1887
Volume 2025, Issue 2
  • E-ISSN: 2220-2749

It has been determined that type A behavior patterns and coronary artery disease incidence are related. According to recent research, having type A personality traits raises the coronary disease. Although type D personality has not been thoroughly studied, some research suggests that it may also be a risk factor for those diseases. Our study aimed at examining the link between personality patterns and coronary disease.

At the Mohamed Tahar Maâmouri University Hospital in Nabeul, we conducted a cross-sectional study. One hundred individuals with coronary artery disease from the cardiology department were recruited. They were either hospitalized or outpatients. We also included 100 controls. Personality types A and D were screened using the Bortner questionnaire and the “DS-14” scale, respectively.

Compared to 13% of controls, 45% of patients with coronary artery disease had a behavioral type D personality. The prevalence of type A was 35% in controls and 25% in patients with coronary artery disease. Type D personality was linked to coronary artery disease with an odds ratio = 4.8 (95% CI, 2.4–9.2) and a = 0.002 after adjusting using binary logistic regression and accounting for confounding variables. We found that individuals with type D personalities were five times more likely to have coronary artery disease. There was no statistically significant correlation between coronary artery disease and type A personality ( = 0.123).

The study emphasizes the necessity of encouraging type D personality early detection to contribute to averting coronary artery disease.

Loading

جارٍ تحميل قياسات المقالة...

/content/journals/10.5339/avi.2025.13
٢٠٢٥-٠٨-٢٨
٢٠٢٥-١٢-٠٧

القياسات

Loading full text...

Full text loading...

/deliver/fulltext/avi/2025/2/avi.2025.13.html?itemId=/content/journals/10.5339/avi.2025.13&mimeType=html&fmt=ahah

