The Association Between Type D Personality, and Depression and Anxiety Ten Years After PCI

Overview

Journal Neth Heart J

Specialty Cardiology & Vascular Diseases

Date 2016 Jun 14

PMID 27294841

Citations 18

Authors

M N A Al-Qezweny

E M W J Utens

K Dulfer

B A F Hazemeijer

R-J van Geuns

J Daemen

R van Domburg

Affiliations

Soon will be listed here.

Abstract

Objective: There 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.

Methods: A 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.

Results: At 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]).

Conclusions: PCI 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.

Citing Articles

Coping strategies and changes in type D personality were associated with depressive tendency at 9 months after percutaneous coronary intervention.

Yamaguchi D, Asano Y, Kuwahara K, Izawa A PLoS One. 2025; 20(1):e0316639.

PMID: 39804897 PMC: 11729923. DOI: 10.1371/journal.pone.0316639.

Psychological risk factors and cardiovascular disease.

Carola V, Vincenzo C, Di Vincenzo G, Morale C, Cecchi V, Nicolais G Front Psychol. 2024; 15:1419731.

PMID: 39403242 PMC: 11471649. DOI: 10.3389/fpsyg.2024.1419731.

Anxiety, depression, and Type D personality in ischaemic heart disease patients receiving treatment from outpatient clinics in a government hospital in Sri Lanka.

Gamage C, De Zoysa P, Balasuriya A, Fernando N Discov Ment Health. 2024; 4(1):26.

PMID: 39120785 PMC: 11315848. DOI: 10.1007/s44192-024-00080-7.

The heart-mind relationship in women cardiovascular primary prevention: the role of depression, anxiety, distress and Type-D personality in the 10-years cardiovascular risk evaluation.

Giuliani M, Santagostino Baldi G, Capra N, Bonomi A, Marzorati C, Sebri V Front Cardiovasc Med. 2024; 11:1308337.

PMID: 38516002 PMC: 10955135. DOI: 10.3389/fcvm.2024.1308337.

Risk of recurrent cardiovascular events in coronary artery disease patients with Type D personality.

Torgersen K, Sverre E, Weedon-Fekjaer H, Andreassen O, Munkhaugen J, Dammen T Front Psychol. 2023; 14:1119146.

PMID: 37057178 PMC: 10088369. DOI: 10.3389/fpsyg.2023.1119146.

References

Bacon S, Moullec G . Type-D personality and heart disease: it might be 'one small step', but it is still moving forward: a comment on Grande et al. Ann Behav Med. 2012; 43(3):280-1. DOI: 10.1007/s12160-012-9357-6. View

Frasure-Smith N, Lesperance F, Gravel G, Masson A, Juneau M, Talajic M . Social support, depression, and mortality during the first year after myocardial infarction. Circulation. 2000; 101(16):1919-24. DOI: 10.1161/01.cir.101.16.1919. View

Marchesi C, Ossola P, Scagnelli F, Paglia F, Aprile S, Monici A . Type D personality in never-depressed patients and the development of major and minor depression after acute coronary syndrome. J Affect Disord. 2013; 155:194-9. DOI: 10.1016/j.jad.2013.10.052. View

Yu D, Thompson D, Yu C, Pedersen S, Denollet J . Validating the Type D personality construct in Chinese patients with coronary heart disease. J Psychosom Res. 2010; 69(2):111-8. DOI: 10.1016/j.jpsychores.2010.01.014. View

Connerney I, Sloan R, Shapiro P, Bagiella E, Seckman C . Depression is associated with increased mortality 10 years after coronary artery bypass surgery. Psychosom Med. 2010; 72(9):874-81. DOI: 10.1097/PSY.0b013e3181f65fc1. View

Lesperance F, Frasure-Smith N, Talajic M, Bourassa M . Five-year risk of cardiac mortality in relation to initial severity and one-year changes in depression symptoms after myocardial infarction. Circulation. 2002; 105(9):1049-53. DOI: 10.1161/hc0902.104707. View

