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

심혈관질환의 심리사회적 위험요인으로써의 D유형 성격에 관한 논문 분석

  • 송은경 (연세대학교 간호대학) ;
  • 손연정 (순천향대학교 의과대학 간호학과)
  • Published : 2008.02.29

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. 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.

Keywords

References

  1. Angerer, P., Siehert, V., Kothny, W., Muhlbauer, D., Mudra, H., & von Schacky, C. (2000). Impact of social support, cynical hostility and anger expression on progression of coronary atherosclerosis. J Am Coll Cardiol, 36, 1781-1788 https://doi.org/10.1016/S0735-1097(00)00944-X
  2. Aquarius, A. E., DenoUet, J., Hamming, J. F., & De Vries, J. (2005). Role of disease status and type D personality in outcomes in patients with peripheral arterial disease. Am J Cardiol. 96, 996-1001
  3. Berkman, L. F., Leo-Summers, L., & Horwitz, R. I. (1992). Emotional support and survival after myocardial infarction. A prospective, population-based study of the elderly. Ann Intern Med 117, 1003-1009 https://doi.org/10.7326/0003-4819-117-12-1003
  4. Bosma, H., Peter, R., Siegrist, J., & Marmot, M. (1998). Two alternative job stress models and the risk of coronary heart diseas. Am J Public Health, 88{1), 68-74 https://doi.org/10.2105/AJPH.88.1.68
  5. Conraads, V. M., Denollet, J., De Clerck, L. S., Stevens, W. J., Bridts, C, & Vrints, C. J. (2006). Type D personality is associated with increased levels of tumor necrosis factor (TNF)-alpha and TNF-alpha receptors in chronic heart failure. Int J Cardiol. 113(1), 34-38 https://doi.org/10.1016/j.ijcard.2005.10.013
  6. Dembroski, T. M., & Costa, P. T. Jr. (1987). Coronary prone behavior: components of the type A pattern and hostility. J Pers, 55, 211-235 https://doi.org/10.1111/j.1467-6494.1987.tb00435.x
  7. Denollet, J. (1998). Personality and coronary heart disease: the type-D scale-16 (DS 16). Ann Bebav Med, 20, 209-215 https://doi.org/10.1007/BF02884962
  8. Denollet, J. (2000). Type D personality a potential risk factor refined. J Psyckosom Res, 49, 255-266 https://doi.org/10.1016/S0022-3999(00)00177-X
  9. Denollet, J. (2005). DS 14: standard assessment of negative affectivity, social inhibition, and type D personality. Psychosom Med 67, 89-97 https://doi.org/10.1097/01.psy.0000149256.81953.49
  10. Denollet, J., Conraads, V. M., Brutsaert, D. L., De Clerck, L. S., Stevens, W. J., & Vrints, C. J. (2003). Cytokines and immune activation in systolic heart failure: the role of Type D personality. Brain Behavlmmun, 17, 304-309
  11. Denollet, J., & De Potter, B. (1992). Coping subtypes for men with coronary heart disease: relationship to well-being, stress and Type-A behavior. Psychol Med, 22,667-684 https://doi.org/10.1017/S0033291700038113
  12. Denollet, J., Sys, S. U., & Brutsaert, D. L. (1995). Personality and mortality after myocardial infarction. Psychosom Med 57, 582-591 https://doi.org/10.1097/00006842-199511000-00011
  13. Erdam, R. A., Duivenvoorden, H. J., Verhage, F., Kazemier, M., & Hugenholtz, P. G. (1986). Predictability of beneficial effects in cardiac rehabilitation: a randomized clinical trial of psychosocial variables. J Cardiopulm Rehabil, 6, 206-213 https://doi.org/10.1097/00008483-198606000-00001
  14. Friedman, M., & Rosenman, R. H. (1959). 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, 169, 1286-1296 https://doi.org/10.1001/jama.1959.03000290012005
  15. Habra, M. E, Linden, W., Anderson, J. C, & Weinberg, J. (2003). Type D personality is related to cardiovascular and neuroendocrine reactivity to acute stress. J Psychosom Res, 55, 235-245 https://doi.org/10.1016/S0022-3999(02)00553-6
