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 language | English |
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Article number | 104 |
Number of pages | 8 |
Journal | Current Cardiology Reports |
Volume | 20 |
Issue number | 11 |
DOIs | |
Publication status | Published - 2018 |
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