The negative affectivity dimension of Type D personality is associated with in-stent neoatherosclerosis in coronary patients with percutaneous coronary intervention: An optical coherence tomography study
In-stent neoatherosclerosis (ISNA) is involved in the pathogenesis of in-stent restenosis and major adverse cardiac events (MACE) in patients with coronary artery disease (CAD) after percutaneous coronary intervention (PCI). We aimed to explore the association between Type D personality and ISNA via...
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| Veröffentlicht in: | Journal of psychosomatic research 2019-05, Vol.120, p.20-28 |
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| creator | Lee, Ruxue Yu, Huai Gao, Xueqin Cao, Jianqin Tao, Hui Yu, Bo Wang, Yini Lin, Ping |
| description | In-stent neoatherosclerosis (ISNA) is involved in the pathogenesis of in-stent restenosis and major adverse cardiac events (MACE) in patients with coronary artery disease (CAD) after percutaneous coronary intervention (PCI). We aimed to explore the association between Type D personality and ISNA via in vivo optical coherence tomography (OCT).
One hundred and fifty-six patients with CAD completed the Type D Scale-14 and underwent in vivo measurement of in-stent neoatherosclerosis by OCT. The Type D construct was analyzed as both the dichotomous and the dimension constructs.
After adjusting for demographic and clinical factors and presenting as a dichotomous construct, Type D personality was independently associated with the presence of in-stent neoatherosclerosis (odds ratio [OR] = 2.99, 95% confidence interval [CI] = 1.35–6.63, p = 0.007) and in-stent thin-cap fibroatheroma (OR = 2.81, 95% CI = 1.27–6.23, p = 0.01). Meanwhile, the multiple logistic regression also showed that the main effect of negative affectivity was an independent risk factor of in-stent neoatherosclerosis (OR = 1.85, 95% CI = 1.25–2.75, p = 0.002) and in-stent thin-cap fibroatheroma (OR = 1.77, 95% CI = 1.18–2.67, p = 0.006). However, the main effects of social inhibition with in-stent neoatherosclerosis and in-stent thin-cap fibroatheroma (OR = 0.98, 95% CI = 0.64–1.52, p = 0.94; OR = 0.94, 95% CI = 0.63–1.39, p = 0.75, respectively) as well as the interaction of negative affectivity and social inhibition were not significant (OR = 0.71, 95% CI = 0.69–1.81, p = 0.11; OR = 0.72, 95% CI = 0.47–1.08, p = 0.12, respectively).
Type D personality was found to be independently associated with in-stent neoatherosclerosis via OCT in patients with CAD after PCI. It was negative affectivity, not social inhibition, that affected the occurrence of the in-stent neoatherosclerosis, these results challenged the usefulness of the Type D construct. Our findings may provide new insights regarding the mechanisms of the association between Type D personality and MACE after PCI.
•Our results indicated that Type D personality was associated with ISNA.•NA, not SI, explained the association between Type D personality and ISNA.•Our results provide new insights into the mechanism of NA dimension and MACEs after PCI. |
| doi_str_mv | 10.1016/j.jpsychores.2019.03.007 |
| format | Article |
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One hundred and fifty-six patients with CAD completed the Type D Scale-14 and underwent in vivo measurement of in-stent neoatherosclerosis by OCT. The Type D construct was analyzed as both the dichotomous and the dimension constructs.
After adjusting for demographic and clinical factors and presenting as a dichotomous construct, Type D personality was independently associated with the presence of in-stent neoatherosclerosis (odds ratio [OR] = 2.99, 95% confidence interval [CI] = 1.35–6.63, p = 0.007) and in-stent thin-cap fibroatheroma (OR = 2.81, 95% CI = 1.27–6.23, p = 0.01). Meanwhile, the multiple logistic regression also showed that the main effect of negative affectivity was an independent risk factor of in-stent neoatherosclerosis (OR = 1.85, 95% CI = 1.25–2.75, p = 0.002) and in-stent thin-cap fibroatheroma (OR = 1.77, 95% CI = 1.18–2.67, p = 0.006). However, the main effects of social inhibition with in-stent neoatherosclerosis and in-stent thin-cap fibroatheroma (OR = 0.98, 95% CI = 0.64–1.52, p = 0.94; OR = 0.94, 95% CI = 0.63–1.39, p = 0.75, respectively) as well as the interaction of negative affectivity and social inhibition were not significant (OR = 0.71, 95% CI = 0.69–1.81, p = 0.11; OR = 0.72, 95% CI = 0.47–1.08, p = 0.12, respectively).
