The relationship between results of coronary angiography, Mediterranean-type lifestyle, type D personality, and healthy life expectancy.

AIM: The aim of this study was to determine the relationship between coronary angiography results and Mediterranean-type lifestyle and type D personality. METHODS: Mediterranean-type lifestyle index and type D personality scale were administered to 230 participants. RESULTS: In univariate analysis according to coronary angiography results, a statistically significant effect was determined between the decision for treatment with percutaneous coronary intervention (PCI) and diabetes mellitus, and total and subscale points of Mediterranean lifestyle index, and between the decision for treatment with bypass and body mass index, Mediterranean diet, physical activity, and total points. In multivariate analysis, there was determined to be an effect between the PCI and systolic pressure, and between bypass and body mass index and subscale of physical activity. When disease-free life expectancy was examined, there was seen to be a negative effect of smoking and low Mediterranean diet points for participants with PCI, and of smoking, presence of hypertension, family history, and high type D personal characteristics score for those with bypass decision. CONCLUSION: The evidence-based recommendations for a Mediterranean-type lifestyle stated in cardiovascular disease (CVD) preventative guidelines may have a positive effect on the prevention of CVD, disability-free life, and mortality.

OBJETIVO: Este estudio se llevó a cabo para determinar la relación entre los resultados la angiografía coronaria y el estilo vida mediterráneo y los rasgos personalidad tipo D. MÉTODO: El índice de estilo de vida de tipo mediterráneo y la escala de personalidad de tipo D se administraron a 230 participantes. RESULTADOS: Según el resultado angiografía coronaria, subdimensiones intervención coronaria percutánea y diabetes y estilo de vida mediterráneo y puntajes totales en análisis univariante, circunvalación, cuanto a índice masa corporal, dieta estilo mediterráneo, actividad física y puntuación total; en análisis multivariado, se encontró que la intervención coronaria percutánea se asoció con la presión arterial sistólica, circunvalación con el índice masa corporal y subdimensión actividad física. Mirando la esperanza vida libre enfermedades, el tabaquismo y la baja puntuación la dieta tipo mediterránea del participante para el que se tomó la intervención coronaria percutánea, el índice masa corporal bajo, tabaquismo, hipertensión, los antecedentes familiares y los rasgos de personalidad tipo D altos del participante con la circunvalación afectan negativamente la esperanza de vida libre enfermedades. CONCLUSIÓN: Como se indica en las pautas de prevención enfermedades cardiovasculares, el estilo vida mediterráneo puede tener efectos positivos en la prevención enfermedades cardiovasculares, discapacidad y mortalidad.

Type D Personality Is Associated with Poorer Quality of Life in Patients with Chronic Spontaneous Urticaria: A Cross-sectional Study.

Type D personality (TDp) is a stable personality type that has been associated with poor quality of life in the general population and in patients with a variety of diseases, such as cancer, cardiac diseases, and dermatological diseases (e.g. psoriasis). To date, the potential association between chronic spontaneous urticaria and TDp has not been studied. The aim of this study is to analyse the impact of TDp on patients with chronic spontaneous urticaria, regarding mood disturbances, quality of life, sexuality, and sleep disturbances. A cross-sectional study including 75 patients with chronic spontaneous urticaria was performed. Data on socio- demographic variables and disease activity, quality of life, sleep, sexual dysfunction, anxiety, depression and TDp were collected using validated questionnaires. TDp was present in 28% (21/75) of the patients. Although TDp was not related to worse disease control, the presence of anxiety and depression was higher in patients with TDp. Regarding quality of life, TDp was associated with poorer quality of life and higher frequency of sleep disturbances. Prevalence of TDp in patients with chronic spontaneous urticaria is similar to that in the general population. It is associated with mood status disturbances and worse quality of life regardless of disease severity, especially in the emotional and psychological domains. This group of patients could benefit from additional psychological support as a complement to their medical treatment.

Four years stability of type D personality in patients with moderate to severe psoriasis and its implications for psychological impairment.

BACKGROUND: Psoriasis is a systemic auto-inflammatory disease that is related to an increased risk of organic and psychological comorbidities. Type D is a stable personality trait in healthy subjects but there is no data regarding its stability in patients with moderate-severe psoriasis. OBJECTIVES: To assess the stability of type D personality in patients with moderate to severe psoriasis as well as assessing the influence of type D personality on anxiety and depression. METHODS: Prospective cohort study. Forty psoriasis patients with type D personality and sixty-six patients with psoriasis without type D personality were included in the study. Participants completed the DS14 test and HADS at baseline and four years later. RESULTS: At baseline, the prevalence of type D personality was 37.7% and at week 208 it was 27.3%. The stability of type D personality was higher in patients with an incomplete education level and in those who were separated/divorced or windowed. During follow-up, 15% of patients developed type D personality. Male sex, having topical treatment, the presence of previous depression, anxiety, and high levels of negative affectivity at baseline increase the risk of developing type D personality. STUDY LIMITATIONS: Sample size, psoriasis severity restricted to moderate and severe and all patients being under treatment for psoriasis. CONCLUSIONS: The presence of type D personality varies over time in psoriasis patients. Therefore, type D personality is possibly more a state than a trait phenomenon, modified by environmental factors. Type D personality is associated with a higher risk of anxiety.

