Top

Netherlands Heart Journal

Published in:

Open Access 01-09-2016 | Original Article

The association between type D personality, and depression and anxiety ten years after PCI

Authors: M.N.A. AL-Qezweny, E.M.W.J. Utens, K. Dulfer, B.A.F. Hazemeijer, R-J. van Geuns, J. Daemen, R. van Domburg

Published in: Netherlands Heart Journal | Issue 9/2016

Abstract

Objective

There are indications that type D personality and depression are associated in patients treated with percutaneous coronary intervention (PCI). However, at present it is unclear whether this relationship holds in the long term. This study’s aim was to investigate the association between type D personality at 6 months post-PCI (baseline), and depression at 10-year follow-up. A secondary aim was to test the association between type D personality at baseline and anxiety at 10-year follow-up.

Methods

A cohort of surviving consecutive patients (N = 534) who underwent PCI between October 2001 and October 2002. Patients completed the type D personality scale (DS14) measuring type D personality at baseline, and the Hospital Anxiety and Depression Scale (HADS) measuring anxiety and depression at baseline and at 10 years post-PCI.

Results

At baseline, the prevalence of type D personality was 25 % (135/534). Type D personality patients were more often depressed (42 %) than non-type D personality patients (9 %). Response rate of anxiety and depression questionnaires at 10 years was 75 %. At 10-year follow-up, 31 % of type D personality patients were depressed versus 13 % of non-type D personality patients. After adjustments, baseline type D personality remained independently associated with depression at 10 years (OR = 3.69; 95 % CI [1.89–7.19]). Type D showed a similar association with anxiety at 10 years, albeit somewhat lower (OR = 2.72; 95 % CI [1.31–5.63]).

Conclusions

PCI patients with type D personality had a 3.69-fold increased risk for depression and a 2.72-fold increased risk for anxiety at 10 years of follow-up.

Moses JW, Leon MB, Popma JJ, et al. Sirolimus-eluting stents versus standard stents in patients with stenosis in a native coronary artery. N Engl J Med. 2003;349:1315–23.CrossRefPubMed

Denollet J. Type d personality. A potential risk factor refined. J Psychosom Res. 2000;49:255–66.CrossRefPubMed

Pedersen SS, Denollet J, Gestel YR van, Serruys PW, Domburg RT van. Clustering of psychosocial risk factors enhances the risk of depressive symptoms 12-months post percutaneous coronary intervention. Eur J Cardiovasc Prev Rehabil. 2008;15:203–9.CrossRefPubMed

Gestel YR van, Pedersen SS, Sande M van de, et al. Type-D personality and depressive symptoms predict anxiety 12 months post-percutaneous coronary intervention. J Affect Disord. 2007;103:197–203.CrossRefPubMed

Denollet J, Pedersen SS, Ong AT, Erdman RA, Serruys PW, Domburg RT van. Social inhibition modulates the effect of negative emotions on cardiac prognosis following percutaneous coronary intervention in the drug-eluting stent era. Eur Heart J. 2006;27:171–7.CrossRefPubMed

Kupper N, Pedersen SS, Hofer S, Saner H, Oldridge N, Denollet J. Cross-cultural analysis of type D (distressed) personality in 6222 patients with ischemic heart disease: a study from the international heart QoL project. Int J Cardiol. 2013;166:327–33.CrossRefPubMed

Lesperance F, Frasure-Smith N, Talajic M, Bourassa MG. Five-year risk of cardiac mortality in relation to initial severity and one-year changes in depression symptoms after myocardial infarction. Circulation. 2002;105:1049–53.CrossRefPubMed

Burg MM, Benedetto MC, Soufer R. Depressive symptoms and mortality two years after coronary artery bypass graft surgery (CABG) in men. Psychosom Med. 2003;65:508–10.CrossRefPubMed

Jiang W, Kuchibhatla M, Cuffe MS, et al. Prognostic value of anxiety and depression in patients with chronic heart failure. Circulation. 2004;110:3452–6.CrossRefPubMed

10.

Parakh K, Thombs BD, Fauerbach JA, Bush DE, Ziegelstein RC. Effect of depression on late (8 years) mortality after myocardial infarction. Am J Cardiol. 2008;101:602–6.CrossRefPubMed

11.

Connerney I, Sloan RP, Shapiro PA, Bagiella E, Seckman C. Depression is associated with increased mortality 10 years after coronary artery bypass surgery. Psychosom Med. 2010;72:874–81.CrossRefPubMed

12.

Damen NLMN, Versteeg H, Boersma E, Van Geuns RM, Van Domburg RT, Pedersen SS. Depression is independently associated with 7‑year mortality in patients treated with percutaneous coronary intervention: results from the reseach registry. Eur J Cardiovasc Nurs. 2012;11:S5–S6.

13.

Frasure-Smith N, Lesperance F, Gravel G, et al. Social support, depression, and mortality during the first year after myocardial infarction. Circulation. 2000;101:1919–24.CrossRefPubMed

14.

