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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

Copyright © 2008 Korean Society of Nursing Science

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  • 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
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Figure 1
Literature & selective process.
jkan-38-19-g001.jpg
Table 1
Published years, Sources, Study Design, and Characteristics of Subjects (N=28)
jkan-38-19-i001.jpg

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)
jkan-38-19-i002.jpg

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
jkan-38-19-i003.jpg

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

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

    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.

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

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

    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.
    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.

    Table 1

    Table 2

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