P.2.g.003 Type D personality and depression in Portuguese patients with acute coronary syndrome: identifying high risk groups

Abstract Background/Introduction CREDO-Kyoto bleeding risk score was developed to predict the post-discharge bleeding events in patients with percutaneous coronary intervention. However, there were limited reports of the effectiveness of this score to predict the in-hospital bleeding events in patients with acute coronary syndrome (ACS). Methods We evaluated 562 consecutive ACS patients in Saga university hospital between 2014 and 2019. Primary outcome was major bleeding during hospitalization. Major bleeding was defined as the GUSTO moderate/severe bleeding. Patients were classified into three groups according to the CREDO-Kyoto bleeding risk score (low, intermediate and high). Results Major bleeding events occurred in 12.1% of all patients during hospitalization. Patients in the high risk group (n=22) had significantly higher incidence of major bleeding than those in the intermediate (n=113) and the low risk groups (n=427) (22.7%, 18.6%, versus 9.8%, respectively, p=0.018, see figure). Multivariate analysis showed that intermediate and high risk groups were independent predictors for the in-hospital major bleeding. Conclusions CREDO-Kyoto risk score successfully identified high risk ACS patients for the major bleeding during hospitalization. FUNDunding Acknowledgement Type of funding sources: None. Results

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Type D personality is related to severity of acute coronary syndrome in patients with recurrent cardiovascular disease

British Journal of Health Psychology ◽

10.1111/bjhp.12196 ◽

2016 ◽

Vol 21 (3) ◽

pp. 694-711 ◽

Cited By ~ 8

Author(s):

Rocio Garcia-Retamero ◽

Dafina Petrova ◽

Antonio Arrebola-Moreno ◽

Andrés Catena ◽

José A. Ramírez-Hernández

Keyword(s):

Cardiovascular Disease ◽

Acute Coronary Syndrome ◽

Type D Personality ◽

Coronary Syndrome ◽

Type D

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Cortisol awakening response is elevated in acute coronary syndrome patients with type-D personality

Journal of Psychosomatic Research ◽

10.1016/j.jpsychores.2006.11.005 ◽

2007 ◽

Vol 62 (4) ◽

pp. 419-425 ◽

Cited By ~ 98

Author(s):

Daisy L. Whitehead ◽

Linda Perkins-Porras ◽

Philip C. Strike ◽

Kesson Magid ◽

Andrew Steptoe

Keyword(s):

Acute Coronary Syndrome ◽

Type D Personality ◽

Cortisol Awakening Response ◽

Coronary Syndrome ◽

Type D

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The Role of Type D Personality in Acute Coronary Syndrome

Journal of Holistic Nursing and Midwifery ◽

10.32598/jhnm.32.1.2076 ◽

2022 ◽

Vol 32 (1) ◽

pp. 1-9

Author(s):

Sara Khoshamouz ◽

◽

Mohammad Taghi Moghadamnia ◽

Iraj Aghaei ◽

Ehsan Kazemnejad Leili ◽

...

Keyword(s):

Acute Coronary Syndrome ◽

Behavioral Interventions ◽

Type D Personality ◽

Control Group ◽

Case Group ◽

Physical Factors ◽

Coronary Syndrome ◽

Type D ◽

The Mean

Introduction: Acute Coronary Syndrome (ACS) is one of the most common causes of death in patients with Cardiovascular Diseases (CVD). In addition to the known physical factors influencing the incidence of CVD, some psychologists have pointed to the role of psychological factors such as personality type. Objective: This study aimed to determine the role of type D personality in ACS patients in Iran in 2019. Materials and Methods: In a case-control study, 112 participants were included. A total of 56 patients with ACS were compared with 56 matched people without ACS. They were selected by the convenience sampling method. Type D scale 14 (DS14) was used to assess the type D personality. The Chi-squared test, independent t-test, and multivariate logistic regression were used to analyze the obtained data. Results: The Mean±SD age in the case group was 57.23±8.562 years, and in the Mean±SD age in the control group was 57.25±8.529 years. Also, most participants in both groups were men (71.4%). The result showed that type D personality was more prevalent in patients with ACS (26% vs 7.1%; P=0.006). Based on multivariate regression analysis and after controlling for demographic and clinical risk factors, type D personality was independently associated with ACS (OR=5.323, 95% CI; 0.987-28/712, P=0.052). Also, after investigating subscales, only social inhibition had a significant association with ACS (P=0.008). Conclusion: Type D personality is an independent risk factor of the ACS. Thus, type D personality may make people vulnerable to the ACS. Therefore, besides medical interventions, clinicians must consider behavioral interventions to reduce the incidence of ACS.

