Age-Related Differences in the Effect of Psychological Distress on Mortality: Type D Personality in Younger versus Older Patients with Cardiac Arrhythmias
Joint Authors
Denollet, Johan
Tekle, Fetene B.
van der Voort, Pepijn H.
Alings, Marco
van den Broek, Krista C.
Source
Issue
Vol. 2013, Issue 2013 (31 Dec. 2013), pp.1-7, 7 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2013-09-25
Country of Publication
Egypt
No. of Pages
7
Main Subjects
Abstract EN
Mixed findings in biobehavioral research on heart disease may partly be attributed to age-related differences in the prognostic value of psychological distress.
This study sought to test the hypothesis that Type D (distressed) personality contributes to an increased mortality risk following implantable cardioverter defibrillator (ICD) treatment in younger patients but not in older patients.
Methods.
The Type D Scale (DS14) was used to assess general psychological distress in 455 younger (≤70 y, m=59.1) and 134 older (>70 y, m=74.3) ICD patients.
End points were all-cause mortality and cardiac death after a median follow-up of 3.2 years.
Results.
Older patients had more advanced heart failure and a higher mortality rate (n=34/25%) than younger patients (n=60/13%), P=0.001.
Cardiac resynchronization therapy (CRT), but not Type D personality, was associated with increased mortality in older patients.
Among younger patients, however, Type D personality was associated with an adjusted hazard ratio = 1.91 (95% CI 1.09–3.34) and 2.26 (95% CI 1.16–4.41) for all-cause and cardiac mortality; other predictors were increasing age, CRT, appropriate shocks, ACE-inhibitors, and smoking.
Conclusion.
Type D personality was independently associated with all-cause and cardiac mortality in younger ICD patients but not in older patients.
Cardiovascular research needs to further explore age-related differences in psychosocial risk.
American Psychological Association (APA)
Denollet, Johan& Tekle, Fetene B.& van der Voort, Pepijn H.& Alings, Marco& van den Broek, Krista C.. 2013. Age-Related Differences in the Effect of Psychological Distress on Mortality: Type D Personality in Younger versus Older Patients with Cardiac Arrhythmias. BioMed Research International،Vol. 2013, no. 2013, pp.1-7.
https://search.emarefa.net/detail/BIM-1003778
Modern Language Association (MLA)
Denollet, Johan…[et al.]. Age-Related Differences in the Effect of Psychological Distress on Mortality: Type D Personality in Younger versus Older Patients with Cardiac Arrhythmias. BioMed Research International No. 2013 (2013), pp.1-7.
https://search.emarefa.net/detail/BIM-1003778
American Medical Association (AMA)
Denollet, Johan& Tekle, Fetene B.& van der Voort, Pepijn H.& Alings, Marco& van den Broek, Krista C.. Age-Related Differences in the Effect of Psychological Distress on Mortality: Type D Personality in Younger versus Older Patients with Cardiac Arrhythmias. BioMed Research International. 2013. Vol. 2013, no. 2013, pp.1-7.
https://search.emarefa.net/detail/BIM-1003778
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1003778