The differential impact of Type D personality on the prognosis of patients with stable coronary artery disease.

IF 1.9 3区心理学 Q2 PSYCHOLOGY, MULTIDISCIPLINARY

Psychology & Health Pub Date : 2025-05-01 Epub Date: 2023-10-08 DOI:10.1080/08870446.2023.2265617

Tin-Kwang Lin, Bo-Cheng Hsu, Yi-Da Li, Chi-Hsien Chen, Jiunn-Wen Lin, Chen-Yu Chien, Chia-Ying Weng

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引用次数: 0

Abstract

Objective: This study investigated the association between Type D personality and prognoses in stable coronary artery disease (CAD) patients by mode of endpoints, age, and methodological debates to explain substantial heterogeneity among Type D studies.

Design: The prospective study was designed to recruit 590 stable CAD patients in Taiwan. Main outcome measures: Demographic and clinical characteristics, and the 14-item Type D scale-Taiwanese version were recorded at discharge.

Results: Hierarchical logistic regression analyses showed, regardless of the methodological debates, Type D personality was significantly associated with MACEs though not non-cardiac outcomes in stable CAD patients after adjusting for possible confounders. Furthermore, Type D personality was especially associated with MACEs in stable CAD patients with younger age (<65 y), rather than older age (≥65 y). Subgroup analysis also showed the adverse effect of Type D personality on MACEs was larger among males, those living in the rural region, those with PTCA or stent, those with heart failure, hypertension, diabetes, and those who were smokers.

Conclusions: Regardless of whether the methodological debate is dichotomous or continuous, Type D personality was significantly associated with MACEs in stable CAD patients, some of whom had younger age, were males, smokers, or had comorbidities.

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D型人格对稳定型冠状动脉疾病患者预后的差异影响。

目的：本研究通过终点模式、年龄和方法学争论来调查D型人格与稳定型冠状动脉疾病（CAD）患者预后之间的关系，以解释D型研究之间的显著异质性。设计：该前瞻性研究旨在招募台湾590名稳定的CAD患者。主要转归指标：出院时记录人口统计学和临床特征，以及14项D型量表台湾版。结果：分层逻辑回归分析显示，无论方法论争论如何，在调整了可能的混杂因素后，D型人格与稳定型CAD患者的MACE显著相关，尽管与非心脏结局无关。此外，在年龄较小的稳定型CAD患者中，D型人格与MACE尤其相关（结论：无论方法论争论是二分的还是持续的，D型性格与稳定型CAD的MACE显著相关，其中一些患者年龄较小，是男性、吸烟者或有合并症。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Psychology & Health Multiple-

CiteScore

7.30

自引率

3.00%

发文量

期刊介绍： Psychology & Health promotes the study and application of psychological approaches to health and illness. The contents include work on psychological aspects of physical illness, treatment processes and recovery; psychosocial factors in the aetiology of physical illnesses; health attitudes and behaviour, including prevention; the individual-health care system interface particularly communication and psychologically-based interventions. The journal publishes original research, and accepts not only papers describing rigorous empirical work, including meta-analyses, but also those outlining new psychological approaches and interventions in health-related fields.