Type D personality as a risk factor in coronary heart disease: A review of current evidence

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Abstract

Purpose of the review: 

This review article synthesizes recent research findings on the psychological context of Type D personality and the mechanisms through which Type D affects disease progression and prognosis among patients with coronary heart disease (CHD).

Recent findings: 

One in four patients with CHD has a Distressed (Type D) personality, which is characterized by two stable traits: social inhibition and negative affectivity. Type D personality predicts increased mortality and morbidity burden, and poorer health-related quality of life. Type D is part of a family of psychosocial risk factors that affect CHD prognosis. The pattern of co-occurrence of these psychosocial factors and intra-individual differences in psychosocial profiles may affect risk prediction accuracy. Multiple biological and behavioral processes have been associated with Type D personality. 

Summary:

Identifying pathways explaining the observed associations between Type D personality and CHD is important to improve etiological and pathophysiological knowledge and to design personalized interventions, and targeting specific risk-associated pathways.

Original languageEnglish
Article number104
Number of pages8
JournalCurrent Cardiology Reports
Volume20
Issue number11
DOIs
Publication statusPublished - 2018

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Keywords

  • Type D personality
  • Coronary heart disease
  • Heterogeneity
  • Risk profiles
  • Atherosclerosis
  • Cardiac mortality
  • Stress
  • Biobehavioral mechanisms
  • ARTERY-DISEASE
  • CARDIOVASCULAR-DISEASE
  • PLAQUE VULNERABILITY
  • PROGNOSTIC VALUE
  • CARDIAC EVENTS
  • ESSENTIAL-HYPERTENSION
  • SALIVARY CORTISOL
  • PREDICTIVE-VALUE
  • HEALTH-STATUS
  • ALL-CAUSE

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