The Influence of Personality Type D on Cardiovascular Prognosis in Patients After Coronary Artery Bypass Grafting: Data from a 5-Year-Follow-up Study
Background Type D personality is accompanied by a set of negative behavioral patterns: low physical activity, high levels of psychological distress, low adherence to treatment. However, studies regarding predictive value of the type D personality remain inconclusive: the results varied depending on...
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| Veröffentlicht in: | International journal of behavioral medicine 2022-02, Vol.29 (1), p.46-56 |
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| creator | Raykh, Olga Igorevna Sumin, Alexei Nikolayevich Korok, Ekaterina Victorovna |
| description | Background
Type D personality is accompanied by a set of negative behavioral patterns: low physical activity, high levels of psychological distress, low adherence to treatment. However, studies regarding predictive value of the type D personality remain inconclusive: the results varied depending on the examined cohort, age, and ethnicity. The aim of the study was to evaluate the influence of type D personality on the 5-year prognosis in patients undergoing coronary artery bypass grafting (CABG) in Russian population.
Methods
The study included 602 patients with stable coronary artery disease (490 males, 57.7 ± 7.3 years) who had received CABG and were divided into two groups: patients with type D personality (
n
= 134) and patients without type D (
n
= 468). The risk of fatal and nonfatal events within 5 years after CABG was assessed.
Results
There was no difference in total mortality in patients with type D and without type D (7.9% and 7.7%, respectively) over the 5-year period. The absence of cardiac events was detected much less frequently in patients with type D (28%) compared with patients without type D (82%;
p
= 0.021). Multivariate analysis found independent association between the unfavorable outcome and presence of diabetes mellitus (
p
= 0.021), type D personality (
p
= 0.039), and multifocal atherosclerosis (
p
= 0.033) regardless of gender, age, previous myocardial infarction, and stroke.
Conclusions
Type D patients had a greater risk for cardiac events over 5 years after CABG compared with non-type D patients. Obtained data indicates that it is reasonable to consider personality type while detecting patients at risk of development of stress induced cardiac complications after CABG. |
| doi_str_mv | 10.1007/s12529-021-09992-y |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_pubme</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_8099536</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2620906488</sourcerecordid><originalsourceid>FETCH-LOGICAL-c474t-cf31c1217bd7892d4edfdff89f940922383b13d5b1bf2fc2c2dcd9ee20196ad43</originalsourceid><addsrcrecordid>eNp9kctu1DAUhiMEoqXwAizQkdiwMfgSJzELpGFKS6VKjMSwYGU5vkxdZeypnRTlQfq-dZlSLgtWtnX-8x__56uqlwS_JRi37zKhnAqEKUFYCEHR_Kg6JJxR1HLePS533GLEOWYH1bOcLzHGvG3x0-qAMcHrTuDD6mZ9YeEsuGGyQVuIDlY25RjU4McZ1vPOwjHEAEuVjI_XKutpUAlWKW5CzD6DD7BSo7dhzLBwo02wjKn0pxkWqTxn-DjvVM5wmpQbfdi8h2M1KnApbkEBR9-tSugkDkP8gaYdfB0nMz-vnjg1ZPvi_jyqvp18Wi8_o_Mvp2fLxTnSdVuPSDtGNKGk7U3bCWpqa5xxrhNO1FhQyjrWE2Z4T3pHnaaaGm2EtRQT0ShTs6Pqw953N_Vba3RJkdQgd8lvSwAZlZd_V4K_kJt4LbuycM6aYvDm3iDFq8nmUW591nYYVLBxyrIAog1pGnY36_U_0ss4pbLoomooFripu66o6F6lU8w5WffwGYLlHXW5py4LdfmTupxL06s_Yzy0_MJcBGwvyKUUNjb9nv0f21sFIbtn</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2620906488</pqid></control><display><type>article</type><title>The Influence of Personality Type D on Cardiovascular Prognosis in Patients After Coronary Artery Bypass Grafting: Data from a 5-Year-Follow-up Study</title><source>MEDLINE</source><source>Springer Nature - Complete Springer Journals</source><creator>Raykh, Olga Igorevna ; Sumin, Alexei Nikolayevich ; Korok, Ekaterina Victorovna</creator><creatorcontrib>Raykh, Olga Igorevna ; Sumin, Alexei Nikolayevich ; Korok, Ekaterina Victorovna</creatorcontrib><description>Background
Type D personality is accompanied by a set of negative behavioral patterns: low physical activity, high levels of psychological distress, low adherence to treatment. However, studies regarding predictive value of the type D personality remain inconclusive: the results varied depending on the examined cohort, age, and ethnicity. The aim of the study was to evaluate the influence of type D personality on the 5-year prognosis in patients undergoing coronary artery bypass grafting (CABG) in Russian population.
