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Type D Personality as a Risk Factor for Adverse Outcome in Patients With Cardiovascular Disease : An Individual Patient-Data Meta-analysis

Lodder, Paul (författare)
Tilburg Univ, Dept Methodol & Stat, Tilburg, Netherlands.;Tilburg Univ, Ctr Res Psychol Somat Dis CoRPS, Dept Med & Clin Psychol, Tilburg, Netherlands.;Tilburg Univ, Dept Methodol & Stat, POB 90153, NL-5000 LE Tilburg, Netherland.
Wicherts, Jelte M. (författare)
Tilburg Univ, Dept Methodol & Stat, Tilburg, Netherlands.;Tilburg Univ, Ctr Res Psychol Somat Dis CoRPS, Dept Med & Clin Psychol, Tilburg, Netherlands.,Amsterdam UMC Level, Netherlands
Antens, Marijn (författare)
Tilburg Univ, Ctr Res Psychol Somat Dis CoRPS, Dept Med & Clin Psychol, Tilburg, Netherlands.
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Albus, Christian (författare)
Univ Cologne, Med Fac, Dept Psychosomat & Psychotherapy, Cologne, Germany.;Univ Hosp, Cologne, Germany.
Bessonov, Ivan S. (författare)
Russian Acad Sci, Tyumen Cardiol Res Ctr, Tomsk Natl Res Med Ctr, Tyumen, Russia.
Condén Mellgren, Emelie, 1979- (författare)
Uppsala universitet,Centrum för klinisk forskning, Västerås,Russian Acad Sci, Tyumen Cardiol Res Ctr, Tomsk Natl Res Med Ctr, Tyumen, Russia.,Russian Acad Sci, Russia; Uppsala Univ, Sweden
Dulfer, Karolijn (författare)
Sophia Childrens Univ Hosp, Erasmus Med Ctr, Dept Pediat & Pediat Surg, Intens Care Unit, Rotterdam, Netherlands.
Gostoli, Sara (författare)
Univ Bologna, Dept Psychol, Bologna, Italy.
Grande, Gesine (författare)
Brandenburg Tech Univ Cottbus Senftenberg, Cottbus, Germany.
Hedberg, Pär (författare)
Uppsala universitet,Centrum för klinisk forskning, Västerås,Uppsala Univ, Sweden
Herrmann-Lingen, Christoph (författare)
Univ Gottingen, Dept Psychosomat Med & Psychotherapy, Med Ctr, Gottingen, Germany.;German Ctr Cardiovasc Res DZHK, Partner Site Gottingen, Gottingen, Germany.
Jaarsma, Tiny (författare)
Linköpings universitet,Avdelningen för omvårdnad och reproduktiv hälsa,Medicinska fakulteten
Koo, Malcolm (författare)
Tzu Chi Univ Sci & Technol, Grad Inst Long Term Care, Hualien, Hualien, Taiwan.;Univ Toronto, Dalla Lana Sch Publ Hlth, Toronto, ON, Canada.
Lin, Ping (författare)
Coll Nursing Harbin Med Univ, Affiliated Hosp Harbin Med Univ 2, Harbin, Peoples R China.
Lin, Tin-Kwang (författare)
Buddhist Tzu Chi Med Fdn, DalinTzu Chi Hosp, Dept Internal Med, Div Cardiol, Chiayi, Taiwan.;Tzu Chi Univ, Sch Med, Hualien, Hualien, Taiwan.
Meyer, Thomas (författare)
Univ Gottingen, Dept Psychosomat Med & Psychotherapy, Med Ctr, Gottingen, Germany.;German Ctr Cardiovasc Res DZHK, Partner Site Gottingen, Gottingen, Germany.
Pushkarev, Georgiy (författare)
Russian Acad Sci, Russia
Rafanelli, Chiara (författare)
Univ Bologna, Dept Psychol, Bologna, Italy.
Raykh, Olga I. (författare)
Fed State Budgetary Sci Inst Res Inst Complex Issu, Lab Comorbid Cardiovasc Dis, Moscow, Russia.
de Quadros, Alexandre Schaan (författare)
Univ Fdn Cardiol, Inst Cardiol, Porto Alegre, RS, Brazil.
Schmidt, Marcia (författare)
Univ Fdn Cardiol, Inst Cardiol, Porto Alegre, RS, Brazil.
Sumin, Alexei N. (författare)
Fed State Budgetary Sci Inst Res Inst Complex Issu, Lab Comorbid Cardiovasc Dis, Moscow, Russia.
Utens, Elisabeth M. W. J. (författare)
Amsterdam UMC Level, Res Inst Child Dev & Educ, Amsterdam, Netherlands.
van Veldhuisen, Dirk J. (författare)
