Thirty percent of AMI patients exhibited Type D personality, leading to poorer psychosocial adjustment at 6 months post-discharge compared to non-Type D patients (28.82 vs 22.76).
Does Type D personality affect psychosocial adjustment in young and middle-aged patients with first-time AMI?
Type D personality is prevalent among young and middle-aged AMI patients and is associated with poorer psychosocial adjustment, highlighting the need for interventions targeting psychological flexibility and stress management.
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BACKGROUND: Acute Myocardial Infarction (AMI) patients are experiencing an increasing incidence rate annually, coupled with substantial psychosocial adjustment challenges. OBJECTIVES: The aim of this study was to analyze the longitudinal sequential mediating role of psychological flexibility and perceived stress between Type D personality and psychosocial adjustment in patients. METHODS: This study is a half-longitudinal panel design with a three-wave tracking survey. 212 young and middle-aged patients with first-time AMI from a Guangzhou hospital were conveniently sampled and followed at three time points: hospitalization (T1), 3 months (T2), and 6 months post-discharge (T3). Participants completed measures on Type D personality (DS-14), psychological flexibility (AAQ-II), perceived stress (PSS), and psychosocial adjustment (PAIS-SR). The data were used to construct a cross-lagged panel and a half-longitudinal sequential mediation model. RESULTS: 30.66% of young and middle-aged patients with AMI exhibited Type D personality. These patients had clinically meaningfully poorer psychosocial adjustment at 6 months post-discharge (28.82±14.53) than non-Type D patients (22.76±11.73). At T1, Type D personality affected psychosocial adjustment at T3 through two serial mediation pathways: one through T2 psychological flexibility to T3 perceived stress (effect size = 0.051, accounting for 8.97% of the total effect) and another through T2 perceived stress to T3 psychological flexibility (effect size = 0.034, accounting for 5.27% of the total effect). Interventions targeting psychological flexibility and stress management may be of crucial importance for this group. CONCLUSION: Among young and middle-aged AMI patients, the proportion of Type D personality is relatively high, and their psychosocial adjustment level is poorer.
Zhou et al. (Wed,) reported a other. Thirty percent of AMI patients exhibited Type D personality, leading to poorer psychosocial adjustment at 6 months post-discharge compared to non-Type D patients (28.82 vs 22.76).
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