Eun Kyeung Song; Youn Jung Son

doi:10.4040/jkan.2008.38.1.19

Articles

Page Path: HOME > J Korean Acad Nurs > Volume 38(1); 2008 > Article

Original Article
The Analysis of Type D Personality Research as a Psychosocial Risk Factor in Cardiovascular Disease for Elders with a Chronic Disease: Eun Kyeung Song, Youn Jung Son; Journal of Korean Academy of Nursing 2008;38(1):19-28.
DOI: https://doi.org/10.4040/jkan.2008.38.1.19
Published online: February 28, 2008

¹Part-time Lecturer, College Nursing, Yonsei University, Seoul, Korea.

²Assistant Professor, Department of Nursing, Soonchunhyang University, Cheonan, Korea.

Address reprint requests to: Son, Youn Jung. Department of Nursing, College of Medicine, Soonchunhyang University, 366-1 Ssangyong-dong, Cheonan 330-946, Korea. Tel: 82-41-570-2487, Fax: 82-41-575-9347, yjson@sch.ac.kr

• Received: July 16, 2007 • Accepted: October 4, 2007

20 Views
0 Download
13 Scopus

prev next

Full Article

Download PDF

Abstract
REFERENCES

Abstract

Purpose
The purpose of this paper was to examine the relationship between type D personality and cardiovascular disease, and to suggest future research directions.
Methods
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.
Results
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.
Keywords: Personality; Risk factors; Cardiovascular disease

REFERENCES

1. Angerer P, Siehert V, Kothny W, Mühlbauer D, Mudra H, von Schacky C. Impact of social support, cynical hostility and anger expression on progression of coronary atherosclerosis. J Am Coll Cardiol. 2000;36:1781–1788.Article PubMed
2. Aquarius AE, Denollet J, Hamming JF, De Vries J. Role of disease status and type D personality in outcomes in patients with peripheral arterial disease. Am J Cardiol. 2005;96:996–1001.Article PubMed
3. Berkman LF, Leo-Summers L, Horwitz RI. Emotional support and survival after myocardial infarction. A prospective, population-based study of the elderly. Ann Intern Med. 1992;117:1003–1009.Article PubMed
4. Bosma H, Peter R, Siegrist J, Marmot M. Two alternative job stress models and the risk of coronary heart diseas. Am J Public Health. 1998;88(1):68–74.Article PubMed PMC
5. Conraads VM, Denollet J, De Clerck LS, Stevens WJ, Bridts C, Vrints CJ. Type D personality is associated with increased levels of tumor necrosis factor (TNF)-alpha and TNFalpha receptors in chronic heart failure. Int J Cardiol. 2006;113(1):34–38.PubMed
6. Dembroski TM, Costa PT Jr. Coronary prone behavior: components of the type A pattern and hostility. J Pers. 1987;55:211–235.Article PubMed
7. Denollet J. Personality and coronary heart disease: the type-D scale-16 (DS 16). Ann Behav Med. 1998;20:209–215.Article PubMed
8. Denollet J. Type D personality a potential risk factor refined. J Psychosom Res. 2000;49:255–266.PubMed
9. Denollet J. DS 14: standard assessment of negative affectivity, social inhibition, and type D personality. Psychosom Med. 2005;67:89–97.Article PubMed
10. Denollet J, Conraads VM, Brutsaert DL, De Clerck LS, Stevens WJ, Vrints CJ. Cytokines and immune activation in systolic heart failure: the role of Type D personality. Brain Behav Immun. 2003;17:304–309.Article PubMed
11. Denollet J, De Potter B. Coping subtypes for men with coronary heart disease: relationship to well-being, stress and Type-A behavior. Psychol Med. 1992;22:667–684.Article PubMed
12. Denollet J, Sys SU, Brutsaert DL. Personality and mortality after myocardial infarction. Psychosom Med. 1995;57:582–591.Article PubMed
13. Erdam RA, Duivenvoorden HJ, Verhage F, Kazemier M, Hugenholtz PG. Predictability of beneficial effects in cardiac rehabilitation: a randomized clinical trial of psychosocial variables. J Cardiopulm Rehabil. 1986;6:206–213.
14. Friedman M, Rosenman RH. Association of specific overt behavior pattern with blood and cardiovascular findings: blood cholesterol level, blood clotting time, incidence of arcus senilis, and clinical coronary artery disease. J Am Med Assoc. 1959;169:1286–1296.PubMed
15. Habra ME, Linden W, Anderson JC, Weinberg J. Type D personality is related to cardiovascular and neuroendocrine reactivity to acute stress. J Psychosom Res. 2003;55:235–245.Article PubMed
16. Hemingway H, Marmot M. Evidence based cardiology: psychosocial factors in the aetiology and prognosis of coronary heart disease. Systematic review of prospective cohort studies. BMJ. 1999;318:1460–1467.Article PubMed PMC
17. Jenkins CD. Epidemiology of cardiovascular disease. J Consult Clin Psychol. 1988;56:324–332.PubMed
18. Lett HS, Blumenthal JA, Babyak MA, Sherwood A, Strauman T, Robins C, et al. Depression as a risk factor for coronary artery disease: evidence, mechanism and treatment. Psychosom Med. 2004;66:305–315.PubMed
19. Linden W, Stossel C, Maurice J. Psychosocial interventions for patients with coronary artery disease: a meta-analysis. Arch Intern Med. 1996;156:745–752.Article PubMed
20. Medina MA, Amores-Sánchez MI. Homocysteine: an emergent cardiovascular risk factor? Eur J Clin Invest. 2000;30:754–762.Article PubMed PDF
21. Moser DK, Dracup K. Is anxiety early after myocardial infarction associated with subsequent ischemic and arrhythmic events? Psychosom Med. 1996;58:395–401.Article PubMed
22. Pedersen SS, Denollet J. Type D personality, cardiac events, and impaired quality of life: a review. Eur J Cardiovasc Prev Rehabil. 2003;10:241–248.Article PubMed
23. Pedersen SS, Middel B. Increased vital exhaustion among type-D patients with ischemic heart disease. J Psychosom Res. 2001;51:443–449.Article PubMed
24. Pedersen SS, van Domburg RT, Theuns DA, Jordaens L, Erdmanm RA. Type D personality is associated with increased anxiety and depressive symptoms in patients with an implantable cardioverter defibrillator and their partner. Psychosom Med. 2004;66:714–719.PubMed
25. Ravaja N, Kauppinen T, Keltikangas-Jarvinen L. Relationships between hostility and psychological coronary heart disease risk factors in young adults: the moderating influences of depressive tendencies. Psychol Med. 2000;30:381–393.Article PubMed
26. Rozanski A, Blumenthal JA, Kaplan J. Impact of psychological factors on the pathogenesis of cardiovascular disease and implications for therapy. Circulation. 1999;99:2192–2217.Article PubMed
27. Schiffer AA, Pedersen SS, Widdershoven JW, Hendriks EH, Winter JB, Denollet J. The distressed (type D) personality is independently associated with impaired health status and increased depressive symptoms in chronic heart failure. Eur J Cardiovasc Prev Rehabil. 2005;12:341–346.Article PubMed PDF
28. Smith TW, Ruiz JM. Psychosocial influences on the development and course of coronary heart disease: current status and implications for research and practice. J Consult Clin Psychol. 2002;70:548–568.Article PubMed
29. Spielberger CD, Van Der Ploeg HM, Defares PB. ZBV: A Dutch-Language adaptation of the Spielberger State-Trait Anxiety Inventory. 1980;Lisse, The Netherlands, Swets & Zeitlinger.
30. Watson D, Clark LA, Harkness AR. Structures of personality and their relevance to psychopathology. J Abnorm Psychol. 1994;103:18–31.Article PubMed

