Key result
Type D personality was significantly associated with a four-fold increased risk of depressive symptoms (RR 4.02) and poorer health status prior to ICD implantation.
Why the study?
Does Type D personality and psychiatric history associate with symptoms of anxiety, depression, and poorer health status in patients prior to ICD implantation?
Population
278 patients receiving a first ICD, mean age 62.6, 83% male, at Medisch Spectrum Twente, The Netherlands…
Comparison
Type D personality and history of anxiety or… vs Non-Type D personality and no history of anxiety…
Design
Cross-sectional
Authors
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Supports pre-ICD psychological screening for Type D patients; leaves open whether identification improves outcomes.
Cross-Sectional (n=278)
No
Does Type D personality and psychiatric history associate with symptoms of anxiety, depression, and poorer health status in patients prior to ICD implantation?
Relative Risk: 4.02 (95% CI 2.36–6.82)
Absolute Event Rate: 39% vs 10%
p-value: p=<0.001
In patients awaiting ICD implantation, Type D personality and a history of psychiatric disorders are strongly associated with increased anxiety, depression, and poorer health status.
Starrenburg et al. (2012) conducted a cross-sectional in Patients receiving a first implantable cardioverter defibrillator (ICD) (n=278). Type D personality vs. Non-Type D personality was evaluated on Depressive symptoms (HADS score ≥8) (RR 4.02, 95% CI 2.36-6.82, p=<0.001). Type D personality was significantly associated with a four-fold increased risk of depressive symptoms (RR 4.02) and poorer health status prior to ICD implantation.
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