Type D personality was found to be independently associated with in-stent neoatherosclerosis via OCT in patients with CAD after PCI. It was negative affectivity, not social inhibition, that affected the occurrence of the in-stent neoatherosclerosis, these results challenged the usefulness of the Type D construct. Our findings may provide new insights regarding the mechanisms of the association between Type D personality and MACE after PCI.
•Our results indicated that Type D personality was associated with ISNA.•NA, not SI, explained the association between Type D personality and ISNA.•Our results provide new insights into the mechanism of NA dimension and MACEs after PCI.</description><identifier>ISSN: 0022-3999</identifier><identifier>EISSN: 1879-1360</identifier><identifier>DOI: 10.1016/j.jpsychores.2019.03.007</identifier><identifier>PMID: 30929704</identifier><language>eng</language><publisher>England: Elsevier Inc</publisher><subject>Affect ; Aged ; Angioplasty ; Cardiac surgery ; Cardiovascular disease ; Coherence ; Confidence intervals ; Coronary artery ; Coronary artery disease ; Coronary Artery Disease - diagnostic imaging ; Coronary Artery Disease - psychology ; Coronary Artery Disease - therapy ; Demography ; Female ; Health risk assessment ; Heart diseases ; Humans ; Implants ; In-stent neoatherosclerosis ; Inhibition ; Intervention ; Logistic Models ; Male ; Measurement ; Middle Aged ; Multivariate Analysis ; Negative emotions ; Odds Ratio ; Optical coherence tomography ; Percutaneous coronary intervention ; Percutaneous Coronary Intervention - psychology ; Personality ; Restenosis ; Risk Factors ; Social inhibition ; Stents ; Stents - adverse effects ; Time Factors ; Tomography ; Tomography, Optical Coherence ; Type D Personality ; Usefulness</subject><ispartof>Journal of psychosomatic research, 2019-05, Vol.120, p.20-28</ispartof><rights>2019 Elsevier Inc.</rights><rights>Copyright © 2019 Elsevier Inc. All rights reserved.</rights><rights>Copyright Elsevier Science Ltd. May 2019</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c402t-d0f3d62b4dbb9bda95cd5bac8193050483e8bcc889585ded122dcbe6029d58ed3</citedby><cites>FETCH-LOGICAL-c402t-d0f3d62b4dbb9bda95cd5bac8193050483e8bcc889585ded122dcbe6029d58ed3</cites><orcidid>0000-0002-5955-6332</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.jpsychores.2019.03.007$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>315,781,785,3551,27929,27930,31004,46000</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/30929704$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Lee, Ruxue</creatorcontrib><creatorcontrib>Yu, Huai</creatorcontrib><creatorcontrib>Gao, Xueqin</creatorcontrib><creatorcontrib>Cao, Jianqin</creatorcontrib><creatorcontrib>Tao, Hui</creatorcontrib><creatorcontrib>Yu, Bo</creatorcontrib><creatorcontrib>Wang, Yini</creatorcontrib><creatorcontrib>Lin, Ping</creatorcontrib><title>The negative affectivity dimension of Type D personality is associated with in-stent neoatherosclerosis in coronary patients with percutaneous coronary intervention: An optical coherence tomography study</title><title>Journal of psychosomatic research</title><addtitle>J Psychosom Res</addtitle><description>In-stent neoatherosclerosis (ISNA) is involved in the pathogenesis of in-stent restenosis and major adverse cardiac events (MACE) in patients with coronary artery disease (CAD) after percutaneous coronary intervention (PCI). We aimed to explore the association between Type D personality and ISNA via in vivo optical coherence tomography (OCT).