Jiang W, Kuchibhatla M, Clary GL, et al. Congestive heart failure – relationship between depressive symptoms and long-term mortality in patients with heart failure. Am Heart J. 2007;154:102–8.CrossRefPubMed

15.

Denollet J, Martens EJ, Smith ORF, Burg MM. Efficient assessment of depressive symptoms and their prognostic value in myocardial infarction patients. J Affect Disord. 2010;120:105–11.CrossRefPubMed

16.

Pedersen SS, Denollet J, Daemen J, et al. Fatigue, depressive symptoms, and hopelessness as predictors of adverse clinical events following percutaneous coronary intervention with paclitaxel-eluting stents. J Psychosom Res. 2007;62:455–61.CrossRefPubMed

17.

Frasure-Smith N, Lesperance F, Talajic M. Depression and 18-month prognosis after myocardial infarction. Circulation. 1995;91:999–1005.CrossRefPubMed

18.

Pedersen SS, Denollet J. Is type D personality here to stay? Psychol Health. 2006;21:117.

19.

Goodyear MD, Krleza-Jeric K, Lemmens T. The declaration of Helsinki. BMJ. 2007;335:624–5.CrossRefPubMedPubMedCentral

20.

Denollet J. DS14: standard assessment of negative affectivity, social inhibition, and type D personality. Psychosom Med. 2005;67:89–97.CrossRefPubMed

21.

Emons WHM, Meijer RR, Denollet J. Negative affectivity and social inhibition in cardiovascular disease: Evaluating type-D personality and its assessment using item response theory. J Psychosom Res. 2007;63:27–39.CrossRefPubMed

22.

Bjelland I, Dahl AA, Haug TT, Neckelmann D. The validity of the Hospital Anxiety and Depression Scale. An updated literature review. J Psychosom Res. 2002;52:69–77.CrossRefPubMed

23.

Pedersen SS, Ong AT, Sonnenschein K, Serruys PW, Erdman RA, Domburg RT van. Type D personality and diabetes predict the onset of depressive symptoms in patients after percutaneous coronary intervention. Am Heart J. 2006;151(367):e1–e6.PubMed

24.

Christodoulou C, Douzenis A, Mommersteeg PM, et al. A case-control validation of Type D personality in Greek patients with stable coronary heart disease. Ann Gen Psychiatry. 2013;12:38.CrossRefPubMedPubMedCentral

25.

Doyle F, McGee H, Delaney M, Motterlini N, Conroy R. Depressive vulnerabilities predict depression status and trajectories of depression over 1 year in persons with acute coronary syndrome. Gen Hosp Psychiatry. 2011;33:224–31.CrossRefPubMed

26.

Marchesi C, Ossola P, Scagnelli F, et al. Type D personality in never-depressed patients and the development of major and minor depression after acute coronary syndrome. J Affect Disord. 2014;155:194–9.CrossRefPubMed

27.

Yu DS, Thompson DR, Yu CM, Pedersen SS, Denollet J. Validating the type D personality construct in Chinese patients with coronary heart disease. J Psychosom Res. 2010;69:111–8.CrossRefPubMed

28.

Lim HE, Lee MS, Ko YH, et al. Assessment of the type D personality construct in the Korean population: a validation study of the Korean DS14. J Korean Med Sci. 2011;26:116–23.CrossRefPubMed

29.

Bacon SL, Moullec G. Type-D personality and heart disease: It might be ‘one small step’, but it is still moving forward: a comment on grande et al. Ann Behav Med. 2012;43:280–1.CrossRefPubMed

30.

Spindler H, Pedersen SS, Serruys PW, Erdman RA, Domburg RT van. Type-D personality predicts chronic anxiety following percutaneous coronary intervention in the drug-eluting stent era. J Affect Disord. 2007;99:173–9.CrossRefPubMed

Title: The association between type D personality, and depression and anxiety ten years after PCI
Authors: M.N.A. AL-Qezweny
E.M.W.J. Utens
K. Dulfer
B.A.F. Hazemeijer
R-J. van Geuns
J. Daemen
R. van Domburg
Publication date: 01-09-2016
Publisher: Bohn Stafleu van Loghum
Published in: Netherlands Heart Journal / Issue 9/2016
Print ISSN: 1568-5888
Electronic ISSN: 1876-6250
DOI: https://doi.org/10.1007/s12471-016-0860-4

Keynote webinar | Spotlight on medication adherence

Springer Medicine

The association between type D personality, and depression and anxiety ten years after PCI

Abstract

Objective

Methods

Results

Conclusions

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Objective

Methods

Results

Conclusions

Please log in to get access to this content

Other articles of this Issue 9/2016

Takotsubo cardiomyopathy: serious early complications and two-year mortality – a 101 case study

Cardiac disease and depression; a direct association?

An unusual case of systemic amyloid causing constrictive heart failure

Takotsubo cardiomyopathy – stunning views on the broken heart

Left bundle branch block in serious hyperkalaemia: rate-dependency?

Positive exercise test?