Methods
The study included 602 patients with stable coronary artery disease (490 males, 57.7 ± 7.3 years) who had received CABG and were divided into two groups: patients with type D personality (
n
= 134) and patients without type D (
n
= 468). The risk of fatal and nonfatal events within 5 years after CABG was assessed.
Results
There was no difference in total mortality in patients with type D and without type D (7.9% and 7.7%, respectively) over the 5-year period. The absence of cardiac events was detected much less frequently in patients with type D (28%) compared with patients without type D (82%;
p
= 0.021). Multivariate analysis found independent association between the unfavorable outcome and presence of diabetes mellitus (
p
= 0.021), type D personality (
p
= 0.039), and multifocal atherosclerosis (
p
= 0.033) regardless of gender, age, previous myocardial infarction, and stroke.
Conclusions
Type D patients had a greater risk for cardiac events over 5 years after CABG compared with non-type D patients. Obtained data indicates that it is reasonable to consider personality type while detecting patients at risk of development of stress induced cardiac complications after CABG.</description><identifier>ISSN: 1070-5503</identifier><identifier>EISSN: 1532-7558</identifier><identifier>DOI: 10.1007/s12529-021-09992-y</identifier><identifier>PMID: 33954890</identifier><language>eng</language><publisher>New York: Springer US</publisher><subject>Arteriosclerosis ; Bypass ; Cardiovascular disease ; Cerebral infarction ; Coronary artery ; Coronary Artery Bypass ; Coronary Artery Disease - epidemiology ; Coronary Artery Disease - surgery ; Coronary vessels ; Diabetes mellitus ; Family Medicine ; Follow-Up Studies ; Full Length Manuscript ; General Practice ; Health Psychology ; Heart ; Heart diseases ; Heart surgery ; Humans ; Male ; Medical prognosis ; Medicine ; Medicine & Public Health ; Multivariate analysis ; Myocardial infarction ; Patients ; Personality ; Physical activity ; Population studies ; Primates ; Prognosis ; Risk Factors ; Treatment Outcome ; Type D Personality ; Zoos</subject><ispartof>International journal of behavioral medicine, 2022-02, Vol.29 (1), p.46-56</ispartof><rights>International Society of Behavioral Medicine 2021</rights><rights>2021. International Society of Behavioral Medicine.</rights><rights>International Society of Behavioral Medicine 2021.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c474t-cf31c1217bd7892d4edfdff89f940922383b13d5b1bf2fc2c2dcd9ee20196ad43</citedby><cites>FETCH-LOGICAL-c474t-cf31c1217bd7892d4edfdff89f940922383b13d5b1bf2fc2c2dcd9ee20196ad43</cites><orcidid>0000-0002-8405-2419 ; 0000-0002-0963-4793</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s12529-021-09992-y$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s12529-021-09992-y$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>230,314,778,782,883,27911,27912,41475,42544,51306</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/33954890$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Raykh, Olga Igorevna</creatorcontrib><creatorcontrib>Sumin, Alexei Nikolayevich</creatorcontrib><creatorcontrib>Korok, Ekaterina Victorovna</creatorcontrib><title>The Influence of Personality Type D on Cardiovascular Prognosis in Patients After Coronary Artery Bypass Grafting: Data from a 5-Year-Follow-up Study</title><title>International journal of behavioral medicine</title><addtitle>Int.J. Behav. Med</addtitle><addtitle>Int J Behav Med</addtitle><description>Background
Type D personality is accompanied by a set of negative behavioral patterns: low physical activity, high levels of psychological distress, low adherence to treatment. However, studies regarding predictive value of the type D personality remain inconclusive: the results varied depending on the examined cohort, age, and ethnicity. The aim of the study was to evaluate the influence of type D personality on the 5-year prognosis in patients undergoing coronary artery bypass grafting (CABG) in Russian population.
Methods
The study included 602 patients with stable coronary artery disease (490 males, 57.7 ± 7.3 years) who had received CABG and were divided into two groups: patients with type D personality (
n
= 134) and patients without type D (
n
= 468). The risk of fatal and nonfatal events within 5 years after CABG was assessed.
Results
There was no difference in total mortality in patients with type D and without type D (7.9% and 7.7%, respectively) over the 5-year period. The absence of cardiac events was detected much less frequently in patients with type D (28%) compared with patients without type D (82%;
p
= 0.021). Multivariate analysis found independent association between the unfavorable outcome and presence of diabetes mellitus (
p
= 0.021), type D personality (
p
= 0.039), and multifocal atherosclerosis (
p
= 0.033) regardless of gender, age, previous myocardial infarction, and stroke.