One hundred and fifty-six patients with CAD completed the Type D Scale-14 and underwent in vivo measurement of in-stent neoatherosclerosis by OCT. The Type D construct was analyzed as both the dichotomous and the dimension constructs.
After adjusting for demographic and clinical factors and presenting as a dichotomous construct, Type D personality was independently associated with the presence of in-stent neoatherosclerosis (odds ratio [OR] = 2.99, 95% confidence interval [CI] = 1.35–6.63, p = 0.007) and in-stent thin-cap fibroatheroma (OR = 2.81, 95% CI = 1.27–6.23, p = 0.01). Meanwhile, the multiple logistic regression also showed that the main effect of negative affectivity was an independent risk factor of in-stent neoatherosclerosis (OR = 1.85, 95% CI = 1.25–2.75, p = 0.002) and in-stent thin-cap fibroatheroma (OR = 1.77, 95% CI = 1.18–2.67, p = 0.006). However, the main effects of social inhibition with in-stent neoatherosclerosis and in-stent thin-cap fibroatheroma (OR = 0.98, 95% CI = 0.64–1.52, p = 0.94; OR = 0.94, 95% CI = 0.63–1.39, p = 0.75, respectively) as well as the interaction of negative affectivity and social inhibition were not significant (OR = 0.71, 95% CI = 0.69–1.81, p = 0.11; OR = 0.72, 95% CI = 0.47–1.08, p = 0.12, respectively).
Type D personality was found to be independently associated with in-stent neoatherosclerosis via OCT in patients with CAD after PCI. It was negative affectivity, not social inhibition, that affected the occurrence of the in-stent neoatherosclerosis, these results challenged the usefulness of the Type D construct. Our findings may provide new insights regarding the mechanisms of the association between Type D personality and MACE after PCI.
•Our results indicated that Type D personality was associated with ISNA.•NA, not SI, explained the association between Type D personality and ISNA.•Our results provide new insights into the mechanism of NA dimension and MACEs after PCI.</description><subject>Affect</subject><subject>Aged</subject><subject>Angioplasty</subject><subject>Cardiac surgery</subject><subject>Cardiovascular disease</subject><subject>Coherence</subject><subject>Confidence intervals</subject><subject>Coronary artery</subject><subject>Coronary artery disease</subject><subject>Coronary Artery Disease - diagnostic imaging</subject><subject>Coronary Artery Disease - psychology</subject><subject>Coronary Artery Disease - therapy</subject><subject>Demography</subject><subject>Female</subject><subject>Health risk assessment</subject><subject>Heart diseases</subject><subject>Humans</subject><subject>Implants</subject><subject>In-stent neoatherosclerosis</subject><subject>Inhibition</subject><subject>Intervention</subject><subject>Logistic Models</subject><subject>Male</subject><subject>Measurement</subject><subject>Middle Aged</subject><subject>Multivariate Analysis</subject><subject>Negative emotions</subject><subject>Odds Ratio</subject><subject>Optical coherence tomography</subject><subject>Percutaneous coronary intervention</subject><subject>Percutaneous Coronary Intervention - psychology</subject><subject>Personality</subject><subject>Restenosis</subject><subject>Risk Factors</subject><subject>Social inhibition</subject><subject>Stents</subject><subject>Stents - adverse effects</subject><subject>Time Factors</subject><subject>Tomography</subject><subject>Tomography, Optical Coherence</subject><subject>Type D Personality</subject><subject>Usefulness</subject><issn>0022-3999</issn><issn>1879-1360</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2019</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>7QJ</sourceid><recordid>eNqFkc1u1DAUhSMEotPCKyBLbNgkXDuTH7MrBQpSJTbD2nLsm45HmTjYzlR5Rl6KG02hEhs2tiV_51z7nCxjHAoOvH5_KA5TXMzeB4yFAC4LKAuA5lm24W0jc17W8DzbAAiRl1LKi-wyxgMA1FJUL7OLEqSQDWw32a_dHtmI9zq5EzLd92jo5NLCrDviGJ0fme_ZbpmQfWIThuhHPaz3LjIdozdOJ7TswaU9c2MeE46JDL1Oeww-mmFdiXUjMz6QOCxsommExbOKTM2cNGnm-MS4MWE4EUUv-MCu6RVTckYPRJAxjgZZ8kd_H_S0X1hMs11eZS96PUR8_bhfZT--fN7dfM3vvt9-u7m-y80WRMot9KWtRbe1XSc7q2VlbNVp03JZQgXbtsS2M6ZtZdVWFi0XwpoOaxDSVi3a8ip7d_adgv85Y0zq6KLBYTj_QQlqpOFb0QhC3_6DHvwcKMGV4rVoeNm0RLVnylBWMWCvpuCOlILioNbC1UE9Fa7WwhWUigon6ZvHAXN3RPtX-KdhAj6eAaRETg6Disat8VkXqGtlvfv_lN_ePMmw</recordid><startdate>201905</startdate><enddate>201905</enddate><creator>Lee, Ruxue</creator><creator>Yu, Huai</creator><creator>Gao, Xueqin</creator><creator>Cao, Jianqin</creator><creator>Tao, Hui</creator><creator>Yu, Bo</creator><creator>Wang, Yini</creator><creator>Lin, Ping</creator><general>Elsevier