Type D personality and cardiac mortality in patients with chronic heart failure
Abstract
Background Clinical predictors of cardiac mortality in chronic heart failure (CHF) are established, but less is known about chronic psychological predictors. Therefore, we examined the prognostic value of Type D personality (tendency to experience negative feelings and inhibit self-expression) in CHF patients.Methods and results Consecutive systolic CHF outpatients (n=232) filled in the Type D Scale (DS14) at baseline. Socio-demographic and clinical data were obtained from the medical record/cardiologist. The primary endpoint was total cardiac mortality (follow-up=30.7+/-11.1 months). Late (>6 months) cardiac mortality was the secondary endpoint. Type D patients had a higher incidence of total cardiac mortality (15/48=31.3%) as compared to non Type D patients (32/184=17.4%), OR=2.16;95%CI:1.05-4.43, p=.04. Type D personality was a near significant independent predictor of total cardiac mortality (OR=1.40;95%CI:0.93-4.29, p=.08), and a significant independent predictor of late cardiac mortality, adjusting for sex, age and left ventricular ejection fraction (OR=2.34;95%CI:1.05-5.26, p=.04).Conclusions Type D personality was a near-significant independent predictor of total cardiac mortality, and a significant independent predictor of late cardiac mortality, adjusting for socio-demographics and disease-severity. These findings suggest that Type D personality, a chronic psychological risk factor, is of importance in long-term prognosis in CHF.
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Type D personality and its impact on patients with Type 2 diabetes mellitusPreprint
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- Authors
- Schiffer, A. A., Smith, O. R. F., Pedersen, S. S., Widdershoven, J. W., & Denollet, J.
- Affiliations
- Tilburg University (NL)
- Elisabeth-TweeSteden Ziekenhuis (NL)
- Venue
- International Journal of Cardiology
- Publisher
- Elsevier BV
- Published
- 2010-07
- Volume
- 142
- Issue
- 3
- Pages
- 230-235
- ISSN
- 0167-5273 (ISSN-L)
- OpenAlex
- W2099566858
- Cited by
- 83
- References
- 51
- Citations by year
- 2025: 2 · 2024: 1 · 2022: 4 · 2020: 8 · 2019: 3 · 2018: 7 · 2017: 5 · 2016: 7 · 2015: 5 · 2014: 4 · 2013: 4 · 2012: 14
- FWCI
- 7.12
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- International Journal of Cardiology (publishedVersion)
- Research portal (Tilburg University) (publishedVersion)
- PubMed (publishedVersion)
- Data Archiving and Networked Services (DANS) (submittedVersion)
- Funders
- Medtronic
- St. Jude Medical (451-05-001, 453-04-004)
- Nederlandse Organisatie voor Wetenschappelijk Onderzoek
- Topics
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiac Health and Mental Health
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Heart Failure Treatment and Management
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Heart Rate Variability and Autonomic Control
- Keywords
- Type D personality, chronic heart failure, cardiac mortality, prognostic factors, psychological risk factors, late mortality, heart failure with reduced ejection fraction, negative affect
- MeSH terms
- Aged, Chronic Disease, Female, Follow-Up Studies, Heart Failure, Humans, Male, Middle Aged, Negativism, Personality, Predictive Value of Tests, Prognosis, Risk Factors, Incidence, Death, Sudden, Cardiac, Kaplan-Meier Estimate
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