Key result
Type D personality linked to higher mortality, worse quality of life, and less treatment benefit in CVD.
Why the study?
Is Type D personality associated with increased morbidity and mortality in patients with established cardiovascular disease?
Is Type D personality associated with increased morbidity and mortality in patients with established cardiovascular disease?
Type D personality is a significant psychosocial risk factor associated with worse clinical outcomes and impaired quality of life in patients with cardiovascular disease.
Type D screening may refine CVD risk stratification; extends meta-analytic support but leaves causal effects and interventions open.
PURPOSE: The purpose of this paper was to examine the relationship between type D personality and cardiovascular disease, and to suggest future research directions. METHOD: A literature search was conducted from the following nine databases: 1) MEDLINE, 2) CINAHL, 3) Pubmed Unrestricted, 4) PsycINFO, 5) KISS, 6) RICHIS, 7) RISS4U, and 8) Nanet. The combinations of the words, "type D personality", "personality", "heart", "cardiovascular", and "coronary" were used for keyword searches to find relevant articles. Twenty eight studies were identified. RESULT: Type D personality has been associated with increased morbidity and mortality in patients with established cardiovascular disease. Type D patients are also at increased risk for impaired quality of life, and seem to benefit less from medical and invasive treatment. CONCLUSION: There is substantial evidence for a relationship between type D personality and clinical outcomes related to cardiovascular disease. Randomized clinical trials are needed to further evaluate the value of controlling type D personality to improve survival and reduce morbidity in patients with cardiovascular disease. Accumulating evidence from this analysis indicates the urgent need to adopt a personality approach in order to optimize the identification of patients at risk for stress related cardiac events.
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Song et al. (2008) conducted a review in Cardiovascular disease. Type D personality was evaluated on Morbidity, mortality, and quality of life. Type D personality is associated with increased morbidity and mortality, impaired quality of life, and less benefit from medical and invasive treatment in patients with cardiovascular disease.
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