Type D personality, mental distress, social support and health-related quality of life in coronary artery disease patients with heart failure: a longitudinal observational study
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BACKGROUND: The relationship between Type D personality and health related quality of life (HRQoL) in coronary artery disease patients is becoming more established, however, the factors that may explain this association remain unclear. The objective of the study was to examine the mediating effects of mental distress and social support on the relationship between the Type D personality and HRQoL in CAD patients with heart failure. METHODS: A total of 855 CAD patients with heart failure were assessed on Type D personality, mental distress, perceived social support and HRQoL with the following self-administered questionnaires: the Type D personality scale - 14, the Hospital Anxiety and Depression scale, the Multidimensional Scale of Perceived Social Support and the Minnesota Living with Heart Failure Questionnaire. RESULTS: The prevalence of Type D personality within the study population was 33.5%. Type D personality, anxiety symptoms, depressive symptoms and social support were all found to be determinants of decreased HRQoL (p's < 0.001), once age, gender, NYHA functional class and acute myocardial infarction were adjusted for. Anxiety, depressive symptoms and social support were found to mediate the relationship between Type D personality and HRQoL. Type D personality exerted a stable effect on HRQoL over 24 months follow-up period. CONCLUSIONS: Type D personality has an independent significant effect on the HRQoL in CAD patients with heart failure, and this relation is mediated by anxiety and depressive symptoms, social support.
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The Methods section (‘Health-related quality of life scale’; page unavailable) describes the Minnesota Living with Heart Failure Questionnaire and reports its internal reliability in heart-failure patients. Searches for EQ5D, EuroQol, cancer, reliability, and validity found no passage addressing whether EQ5D is reliable and valid in cancer populations. (LLM, conf=0.76)
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References 60 · Cited by 332
Research works printed but not linked: 1
- [48]Wu JR, Moser DK: Type D Personality Predicts Poor Medication Adherence in Patients with Heart Failure in the USA. Int J Behav Med 2013, [Epub ahead of print] PMC4388325 24198039
- Authors
- Staniute, M., Brozaitiene, J., Burkauskas, J., Kazukauskiene, N., Mickuviene, N., & Bunevicius, R.
- Affiliations
- Lithuanian University of Health Sciences (LT)
- Corresponding author
- Burkauskas, Julius
- ORCID
- Burkauskas, Julius
- Venue
- Health and Quality of Life Outcomes
- Published
- 2015-01-22
- Volume
- 13
- Issue
- 1
- Pages
- 1-1
- ISSN
- 1477-7525 (ISSN-L)
- PMC
- PMC4311474
- OpenAlex
- W2138579616
- Cited by
- 332
- References
- 60
- Citations by year
- 2026: 4 · 2025: 10 · 2024: 6 · 2023: 6 · 2022: 23 · 2021: 50 · 2020: 49 · 2019: 39 · 2018: 42 · 2017: 54 · 2016: 45 · 2015: 2 · 2014: 1 · 2012: 1
- FWCI
- 34.35
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Locations
- Health and Quality of Life Outcomes (publishedVersion, cc-by)
- Europe PMC (PubMed Central) (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- Lithuanian University of Health Sciences (submittedVersion)
- Funders
- European Social Fund (VP1-3.1-ŠMM-07-K-02-060)
- 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
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Keywords
- Type D personality, health-related quality of life, coronary artery disease, heart failure, psychological distress, anxiety symptoms, depressive symptoms, social support, mediation
- MeSH terms
- Aged, Anxiety Disorders, Coronary Artery Disease, Depression, Female, Health Status, Humans, Lithuania, Longitudinal Studies, Male, Middle Aged, Psychiatric Status Rating Scales, Quality of Life, Surveys and Questionnaires, Social Support, Prevalence, Type D Personality
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