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July 1, 2019International Journal of Behavioral MedicineOpen Access

Type D Personality and Health-Related Quality of Life in Vascular Surgery Patients

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Key result

Type D personality measured over time was significantly associated with impaired health-related quality of life (adjusted β -0.043) during the first year after vascular surgery, whereas a single baseline measurement was not predictive.

Why the study?

The study evaluated the association of type D personality with health-related quality of life and assessed the stability of type D personality in vascular surgery patients during the year after surgery.

Does Type D personality predict impaired health-related quality of life in vascular surgery patients over a 12-month postoperative period?

Population

294 vascular surgery patients

Comparison

Type D personality vs non-type D personality

Design

Prospective cohort study

Follow-up

12 months

Authors

EBElke BouwensErasmus MC Cancer InstituteFLFelix van LierApple (Israel)EREllen V. RouwetErasmus MC

Discussion

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Implication

Single preoperative Type D assessment should not guide postoperative HRQoL risk stratification; leaves open value of repeated personality monitoring in vascular surgery patients.

Study Design

Type

Cohort (n=294)

Multicenter

No

Structured PICO

Does Type D personality predict impaired health-related quality of life in vascular surgery patients over a 12-month postoperative period?

P
Population
294 predominantly male patients undergoing elective vascular surgery, followed for 12 months to assess the impact of personality traits on health-related quality of life.
E
Exposure
Presence of Type D personality (assessed by Type D Scale 14 [DS14] questionnaire) and its continuous components (negative affectivity and social inhibition) measured over time.
C
Comparator
Non-Type D personality.
O
Outcome
Health-related quality of life (HRQoL) assessed by the EuroQol 5 dimensions questionnaire (EQ-5D) at 1, 6, and 12 months after surgery.patient reported

Main Result

Mean Difference: -0.043 (95% CI -0.07–-0.017)

p-value: p=0.001

Type D personality is not a stable trait over time in vascular surgery patients, and while its negative affectivity component is associated with lower HRQoL, a single preoperative assessment does not reliably predict postoperative HRQoL improvement.

Limitations

  • Heterogeneous study population of patients undergoing vascular surgery precludes drawing conclusions on specific treatment effectiveness.
  • 12 months of follow-up may be relatively short.
  • Not all participants filled out all questionnaires at each follow-up moment.

Cite This Study

Bouwens et al. (2019) conducted a cohort in Vascular surgery (n=294). Type D personality vs. Non-Type D personality was evaluated on Health-related quality of life (HRQoL) measured by the EQ-5D index over time (β -0.043, 95% CI -0.070 to -0.017, p=0.001). Type D personality measured over time was significantly associated with impaired health-related quality of life (adjusted β -0.043) during the first year after vascular surgery, whereas a single baseline measurement was not predictive.

synapsesocial.com/papers/6a882ed8bc5f9fd513bbf751https://doi.org/10.1007/s12529-018-09762-3
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