  16. Hemingway, H., & Marmot, M. (1999). Evidence based cardiology: psychosocial factors in the aetiology and prognosis of coronary heart disease. Systematic review of prospective cohort studies. BMJ, 318,1460-1467 https://doi.org/10.1136/bmj.318.7196.1460
  17. Jenkins, C. D. (1988). Epidemiology of cardiovascular disease. J Consult Clin Psychol, 56, 324-332 https://doi.org/10.1037/0022-006X.56.3.324
  18. Lett, H. S., Blumenthal, J. A., Babyak, M. A., Sherwood, A., Strau-man, T., Robins, C, et al. (2004). Depression as a risk factor for coronary artery disease: evidence, mechanism and treatment. Psychosom Med, 66, 305-315 https://doi.org/10.1097/01.psy.0000126207.43307.c0
  19. Linden, W., Stossel, C, & Maurice, J. (1996). Psychosocial interventions for patients with coronary artery disease: a meta-analysis. Arch Intern Med, 156, 745-752 https://doi.org/10.1001/archinte.156.7.745
  20. Medina, M. A, & Amores-Sanchez, M. I. (2000). Homocysteine: an emergent cardiovascular risk factor? Eur J Clin Invest, 30,754-762 https://doi.org/10.1046/j.1365-2362.2000.00691.x
  21. Moser, D. K., & Dracup, K. (1996). Is anxiety early after myocardial infarction associated with subsequent ischemic and arrhythmic events? Psychosom Med, 58, 395-401 https://doi.org/10.1097/00006842-199609000-00001
  22. Pedersen, S. S., & Denollet, J. (2003). Type D personality, cardiac events, and impaired quality of life: a review. Eur J Cardiovasc Prev Rehabil 10,241-248 https://doi.org/10.1097/00149831-200308000-00005
  23. Pedersen, S. S., & Middel, B. (2001). Increased vital exhaustion among type-D patients widi ischemic heart disease. J Psychosom Res, 51,443-449 https://doi.org/10.1016/S0022-3999(01)00203-3
  24. Pedersen, S. S., van Domburg, R T., Theuns, D. A, Jordaens, L., & Erdmanm R A. (2004). Type D personality is associated widi increased anxiety and depressive symptoms in patients with an implantable cardioverter defibrillator and their partner. Psychosom Med 66, 714-719 https://doi.org/10.1097/01.psy.0000132874.52202.21
  25. Ravaja, N., Kauppinen, T., & Keltikangas-Jarvinen, L. (2000). Relationships between hostility and psychological coronary heart disease risk factors in young adults: the moderating influences of depressive tendencies. Psychol Med 30, 381-393 https://doi.org/10.1017/S0033291700001720
  26. Rozanski A., Blumendial, J. A., & Kaplan, J. (1999). Impact of psychological factors on the pathogenesis of cardiovascular disease and implications for therapy. Circulation, 99, 2192- 2217 https://doi.org/10.1161/01.CIR.99.16.2192
  27. SchifFer, A. A, Pedersen, S. S., Widdershoven, J. W., Hendriks, E. H., Winter, J. B., & Denollet, J. (2005). The distressed (type D) personality is independendy associated with impaired heakh status and increased depressive symptoms in chronic heart failure. Eur J Cardiovasc Prev Rehabil, 12, 341-346 https://doi.org/10.1097/01.hjr.0000173107.76109.6c
  28. Smith, T. W., & Ruiz, J. M. (2002). Psychosocial influences on the development and course of coronary heart disease: current status and implications for research and practice. J Consult Clin Psychol 70, 548-568 https://doi.org/10.1037/0022-006X.70.3.548
  29. Spielberger, C. D., Van Der Ploeg, H. M., & Defares, P. B. (1980). ZBV: A Dutch-language adaptation of the Spielberger State-Trait Anxiety Inventory. Lisse, The Netherlands: Swets & Zeidinger
  30. Watson, D., Clark, L. A., & Harkness, A. R. (1994). Structures of personality and their relevance to psychopathology. J Abnorm Psychol 103, 18-31 https://doi.org/10.1037/0021-843X.103.1.18