Depression, Angst, Lebensqualität und Typ-D-Muster bei Patienten mit diabetischem Fußsyndrom in stationärer Behandlung

Simson, Udo; Nawarotzky, Ute; Porck, Werner; Friese, G.; Schottenfeld-Naor, Yolanda; Hahn, Sebastian; Scherbaum, Werner A.; Kruse, Johannes

doi:10.1055/s-2007-971001

Cited by 22 publications

(8 citation statements)

References 10 publications

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“…Finally, the current findings support the cross-cultural validity for the association of Type D personality with psychological distress, and are consistent with recent finding from Denmark [59], Germany [60] and the United States [61]. Thus, the effect of Type D personality is not limited to Dutch and Belgian populations [9].…”

Section: Discussionsupporting

confidence: 91%

Type D personality is associated with impaired psychological status and unhealthy lifestyle in Icelandic cardiac patients: A cross-sectional study

et al. 2012

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BackgroundType D (distressed) personality has been associated with adverse cardiac prognosis and poor emotional well-being in cardiac patients, but it is still unclear what mechanisms link Type D personality with poor clinical outcomes in cardiac patients. In the present cohort of Icelandic cardiac patients, we examined potential pathways that may explain this relationship. The objectives were to examine 1) the association between Type D personality and impaired psychological status, and to explore whether this association is independent of disease severity; and 2) the association between Type D personality and an unhealthy lifestyle.MethodsA sample of 268 Icelandic coronary angiography patients (74% males (N = 199); mean age 62.9 years (SD 10.5), range 28-85 years) completed the Type D Scale (DS14), Hospital Anxiety and Depression Scale (HADS), and Perceived Stress Scale (PSS) at hospitalization. Health-related behaviors were assessed 4 months following angiography. Clinical data were collected from medical files.ResultsType D personality was associated with an increased risk of anxiety (OR 2.97, 95% CI:1.55-5.69), depression (OR 4.01, 95% CI:1.42-11.29), and stress (OR 5.99, 95% CI:3.08-11.63), independent of demographic variables and disease severity. Furthermore, fish consumption was lower among Type Ds, as 21% of Type Ds versus 5% of non-Type Ds consumed fish < 1 a week (p < 0.001). Type D patients were also more likely to smoke at follow-up (22% versus 10%, p = 0.024) and to use antidepressants (17% versus 9%, p = 0.049) and sleeping pills (49% versus 33%, p = 0.019) compared to non-Type Ds. Type D personality was not associated with other health-related behaviors, aside from trends towards less fruit and vegetable consumption, and more weight gain.ConclusionType D personality was associated with psychological distress and an unhealthy lifestyle in Icelandic cardiac patients. Future studies should further investigate the association between Type D personality and health-related behaviors.

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Section: Discussionsupporting

confidence: 91%

Type D personality is associated with impaired psychological status and unhealthy lifestyle in Icelandic cardiac patients: A cross-sectional study

et al. 2012

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“…Various studies showed that individuals from the general population with a Type D personality experienced more symptoms of distress, depression and anxiety compared to non-Type D's [9,13,18,19,23-25]. This increased vulnerability for mental health problems in Type D individuals was also found in chronic pain patients [36], diabetes patients [37], and cardiac patients [38]. Furthermore, the studies included in this review showed that people with a Type D personality more often reported mental health disorders [17] as well as lower levels of social support [26] compared to non-Type D adults.…”

Section: Discussionmentioning

confidence: 99%

Type D personality in the general population: a systematic review of health status, mechanisms of disease, and work-related problems

Mols

Denollet

2010

Health Qual Life Outcomes

223

174

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BackgroundThe objective was to review all available literature concerning Type D (distressed) personality among the general population and to discuss its implications for research on health status, disease-promoting mechanisms and work-related problems in non-clinical populations.MethodsA computerized search of the literature was performed independently and in duplicate by both investigators on December 21st, 2009. Published research reports were included if they studied Type D personality among the general population. Nineteen articles were selected and they were subjected to an 11-item standardised quality checklist by both investigators.ResultsThe methodological quality of the selected studies was adequate to high. The studies included in this review showed that the presence of Type D characteristics had a negative impact on mental health status (more symptoms of depression, anxiety, post-traumatic stress disorder, mental distress, passive coping, and less social support) and physical health status (more somatic complaints, lower health status, more influenza-like illness reporting). Other studies reported on behavioral and biological mechanisms of disease in apparently healthy individuals with a Type D personality. Finally, some studies also showed a negative effect of Type D personality on work-related problems (higher absence-leave, higher levels of vital exhaustion and burnout, and more work-related stress).ConclusionsType D personality is a vulnerability factor for general psychological distress that affects mental and physical health status and is associated with disease-promoting mechanisms and work-related problems in apparently healthy individuals.

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“…Hoban et al found that the scores of SF-36 of the DFS patients did not significantly differ from those non-DFS who complained of problems in the mental health including anxiety and depression 18. Simson et al reported an impairment of SF-12 score accompanied with depression and anxiety 19. Group II patients complained of structural changes in their foot including claw toes, equine ankle and others which reflected on the impairment of the physical health 20.…”

Section: Discussionmentioning

confidence: 99%

Pentoxifylline improves the quality of life in type-2 diabetes foot syndrome

Al-Nimer¹,

Ratha

Mahwi

2019

Pak J Med Sci

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Objectives: To evaluate the effect of pentoxifylline on the quality of life (QoL) in diabetic foot syndrome (DFS) by using Short Form-36 questionnaire, and in reference to the revised neuropathy disability score (RNDS) and grading of diabetic foot. Methods: This randomized placebo-controlled study was carried in the Department of Pharmacology at University of the Sulaimani through 2018. A total number of 80 T2D patients were recruited from outpatients Department attended the Center of Diabetes and the Shar Teaching Hospital in the University of Sulaimani, Sulaimani-Iraq. Group I (non-DFS, n=40) were subgrouped into Group-IA treated with placebo (n=20), and Group-IB treated with 400 mg pentoxifylline thrice daily for 8 weeks. Group II (DFS, n=40) sub grouped into Group-IIA treated with placebo (n=20), and Group-IIB treated with pentoxifylline. The primary outcome measures including the data of SF-36, RNDS, and grading of diabetic foot. Results: Pentoxifylline therapy significantly reduced the RNDS, improved the clinical evidence of diabetic foot, improved the QoL particularly the domains that related to emotional problems and physical health. Pentoxifylline offered a better effect in DFS compared with non-DFS patients Conclusion: Pentoxifylline treatment improves the quality of life in diabetic foot syndrome and its effect is related to the scoring of revised neuropathy disability and grading of diabetic foot. doi: https://doi.org/10.12669/pjms.35.5.11 How to cite this:Al-Nimer M, Ratha R, Mahwi T. Pentoxifylline improves the quality of life in type-2 diabetes foot syndrome. Pak J Med Sci. 2019;35(5):---------. doi: https://doi.org/10.12669/pjms.35.5.11 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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Depression, Angst, Lebensqualität und Typ-D-Muster bei Patienten mit diabetischem Fußsyndrom in stationärer Behandlung

Cited by 22 publications

References 10 publications

Type D personality is associated with impaired psychological status and unhealthy lifestyle in Icelandic cardiac patients: A cross-sectional study

Type D personality is associated with impaired psychological status and unhealthy lifestyle in Icelandic cardiac patients: A cross-sectional study

Type D personality in the general population: a systematic review of health status, mechanisms of disease, and work-related problems

Pentoxifylline improves the quality of life in type-2 diabetes foot syndrome

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