Association between type D personality and prognosis in patients with cardiovascular diseases: a systematic review and meta-analysis
- PMID: 22237826
- DOI: 10.1007/s12160-011-9339-0
Association between type D personality and prognosis in patients with cardiovascular diseases: a systematic review and meta-analysis
Abstract
Background: Since 1995, the association of type D personality and mortality in patients with cardiovascular diseases has been increasingly investigated.
Purpose: The aim of this meta-analysis was to integrate conflicting results and to examine possible moderators of this association.
Methods: Prospective studies assessing type D personality and hard endpoints were selected and pooled in meta-analyses. Cardiovascular diagnosis, type and quality of adjustment, and publication date were examined in moderator analyses.
Results: Twelve studies on patients with cardiovascular diseases (N = 5,341) were included. Pooled crude and adjusted effects demonstrated a significant association of type D personality and hard endpoints (odds ratio (OR) of 2.28 (95% CI [1.43-3.62]), adjusted hazard ratio (HR) of 2.24 (95% CI [1.37-3.66])). The OR decreased over time (OR 5.02 to OR 1.54). There was no association in congestive heart failure patients.
Conclusions: More recent methodologically sound studies suggest that early type D studies had overestimated the prognostic relevance.
Comment in
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Type-D personality and heart disease: it might be 'one small step', but it is still moving forward: a comment on Grande et al.Ann Behav Med. 2012 Jun;43(3):280-1. doi: 10.1007/s12160-012-9357-6. Ann Behav Med. 2012. PMID: 22430836 No abstract available.
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