Cited by 332Cardiac Health and Mental HealthHeart Failure Treatment and ManagementAnxiety, Depression, Psychometrics, Treatment, Cognitive Processes

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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Staniute, Margarita, Brozaitiene, Julija, Burkauskas, Julius, Kazukauskiene, Nijole, Mickuviene, Narseta, Bunevicius, Robertas·2015·Health and Quality of Life Outcomes

Abstract

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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References 60 · Cited by 332

Research works printed but not linked: 1

  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
Venue
Health and Quality of Life Outcomes
Published
2015-01-22
Volume
13
Issue
1
Pages
1-1
ISSN
1477-7525 (ISSN-L)
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
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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