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Type D Personality, Self-Efficacy, and Medication Adherence Following an Acute Coronary Syndrome

Psychosomatic Medicine ◽

10.1097/psy.0b013e31823a5b2f ◽

2012 ◽

Vol 74 (1) ◽

pp. 100-106 ◽

Cited By ~ 36

Author(s):

Gerard J. Molloy ◽

Gemma Randall ◽

Anna Wikman ◽

Linda Perkins-Porras ◽

Nadine Messerli-Bürgy ◽

...

Keyword(s):

Acute Coronary Syndrome ◽

Medication Adherence ◽

Self Efficacy ◽

Type D Personality ◽

Coronary Syndrome ◽

Type D

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Type D personality in never-depressed patients and the development of major and minor depression after acute coronary syndrome

Journal of Affective Disorders ◽

10.1016/j.jad.2013.10.052 ◽

2014 ◽

Vol 155 ◽

pp. 194-199 ◽

Cited By ~ 13

Author(s):

Carlo Marchesi ◽

Paolo Ossola ◽

Francesca Scagnelli ◽

Francesca Paglia ◽

Sonja Aprile ◽

...

Keyword(s):

Acute Coronary Syndrome ◽

Type D Personality ◽

Minor Depression ◽

Coronary Syndrome ◽

Depressed Patients ◽

Type D

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Female Psychological Adjustment Following an Acute Coronary Syndrome

Acta Médica Portuguesa ◽

10.20344/amp.7871 ◽

2017 ◽

Vol 30 (5) ◽

pp. 373

Author(s):

Joana Prata ◽

Amadeu Quelhas Martins ◽

Sónia Ramos ◽

Francisco Rocha-Gonçalves ◽

Rui Coelho

Keyword(s):

Acute Coronary Syndrome ◽

Depression Scale ◽

Type D Personality ◽

Anxiety And Depression ◽

Hospital Anxiety ◽

High Anxiety ◽

Female Patients ◽

Coronary Syndrome ◽

Type D ◽

Antidepressant Use

Introduction: The outcomes of cardiovascular disease are consistently worse among women, regardless of age or disease severity. Such trend might arise from psychosocial factors, which should be examined in this population.Objective: To evaluate the influence of type-D personality on anxiety and depression symptoms reported by female patients after a first acute coronary syndrome.Material and Methods: As part of a larger study, 34 female patients with a first acute coronary syndrome were compared with 43 controls on psychosocial measures (Hospital Anxiety and Depression Scale; type-D personality, DS - 14).Results: Hypertension (p < 0.001), diabetes (p < 0.05), dyslipidemia (p < 0.05), type-D personality (p = 0.001) and anxiety (p < 0.001) were more prevalent among patients. Exercise (p < 0.05) and antidepressant use (p < 0.05) were more common among controls. Logistic regression analysis confirmed that higher prevalence of hypertension (p < 0.05), dyslipidemia (p < 0.05), type-D personality (p < 0.05), anxiety (p < 0.05) and less antidepressant use (p < 0.05), were independently associated with acute coronary syndrome. Type-D personality was associated with higher Hospital Anxiety and Depression Scale scores in controls (anxiety: p = 0.001; depression: p < 0.001) but not in patients.Discussion: High anxiety after an acute coronary syndrome might reflect a short-term adaptive response, albeit worsening the disease long-term prognosis. The lack of differences in some group comparisons (patients versus controls for depression scores; type-D ‘positive’ versus type-D ‘negative’ for anxiety and depression scores within patients) is discussed.Conclusion: Type-D personality, high anxiety, hypertension and dyslipidemia seem to cluster among female acute coronary syndrome patients. Nevertheless, type-D personality itself was not associated with higher anxiety and depressive scores during the post-acute period.

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