Patients with a congenital heart defect and Type D personality feel functionally more impaired, report a poorer health status and quality of life, but use less healthcare

D. Schoormans, Barbara Jm Mulder, Joost P Van Melle, Els G Pieper, Arie Pj Van Dijk, Gert-jan Tj Sieswerda, Mariët S Hulsbergen-zwarts, Thijs Hwm Plokker, Leo Gh Brunninkhuis, Hubert W Vliegen, Mirjam Ag Sprangers

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Abstract

Background: Type D personality, characterized by high levels of negative affectivity and social inhibition, is related to mortality, morbidity, poor health status, quality of life (QoL) and less healthcare utilization in various cardiovascular patient groups. To date, studies in patients with congenital heart disease (CHD) are lacking. Aims: (1) To examine the prevalence of type D personality in CHD patients; (2) to compare type D to non-type D patients with regard to disease severity, functional status, health status and QoL; and (3) to examine the extent to which type D personality is independently related to healthcare utilization. Methods: A total of 1109 adult CHD patients were included in a questionnaire survey. Due to missing data, 302 patients were excluded. Results: The prevalence of Type D personality was 20.4%. Type D patients reported a poorer functional status, health status and QoL than non-type D patients (p<0.05). Type D patients reported less healthcare use than non-type D patients (primary and cardiac outpatient healthcare: adjusted OR=0.56, 95% CI=0.35-0.90; inpatient healthcare: adjusted OR=0.38, 95% CI=0.17-0.83). Results of a post-hoc analysis showed a high prevalence of type D personality in patients with a poor functional status who did not consult their cardiologist. Conclusion: type D patients report a poorer functional status, health status and QoL, but less healthcare utilization. In clinical practice, patients should be screened for type D personality, since social inhibition may prevent them from contacting a healthcare provider in the event of symptom aggravation.
Original languageEnglish
Pages (from-to)349-355
JournalEuropean Journal of Cardiovascular Nursing
Volume11
Issue number3
DOIs
Publication statusPublished - 2012
Externally publishedYes

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Schoormans, D. ; Mulder, Barbara Jm ; Van Melle, Joost P ; Pieper, Els G ; Van Dijk, Arie Pj ; Sieswerda, Gert-jan Tj ; Hulsbergen-zwarts, Mariët S ; Plokker, Thijs Hwm ; Brunninkhuis, Leo Gh ; Vliegen, Hubert W ; Sprangers, Mirjam Ag. / Patients with a congenital heart defect and Type D personality feel functionally more impaired, report a poorer health status and quality of life, but use less healthcare. In: European Journal of Cardiovascular Nursing. 2012 ; Vol. 11, No. 3. pp. 349-355.
@article{9dfd245202d1451e894644b9af7990ff,
title = "Patients with a congenital heart defect and Type D personality feel functionally more impaired, report a poorer health status and quality of life, but use less healthcare",
abstract = "Background: Type D personality, characterized by high levels of negative affectivity and social inhibition, is related to mortality, morbidity, poor health status, quality of life (QoL) and less healthcare utilization in various cardiovascular patient groups. To date, studies in patients with congenital heart disease (CHD) are lacking. Aims: (1) To examine the prevalence of type D personality in CHD patients; (2) to compare type D to non-type D patients with regard to disease severity, functional status, health status and QoL; and (3) to examine the extent to which type D personality is independently related to healthcare utilization. Methods: A total of 1109 adult CHD patients were included in a questionnaire survey. Due to missing data, 302 patients were excluded. Results: The prevalence of Type D personality was 20.4{\%}. Type D patients reported a poorer functional status, health status and QoL than non-type D patients (p<0.05). Type D patients reported less healthcare use than non-type D patients (primary and cardiac outpatient healthcare: adjusted OR=0.56, 95{\%} CI=0.35-0.90; inpatient healthcare: adjusted OR=0.38, 95{\%} CI=0.17-0.83). Results of a post-hoc analysis showed a high prevalence of type D personality in patients with a poor functional status who did not consult their cardiologist. Conclusion: type D patients report a poorer functional status, health status and QoL, but less healthcare utilization. In clinical practice, patients should be screened for type D personality, since social inhibition may prevent them from contacting a healthcare provider in the event of symptom aggravation.",
author = "D. Schoormans and Mulder, {Barbara Jm} and {Van Melle}, {Joost P} and Pieper, {Els G} and {Van Dijk}, {Arie Pj} and Sieswerda, {Gert-jan Tj} and Hulsbergen-zwarts, {Mari{\"e}t S} and Plokker, {Thijs Hwm} and Brunninkhuis, {Leo Gh} and Vliegen, {Hubert W} and Sprangers, {Mirjam Ag}",
year = "2012",
doi = "10.1177/1474515112437828",
language = "English",
volume = "11",
pages = "349--355",
journal = "European Journal of Cardiovascular Nursing",
issn = "1474-5151",
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Schoormans, D, Mulder, BJ, Van Melle, JP, Pieper, EG, Van Dijk, AP, Sieswerda, GT, Hulsbergen-zwarts, MS, Plokker, TH, Brunninkhuis, LG, Vliegen, HW & Sprangers, MA 2012, 'Patients with a congenital heart defect and Type D personality feel functionally more impaired, report a poorer health status and quality of life, but use less healthcare', European Journal of Cardiovascular Nursing, vol. 11, no. 3, pp. 349-355. https://doi.org/10.1177/1474515112437828

