Objective: Given the debate around limitations and controversies in type D personality studies, we aimed to evaluate the prognostic value of 'synergistically' analyzed type D personality (interaction z-scores negative affectivity NA, and social inhibition SI) on 10-year mortality and on 10-year subjective health status in percutaneous coronary intervention (PCI) patients. Methods: This prospective study comprised a cohort of 1190 consecutive patients who underwent PCI between October 2001 and September 2002 (73% male, mean age: 62. years, range [27-90]. years). At baseline, type D personality (DS14), and depression/anxiety (HADS) were assessed. Primary endpoint was 10. year all-cause mortality; secondary endpoint was 10-year subjective health status (SF-36). Results: After a median follow-up of 10.3. years (IQR 9.8-10.8), 293 deaths of any cause (24.6%) were recorded. After adjustment for significant baseline characteristics, personality categories approached and dichotomously approached type D personality were associated with 10-year mortality, p < .05. Synergistically approached type D personality was not associated with all-cause mortality or subjective health status at 10. years. In survivors, higher NA was associated with lower subjective health status. Type D was not associated with mortality after adjusting for continuous depression and anxiety in all approaches. Conclusions: Synergistically analyzed type D was not associated with 10-year all-cause mortality in PCI patients whereas dichotomous type D was. However, after adjustment for depression most of the findings had disappeared. Depression played an important role in this. Type D was not associated with 10-year subjective health status.

Additional Metadata
Keywords Depression, Mortality, Percutaneous coronary intervention, Subjective health status, Type D personality
Persistent URL dx.doi.org/10.1016/j.jpsychores.2015.05.014, hdl.handle.net/1765/86000
Journal Journal of Psychosomatic Research
Citation
Dulfer, K, Hazemeijer, B.A.F, Van Dijk, M.R, van Geuns, R.J.M, Daemen, J, van Domburg, R.T, & Utens, E.M.W.J. (2015). Prognostic value of type D personality for 10-year mortality and subjective health status in patients treated with percutaneous coronary intervention. Journal of Psychosomatic Research, 79(3), 214–221. doi:10.1016/j.jpsychores.2015.05.014