Type D personality as a cardiovascular risk marker in the general population: results from the Gutenberg health study
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Type D personality as a cardiovascular risk marker in the general population: results from the Gutenberg health study. / Beutel, M E; Wiltink, J; Till, Y; Wild, P S; Münzel, T; Ojeda, F M; Zeller, T; Schnabel, R B; Lackner, K; Blettner, M; Zwiener, I; Michal, M.
in: PSYCHOTHER PSYCHOSOM, Jahrgang 81, Nr. 2, 2012, S. 108-117.Publikationen: SCORING: Beitrag in Fachzeitschrift/Zeitung › SCORING: Zeitschriftenaufsatz › Forschung › Begutachtung
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TY - JOUR
T1 - Type D personality as a cardiovascular risk marker in the general population: results from the Gutenberg health study
AU - Beutel, M E
AU - Wiltink, J
AU - Till, Y
AU - Wild, P S
AU - Münzel, T
AU - Ojeda, F M
AU - Zeller, T
AU - Schnabel, R B
AU - Lackner, K
AU - Blettner, M
AU - Zwiener, I
AU - Michal, M
N1 - Copyright © 2012 S. Karger AG, Basel.
PY - 2012
Y1 - 2012
N2 - BACKGROUND: Type D personality is considered as an independent risk factor for morbidity and mortality in cardiovascular patients and a vulnerability factor for distress in the general population. Because representative community studies are rare, we sought to determine the prevalence of type D personality and its relationship with demographic characteristics, different features of mental disorders, cardiovascular risk factors, health behavior, endothelial function and cardiovascular biomarkers in the general population.METHODS: The prevalence of type D personality and its correlates were analyzed cross-sectionally in a population-based sample of 5,000 Mid-Europeans aged 35-74 years from the Gutenberg Health Study.RESULTS: The prevalence of type D personality was 22.2% without remarkable differences in sex distribution. Type D subjects were characterized by lower socioeconomic status, lack of a partnership, increased depression, anxiety, depersonalization and health care utilization. Despite its strong association with mental disorders, type D personality emerged as psychometrically distinct. Although type D personality was independently associated with coronary heart disease (OR = 1.54, p = 0.044), no associations with traditional cardiovascular risk factors were found independently from depression or anxiety.CONCLUSIONS: Although type D personality is strongly associated with depression, anxiety, impaired mental and somatic health status, and increased health care utilization, the type D construct seems to comprise dysfunctional personality patterns not covered by depression and anxiety scales. Beyond these associations, the pathways of the cardiotoxic impact of type D personality remain to be elucidated. There is a need for prospective population studies on potential links between type D personality and cardiac disease.
AB - BACKGROUND: Type D personality is considered as an independent risk factor for morbidity and mortality in cardiovascular patients and a vulnerability factor for distress in the general population. Because representative community studies are rare, we sought to determine the prevalence of type D personality and its relationship with demographic characteristics, different features of mental disorders, cardiovascular risk factors, health behavior, endothelial function and cardiovascular biomarkers in the general population.METHODS: The prevalence of type D personality and its correlates were analyzed cross-sectionally in a population-based sample of 5,000 Mid-Europeans aged 35-74 years from the Gutenberg Health Study.RESULTS: The prevalence of type D personality was 22.2% without remarkable differences in sex distribution. Type D subjects were characterized by lower socioeconomic status, lack of a partnership, increased depression, anxiety, depersonalization and health care utilization. Despite its strong association with mental disorders, type D personality emerged as psychometrically distinct. Although type D personality was independently associated with coronary heart disease (OR = 1.54, p = 0.044), no associations with traditional cardiovascular risk factors were found independently from depression or anxiety.CONCLUSIONS: Although type D personality is strongly associated with depression, anxiety, impaired mental and somatic health status, and increased health care utilization, the type D construct seems to comprise dysfunctional personality patterns not covered by depression and anxiety scales. Beyond these associations, the pathways of the cardiotoxic impact of type D personality remain to be elucidated. There is a need for prospective population studies on potential links between type D personality and cardiac disease.
KW - Adult
KW - Aged
KW - Anxiety/epidemiology
KW - Biomarkers/blood
KW - Coronary Disease/epidemiology
KW - Depression/epidemiology
KW - Dyslipidemias/blood
KW - Endothelium/physiopathology
KW - Female
KW - Germany/epidemiology
KW - Health Behavior
KW - Humans
KW - Interview, Psychological
KW - Life Style
KW - Male
KW - Middle Aged
KW - Patient Acceptance of Health Care/statistics & numerical data
KW - Personality
KW - Personality Assessment
KW - Personality Disorders/blood
KW - Psychiatric Status Rating Scales
KW - Stress, Psychological/epidemiology
U2 - 10.1159/000331776
DO - 10.1159/000331776
M3 - SCORING: Journal article
C2 - 22262039
VL - 81
SP - 108
EP - 117
JO - PSYCHOTHER PSYCHOSOM
JF - PSYCHOTHER PSYCHOSOM
SN - 0033-3190
IS - 2
ER -