Patients with a congenital heart defect and Type D personality feel functionally more impaired, report a poorer health status and quality of life, but use less healthcare. / Schoormans, D.; Mulder, Barbara Jm; Van Melle, Joost P; Pieper, Els G; Van Dijk, Arie Pj; Sieswerda, Gert-jan Tj; Hulsbergen-zwarts, Mariët S; Plokker, Thijs Hwm; Brunninkhuis, Leo Gh; Vliegen, Hubert W; Sprangers, Mirjam Ag.

In: European Journal of Cardiovascular Nursing, Vol. 11, No. 3, 2012, p. 349-355.

Research output: Contribution to journalArticleScientificpeer-review

TY - JOUR

T1 - Patients with a congenital heart defect and Type D personality feel functionally more impaired, report a poorer health status and quality of life, but use less healthcare

AU - Schoormans, D.

AU - Mulder, Barbara Jm

AU - Van Melle, Joost P

AU - Pieper, Els G

AU - Van Dijk, Arie Pj

AU - Sieswerda, Gert-jan Tj

AU - Hulsbergen-zwarts, Mariët S

AU - Plokker, Thijs Hwm

AU - Brunninkhuis, Leo Gh

AU - Vliegen, Hubert W

AU - Sprangers, Mirjam Ag

PY - 2012

Y1 - 2012

N2 - Background: Type D personality, characterized by high levels of negative affectivity and social inhibition, is related to mortality, morbidity, poor health status, quality of life (QoL) and less healthcare utilization in various cardiovascular patient groups. To date, studies in patients with congenital heart disease (CHD) are lacking. Aims: (1) To examine the prevalence of type D personality in CHD patients; (2) to compare type D to non-type D patients with regard to disease severity, functional status, health status and QoL; and (3) to examine the extent to which type D personality is independently related to healthcare utilization. Methods: A total of 1109 adult CHD patients were included in a questionnaire survey. Due to missing data, 302 patients were excluded. Results: The prevalence of Type D personality was 20.4%. Type D patients reported a poorer functional status, health status and QoL than non-type D patients (p<0.05). Type D patients reported less healthcare use than non-type D patients (primary and cardiac outpatient healthcare: adjusted OR=0.56, 95% CI=0.35-0.90; inpatient healthcare: adjusted OR=0.38, 95% CI=0.17-0.83). Results of a post-hoc analysis showed a high prevalence of type D personality in patients with a poor functional status who did not consult their cardiologist. Conclusion: type D patients report a poorer functional status, health status and QoL, but less healthcare utilization. In clinical practice, patients should be screened for type D personality, since social inhibition may prevent them from contacting a healthcare provider in the event of symptom aggravation.

AB - Background: Type D personality, characterized by high levels of negative affectivity and social inhibition, is related to mortality, morbidity, poor health status, quality of life (QoL) and less healthcare utilization in various cardiovascular patient groups. To date, studies in patients with congenital heart disease (CHD) are lacking. Aims: (1) To examine the prevalence of type D personality in CHD patients; (2) to compare type D to non-type D patients with regard to disease severity, functional status, health status and QoL; and (3) to examine the extent to which type D personality is independently related to healthcare utilization. Methods: A total of 1109 adult CHD patients were included in a questionnaire survey. Due to missing data, 302 patients were excluded. Results: The prevalence of Type D personality was 20.4%. Type D patients reported a poorer functional status, health status and QoL than non-type D patients (p<0.05). Type D patients reported less healthcare use than non-type D patients (primary and cardiac outpatient healthcare: adjusted OR=0.56, 95% CI=0.35-0.90; inpatient healthcare: adjusted OR=0.38, 95% CI=0.17-0.83). Results of a post-hoc analysis showed a high prevalence of type D personality in patients with a poor functional status who did not consult their cardiologist. Conclusion: type D patients report a poorer functional status, health status and QoL, but less healthcare utilization. In clinical practice, patients should be screened for type D personality, since social inhibition may prevent them from contacting a healthcare provider in the event of symptom aggravation.

U2 - 10.1177/1474515112437828

DO - 10.1177/1474515112437828

M3 - Article

VL - 11

SP - 349

EP - 355

JO - European Journal of Cardiovascular Nursing

JF - European Journal of Cardiovascular Nursing

SN - 1474-5151

IS - 3

ER -