Avances en la construcción del inventario de patrón de conducta tipo A y D (IPAD) / Progress in the construction of the type A and D behaviour profile inventory (IPAD)

Un Patrón de Conducta es una forma habitual de ver y reaccionar ante el entorno y las circunstancias. El Patrón de Conducta Tipo A tiene su origen en la descripción presentada por Friedman y Rosenman en 1959, quienes lo relacionaron con un riesgo aumentado de sufrir una afección cardíaca. A partir de este aporte, numerosas investigaciones consideraron que este patrón constituye un factor de riesgo independiente tanto en el inicio como en el desarrollo de los trastornos cardíacos. Más recientemente, se ha propuesto un nuevo patrón, llamado de Personalidad Tipo D, relacionado con este fenómeno. Denollet y colaboradores, plantearon que la personalidad tipo D puede ser una influencia importante en el desarrollo de patología cardiovascular. Este trabajo investigativo tiene por objetivo presentar la construcción del Inventario de Patrón de Conducta A y D (IPAD). Este instrumento constituirá una herramienta validada en nuestro medio, específicamente con población cardíaca, que permitirá evaluar conjuntamente ambos patrones. Los análisis realizados permiten afirmar que todos los ítems presentan adecuados valores de simetría y curtosis así como una correlación adecuada ítem test. El coeficiente Alpha de Cronbach indicó un valor elevado de confiabilidad para las escalas que componen la técnica. Se presentan las distintas fases en el proceso de construcción y las características del instrumento en su etapa actual.

The Type A Behaviour Profle arises from the description of behaviors presented by Friedman and Rosenman in 1959, who linked it to an increased risk of suffering a heart condition. From this input, numerous investigations considered as type A Behaviour independent risk factor both in the beginning and in the development of cardiovascular disorders. More recently, it has been proposed a new profile, type D personality, concerning this phenomenon. Denollet and colleagues argued that type D personality may be an important influence on the development of cardiovascular disease. This paper presents the construction of the Inventory of A and D type Behaviour (IPAD). This instrument is a validated tool in our environment, specifically for cardiac population that jointly evaluates both profiles. The analyzes support the conclusion that all the items have appropriate symmetry and curtosis and adequate correlation test item. The Cronbach alpha coefficient shows high reliability regarding every dimensions of the instrument. It is shown the methodology followed in the designing process and the psychometric characteristics of the instrument.

The prevalence of Type D personality in a Trinidadian cardiac population.

OBJECTIVE: The current study investigated the prevalence of Type D personality in persons with self-reported cardiovascular disease and the interactions of Type D personality, reported cardiovascular disease and gender in a Trinidadian cardiac population. METHODS: Between June 2009 and August 2009, 425 participants were recruited from the Eric Williams Medical Sciences Complex (EWMSC) Heart Clinic and all the participants completed the Type D Scale. Clinical and demographic variables were obtained from the sociodemographic questionnaire. RESULTS: Forty-two per cent of participants with self-reported cardiovascular disease were identified as Type D as compared to 26% of participants who did not report having a cardiovascular illness. The odds ratio indicated individuals identified with Type D personality are 2.0 times more likely to report having cardiovascular disease and females with cardiac disease are 1.6 times more likely to be identified with Type D personality as compared to males. CONCLUSIONS: Previous studies suggest Type D personality is a risk factor for adverse prognosis in the cardiac population, therefore future research examining the link between Type D personality and cardiovascular disease is warranted.

The prevalence of Type D personality in a Trinidadian cardiac population / Prevalencia de la personalidad de Tipo D en una población cardíaca Trinitense

OBJECTIVE: The current study investigated the prevalence of Type D personality in persons with selfreported cardiovascular disease and the interactions of Type D personality, reported cardiovascular disease and gender in a Trinidadian cardiac population. METHODS: Between June 2009 and August 2009, 425 participants were recruited from the Eric Williams Medical Sciences Complex (EWMSC) Heart Clinic and all the participants completed the Type D Scale. Clinical and demographic variables were obtained from the sociodemographic questionnaire. RESULTS: Forty-two per cent of participants with self-reported cardiovascular disease were identified as Type D as compared to 26% of participants who did not report having a cardiovascular illness. The odds ratio indicated individuals identified with Type D personality are 2.0 times more likely to report having cardiovascular disease and females with cardiac disease are 1.6 times more likely to be identified with Type D personality as compared to males. CONCLUSIONS: Previous studies suggest Type D personality is a risk factor for adverse prognosis in the cardiac population, therefore future research examining the link between Type D personality and cardiovascular disease is warranted.

OBJETIVO: El presente estudio investigó la prevalencia de la personalidad tipo D en personas con enfermedades cardiovasculares autoreportadas, así como las interacciones de la personalidad de tipo D, las enfermedades cardiovasculares reportadas, y el género en una población cardíaca de Trinidad y Tobago. MÉTODOS: Entre junio y agosto de 2009, 425 participantes fueron reclutados de la Clínica Cardiológica del complejo de Ciencias Médicas Eric Williams (EWMSC), y todos los participantes llenaron el cuestionario de la Escala de Tipo D. Las variables demográficas y clínicas fueron obtenidas del cuestionario sociodemográfico. RESULTADOS: Cuarenta y dos por ciento de los participantes con enfermedad cardiovascular autoreportada, fueron identificados como tipo D, en comparación con el 26% de los participantes que no reportó tener una enfermedad cardiovascular. El cociente de probabilidades (odds-ratio) indicó que los individuos identificados con personalidad de tipo D son 2.0 veces más propensos a reportar su enfermedad cardiovascular, y las mujeres con enfermedad cardiaca presentan 1.6 veces más probabilidades de ser identificadas con personalidad tipo D en comparación con los varones. CONCLUSIONES: Estudios previos sugieren que la personalidad de tipo D es un factor de riesgo que apunta a una prognosis adversa en la población cardiaca. Por lo tanto, las investigaciones futuras que examinen el vínculo entre la personalidad de tipo D y las enfermedades cardiovasculares tienen un lugar asegurado.