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

Marchesi, Carlo; Ossola, Paolo; Scagnelli, F.; Paglia, Francesca; Aprile, Sonja; Monici, Alberto; Tonna, Matteo; Conte, Giulio; Masini, Franco; Panfilis, Chiara De; Ardissino, Diego

doi:10.1016/j.jad.2013.10.052

Cited by 21 publications

(19 citation statements)

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“…One study, however, found no relation between type D personality and the development of major depression or minor depression in 250 patients who had an acute coronary syndrome [26]. Major or minor depression in this study was measured by the DSM-IV.…”

Section: Discussionmentioning

confidence: 61%

The association between type D personality, and depression and anxiety ten years after PCI

AL-Qezweny¹,

Utens

Dulfer

et al. 2016

Neth Heart J

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ObjectiveThere are indications that type D personality and depression are associated in patients treated with percutaneous coronary intervention (PCI). However, at present it is unclear whether this relationship holds in the long term. This study’s aim was to investigate the association between type D personality at 6 months post-PCI (baseline), and depression at 10-year follow-up. A secondary aim was to test the association between type D personality at baseline and anxiety at 10-year follow-up.MethodsA cohort of surviving consecutive patients (N = 534) who underwent PCI between October 2001 and October 2002. Patients completed the type D personality scale (DS14) measuring type D personality at baseline, and the Hospital Anxiety and Depression Scale (HADS) measuring anxiety and depression at baseline and at 10 years post-PCI.ResultsAt baseline, the prevalence of type D personality was 25 % (135/534). Type D personality patients were more often depressed (42 %) than non-type D personality patients (9 %). Response rate of anxiety and depression questionnaires at 10 years was 75 %. At 10-year follow-up, 31 % of type D personality patients were depressed versus 13 % of non-type D personality patients. After adjustments, baseline type D personality remained independently associated with depression at 10 years (OR = 3.69; 95 % CI [1.89–7.19]). Type D showed a similar association with anxiety at 10 years, albeit somewhat lower (OR = 2.72; 95 % CI [1.31–5.63]).ConclusionsPCI patients with type D personality had a 3.69-fold increased risk for depression and a 2.72-fold increased risk for anxiety at 10 years of follow-up.

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Section: Discussionmentioning

confidence: 61%

The association between type D personality, and depression and anxiety ten years after PCI

AL-Qezweny¹,

Utens

Dulfer

et al. 2016

Neth Heart J

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“…Risk factors for the development of depression after ACS have been also identified: younger age (Lespérance et al, 1996;Dickens et al, 2004;van Melle et al, 2006); female gender (Doyle et al, 2015); low level of education (Frasure-Smith et al, 2007;Carney et al, 2009); low socio-economic status (Steptoe et al, 2011); having no close friend (Frasure-Smith et al, 2000); being unemployed and living alone (Larsen et al, 2013;Spijkerman et al, 2005a); Type D personality (Martens et al, 2008); psychological vulnerabilities (i.e. exhaustion, fatigue, interpersonal difficulties, cognitive distortions) (Ladwig et al, 1992;Ketterer et al, 1998;Strik et al, 2001;Rieckmann et al, 2006;Stafford et al, 2009;Doyle et al, 2011;Denton et al, 2012) and the presence of depressive symptoms in the few days after an ACS (Di Benedetto et al, 2007;Celano et al, 2012;Marchesi et al, 2014a).…”

Section: Introductionmentioning

confidence: 99%

Risk factors for incident depression in patients at first acute coronary syndrome

Ossola

Paglia

Pelosi

et al. 2015

Psychiatry Research

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The association between depression and acute coronary syndrome (ACS) is well-established and the first seems to impact meaningfully on cardiac prognosis. Nonetheless only a few studies have evaluated the relationship between incident depression, defined as new cases in patients with no history of depression, and ACS. Therefore the aim of this study is to analyse the risk factors of incident depression in a sample of patients who were presenting their first ACS. 304 consecutive patients were recruited. The presence of major (MD) and minor (md) depression was assessed with the Primary Care Evaluation of Mental Disorders (PRIME-MD), whereas its severity was evaluated with the Hospital Anxiety and Depression Scale (HADS). Evaluations were collected both at baseline and at 1, 2, 4, 6, 9 and 12 month follow ups. Out of 304 subjects (80.6% males), MD was diagnosed in 15 (4.9%) and md in 25 patients (8.2%). At baseline risk factors for a post-ACS depressive disorder were being women (MD only), widowed (md only) and having mild anhedonic depressive symptoms few days after the ACS. Clinicians should keep in mind these variables when facing a patient at his/her first ACS, given the detrimental effect of depression on cardiac prognosis.

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“…It could be hypothesized that type-D personality participants resort to negative affectivity as an emotional coping strategy, which becomes less responsive once a life-threatening event occurs. In fact, other studies have also found that negative affectivity was unrelated to depressive symptoms following an AMI, 41 and that depression was unrelated to CVD severity in type-D patients. 42 In other words, our data overall suggest that type-D works as a risk factor for cardiac events by amplifying the expression of negative affect, and that this influence becomes diminished once the disease is established.…”

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confidence: 93%

Female Psychological Adjustment Following an Acute Coronary Syndrome

et al. 2017

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

Abstract: Our data suggests that TDP does not predict the development of depressive disorders in never-depressed patients at their first ACS, when the baseline depression severity was controlled.

Cited by 21 publications

References 60 publications

The association between type D personality, and depression and anxiety ten years after PCI

The association between type D personality, and depression and anxiety ten years after PCI

Risk factors for incident depression in patients at first acute coronary syndrome

Female Psychological Adjustment Following an Acute Coronary Syndrome

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