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Annals of Behavioral Medicine
Published in: Annals of Behavioral Medicine 3/2012

01-06-2012 | Original Article

Association Between Type D Personality and Prognosis in Patients with Cardiovascular Diseases: a Systematic Review and Meta-analysis

Authors: Gesine Grande, Dr. p.h., Matthias Romppel, M.Sc., Jürgen Barth, Ph.D.

Published in: Annals of Behavioral Medicine | Issue 3/2012

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Abstract

Background

Since 1995, the association of type D personality and mortality in patients with cardiovascular diseases has been increasingly investigated.

Purpose

The aim of this meta-analysis was to integrate conflicting results and to examine possible moderators of this association.

Methods

Prospective studies assessing type D personality and hard endpoints were selected and pooled in meta-analyses. Cardiovascular diagnosis, type and quality of adjustment, and publication date were examined in moderator analyses.

Results

Twelve studies on patients with cardiovascular diseases (N = 5,341) were included. Pooled crude and adjusted effects demonstrated a significant association of type D personality and hard endpoints (odds ratio (OR) of 2.28 (95% CI [1.43–3.62]), adjusted hazard ratio (HR) of 2.24 (95% CI [1.37–3.66])). The OR decreased over time (OR 5.02 to OR 1.54). There was no association in congestive heart failure patients.

Conclusions

More recent methodologically sound studies suggest that early type D studies had overestimated the prognostic relevance.
Appendix
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Metadata
Title
Association Between Type D Personality and Prognosis in Patients with Cardiovascular Diseases: a Systematic Review and Meta-analysis
Authors
Gesine Grande, Dr. p.h.
Matthias Romppel, M.Sc.
Jürgen Barth, Ph.D.
Publication date
01-06-2012
Publisher
Springer-Verlag
Published in
Annals of Behavioral Medicine / Issue 3/2012
Print ISSN: 0883-6612
Electronic ISSN: 1532-4796
DOI
https://doi.org/10.1007/s12160-011-9339-0

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