CoChat
Sign Up
Cited by 679Cardiac Health and Mental HealthCardiac Imaging and DiagnosticsHeart Rate Variability and Autonomic Control

Personality as independent predictor of long-term mortality in patients with coronary heart disease

Denollet, J, Rombouts, H, Gillebert, T.C, Brutsaert, D.L, Sys, S.U, Brutsaert, D.L, Stroobant, N·1996·The Lancet
DOI 10.1016/s0140-6736(96)90007-0
Open this paper in CoChat — free account

Abstract

Background Emotional distress has been related to mortality in patients with coronary heart disease (CHD), but little is known about the role of personality in long-term prognosis. We postulated that type-D personality (the tendency to suppress emotional distress) was a predictor of long-term mortality in CHD, independently of established biomedical risk factors. Methods We studied 268 men and 35 women with angiographically documented CHD, aged 31-79 years, who were taking part in an outpatient rehabilitation programme. All patients completed personality questionnaire at entry to the programme. We contacted them 6-10 years later (mean 7-9) to find out survival status. The main endpoint was death from all causes. Findings At follow-up, 38 patients had died; there were 24 cardiac deaths. The rate of death was higher for type-D patients than for those without type-D (23 [27%]/85 vs 15 [7%]/218; p Interpretation We found that type-D personality was a significant predictor of long-term mortality in patients with established CHD, independently of biomedical risk factors. Personality traits should be taken into account in the association between emotional distress and mortality in CHD.

Integrity signals

Registry

Crossref · 10.1016/s0140-6736(96)90007-0

Cites

2 of 2 references verified0 citation errors · 0 not checkable

Statistics

Recomputing p-values needs the paper’s full text.

Claims the paper makes

This paper’s full text isn’t openly available, so its claims and self-check weren’t run. The registry and citation checks still apply.

Claims other papers make about this one

Each is checked against this paper’s own text: does it say what the citing paper says it does?

  • Among heart attack survivors, the subgroup scoring high on both distress and inhibition had a significantly higher death rate (27%) than other patients (7%).

    “The subgroup scoring high on both distress and inhibition had a significantly higher death rate ~ 27% ! than other patients ~ 7% !”

    From Emotion regulation: affective, cognitive, and social consequences. (2002) · cites this paper as Denollet et al., 1996

Cites

Flagged first, then by citations

Cited by

Sorted by citations

Authors
Denollet, J., Rombouts, H., Gillebert, T. C., Brutsaert, D. L., Sys, S. U., Brutsaert, D. L., & Stroobant, N.
Affiliations
University of Antwerp (BE)
ORCID
Venue
The Lancet
Publisher
Elsevier BV
Published
1996-02
Volume
347
Issue
8999
Pages
417-421
ISSN
  • 0099-5355 (ISSN-L)
  • 0140-6736
DOI
10.1016/s0140-6736(96)90007-0
OpenAlex
W2058225747
Cited by
679
References
2
Citations by year
2026: 10 · 2025: 12 · 2024: 10 · 2023: 13 · 2022: 25 · 2021: 22 · 2020: 28 · 2019: 26 · 2018: 26 · 2017: 26 · 2016: 40 · 2015: 24 · 2014: 27 · 2013: 31 · 2012: 40
FWCI
10.16
Type
journal article
Language
en
Open access
closed
Licence
www.elsevier.com/tdm/userlicense/1.0/ (tdm)
Locations
  • The Lancet (publishedVersion)
  • PubMed (publishedVersion)
  • Ghent University Academic Bibliography (Ghent University) (submittedVersion)
Topics
  • Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiac Health and Mental Health
  • Health Sciences › Medicine › Radiology, Nuclear Medicine and Imaging › Cardiac Imaging and Diagnostics
  • Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Heart Rate Variability and Autonomic Control
Keywords
Type D personality, coronary artery disease, long-term mortality, emotional distress, cardiac mortality, non-cardiac mortality, left ventricular function, three-vessel coronary artery disease, exercise tolerance, thrombolysis, depression, social alienation, prognosis
MeSH terms
Adult, Affect, Aged, Coronary Disease, Female, Follow-Up Studies, Humans, Inhibition, Psychological, Male, Middle Aged, Personality, Personality Inventory, Prognosis, Risk Factors, Stress, Psychological, Time Factors, Cluster Analysis, Logistic Models, Survival Analysis, Case-Control Studies

About these checks

Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.

Statistics and arithmetic are recomputed, not judged.

Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.

What counts as a claim ›How we measure confidence ›How we check this ›

Are you an author, or do you see a problem with this page? Request a review