Univ Groningen, Univ Med Ctr Groningen, Dept Cardiol, Groningen, Netherlands.
Wang, Yini (författare)
Harbin Med Univ, Dept Cardiol, Affiliated Hosp 2, Harbin, Peoples R China.
Kupper, Nina (författare)
Tilburg Univ, Netherlands
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Tilburg Univ, Dept Methodol & Stat, Tilburg, Netherlands;Tilburg Univ, Ctr Res Psychol Somat Dis CoRPS, Dept Med & Clin Psychol, Tilburg, Netherlands.;Tilburg Univ, Dept Methodol & Stat, POB 90153, NL-5000 LE Tilburg, Netherland. Tilburg Univ, Dept Methodol & Stat, Tilburg, Netherlands.;Tilburg Univ, Ctr Res Psychol Somat Dis CoRPS, Dept Med & Clin Psychol, Tilburg, Netherlands. (creator_code:org_t)
Lippincott Williams & Wilkins, 2023
2023
Engelska.
Ingår i: Psychosomatic Medicine. - : Lippincott Williams & Wilkins. - 0033-3174 .- 1534-7796. ; 85:2, s. 188-202
  • Tidskriftsartikel (refereegranskat)
Abstract Ämnesord
Stäng  
  • ObjectiveType D personality, a joint tendency toward negative affectivity and social inhibition, has been linked to adverse events in patients with heart disease, although with inconsistent findings. Here, we apply an individual patient-data meta-analysis to data from 19 prospective cohort studies (N = 11,151) to investigate the prediction of adverse outcomes by type D personality in patients with acquired cardiovascular disease.MethodFor each outcome (all-cause mortality, cardiac mortality, myocardial infarction, coronary artery bypass grafting, percutaneous coronary intervention, major adverse cardiac event, any adverse event), we estimated type D's prognostic influence and the moderation by age, sex, and disease type.ResultsIn patients with cardiovascular disease, evidence for a type D effect in terms of the Bayes factor (BF) was strong for major adverse cardiac event (BF = 42.5; odds ratio [OR] = 1.14) and any adverse event (BF = 129.4; OR = 1.15). Evidence for the null hypothesis was found for all-cause mortality (BF = 45.9; OR = 1.03), cardiac mortality (BF = 23.7; OR = 0.99), and myocardial infarction (BF = 16.9; OR = 1.12), suggesting that type D had no effect on these outcomes. This evidence was similar in the subset of patients with coronary artery disease (CAD), but inconclusive for patients with heart failure (HF). Positive effects were found for negative affectivity on cardiac and all-cause mortality, with the latter being more pronounced in male than female patients.ConclusionAcross 19 prospective cohort studies, type D predicts adverse events in patients with CAD, whereas evidence in patients with HF was inconclusive. In both patients with CAD and HF, we found evidence for a null effect of type D on cardiac and all-cause mortality.

Ämnesord

MEDICIN OCH HÄLSOVETENSKAP  -- Klinisk medicin -- Kardiologi (hsv//swe)
MEDICAL AND HEALTH SCIENCES  -- Clinical Medicine -- Cardiac and Cardiovascular Systems (hsv//eng)
MEDICIN OCH HÄLSOVETENSKAP  -- Klinisk medicin -- Psykiatri (hsv//swe)
MEDICAL AND HEALTH SCIENCES  -- Clinical Medicine -- Psychiatry (hsv//eng)

Nyckelord

type D personality
cardiovascular disease
meta-analysis
negative affectivity
cardiac events
BF = Bayes factor
CABG = coronary artery bypass grafting
CAD = coronary artery disease
CVD = cardiovascular disease
MACE = major adverse cardiac event
NA = negative affectivity
OR = odds ratio
PCI = percutaneous coronary intervention
SI = social inhibition

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