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Type D personality and depressive symptoms are independent predictors of impaired health status in chronic heart failure ☆
Author(s) -
Schiffer Angélique A.,
Pedersen Susanne S.,
Widdershoven Jos W.,
Denollet Johan
Publication year - 2008
Publication title -
european journal of heart failure
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 5.149
H-Index - 133
eISSN - 1879-0844
pISSN - 1388-9842
DOI - 10.1016/j.ejheart.2008.07.010
Subject(s) - type d personality , medicine , depression (economics) , mental health , personality , beck depression inventory , disease , depressive symptoms , heart failure , clinical psychology , psychiatry , psychology , anxiety , social psychology , economics , macroeconomics
Objective: To examine whether Type D personality exerts a stable, independent effect on health status in CHF over time, adjusted for depressive symptoms. Subjects: CHF outpatients (n=166; 75% men; mean age 66 years) completed the Type D Scale and Beck Depression Inventory (baseline) and the Minnesota Living with Heart Failure Questionnaire and Short‐Form Health Survey (baseline and 12 months). Results: There was a general improvement in disease‐specific physical (p=.029) and mental (p<.001) health over time, but Type D patients scored significantly lower on both outcomes (p≤.001). The interaction effects Type D×time were not significant, indicating stability of the personality effect. Type D patients also scored significantly lower on all generic physical (p values between .001 and .04) and mental (all p values ≤.01) health status subdomains; these effects were also stable over time. Type D was an independent predictor of disease‐specific mental health (p<.001), social functioning (p=.04), role emotional functioning (p≤.001), bodily pain (p=.05), and general health (p=.04), adjusted for depressive symptoms, baseline health status and clinical characteristics. Depressive symptoms was an independent predictor of role physical functioning and bodily pain. Conclusions: Type D personality and depressive symptoms were independent predictors of impaired health status in CHF.