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관상동맥질환자의 D유형 성격이 건강상태와 건강행위에 미치는 영향

Impact of Type D Personality on Health Status and Health Behaviors in Patients with Coronary Artery Disease

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초록

Background: This study examined the impact of type D personality on health status and health behaviors in patients after percutaneous coronary intervention (PCI). Methods: Using a cross-sectional study design, 106 coronary artery disease (CAD) patients treated with PCI completed 4 measuring tools - a 14-item type D Personality Scale (DS-14), Seattle Angina Questionnaire’s Physical Limitation scale, the Hospital Anxiety and Depression Scale, and Health-Promoting Lifestyle Profile-Version Ⅱ. All were completed between July 2009 and March 2010. Results: The prevalence of type D personality was 27.4%. Type D patients were significantly more anxious (P<0.001), and depressed (P<0.001) compared with non-type D patients. However, there was no significant difference in physical health status. In addition, type D patients reported performing significantly fewer stress management techniques in health behaviors than non-type D patients (P=0.012). Conclusion: Type D personality is a risk factor that predicts poor outcome in CAD. The role of personality factors as determinants of clinical outcome and health status should not be overlooked as these factors may have much explanatory power.

Abstract

Background: This study examined the impact of type D personality on health status and health behaviors in patients after percutaneous coronary intervention (PCI). Methods: Using a cross-sectional study design, 106 coronary artery disease (CAD) patients treated with PCI completed 4 measuring tools - a 14-item type D Personality Scale (DS-14), Seattle Angina Questionnaire’s Physical Limitation scale, the Hospital Anxiety and Depression Scale, and Health-Promoting Lifestyle Profile-Version Ⅱ. All were completed between July 2009 and March 2010. Results: The prevalence of type D personality was 27.4%. Type D patients were significantly more anxious (P<0.001), and depressed (P<0.001) compared with non-type D patients. However, there was no significant difference in physical health status. In addition, type D patients reported performing significantly fewer stress management techniques in health behaviors than non-type D patients (P=0.012). Conclusion: Type D personality is a risk factor that predicts poor outcome in CAD. The role of personality factors as determinants of clinical outcome and health status should not be overlooked as these factors may have much explanatory power.

참고문헌 (32)

  1. Sopko G, "Preventing cardiac events and restenosis after percutaneous coronary intervention", JAMA, 287, pp.3259~3261 (2002)
  2. Jeong MH, "Drug-eluting stent", JKMS, 67, pp.456~463 (2004)
  3. Haddock CK, "Smoking and health outcomes after percutaneous coronary intervention", Am Heart J, 145(4), pp.652~657 (2003)
  4. Pedersen SS, "Anxiety enhances the detrimental effect of depressive symptoms on health status following percutaneous coronary intervention", J Psychosom Res, 61(6), pp.783~789 (2006)
  5. Pedersen SS, "van Domburg RT. Impaired health status in Type D patients following PCI in the drug-eluting stent era", Int J Cardiol, 114(3), pp.358~365 (2007)
  6. Frasure-Smith N, "Depression and anxiety as predictors of 2-year cardiac events in patients with stable coronary artery disease", Arch Gen Psychiatry, 65(1), pp.62~71 (2008)
  7. 손행미, "D 유형 성격이 관상동맥질환자의 삶의 질 및 질병장애에 미치는 영향", Journal of Korean Academy of Nursing, 39(3), pp.349~356 (2009), 한국간호과학회
  8. 송은경, "심혈관질환의심리사회적위험요인으로써의D유형성격에관한논문분석", Journal of Korean Academy of Nursing, 38(1), pp.19~28 (2008), 한국간호과학회
  9. Denollet J, "DS 14: standard assessment of negative affectivity, social inhibition, and type D personality", Psychosom Med, 67, pp.89~97 (2005)
  10. Schiffer AA, "The distressed (type D) personality is independently associated with impaired health status and increased depressive symptoms in chronic heart failure", Eur J Cardiovasc Prev Rehabil, 12(4), pp.341~346 (2005)
  11. Mols F, "Type D personality and depressive symptoms are independent predictors of impaired health status following acute myocardial infarction", Heart, 96, pp.30~35 (2010)
  12. Willams L, "Type-D personality mechanism of effect: the role of health-related behavior and social support", J Psychosom Res, 64, pp.63~69 (2008)
  13. Pelle AJ, "Type D patients report poorer health status prior to and after cardiac rehabilitation compared to non-type D patients", Ann Behav Med, 36(2), pp.167~175 (2008)
  14. Rumsfeld JS, "Health status and clinical practice: when will they meet?", Circulation, 106, pp.5~7 (2002)
  15. Mommersteeg PM, "Health status as a risk factor in cardiovascular disease: a systematic review of current evidence", AHJ, 157, pp.208~218 (2009)
  16. Pedersen SS, "Clustering of psychosocial risk factors enhances the risk of depressive symptoms 12-months post percutaneous coronary intervention", Eur J Cardiovasc Prev Rehabil, 15, pp.203~209 (2008)
  17. van Gestel YR, "Type-D personality and depressive symptoms predict anxiety 12 months post-percutaneous coronary intervention", J Affect Disord, 103, pp.197~203 (2007)
  18. Ko YH, "Reliability and validity of the Korean version of type D personality scale", Manuscript submitted for publication, ~ (2010)
  19. Spertus JA, "Development and evaluation of the Seattle Angina Questionnaire: a new functional status measure for coronary artery disease", J Am Coll Cardiol, 25, pp.333~341 (1995)
  20. Zigmond AS, "The hospital anxiety and depression scale", Acta Psychiatr Scand, 67, pp.361~370 (1983)
  21. Pender NJ, "Health promotion in nursing practice", pp.85~93 (1996), Appleton-Lange
  22. Walker SN, "The health promoting lifestyle profile II" (1995), University of Nebraska Medical Center, College of nursing
  23. Seo HM, (2001), Seoul National University
  24. Pedersen SS, "Type D personality, cardiac events, and impaired quality of life: a review", Eur J Cardiovasc Prev Rehabil, 10, pp.241~248 (2003)
  25. Pedersen SS, "Type-D personality exerts a stable, adverse effect on vital exhaustion in PCI patients treated with paclitaxel- eluting stents", J Psychosom Res, 62(4), pp.447~453 (2007)
  26. WONCA Classification Committee, "Functional status measurement in primary care" (1990), Springer Verlag
  27. Schiffer AA, "Type D personality and depressive symptoms are independent predictors of impaired health status in chronic heart failure", Eur J Heart Fail, 10(9), pp.922~930 (2008)
  28. Smolderen KG, "Impact of peripheral arterial disease on health status: a comparison with chronic heart failure", J Vasc Surg, 50(6), pp.1391~1398 (2009)
  29. Williams L, "Type D personality and cardiac output in response to stress", Psychol Health, 24(5), pp.489~500 (2009)
  30. Habra ME, "Type D personality is related to cardiovascular and neuroendocrine reactivity to acute stress", J Psychosom Res, 55(3), pp.235~245 (2003)
  31. Denollet J, "Usefulness of type D personality in predicting five-year cardiac events above and beyond concurrent symptoms of stress in patients with coronary heart disease", Am J Cardiol, 97(7), pp.970~973 (2006)
  32. Chiou AF, "Factors associated with behavior modification for cardiovascular risk factors in patients with coronary artery disease in northern Taiwan", J Nurs Res, 17(3), pp.221~230 (2009)

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