Type D personality and persistence of depressive symptoms in a German cohort of cardiac patients

被引:17
|
作者
Romppel, Matthias [1 ]
Herrmann-Lingen, Christoph [2 ]
Vesper, Jana-Marie [2 ]
Grande, Gesine [1 ]
机构
[1] Leipzig Univ Appl Sci, Fac Appl Social Sci, D-04251 Leipzig, Germany
[2] Univ Gottingen, Dept Psychosomat Med & Psychotherapy, D-3400 Gottingen, Germany
关键词
Cardiac diseases; Depression; Growth curve model; Screening; Type D personality; CORONARY-HEART-DISEASE; MYOCARDIAL-INFARCTION; SOCIAL INHIBITION; MORTALITY; TRAJECTORIES; PREVALENCE; PREDICTORS; PROGNOSIS; VALIDITY; FAILURE;
D O I
10.1016/j.jad.2011.11.044
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Background: Depression is associated with a negative prognosis in coronary heart disease and heart failure patients. Type D personality has been shown to predict the persistence of depressive symptoms over 12 months. Data on longer follow-up periods and on the effectiveness of Type D as a screening tool compared to established measures of depressive symptoms are missing. Methods: Type D personality and depressive mood were assessed with the DS14 and the depression subscale of the Hospital Anxiety and Depression Scale (HADS-D) in 679 consecutive cardiac patients (22.2% female, mean age 62.4 +/- 10.2 years) over a period of 6 years. Latent class and growth mixture models with Type D, comorbidity, age, and sex as covariates were used to model individual depression trajectory classes and to predict trajectories and class membership. Estimates of specificity and sensitivity were calculated for Type D and the HADS-D baseline cut-off point. Results: In a model with four latent classes (mild symptoms, moderate and increasing symptoms, significant but decreasing symptoms, and significant and increasing symptoms), Type D predicted the membership in the class with significant and increasing symptoms (OR = 10.94, 4.93, and 3.15). Sensitivity and specificity were 59% and 78% for Type D and 47% and 80% for the HADS-D. Limitations: Some possible confounders might be missing. With just two measurement points only linear trajectories could be modeled. Conclusions: Type D personality is a stronger predictor for persistent depressive symptoms than the baseline HADS-D score, but the predictive power seems low for clinical practice. (C) 2011 Elsevier B.V. All rights reserved.
引用
收藏
页码:1183 / 1187
页数:5
相关论文
共 50 条
  • [11] Type D personality, depressive symptoms and work-related health outcomes
    Mommersteeg, Paula M. C.
    Denollet, Johan
    Martens, Elisabeth J.
    SCANDINAVIAN JOURNAL OF PUBLIC HEALTH, 2012, 40 (01) : 35 - 42
  • [12] Symptoms and personality traits of east and west German psychotherapy patients with anxiety and depressive disorders
    Frommer, J
    Hoffmann, T
    Hartkamp, N
    Tress, W
    Franke, GH
    PSYCHOTHERAPIE PSYCHOSOMATIK MEDIZINISCHE PSYCHOLOGIE, 2004, 54 (05) : 206 - 213
  • [13] Depressive symptoms and personality traits in haemodialysis patients
    Nauta, K. -J.
    Riezebosch, R. K.
    Honig, A.
    Siegert, C. E. H.
    NEPHROLOGY DIALYSIS TRANSPLANTATION, 2007, 22 : 370 - 370
  • [14] Impact of type D personality and depressive symptoms on premature ejaculation in young adult males
    Liao, Wei-Chuang
    Cheng, Wei-Ming
    Fan, Yu-Hua
    Liou, Ying-Jay
    SEXUAL MEDICINE, 2023, 11 (05)
  • [15] Type D personality is associated with depressive symptoms and clinical activity in inflammatory bowel disease
    Jordi, Sebastian Bruno Ulrich
    Botte, Federica
    Lang, Brian Matthew
    Greuter, Thomas
    Krupka, Niklas
    Auschra, Bianca
    Schreiner, Philipp
    Sulz, Michael Christian
    Biedermann, Luc
    von Kaenel, Roland
    Rogler, Gerhard
    Begre, Stefan
    Misselwitz, Benjamin
    ALIMENTARY PHARMACOLOGY & THERAPEUTICS, 2021, 54 (01) : 53 - 67
  • [16] Is Type D Personality contributing to Cardiovascular diseases in Major Depressive patients?
    Maksimovic, Ana
    EUROPEAN JOURNAL OF MEDICAL RESEARCH, 2011, 16 : 28 - 28
  • [17] Is Type D Personality contributing to Cardiovascular diseases in Major Depressive patients?
    Maksimovic, Ana
    EUROPEAN JOURNAL OF MEDICAL RESEARCH, 2011, 16 : 79 - 79
  • [18] Vitamin D supplements reduce depressive symptoms and cardiac events in heart failure patients with moderate to severe depressive symptoms
    Song, Eun Kyeung
    Wu, Jia-Rong
    Moser, Debra K.
    Kang, Seok-Min
    Lennie, Terry A.
    EUROPEAN JOURNAL OF CARDIOVASCULAR NURSING, 2018, 17 (03) : 207 - 216
  • [19] Influence of Type D Personality on Adherence to Treatment in Cardiac Patients
    Sumin, A. N.
    Raih, O. I.
    KARDIOLOGIYA, 2016, 56 (07) : 78 - 83
  • [20] DEPRESSIVE SYMPTOMS (NOT TYPE D PERSONALITY) PREDICT QUALITY OF LIFE IN SURVIVORS OF DIFFERENTIATED THYROID CANCER
    Deavers, Frances
    Wiener, Chelsea
    Cassisi, Jeffrey
    Fleurestil, Sarah
    ANNALS OF BEHAVIORAL MEDICINE, 2018, 52 : S494 - S494