What is the clinical evidence from this study?

Study design: Cohort. Population: Cardiovascular diseases (n=1040). Intervention: Type D personality vs. Absence of Type D personality. Primary outcome: All-cause mortality (p=.95).

What does this research mean for the field?

Type D personality and its constituents are not associated with increased all-cause mortality in patients with cardiac disease. Novelty: ClaimNovelty.CONTRADICTORY. Consensus alignment: ConsensusAlignment.CHALLENGES_CONSENSUS.

What question did this study set out to answer?

To independently replicate previous findings evaluating whether Type D personality independently predicts all-cause mortality in a cohort of cardiac patients.

August 24, 2011Psychosomatic Medicine

Type D Personality and All-Cause Mortality in Cardiac Patients-Data From a German Cohort Study

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Key result

Type D personality is not linked to increased all-cause mortality in cardiac patients.

P=.95
n=1,040

Why the study?

Does Type D personality predict all-cause mortality in cardiac patients?

Population

977 cardiac patients with known vital status, mean age 63.3 years, 22.5% women, based in Germany.

Comparison

Type D personality (exposure) vs Absence of Type D personality (non-exposed)

Design

Cohort

Follow-up

mean 71.5 months

Authors

GGGesine GrandeLeipzig University of Applied Sciences MRMatthias RomppelLandeszentrum Gesundheit Nordrhein-Westfalen JVJana-Marie VesperUniversitätsmedizin Göttingen

Discussion

Member takes

Implication

No association of Type D personality with mortality; leaves open its prognostic value and challenges prior single-group reports.

Key Points

To independently replicate previous findings evaluating whether Type D personality independently predicts all-cause mortality in a cohort of cardiac patients.
Prospective cohort study of 1,040 cardiac patients recruited across three settings in Germany: cardiac rehabilitation centers (n = 484), an outpatient clinic (n = 249), and a university hospital (n = 307).
Baseline evaluations assessed cardiac health status, medical risk factors, sociodemographic factors, psychological symptoms (depression and anxiety), and Type D personality.
Follow-up occurred over a mean of 71.5 (SD 3.6) months to determine all-cause mortality using Cox proportional hazards regression models.
Vital status was determined for 977 patients (22.5% women; mean age 63.3 [SD 10.7] years), with 172 deaths occurring during the follow-up period.
Type D personality was identified in 25.2% of survivors and 22.2% of nonsurvivors, showing no significant difference (χ² = 0.78, p = .38).
Multivariate analyses revealed that neither Type D personality (p = .95), negative affectivity (p = .71), social inhibition (p = .59), their interaction (p = .88), depressive symptoms (p = .13), nor anxiety (p = .27) were associated with all-cause mortality.

Study Design

Type

Cohort (n=1,040)

Multicenter

Yes

Structured PICO

Does Type D personality predict all-cause mortality in cardiac patients?

Population

1,040 cardiac patients (mean age 63.3 years, 22.5% female) recruited from multiple centers in Germany, followed for a mean of 71.5 months.

Exposure

Type D personality (exposure)

Comparator

Absence of Type D personality (non-exposed)

Outcome

All-cause mortalityhard clinical

Main Result

p-value: p=.95

Type D personality was not found to be a predictor of all-cause mortality in a German cohort of cardiac patients, challenging previous findings from a single research group.

Cite This Study

Grande et al. (2011) conducted a cohort in Cardiovascular diseases (n=1,040). Type D personality vs. Absence of Type D personality was evaluated on All-cause mortality (p=.95). Type D personality was not associated with increased all-cause mortality in cardiac patients over a mean follow-up of 71.5 months (multivariate p=0.95).

synapsesocial.com/papers/6aa567ebc616a76b5feec17d https://doi.org/10.1097/psy.0b013e318227a9bc

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Type D Personality and All-Cause Mortality in Cardiac Patients-Data From a German Cohort Study

Discussion

Member takes

Implication

Key Points

Study Design

Structured PICO

Main Result

Cite This Study

Type D Personality and All-Cause Mortality in Cardiac Patients-Data From a German Cohort Study

Discussion

Member takes

Implication

Key Points

Study Design

Structured PICO

Main Result

Cite This Study

Also Consider

Also Consider