Association Between Type D Personality and Prognosis in Patients with Cardiovascular Diseases: a Systematic Review and Meta-analysis
Open accessAbstract
BACKGROUND: Since 1995, the association of type D personality and mortality in patients with cardiovascular diseases has been increasingly investigated. PURPOSE: The aim of this meta-analysis was to integrate conflicting results and to examine possible moderators of this association. METHODS: Prospective studies assessing type D personality and hard endpoints were selected and pooled in meta-analyses. Cardiovascular diagnosis, type and quality of adjustment, and publication date were examined in moderator analyses. RESULTS: Twelve studies on patients with cardiovascular diseases (N = 5,341) were included. Pooled crude and adjusted effects demonstrated a significant association of type D personality and hard endpoints (odds ratio (OR) of 2.28 (95% CI [1.43-3.62]), adjusted hazard ratio (HR) of 2.24 (95% CI [1.37-3.66])). The OR decreased over time (OR 5.02 to OR 1.54). There was no association in congestive heart failure patients. CONCLUSIONS: More recent methodologically sound studies suggest that early type D studies had overestimated the prognostic relevance.
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Specific emotional experiences have distinct neurobiological and behavioral features and uniquely contribute to CVD risk.
“However, specific emotional experiences have distinct neurobiological and behavioral features, and they uniquely contribute to CVD risk. 10-13”
From Psychological Health, Well-Being, and the Mind-Heart-Body Connection: A Scientific Statement From the American Heart Association (2021) · cites this paper as [13]
The Discussion (page unavailable) says distinguishing specific negative emotions may help explain mechanisms linking emotions to cardiac disease. It does not establish distinct neurobiological or behavioral features, and it cautions that overlapping constructs make it difficult to determine whether specific emotions independently contribute to coronary artery disease risk. (LLM, conf=0.84)
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- Authors
- Grande, G., Romppel, M., & Barth, J.
- Affiliations
- Leipzig University of Applied Sciences (DE)
- University of Bern (CH)
- Corresponding author
- Grande, Gesine
- Venue
- Annals of Behavioral Medicine
- Publisher
- Oxford University Press (OUP)
- Published
- 2012-01-12
- Volume
- 43
- Issue
- 3
- Pages
- 299-310
- ISSN
- 0742-5554 (ISSN-L)
- 0883-6612
- 1532-4796
- OpenAlex
- W2094064862
- Cited by
- 230
- References
- 11
- Citations by year
- 2026: 6 · 2025: 6 · 2024: 8 · 2023: 14 · 2022: 19 · 2021: 11 · 2020: 27 · 2019: 19 · 2018: 14 · 2017: 19 · 2016: 23 · 2015: 18 · 2014: 11 · 2013: 25 · 2012: 10
- FWCI
- 3.08
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Annals of Behavioral Medicine (publishedVersion)
- PubMed (publishedVersion)
- BORIS (University Library Bern) (submittedVersion, other-oa)
- Topics
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiac Health and Mental Health
- Health Sciences › Medicine › Psychiatry and Mental health › Psychosomatic Disorders and Their Treatments
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Heart Rate Variability and Autonomic Control
- Keywords
- Type D personality, cardiovascular disease, prognosis, mortality, hard endpoints, congestive heart failure, personality and health, moderator analysis
- MeSH terms
- Cardiovascular Diseases, Depression, Humans, Personality, Prognosis
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