References

  1. Administrator. Maladies non transmissibles. World Health Organization - Regional Office for the Eastern Mediterranean; 2025. https://www.emro.who.int/fr/annual-report/2013/noncommunicable-diseases.html [Accessed 5th August 2025].
    [Google الباحث العلمي]
  2. World Health Organization. Mortality and global health estimates; 2021. https://www.who.int/data/gho/data/themes/mortality-and-global-health-estimates [Accessed 5th September 2023].
    [Google الباحث العلمي]
  3. World Health Organization. Office of World Health Reporting. The World health report: 2002: reducing risks, promoting healthy life: overview. Whoint; 2017. https://apps.who.int/iris/handle/10665/67454[Accessed 17th August 2025].
    [Google الباحث العلمي]
  4. Méthodes d’évaluation du risque cardio-vasculaire global. Haute Autorité de Santé; 2023. https://www.has-sante.fr/jcms/r_1497591/fr/methodes-d-evaluation-du-risque-cardio-vasculaire-global[Accessed 5th August 2025].
    [Google الباحث العلمي]
  5. Pluijmers EM, Denollet J. Type D personality as a predictor of poor health outcomes in patients with cardiovascular disease. Neth Heart J. 2017; 25:(4):286–7. http://doi.org/10.1007/s12471-017-0949-4
    [Google الباحث العلمي]
  6. Kazukauskiene N, Burkauskas J, Macijauskiene J, Mickuviene N, Brozaitiene J. Exploring potential biomarkers associated with health-related quality of life in patients with coronary artery disease and heart failure. Eur J Cardiovasc Nurs. 2018; 17:(7):645–51. http://doi.org/10.1177/1474515118772828
    [Google الباحث العلمي]
  7. Friedman M, Rosenman RH. Type A behavior pattern: its association with coronary heart disease. Ann Clin Res. 1971; 3:(6):300–12.
    [Google الباحث العلمي]
  8. Denollet J, Pedersen SS. Prognostic value of type D personality compared with depressive symptoms. Arch Intern Med. 2008; 168:(4):431–2. http://doi.org/10.1001/archinternmed.2007.120
    [Google الباحث العلمي]
  9. Denollet J, Pedersen SS, Vrints CJ, Conraads VM. Predictive Value of Social Inhibition and Negative Affectivity for Cardiovascular Events and Mortality in Patients With Coronary Artery Disease. Psychosomatic Medicine. 2013; 75:(9):873–81. http://doi.org/10.1097/psy.0000000000000001
    [Google الباحث العلمي]
  10. Gale CR, Batty GD, Cooper R, Deary IJ. Psychosocial predictors of coronary heart disease: systematic review and meta-analysis. Heart. 2022; 108:(15):1172–80. http://doi.org/10.1136/heartjnl-2021-319888
    [Google الباحث العلمي]
  11. Costa PT Jr, McCrae RR. Influence of extraversion and neuroticism on myocardial infarction risk: findings from a large cohort study. J Psychosom Res. 2023; 158::110832. http://doi.org/10.1016/j.jpsychores.2023.110832
    [Google الباحث العلمي]
  12. Williams RB, Barefoot JC, Califf RM. Hostility and coronary artery disease: current status and future directions. Am J Cardiol. 2020; 125:(2):370–5. http://doi.org/10.1016/j.amjcard.2019.10.046
    [Google الباحث العلمي]
  13. Ben Romdhane H, Bougatef S, Skhiri H, Gharbi D, Kafsi MN, Belhani A, et al.. Le registre des maladies coronaires en Tunisie : organisation et premiers résultats: the first Tunisian cardiovascular diseases register: processes and results. Rev Epidemiol Santé Publique. 2004; 52:(6):558–64. http://doi.org/10.1016/S0398-7620(04)99094-3
    [Google الباحث العلمي]
  14. Pedersen SS, Ong AT, Sonnenschein K, Serruys PW, Erdman RA, VanDomburg RT. Type D personality and diabetes predict the onset of depressive symptoms in patients after percutaneous coronary intervention. Am Heart J. 2006; 151:(2):367.e1–e6. http://doi.org/10.1016/j.ahj.2005.08.012
    [Google الباحث العلمي]
  15. Espnes G. The type D construct and its relation to coronary heart disease. Psychol Rep. 1995; 76:(1):3–13. Doi: http://doi.org/10.2466/pr0.1995.76.1.3
    [Google الباحث العلمي]
  16. Ashton Acton Q. Myocardial Infarction: New Insights for the Healthcare Professional: 2013 Edition. ScholarlyEditions; 2013.
    [Google الباحث العلمي]
  17. Denollet J. DS14: standard assessment of negative affectivity, social inhibition, and type D personality. Psychosom Med. 2005 Jan; 67:(1):89–97. http://doi.org/10.1097/01.psy.0000149256.81953.49
    [Google الباحث العلمي]
