Type D personality is associated with impaired psychological status and unhealthy lifestyle in Icelandic cardiac patients: a cross-sectional study.
Cast your vote
You can rate an item by clicking the amount of stars they wish to award to this item.
When enough users have cast their vote on this item, the average rating will also be shown.
Your vote was cast
Thank you for your feedback
Thank you for your feedback
van den Broek, Krista C
Karlsson, Hrobjartur D
MetadataShow full item record
CitationBMC Public Health 2012, 12:42
ÚtdrátturType D (distressed) personality has been associated with adverse cardiac prognosis and poor emotional well-being in cardiac patients, but it is still unclear what mechanisms link Type D personality with poor clinical outcomes in cardiac patients. In the present cohort of Icelandic cardiac patients, we examined potential pathways that may explain this relationship. The objectives were to examine 1) the association between Type D personality and impaired psychological status, and to explore whether this association is independent of disease severity; and 2) the association between Type D personality and an unhealthy lifestyle. A sample of 268 Icelandic coronary angiography patients (74% males (N = 199); mean age 62.9 years (SD 10.5), range 28-85 years) completed the Type D Scale (DS14), Hospital Anxiety and Depression Scale (HADS), and Perceived Stress Scale (PSS) at hospitalization. Health-related behaviors were assessed 4 months following angiography. Clinical data were collected from medical files. Type D personality was associated with an increased risk of anxiety (OR 2.97, 95% CI:1.55-5.69), depression (OR 4.01, 95% CI:1.42-11.29), and stress (OR 5.99, 95% CI:3.08-11.63), independent of demographic variables and disease severity. Furthermore, fish consumption was lower among Type Ds, as 21% of Type Ds versus 5% of non-Type Ds consumed fish < 1 a week (p < 0.001). Type D patients were also more likely to smoke at follow-up (22% versus 10%, p = 0.024) and to use antidepressants (17% versus 9%, p = 0.049) and sleeping pills (49% versus 33%, p = 0.019) compared to non-Type Ds. Type D personality was not associated with other health-related behaviors, aside from trends towards less fruit and vegetable consumption, and more weight gain. Type D personality was associated with psychological distress and an unhealthy lifestyle in Icelandic cardiac patients. Future studies should further investigate the association between Type D personality and health-related behaviors.
Lu00FDsingTo access publisher's full text version of this article. Please click on the hyperlink in Additional Links field.
RightsArchived with thanks to BMC public health
- Association of type D personality with unhealthy lifestyle, and estimated risk of coronary events in the general Icelandic population.
- Authors: Svansdottir E, Denollet J, Thorsson B, Gudnason T, Halldorsdottir S, Gudnason V, van den Broek KC, Karlsson HD
- Issue date: 2013 Apr
- Validity of Type D personality in Iceland: association with disease severity and risk markers in cardiac patients.
- Authors: Svansdottir E, Karlsson HD, Gudnason T, Olason DT, Thorgilsson H, Sigtryggsdottir U, Sijbrands EJ, Pedersen SS, Denollet J
- Issue date: 2012 Apr
- Type D personality is associated with increased metabolic syndrome prevalence and an unhealthy lifestyle in a cross-sectional Dutch community sample.
- Authors: Mommersteeg PM, Kupper N, Denollet J
- Issue date: 2010 Nov 19
- Noncardiac chest pain in the emergency department: the role of cardiac history, anxiety or depression and Type D personality.
- Authors: Kuijpers PM, Denollet J, Wellens HJ, Crijns HM, Honig A
- Issue date: 2007 Apr
- Health inequalities in the Netherlands: a cross-sectional study of the role of Type D (distressed) personality.
- Authors: van Bon-Martens MJ, Denollet J, Kiemeney LA, Droomers M, de Beer MJ, van de Goor IA, van Oers HA
- Issue date: 2012 Jan 18