What is the clinical evidence from this study?

Study design: Observational. Population: Noncardiac chest pain (n=410). Intervention: Type D personality vs. Non-Type D personality. Primary outcome: Panic disorder or depression (OR 8.67, 95% CI 4.69-16.02, p=<0.0001).

What does this research mean for the field?

Type D personality, but not prior cardiac history, is independently associated with a substantially increased risk of panic disorder and depression in patients presenting with noncardiac chest pain. Novelty: ClaimNovelty.INCREMENTAL. Consensus alignment: ConsensusAlignment.NEUTRAL.

March 27, 2007European Journal of Cardiovascular Prevention & RehabilitationOpen Access

Noncardiac chest pain in the emergency department: the role of cardiac history, anxiety or depression and Type D personality

Q: What are the key findings of this study?

Type D personality was independently associated with an increased risk of panic disorder or depression in patients with noncardiac chest pain (58% vs 23%; OR 8.67, 95% CI 4.69-16.02).

Q: What does this research mean for the field?

Type D personality, but not prior cardiac history, is independently associated with a substantially increased risk of panic disorder and depression in patients presenting with noncardiac chest pain. Novelty: ClaimNovelty.INCREMENTAL. Consensus alignment: ConsensusAlignment.NEUTRAL.

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Key result

Type D personality linked to ~767% higher panic or depression risk in noncardiac chest pain.

OR 8.67
95% CI 4.69-16.02
P<0.0001
n=410

Why the study?

Is Type D personality or cardiac history associated with panic disorder or depression in patients presenting with noncardiac chest pain?

Population

410 patients presenting with noncardiac chest pain to the emergency department

Comparison

Type D personality and previous cardiac history vs Non-Type D personality and no previous cardiac…

Design

Cross-sectional

Authors

PKPetra KuijpersPreventive Cardiology JDJohan DenolletPreventive Cardiology HWHein J.J. WellensElectrophysiology

Discussion

Member takes

Implication

May prompt Type D screening for mood disorders in noncardiac chest pain; hypothesis-generating pending prospective studies.

Study Design

Type

Observational (n=410)

Multicenter

Structured PICO

Is Type D personality or cardiac history associated with panic disorder or depression in patients presenting with noncardiac chest pain?

Population

410 patients presenting with noncardiac chest pain to the emergency department, evaluated for the association of Type D personality with panic disorder and depression.

Exposure

Type D personality (tendency to experience emotional distress) and previous cardiac history

Comparator

Non-Type D personality and no previous cardiac history

Outcome

Presence of panic disorder or depression diagnosed via psychiatric interview

Main Result

Odds Ratio: 8.67 (95% CI 4.69–16.02)

Absolute Event Rate: 58% vs 23%

p-value: p=<0.0001

Type D personality, rather than previous cardiac history, is strongly associated with underlying panic disorder or depression in patients presenting to the emergency department with noncardiac chest pain.

Cite This Study

Kuijpers et al. (2007) conducted an observational in Noncardiac chest pain (n=410). Type D personality vs. Non-Type D personality was evaluated on Panic disorder or depression (OR 8.67, 95% CI 4.69-16.02, p=<0.0001). Type D personality was independently associated with an increased risk of panic disorder or depression in patients with noncardiac chest pain (58% vs 23%; OR 8.67, 95% CI 4.69-16.02).

synapsesocial.com/papers/6aa5f29dc616a76b5feed17c https://doi.org/10.1097/hjr.0b013e32801da0fc

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March 27, 2007European Journal of Cardiovascular Prevention & RehabilitationOpen Access

Noncardiac chest pain in the emergency department: the role of cardiac history, anxiety or depression and Type D personality

View Full Paper

Ask AI

Bookmark

Key result

Type D personality linked to ~767% higher panic or depression risk in noncardiac chest pain.

OR 8.67
95% CI 4.69-16.02
P<0.0001
n=410

Why the study?

Is Type D personality or cardiac history associated with panic disorder or depression in patients presenting with noncardiac chest pain?

Population

410 patients presenting with noncardiac chest pain to the emergency department

Comparison

Type D personality and previous cardiac history vs Non-Type D personality and no previous cardiac…

Design

Cross-sectional

Authors

PKPetra KuijpersPreventive Cardiology JDJohan DenolletPreventive Cardiology HWHein J.J. WellensElectrophysiology

Discussion

Member takes

Implication

May prompt Type D screening for mood disorders in noncardiac chest pain; hypothesis-generating pending prospective studies.

Study Design

Type

Observational (n=410)

Multicenter

Structured PICO

Is Type D personality or cardiac history associated with panic disorder or depression in patients presenting with noncardiac chest pain?

Population

410 patients presenting with noncardiac chest pain to the emergency department, evaluated for the association of Type D personality with panic disorder and depression.

Exposure

Type D personality (tendency to experience emotional distress) and previous cardiac history

Comparator

Non-Type D personality and no previous cardiac history

Outcome

Presence of panic disorder or depression diagnosed via psychiatric interview

Main Result

Odds Ratio: 8.67 (95% CI 4.69–16.02)

Absolute Event Rate: 58% vs 23%

p-value: p=<0.0001

Cite This Study

synapsesocial.com/papers/6aa5f29dc616a76b5feed17c https://doi.org/10.1097/hjr.0b013e32801da0fc

Also Consider

Synapse has enriched 3 closely related papers on similar clinical questions. Consider them for comparative context:

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