Conclusions
Type D patients had a greater risk for cardiac events over 5 years after CABG compared with non-type D patients. Obtained data indicates that it is reasonable to consider personality type while detecting patients at risk of development of stress induced cardiac complications after CABG.</description><subject>Arteriosclerosis</subject><subject>Bypass</subject><subject>Cardiovascular disease</subject><subject>Cerebral infarction</subject><subject>Coronary artery</subject><subject>Coronary Artery Bypass</subject><subject>Coronary Artery Disease - epidemiology</subject><subject>Coronary Artery Disease - surgery</subject><subject>Coronary vessels</subject><subject>Diabetes mellitus</subject><subject>Family Medicine</subject><subject>Follow-Up Studies</subject><subject>Full Length Manuscript</subject><subject>General Practice</subject><subject>Health Psychology</subject><subject>Heart</subject><subject>Heart diseases</subject><subject>Heart surgery</subject><subject>Humans</subject><subject>Male</subject><subject>Medical prognosis</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Multivariate analysis</subject><subject>Myocardial infarction</subject><subject>Patients</subject><subject>Personality</subject><subject>Physical activity</subject><subject>Population studies</subject><subject>Primates</subject><subject>Prognosis</subject><subject>Risk Factors</subject><subject>Treatment Outcome</subject><subject>Type D Personality</subject><subject>Zoos</subject><issn>1070-5503</issn><issn>1532-7558</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2022</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>8G5</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><recordid>eNp9kctu1DAUhiMEoqXwAizQkdiwMfgSJzELpGFKS6VKjMSwYGU5vkxdZeypnRTlQfq-dZlSLgtWtnX-8x__56uqlwS_JRi37zKhnAqEKUFYCEHR_Kg6JJxR1HLePS533GLEOWYH1bOcLzHGvG3x0-qAMcHrTuDD6mZ9YeEsuGGyQVuIDlY25RjU4McZ1vPOwjHEAEuVjI_XKutpUAlWKW5CzD6DD7BSo7dhzLBwo02wjKn0pxkWqTxn-DjvVM5wmpQbfdi8h2M1KnApbkEBR9-tSugkDkP8gaYdfB0nMz-vnjg1ZPvi_jyqvp18Wi8_o_Mvp2fLxTnSdVuPSDtGNKGk7U3bCWpqa5xxrhNO1FhQyjrWE2Z4T3pHnaaaGm2EtRQT0ShTs6Pqw953N_Vba3RJkdQgd8lvSwAZlZd_V4K_kJt4LbuycM6aYvDm3iDFq8nmUW591nYYVLBxyrIAog1pGnY36_U_0ss4pbLoomooFripu66o6F6lU8w5WffwGYLlHXW5py4LdfmTupxL06s_Yzy0_MJcBGwvyKUUNjb9nv0f21sFIbtn</recordid><startdate>20220201</startdate><enddate>20220201</enddate><creator>Raykh, Olga Igorevna</creator><creator>Sumin, Alexei Nikolayevich</creator><creator>Korok, Ekaterina Victorovna</creator><general>Springer US</general><general>Springer Nature B.V</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>3V.</scope><scope>7RV</scope><scope>7TK</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>88G</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8G5</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>M1P</scope><scope>M2M</scope><scope>M2O</scope><scope>MBDVC</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>PSYQQ</scope><scope>Q9U</scope><scope>7X8</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0002-8405-2419</orcidid><orcidid>https://orcid.org/0000-0002-0963-4793</orcidid></search><sort><creationdate>20220201</creationdate><title>The Influence of Personality Type D on Cardiovascular Prognosis in Patients After Coronary Artery Bypass Grafting: Data from a 5-Year-Follow-up Study</title><author>Raykh, Olga Igorevna ; Sumin, Alexei Nikolayevich ; Korok, Ekaterina Victorovna</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c474t-cf31c1217bd7892d4edfdff89f940922383b13d5b1bf2fc2c2dcd9ee20196ad43</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2022</creationdate><topic>Arteriosclerosis</topic><topic>Bypass</topic><topic>Cardiovascular disease</topic><topic>Cerebral infarction</topic><topic>Coronary artery</topic><topic>Coronary Artery Bypass</topic><topic>Coronary Artery Disease - epidemiology</topic><topic>Coronary Artery Disease - surgery</topic><topic>Coronary vessels</topic><topic>Diabetes mellitus</topic><topic>Family Medicine</topic><topic>Follow-Up Studies</topic><topic>Full Length Manuscript</topic><topic>General Practice</topic><topic>Health Psychology</topic><topic>Heart</topic><topic>Heart diseases</topic><topic>Heart surgery</topic><topic>Humans</topic><topic>Male</topic><topic>Medical prognosis</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Multivariate analysis</topic><topic>Myocardial infarction</topic><topic>Patients</topic><topic>Personality</topic><topic>Physical activity</topic><topic>Population studies</topic><topic>Primates</topic><topic>Prognosis</topic><topic>Risk Factors</topic><topic>Treatment Outcome</topic><topic>Type D Personality</topic><topic>Zoos</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Raykh, Olga