Key result
Type D personality in patients with noncardiac chest pain was strongly associated with fear of body sensations (β=5.92, p=0.003), pain intensity (β=3.53), depression, and somatization.
Why the study?
Type D personality adversely affects noncardiac chest pain (NCCP) patients, but its specific psychological comorbidities in this population required further determination.
Is type D personality associated with major psychological comorbidities in patients with noncardiac chest pain?
Cross-Sectional (n=360)
Is type D personality associated with major psychological comorbidities in patients with noncardiac chest pain?
Effect estimate: β 5.92
p-value: p=0.003
In patients with noncardiac chest pain, type D personality is strongly associated with adverse psychological outcomes including depression, somatization, and fear of body sensations, highlighting the need for psychological evaluation.
May warrant psychological screening in noncardiac chest pain; hypothesis-generating and requires prospective validation before practice change.
Noncardiac chest pain (NCCP) may lead many problems on the health-care system. Having type D personality has been shown to adversely affect NCCP patients. This study aimed to determine the psychological comorbidities that type D personality is associated with, in patients with NCCP. The participants of this cross-sectional study were 360 patients diagnosed with NCCP. Patients filled out questionnaires about sociodemographic, behavioral, and clinical factors (severity of pain, somatization, cardiac anxiety, fear of body sensations, depression, and type D personality). Type D personality was more prevalent among female (p < 0.005), and those people having this personality showed lower sleep quality (p = 0.001) and sexual life satisfaction (p < 0.001) and more likely to be smoker (p < 0.001). Type D personality is strongly associated with fear of body sensations (β = 5.92, SE = 1.95, p = 0.003), pain intensity (β = 3.53, SE = 0.98, p < 0.001), depression (β = 2.91, SE = 0.62, p < 0.001), and somatization (β = 1.75, SE = 0.55, p < 0.001). Type D personality and major psychological comorbidities were strongly associated. Physicians should consider that having type D personality can be linked to NCCP in an effort to help patients receive effective psychological consultations.
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Roohafza et al. (2021) conducted a cross-sectional in Noncardiac chest pain (NCCP) (n=360). Type D personality vs. Patients without Type D personality was evaluated on Fear of body sensations (β 5.92, p=0.003). Type D personality in patients with noncardiac chest pain was strongly associated with fear of body sensations (β=5.92, p=0.003), pain intensity (β=3.53), depression, and somatization.
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