Inc</general><general>Elsevier Science Ltd</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QJ</scope><scope>7TK</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-5955-6332</orcidid></search><sort><creationdate>201905</creationdate><title>The negative affectivity dimension of Type D personality is associated with in-stent neoatherosclerosis in coronary patients with percutaneous coronary intervention: An optical coherence tomography study</title><author>Lee, Ruxue ; Yu, Huai ; Gao, Xueqin ; Cao, Jianqin ; Tao, Hui ; Yu, Bo ; Wang, Yini ; Lin, Ping</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c402t-d0f3d62b4dbb9bda95cd5bac8193050483e8bcc889585ded122dcbe6029d58ed3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2019</creationdate><topic>Affect</topic><topic>Aged</topic><topic>Angioplasty</topic><topic>Cardiac surgery</topic><topic>Cardiovascular disease</topic><topic>Coherence</topic><topic>Confidence intervals</topic><topic>Coronary artery</topic><topic>Coronary artery disease</topic><topic>Coronary Artery Disease - diagnostic imaging</topic><topic>Coronary Artery Disease - psychology</topic><topic>Coronary Artery Disease - therapy</topic><topic>Demography</topic><topic>Female</topic><topic>Health risk assessment</topic><topic>Heart diseases</topic><topic>Humans</topic><topic>Implants</topic><topic>In-stent neoatherosclerosis</topic><topic>Inhibition</topic><topic>Intervention</topic><topic>Logistic Models</topic><topic>Male</topic><topic>Measurement</topic><topic>Middle Aged</topic><topic>Multivariate Analysis</topic><topic>Negative emotions</topic><topic>Odds Ratio</topic><topic>Optical coherence tomography</topic><topic>Percutaneous coronary intervention</topic><topic>Percutaneous Coronary Intervention - psychology</topic><topic>Personality</topic><topic>Restenosis</topic><topic>Risk Factors</topic><topic>Social inhibition</topic><topic>Stents</topic><topic>Stents - adverse effects</topic><topic>Time Factors</topic><topic>Tomography</topic><topic>Tomography, Optical Coherence</topic><topic>Type D Personality</topic><topic>Usefulness</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Lee, Ruxue</creatorcontrib><creatorcontrib>Yu, Huai</creatorcontrib><creatorcontrib>Gao, Xueqin</creatorcontrib><creatorcontrib>Cao, Jianqin</creatorcontrib><creatorcontrib>Tao, Hui</creatorcontrib><creatorcontrib>Yu, Bo</creatorcontrib><creatorcontrib>Wang, Yini</creatorcontrib><creatorcontrib>Lin, Ping</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Applied Social Sciences Index & Abstracts (ASSIA)</collection><collection>Neurosciences Abstracts</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of psychosomatic research</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Lee, Ruxue</au><au>Yu, Huai</au><au>Gao, Xueqin</au><au>Cao, Jianqin</au><au>Tao, Hui</au><au>Yu, Bo</au><au>Wang, Yini</au><au>Lin, Ping</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The negative affectivity dimension of Type D personality is associated with in-stent neoatherosclerosis in coronary patients with percutaneous coronary intervention: An optical coherence tomography study</atitle><jtitle>Journal of psychosomatic research</jtitle><addtitle>J Psychosom Res</addtitle><date>2019-05</date><risdate>2019</risdate><volume>120</volume><spage>20</spage><epage>28</epage><pages>20-28</pages><issn>0022-3999</issn><eissn>1879-1360</eissn><abstract>In-stent neoatherosclerosis (ISNA) is involved in the pathogenesis of in-stent restenosis and major adverse cardiac events (MACE) in patients with coronary artery disease (CAD) after percutaneous coronary intervention (PCI). We aimed to explore the association between Type D personality and ISNA via in vivo optical coherence tomography (OCT).