Figure 1

Literature & selective process.

Table 1

Published years, Sources, Study Design, and Characteristics of Subjects (N=28)

CAD=coronary artery disease; CHF=congestive heart failure; HTN=hypertension; PAD=peripheral artery disease.

Table 2

Instruments for Measurement of Type D Personality (N=28)

DS=D scale; STAI=state-trait anxiety inventory; HPPQ=heart patients psychological questionnaire.

Table 3

Chronological View of Studies Published on the Type D Personality Construct

ACS=acute coronary syndrome; CABG=coronary artery bypass graft; CHD=coronary heart disease; CHF=congestive heart failure; CVA=cerebral vascular attack; HPPQ=heart patients psychological questionnaire; HRQoL=health related quality of life; HTN=hypertension; ICD=implantable cardioverter defibrillator; LVEF=left ventricular ejection fraction; MCS=mental component summary; MI=myocardial infarction; NYHA=new york heart association; PCI=percutaneous coronary intervention; PCS=physical component summary; STAI=spielberger state-trait anxiety inventory; TIA=transient ischemic attack; TNF-α=tumor necrosis factor α; sTNFR2=soluble tumor necrosis factor receptor 2. ^*p<0.05; ^†p<0.01; ^‡p<0.001.

Figure & Data

REFERENCES

Citations

Citations to this article as recorded by

Cite

CITE: export Copy Download Format; Close

Download Citation

Download a citation file in RIS format that can be imported by all major citation management software, including EndNote, ProCite, RefWorks, and Reference Manager.

Format:

RIS — For EndNote, ProCite, RefWorks, and most other reference management software
BibTeX — For JabRef, BibDesk, and other BibTeX-specific software

Include:

Citation for the content below
Citation and abstract for the content below

The Analysis of Type D Personality Research as a Psychosocial Risk Factor in Cardiovascular Disease for Elders with a Chronic Disease

Journal of Korean Academy of Nursing. 2008;38(1):19-28. Published online February 28, 2008

DOI: https://doi.org/10.4040/jkan.2008.38.1.19

XML Download

Figure

We recommend

The Analysis of Type D Personality Research as a Psychosocial Risk Factor in Cardiovascular Disease for Elders with a Chronic Disease

Figure 1 Literature & selective process.

Figure 1

The Analysis of Type D Personality Research as a Psychosocial Risk Factor in Cardiovascular Disease for Elders with a Chronic Disease

Table 1

Published years, Sources, Study Design, and Characteristics of Subjects (N=28)

CAD=coronary artery disease; CHF=congestive heart failure; HTN=hypertension; PAD=peripheral artery disease.

Table 2

Instruments for Measurement of Type D Personality (N=28)

DS=D scale; STAI=state-trait anxiety inventory; HPPQ=heart patients psychological questionnaire.

Table 3

Chronological View of Studies Published on the Type D Personality Construct

Table 1 Published years, Sources, Study Design, and Characteristics of Subjects (N=28)

CAD=coronary artery disease; CHF=congestive heart failure; HTN=hypertension; PAD=peripheral artery disease.

Table 2 Instruments for Measurement of Type D Personality (N=28)

DS=D scale; STAI=state-trait anxiety inventory; HPPQ=heart patients psychological questionnaire.

Table 3 Chronological View of Studies Published on the Type D Personality Construct