Is type D personality an independent risk factor for recurrent myocardial infarction or all-cause mortality in post-acute myocardial infarction patients?

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Condén, Emelie,1979-Mälardalens högskola,Uppsala universitet,Centrum för klinisk forskning, Västerås,Mälardalen Univ, Sch Hlth Care & Social Welf, Västerås, Sweden.,Hälsa och välfärd,Uppsala University, Central Hospital, Västerås, Sweden (author)

Is type D personality an independent risk factor for recurrent myocardial infarction or all-cause mortality in post-acute myocardial infarction patients?

Article/chapterEnglish2017

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2017-01-10
Sage Publications,2017
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LIBRIS-ID:oai:DiVA.org:uu-320269
https://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-320269URI
https://doi.org/10.1177/2047487316687427DOI
https://urn.kb.se/resolve?urn=urn:nbn:se:mdh:diva-35033URI

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Language:English
Summary in:English

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Subject category:art swepub-publicationtype

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Background: Type D personality refers to a combination of simultaneously high levels of negative affectivity and social inhibition. The present study aimed to examine whether type D personality was independently associated with recurrent myocardial infarction or all-cause mortality in post-acute myocardial infarction patients, using any of the previously proposed methods for measuring type D personality. Design: This was a prospective cohort study. Methods: Utilising data from the Vastmanland Myocardial Infarction Study, 946 post-acute myocardial infarction patients having data on the DS14 instrument used to measure type D personality were followed-up for recurrent myocardial infarction and all-cause mortality until 9 December 2015. Data were analysed using Cox regression, adjusted for established risk factors. Results: In total, 133 (14.1%) patients suffered from type D personality. During a mean follow-up time for recurrent myocardial infarction of 5.7 (3.2) years, 166 (17.5%) patients were affected by recurrent myocardial infarction, of which 26 (15.7%) had type D personality, while during a mean follow-up time for all-cause mortality of 6.3 (2.9) years, 321 (33.9%) patients died, of which 42 (13.1%) had type D personality. After adjusting for established risk factors, type D personality was not significantly associated with recurrent myocardial infarction or all-cause mortality using any of the previously proposed methods for measuring type D personality. A weak association was found between the social inhibition part of type D personality and a decreased risk of all-cause mortality, but this association was not significant after taking missing data into account in a multiple imputation analysis. Conclusions: No support was found for type D personality being independently associated with recurrent myocardial infarction or all-cause mortality in post-acute myocardial infarction patients, using any of the previously proposed methods for measuring type D personality.

Subject headings and genre

MEDICIN OCH HÄLSOVETENSKAP Klinisk medicin Kardiologi hsv//swe
MEDICAL AND HEALTH SCIENCES Clinical Medicine Cardiac and Cardiovascular Systems hsv//eng
MEDICIN OCH HÄLSOVETENSKAP Hälsovetenskap hsv//swe
MEDICAL AND HEALTH SCIENCES Health Sciences hsv//eng
All-cause mortality
recurrent myocardial infarction
type D personality

Added entries (persons, corporate bodies, meetings, titles ...)

Rosenblad, Andreas,1973-Uppsala universitet,Centrum för klinisk forskning, Västerås,Uppsala University, Central Hospital, Västerås, Sweden(Swepub:uu)ankar957 (author)
Wagner, PhilippeUppsala universitet,Centrum för klinisk forskning, Västerås,Uppsala University, Central Hospital, Västerås, Sweden(Swepub:uu)phiwa720 (author)
Leppert, JerzyUppsala universitet,Centrum för klinisk forskning, Västerås,Uppsala University, Central Hospital, Västerås, Sweden(Swepub:uu)jelep103 (author)
Ekselius, LisaUppsala universitet,Cervenka: Psykiatri,Uppsala University, Sweden(Swepub:uu)lisaekse (author)
Åslund, CeciliaUppsala universitet,Centrum för klinisk forskning, Västerås,Uppsala University, Central Hospital, Västerås, Sweden(Swepub:uu)cecas802 (author)
Uppsala universitetCentrum för klinisk forskning, Västerås (creator_code:org_t)

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In:European Journal of Preventive Cardiology: Sage Publications24:5, s. 522-5332047-48732047-4881

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