Parakh K, Thombs B, Fauerbach J, Bush D, Ziegelstein R . Effect of depression on late (8 years) mortality after myocardial infarction. Am J Cardiol. 2008; 101(5):602-6. DOI: 10.1016/j.amjcard.2007.10.021. View

van Gestel Y, Pedersen S, van de Sande M, De Jaegere P, Serruys P, Erdman R . Type-D personality and depressive symptoms predict anxiety 12 months post-percutaneous coronary intervention. J Affect Disord. 2007; 103(1-3):197-203. DOI: 10.1016/j.jad.2007.01.030. View

Pedersen S, Ong A, Sonnenschein K, Serruys P, Erdman R, van Domburg R . Type D personality and diabetes predict the onset of depressive symptoms in patients after percutaneous coronary intervention. Am Heart J. 2006; 151(2):367.e1-367.e6. DOI: 10.1016/j.ahj.2005.08.012. View

10.

Burg M, Benedetto M, Soufer R . Depressive symptoms and mortality two years after coronary artery bypass graft surgery (CABG) in men. Psychosom Med. 2003; 65(4):508-10. DOI: 10.1097/01.psy.0000077509.39465.79. View

11.

Christodoulou C, Douzenis A, Mommersteeg P, Rallidis L, Poulios A, Efstathiou V . A case-control validation of Type D personality in Greek patients with stable coronary heart disease. Ann Gen Psychiatry. 2013; 12(1):38. PMC: 4175478. DOI: 10.1186/1744-859X-12-38. View

12.

Lim H, Lee M, Ko Y, Park Y, Joe S, Kim Y . Assessment of the type D personality construct in the Korean population: a validation study of the Korean DS14. J Korean Med Sci. 2011; 26(1):116-23. PMC: 3012835. DOI: 10.3346/jkms.2011.26.1.116. View

13.

Denollet J, Pedersen S, Ong A, Erdman R, Serruys P, van Domburg R . Social inhibition modulates the effect of negative emotions on cardiac prognosis following percutaneous coronary intervention in the drug-eluting stent era. Eur Heart J. 2005; 27(2):171-7. DOI: 10.1093/eurheartj/ehi616. View

14.

Doyle F, McGee H, Delaney M, Motterlini N, Conroy R . Depressive vulnerabilities predict depression status and trajectories of depression over 1 year in persons with acute coronary syndrome. Gen Hosp Psychiatry. 2011; 33(3):224-31. DOI: 10.1016/j.genhosppsych.2011.03.008. View

15.

Denollet J . DS14: standard assessment of negative affectivity, social inhibition, and Type D personality. Psychosom Med. 2005; 67(1):89-97. DOI: 10.1097/01.psy.0000149256.81953.49. View

16.

Denollet J . Type D personality. A potential risk factor refined. J Psychosom Res. 2000; 49(4):255-66. DOI: 10.1016/s0022-3999(00)00177-x. View

17.

Moses J, Leon M, Popma J, Fitzgerald P, Holmes D, OShaughnessy C . Sirolimus-eluting stents versus standard stents in patients with stenosis in a native coronary artery. N Engl J Med. 2003; 349(14):1315-23. DOI: 10.1056/NEJMoa035071. View

18.

Goodyear M, Krleza-Jeric K, Lemmens T . The Declaration of Helsinki. BMJ. 2007; 335(7621):624-5. PMC: 1995496. DOI: 10.1136/bmj.39339.610000.BE. View

19.

Jiang W, Kuchibhatla M, Cuffe M, Christopher E, Alexander J, Clary G . Prognostic value of anxiety and depression in patients with chronic heart failure. Circulation. 2004; 110(22):3452-6. DOI: 10.1161/01.CIR.0000148138.25157.F9. View

20.

Damen N, Versteeg H, Boersma E, Serruys P, van Geuns R, Denollet J . Depression is independently associated with 7-year mortality in patients treated with percutaneous coronary intervention: results from the RESEARCH registry. Int J Cardiol. 2012; 167(6):2496-501. DOI: 10.1016/j.ijcard.2012.04.028. View