Key result
Type D personality, present in 38.2% of patients with a first MI, was associated with a significantly higher frequency of hypertension, stressful life events, and psychiatric disorders.
Why the study?
Does the presence of a Type D personality increase the risk of psychiatric morbidity and hypertension in patients with a first myocardial infarction?
Cross-Sectional (n=131)
Does the presence of a Type D personality increase the risk of psychiatric morbidity and hypertension in patients with a first myocardial infarction?
Type D personality is highly prevalent following a first myocardial infarction and is associated with increased psychiatric morbidity and hypertension, highlighting the potential value of psychological screening in secondary prevention.
May support screening consideration post-MI; leaves open prospective validation and intervention effects.
BACKGROUND: Recent studies have shown that a Type D personality is associated with an increased risk of cardiac mortality. OBJECTIVE: This study aimed to examine the impact of a Type D personality on clinical and psychometric properties in a sample of Turkish patients with a first myocardial infarction (MI). METHOD: The study included 131 patients who were admitted to the coronary care unit of a hospital. All of the patients underwent a psychiatric assessment within 2 to 6 months after their MI. Psychiatric interviews were conducted using the Structured Clinical Interview for DSM-IV (SCID-I). Patients also completed the Beck Depression Inventory, the Spielberger State-Trait Anxiety Inventory, the Health Anxiety Inventory, and the Type D personality scale. RESULTS: The patients were divided into 2 groups on the basis of the presence or absence of Type D personality. There was a 38.2% prevalence of Type D personality in the patients with a first MI. Those with this type of personality had a significantly higher frequency of hypertension and stressful life events. The Type D patients also had more psychiatric disorders, including depressive and anxiety disorders, than the non-Type D patients. CONCLUSIONS: Our findings suggest that Type D personality traits may increase the risk of hypertension and the risk of psychiatric morbidity in patients with a first MI. We suggest that this type of personality is a contributor to depression and anxiety disorders. These findings emphasize the importance of screening for Type D personality as both a cardiovascular and psychiatric risk marker in patients who have had an MI.
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Annagür et al. (2017) conducted a cross-sectional in First myocardial infarction (n=131). Type D personality vs. Non-Type D personality was evaluated on Frequency of hypertension, stressful life events, and psychiatric disorders. Type D personality, present in 38.2% of patients with a first MI, was associated with a significantly higher frequency of hypertension, stressful life events, and psychiatric disorders.
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