The distressed (Type D) personality in both patients and partners enhances the risk of emotional distress in patients with an implantable cardioverter defibrillator
- PMID: 21093061
- DOI: 10.1016/j.jad.2010.10.044
The distressed (Type D) personality in both patients and partners enhances the risk of emotional distress in patients with an implantable cardioverter defibrillator
Abstract
Background: A subgroup of patients with an implantable cardioverter defibrillator (ICD) experiences emotional distress. This may be related to partner factors. We examined the impact of the personality of the partner (i.e., the distressed (Type D) personality) in combination with that of the patient on anxiety and depression levels in ICD patients.
Methods: Consecutively implanted ICD patients (N=281; 80.1% men; mean age=58.3±11.0) and their partners (N=281; 20.6% men; mean age=56.5±11.7) completed the Type D Scale at baseline; patients also completed the Hospital Anxiety and Depression Scale at baseline and 6 months post-implantation.
Results: ANOVA for repeated measures, using the Type D main effects and the interaction effect, showed that the interaction time by Type D patient by Type D partner was significant (F((1,277))=7.0, p=.009) for depression as outcome, but not for anxiety (F((1,277))=3.1, p=.08). Post-hoc comparisons revealed that Type D patients with a Type D partner (n=23/281, 8.2%) experienced the highest depression levels compared to other personality combinations (all ps<.05).
Limitations: The group of Type D patients with a Type D partner was rather small.
Conclusions: ICD patients with a Type D personality report more depressive symptoms, but not anxiety, if the partner also has a Type D personality. This may be due to poor communication and lack of emotional support in the relationship. These results emphasize the importance of taking into account the psychological profile of the partner in the management and care of the ICD patient, and to direct behavioural support not only at the ICD patient but also at the partner.
Copyright © 2010 Elsevier B.V. All rights reserved.
Similar articles
-
Increased anxiety in partners of patients with a cardioverter-defibrillator: the role of indication for ICD therapy, shocks, and personality.Pacing Clin Electrophysiol. 2009 Feb;32(2):184-92. doi: 10.1111/j.1540-8159.2008.02201.x. Pacing Clin Electrophysiol. 2009. PMID: 19170907 Clinical Trial.
-
Type D personality is associated with increased anxiety and depressive symptoms in patients with an implantable cardioverter defibrillator and their partners.Psychosom Med. 2004 Sep-Oct;66(5):714-9. doi: 10.1097/01.psy.0000132874.52202.21. Psychosom Med. 2004. PMID: 15385696
-
Increased emotional distress in type-D cardiac patients without a partner.J Psychosom Res. 2007 Jul;63(1):41-9. doi: 10.1016/j.jpsychores.2007.03.014. J Psychosom Res. 2007. PMID: 17586336
-
Anxiety and depression in implanted cardioverter-defibrillator recipients and heart failure: a review.Heart Fail Clin. 2011 Jan;7(1):59-68. doi: 10.1016/j.hfc.2010.08.008. Heart Fail Clin. 2011. PMID: 21109208 Review.
-
Emotional distress in partners of patients with an implantable cardioverter defibrillator: a systematic review and recommendations for future research.Pacing Clin Electrophysiol. 2010 Dec;33(12):1442-50. doi: 10.1111/j.1540-8159.2010.02885.x. Epub 2010 Oct 14. Pacing Clin Electrophysiol. 2010. PMID: 20946298 Review.
Cited by
-
An Evaluation of the Association between Quality of Life and Psychological Issues in Patients with Automated Implantable Cardioverter Defibrillator.J Caring Sci. 2021 Nov 6;11(1):28-35. doi: 10.34172/jcs.2022.01. eCollection 2022 Mar. J Caring Sci. 2021. PMID: 35603084 Free PMC article.
-
Role of personality in cardiovascular diseases: An issue that needs to be focused too!Indian Heart J. 2018 Dec;70 Suppl 3(Suppl 3):S471-S477. doi: 10.1016/j.ihj.2018.11.003. Epub 2018 Nov 8. Indian Heart J. 2018. PMID: 30595309 Free PMC article. Review.
-
Sleep disturbance in patients with an implantable cardioverter defibrillator: Prevalence, predictors and impact on health status.Eur J Cardiovasc Nurs. 2018 Jun;17(5):390-398. doi: 10.1177/1474515117748931. Epub 2017 Dec 20. Eur J Cardiovasc Nurs. 2018. PMID: 29260886 Free PMC article.
-
Comparison of patient and partner quality of life and health outcomes in the first year after an implantable cardioverter defibrillator (ICD).J Behav Med. 2016 Feb;39(1):94-106. doi: 10.1007/s10865-015-9671-0. Epub 2015 Sep 7. J Behav Med. 2016. PMID: 26345262 Free PMC article. Clinical Trial.
-
The distressed (Type D) personality. A risk marker for poor health outcomes in ICD patients.Herzschrittmacherther Elektrophysiol. 2011 Sep;22(3):181-8. doi: 10.1007/s00399-011-0139-9. Herzschrittmacherther Elektrophysiol. 2011. PMID: 21710200 Review.
Publication types
MeSH terms
LinkOut - more resources
Full Text Sources
Medical