Igorevna</creatorcontrib><creatorcontrib>Sumin, Alexei Nikolayevich</creatorcontrib><creatorcontrib>Korok, Ekaterina Victorovna</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing & Allied Health Database</collection><collection>Neurosciences Abstracts</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Psychology Database (Alumni)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>Research Library (Alumni Edition)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>Research Library Prep</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Psychology Database</collection><collection>Research Library</collection><collection>Research Library (Corporate)</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>ProQuest One Psychology</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>International journal of behavioral medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Raykh, Olga Igorevna</au><au>Sumin, Alexei Nikolayevich</au><au>Korok, Ekaterina Victorovna</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The Influence of Personality Type D on Cardiovascular Prognosis in Patients After Coronary Artery Bypass Grafting: Data from a 5-Year-Follow-up Study</atitle><jtitle>International journal of behavioral medicine</jtitle><stitle>Int.J. Behav. Med</stitle><addtitle>Int J Behav Med</addtitle><date>2022-02-01</date><risdate>2022</risdate><volume>29</volume><issue>1</issue><spage>46</spage><epage>56</epage><pages>46-56</pages><issn>1070-5503</issn><eissn>1532-7558</eissn><abstract>Background
Type D personality is accompanied by a set of negative behavioral patterns: low physical activity, high levels of psychological distress, low adherence to treatment. However, studies regarding predictive value of the type D personality remain inconclusive: the results varied depending on the examined cohort, age, and ethnicity. The aim of the study was to evaluate the influence of type D personality on the 5-year prognosis in patients undergoing coronary artery bypass grafting (CABG) in Russian population.
Methods
The study included 602 patients with stable coronary artery disease (490 males, 57.7 ± 7.3 years) who had received CABG and were divided into two groups: patients with type D personality (
n
= 134) and patients without type D (
n
= 468). The risk of fatal and nonfatal events within 5 years after CABG was assessed.
Results
There was no difference in total mortality in patients with type D and without type D (7.9% and 7.7%, respectively) over the 5-year period. The absence of cardiac events was detected much less frequently in patients with type D (28%) compared with patients without type D (82%;
p
= 0.021). Multivariate analysis found independent association between the unfavorable outcome and presence of diabetes mellitus (
p
= 0.021), type D personality (
p
= 0.039), and multifocal atherosclerosis (
p
= 0.033) regardless of gender, age, previous myocardial infarction, and stroke.
Conclusions
Type D patients had a greater risk for cardiac events over 5 years after CABG compared with non-type D patients. Obtained data indicates that it is reasonable to consider personality type while detecting patients at risk of development of stress induced cardiac complications after CABG.</abstract><cop>New York</cop><pub>Springer US</pub><pmid>33954890</pmid><doi>10.1007/s12529-021-09992-y</doi><tpages>11</tpages><orcidid>https://orcid.org/0000-0002-8405-2419</orcidid><orcidid>https://orcid.org/0000-0002-0963-4793</orcidid><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 1070-5503 |
| ispartof | International journal of behavioral medicine, 2022-02, Vol.29 (1), p.46-56 |
| issn | 1070-5503 1532-7558 |
| language | eng |
| recordid | cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_8099536 |
| source | MEDLINE; Springer Nature - Complete Springer Journals |
| subjects | Arteriosclerosis Bypass Cardiovascular disease Cerebral infarction Coronary artery Coronary Artery Bypass Coronary Artery Disease - epidemiology Coronary Artery Disease - surgery Coronary vessels Diabetes mellitus Family Medicine Follow-Up Studies Full Length Manuscript General Practice Health Psychology Heart Heart diseases Heart surgery Humans Male Medical prognosis Medicine Medicine & Public Health Multivariate analysis Myocardial infarction Patients Personality Physical activity Population studies Primates Prognosis Risk Factors Treatment Outcome Type D Personality Zoos |
| title | The Influence of Personality Type D on Cardiovascular Prognosis in Patients After Coronary Artery Bypass Grafting: Data from a 5-Year-Follow-up Study |
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