Original scientific paper

TYPE D PERSONALITY IN PATIENTS WITH CORONARY ARTERY DISEASE

Olivera Vukovic ; Belgrade University School of Medicine, Belgrade, Serbia; Institute of Mental Health, Belgrade, Serbia
Dusica Lecic Tosevski ; Belgrade University School of Medicine, Belgrade, Serbia; Institute of Mental Health, Belgrade, Serbia
Miroslava Jasovic-Gasic ; Belgrade University School of Medicine, Belgrade, Serbia
Aleksandar Damjanovic ; Belgrade University School of Medicine, Belgrade, Serbia; Clinic of Psychiatry, Clinical Centre of Serbia, Belgrade, Serbia
Mirjana Zebic ; Clinic of Psychiatry, Clinical Centre of Serbia, Belgrade, Serbia
Dubravka Britvic ; Clinic of Psychiatry, Clinical Centre of Serbia, Belgrade, Serbia
Jelena Stepanovic ; Belgrade University School of Medicine, Belgrade, Serbia; Clinic of Cardiology, Clinical Centre of Serbia, Belgrade, Serbia
Ana Djordjevic-Dikic ; Belgrade University School of Medicine, Belgrade, Serbia; Clinic of Cardiology, Clinical Centre of Serbia, Belgrade, Serbia
Branko Beleslin ; Belgrade University School of Medicine, Belgrade, Serbia; Clinic of Cardiology, Clinical Centre of Serbia, Belgrade, Serbia
Miodrag Ostojic ; Belgrade University School of Medicine, Belgrade, Serbia

Abstract

Background: During the past decade studies have shown that Type D personality is associated with increased risk of cardiac
events, mortality and poor quality of life. Some authors suggested that depression and Type D personality have substantial
phenomenological overlap.
Subjects and methods: The sample consisted of non-consecutive case series of seventy nine patients with clinically stable and
angiographically confirmed coronary artery disease (CAD), who had been admitted to the Clinic of Cardiology, University Clinical
Centre, from May 2006 to September 2008. The patients were assessed by the Type-D scale (DS14), The Beck Depression Inventory
(BDI), and provided demographic information. Risk factors for CAD were obtained from cardiologists.
Results: The findings of our study have shown that 34.2% patients with CAD could be classified as Type D personality. The
univariate analysis has shown that the prevalence of Type D personality was significantly higher in individuals with unstable angina
pectoris and myocardial infarction (MI) diagnoses (p=0.02). Furthermore, some components of metabolic syndrome were more
prevalent in patients with Type D personality: hypercholesterolemia (p=0.00), hypertriglyceridemia (p=0.00) and hypertension
(p=0.01). Additionally, the distribution of depression in patients with a Type D personality and a non-Type D personality were
statistically significantly different (p=0.00).
Conclusion: To our knowledge, this study is the first one to describe the prevalence and clinical characteristics of the Type D
personality in patients with CAD in this region of Europe. We have found that the prevalence of Type D personality in patients with
CAD is in concordance with the other studies. We also have found that Type D personality and depression are two distinctly different
categories of psychological distress.

Keywords

Type D personality - coronary artery disease – stress - depression

Hrčak ID:

162030

URI

https://hrcak.srce.hr/162030

Publication date:

3.3.2014.

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