One hundred and fifty-six patients with CAD completed the Type D Scale-14 and underwent in vivo measurement of in-stent neoatherosclerosis by OCT. The Type D construct was analyzed as both the dichotomous and the dimension constructs.
After adjusting for demographic and clinical factors and presenting as a dichotomous construct, Type D personality was independently associated with the presence of in-stent neoatherosclerosis (odds ratio [OR] = 2.99, 95% confidence interval [CI] = 1.35–6.63, p = 0.007) and in-stent thin-cap fibroatheroma (OR = 2.81, 95% CI = 1.27–6.23, p = 0.01). Meanwhile, the multiple logistic regression also showed that the main effect of negative affectivity was an independent risk factor of in-stent neoatherosclerosis (OR = 1.85, 95% CI = 1.25–2.75, p = 0.002) and in-stent thin-cap fibroatheroma (OR = 1.77, 95% CI = 1.18–2.67, p = 0.006). However, the main effects of social inhibition with in-stent neoatherosclerosis and in-stent thin-cap fibroatheroma (OR = 0.98, 95% CI = 0.64–1.52, p = 0.94; OR = 0.94, 95% CI = 0.63–1.39, p = 0.75, respectively) as well as the interaction of negative affectivity and social inhibition were not significant (OR = 0.71, 95% CI = 0.69–1.81, p = 0.11; OR = 0.72, 95% CI = 0.47–1.08, p = 0.12, respectively).
Type D personality was found to be independently associated with in-stent neoatherosclerosis via OCT in patients with CAD after PCI. It was negative affectivity, not social inhibition, that affected the occurrence of the in-stent neoatherosclerosis, these results challenged the usefulness of the Type D construct. Our findings may provide new insights regarding the mechanisms of the association between Type D personality and MACE after PCI.
•Our results indicated that Type D personality was associated with ISNA.•NA, not SI, explained the association between Type D personality and ISNA.•Our results provide new insights into the mechanism of NA dimension and MACEs after PCI.</abstract><cop>England</cop><pub>Elsevier Inc</pub><pmid>30929704</pmid><doi>10.1016/j.jpsychores.2019.03.007</doi><tpages>9</tpages><orcidid>https://orcid.org/0000-0002-5955-6332</orcidid></addata></record> |
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| subjects | Affect Aged Angioplasty Cardiac surgery Cardiovascular disease Coherence Confidence intervals Coronary artery Coronary artery disease Coronary Artery Disease - diagnostic imaging Coronary Artery Disease - psychology Coronary Artery Disease - therapy Demography Female Health risk assessment Heart diseases Humans Implants In-stent neoatherosclerosis Inhibition Intervention Logistic Models Male Measurement Middle Aged Multivariate Analysis Negative emotions Odds Ratio Optical coherence tomography Percutaneous coronary intervention Percutaneous Coronary Intervention - psychology Personality Restenosis Risk Factors Social inhibition Stents Stents - adverse effects Time Factors Tomography Tomography, Optical Coherence Type D Personality Usefulness |
| title | The negative affectivity dimension of Type D personality is associated with in-stent neoatherosclerosis in coronary patients with percutaneous coronary intervention: An optical coherence tomography study |
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