharmacological treatment. To conclude, the success of CR may critically depend on the interdependence of the body and mind and this interaction needs to be reflected through the assessment and management of PSRFs in line with robust scientific evidence, by trained staff, integrated within the core CR team. Word count of abstract: 246

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“…Type D personality substantially affects the way in which patients with myocardial infarction (MI) perceive the availability of social support from different sources, including family, friends and others. Type D personality also plays a clinically relevant role in psychological health outcomes, as Type D patients report significantly higher levels of anxiety, depressive mood, perceived psychophysical stress, interpersonal difficulties, social anxiety and diminished psychophysical well-being and quality of life [22].…”

Section: Discussionmentioning

confidence: 99%

Stress, D -Type Personality and Coronary Disease

Milić¹

2017

FU Med Biol

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Type D personality impairs Quality of Life, coping and short-term psychological outcome in patients attending an outpatient intensive program of cardiac rehabilitation

Cited by 27 publications

References 37 publications

A case-control validation of Type D personality in Greek patients with stable coronary heart disease

A case-control validation of Type D personality in Greek patients with stable coronary heart disease

Psychosocial aspects in cardiac rehabilitation: From theory to practice. A position paper from the Cardiac Rehabilitation Section of the European Association of Cardiovascular Prevention and Rehabilitation of the European Society of Cardiology

Stress, D -Type Personality and Coronary Disease

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