Type D personality is a predictor of poor emotional quality of life in primary care heart failure patients independent of depressive symptoms and New York Heart Association functional class

Susanne S. Pedersen*, Christoph Herrmann-Lingen, Peter de Jonge, Martin Scherer

*Corresponding author for this work

Research output: Contribution to journalArticleAcademicpeer-review

33 Citations (Scopus)
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Abstract

Quality of life is an important patient-centered outcome and predictor of mortality in heart failure, but little is known about the role of personality as a determinant of quality of life in this patient group. We examined the influence of Type D personality (i.e., increased negative emotions paired with emotional non-expression) on quality of life in primary care heart failure patients, using a prospective study design. Heart failure patients (n = 251) recruited from 44 primary care practices in Germany completed standardized questionnaires at baseline and 9 months. The prevalence of Type D was 31.9%. Type D patients experienced poorer emotional (P <.001) and physical quality of life (P = .01) at baseline and 9 months compared to non-Type D patients. There was no significant change in emotional (P = .78) nor physical quality of life (P = .74) over time; neither the interaction for time by Type D for emotional (P = .31) nor physical quality of life (P = .91) was significant, indicating that Type D exerted a stable effect on quality of life over time. Adjusting for demographics, New York Heart Association functional class, and depressive symptoms, Type D remained an independent determinant of emotional (P = .03) but not physical quality of life (P = .29). Primary care heart failure patients with a Type D personality experienced poorer emotional but not physical quality of life compared to non-Type D patients. Patients with this personality profile should be identified in primary care to see if their treatment is optimal, as both Type D and poor quality of life have been associated with increased morbidity and mortality.

Original languageEnglish
Pages (from-to)72-80
Number of pages9
JournalJournal of Behavioral Medicine
Volume33
Issue number1
DOIs
Publication statusPublished - Feb-2010

Keywords

  • Depressive symptoms
  • Heart failure
  • Quality of life
  • Type D personality
  • IMPAIRED HEALTH-STATUS
  • CARDIAC REHABILITATION
  • CARDIOVASCULAR-DISEASE
  • UNSELECTED OUTPATIENTS
  • MYOCARDIAL-INFARCTION
  • NEGATIVE AFFECTIVITY
  • SOCIAL INHIBITION
  • HOSPITAL ANXIETY
  • RISK-FACTORS
  • MORTALITY

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