  18. Edwards JR, Baglioni AJ Jr, Cooper CL. The psychometric properties of the Bortner Type A Scale. Br J Psychol. 1990 Aug; 81:(3):315–33. http://doi.org/10.1111/j.2044-8295.1990.tb02364.x
    [Google الباحث العلمي]
  19. Saleem S, Saleem T, Waheed Q. Type D personality, type A behavior pattern, a stratified comorbidity and coping in patients with cardiovascular disease. Prof Med J. 2016; 23:(12):1546–53. http://doi.org/10.29309/TPMJ/2016.23.12.1815
    [Google الباحث العلمي]
  20. Namavar A, Haque A. Type D personality and coronary artery disease: Exploring their relationship in younger population of United Arab Emirates. Ibnosina J Med Biomed Sci. 2014 Dec 1; 06:(06):298–305.
    [Google الباحث العلمي]
  21. Yusuf S, Hawken S, Ôunpuu S, Dans T, Avezum A, Lanas F, et al.. Effect of potentially modifiable risk factors associated with myocardial infarction in 52 countries (the INTERHEART study): case-control study. Lancet. 2004 Sep; 364:(9438):937–52. http://doi.org/10.1016/S0140-6736(04)17018-9
    [Google الباحث العلمي]
  22. Lansari R. La dépression après un infarctus de myocarde dans une population hospitalière: prévalence et facteurs associés. Thèse. Médecine: Tunis; 2016. 73p.
    [Google الباحث العلمي]
  23. Martens EJ, Mols F, Burg MM, Denollet J. Type D personality predicts clinical events after myocardial infarction, above and beyond disease severity and depression. J Clin Psychiatry. 2010; 71:(6):778–83. http://doi.org/10.4088/JCP.08m04765blu
    [Google الباحث العلمي]
  24. Mommersteeg PM, Herr R, Bosch J, Fischer JE, Loerbroks A. Type D personality and metabolic syndrome in a 7-year prospective occupational cohort. J Psychosom Res. 2011; 71:(5):357–63. http://doi.org/10.1016/j.jpsychores.2011.05.004
    [Google الباحث العلمي]
  25. Kupper N, Pedersen SS, Höfer S, Saner H, Oldridge N, Denollet J. Cross-cultural analysis of Type D (distressed) personality in 6222 patients with ischemic heart disease: a study from the International HeartQoL Project. Int J Cardiol. 2013 Jun; 166:(2):327–33. http://doi.org/10.1016/j.ijcard.2011.10.084
    [Google الباحث العلمي]
  26. Miaoxin Fu, Aihua Mei, Xinwen Min, Handong Yang, Wenwen Wu, Jixin Zhong, Chunlei Li, Jun Chen. Advancements in cardiovascular disease research affected by smoking: mechanisms and clinical implications. Oxid Med Cell Longev. 2024;2024. http://doi.org/10.31083/j.rcm2508298
    [Google الباحث العلمي]
  27. Janowska K, Szydziak J, Hrapkowicz A, et al.. The effects of cigarette smoking on the cardiovascular system: mechanisms of damage, risk factors, and prevention strategies. J Educ Health Sport. 2025; 77::56630. http://doi.org/10.12775/JEHS.2025.77.56630
    [Google الباحث العلمي]
  28. Bellou V, Belbasis L, Tzoulaki I. Cardiovascular effects of smoking and smoking cessation: a 2024 meta-analysis. Pharmacol Res. 2025; 170:105732. http://doi.org/10.1016/j.phrs.2024.105732
    [Google الباحث العلمي]
  29. Haute Autorité de Santé. Éducation thérapeutique dans la prise en charge des maladies chroniques. Méd Mal Métab. 2008 Dec; 2:(6):643–6.
    [Google الباحث العلمي]
  30. Oginska N. Le stress professionnel et ses conséquences chez les professionnels de la santé: le rôle de la personnalité de type D. Int J Occup Med Environ Santé. 2006; 19:(2):113–22. http://doi.org/10.1684/ipe.2008.0394
    [Google الباحث العلمي]
  31. Pedersen SS, Middel B. Increased vital exhaustion among type-D patients with ischemic heart disease. J Psychosom Res. 2001; 51:(2):443–9. http://doi.org/10.1016/s0022-3999(01)00203-3
    [Google الباحث العلمي]
  32. Ghodbène S. Troubles Dépressifs et infarctus du myocarde. Thèse. Médecine: Tunis; 2001. 147p.
    [Google الباحث العلمي]
  33. Myrtek M. . Int J Cardiol. 2001; 79:(2):245–51. http://doi.org/10.1016/s0167-5273(01)00441-7
    [Google الباحث العلمي]
/content/journals/10.5339/avi.2025.13
Loading
/content/journals/10.5339/avi.2025.13
Loading

جارٍ تحميل البيانات والوسائط...

  • نوع المستند: Research Article
الموضوعات الرئيسية cardiovascular diseasecoronary acute syndromes and Personality

الأكثر اقتباسًا لهذا الشهر Most Cited RSS feed

هذه الخانة مطلوبة
يُرجى إدخال عنوان بريد إلكتروني صالح
Approval was a Success
Invalid data
An Error Occurred
Approval was partially successful, following selected items could not be processed due to error