Impact of Type D Personality on Depression, Anxiety, and Health-related Quality of Life among Coronary Artery Disease Patients: A Systematic Review and Meta-analysis

Abstract

The purpose of this study was to investigate the impact of Type D personality among patients with Coronary Artery Disease (CAD). Methods: Seven databases were searched to conduct a systematic review and meta-analysis. Two reviewers independently searched, selected, extracted, and assessed the studies. The quality of studies was evaluated using the JBI Critical Appraisal Checklist. To estimate the effect size, meta-analysis of the studies was performed using the Comprehensive Meta-Analysis 3.0 program. Results: Of 1,128 publications identified, 31 studies that met the inclusion criteria were used to estimate the effect size of Type D personality. Effect size (Standardized Mean Difference [SMD]) was used in the analyses. Patients with CAD who had Type D personality had higher levels of depression (SMD=0.92; 95% Confidecne Interval (CI)=0.74~1.10) and anxiety (SMD=1.19; 95% CI=0.81~1.57), but lower levels of physical and mental health-related quality of life (SMD=-0.56; 95% CI=-0.75~-0.38; SMD=-0.91; 95% CI=-1.10~-0.73). Publication bias was not detected. Conclusion: Type D personality was associated with increased depression and anxiety and impaired health-related quality of life in patients with CAD. Personality and psychosocial risk screening in patients with CAD should be conducted in the clinical setting.

The Effects of Lifestyle Interventions on the Health-Promoting Behavior, Type D Personality, Cognitive Function and Body Composition of Low-Income Middle-Aged Korean Women

“…Furthermore, our results supported the findings of studies demonstrating that a Type D personality has a direct effect on health behavior [ 11 ]. Additionally, a Type D personality is associated with an unhealthy lifestyle [ 10 ]; patients with a Type D personality are susceptible to health impairments [ 36 ] and strategies to reduce a Type D personality are required. Health care providers said that patients with a Type D personality should be provided with ongoing mental health care to ensure that they receive sufficient social support [ 37 ].…”

“…Among the general population and patients with chronic diseases, a Type D personality is vulnerable to stress and is associated with unhealthy behaviors and a low quality of life [ 9 ]. Middle-aged women with a Type D personality reported a poorer performance in HPB [ 10 ] and it has been reported to be associated not only with cardiovascular diseases but also with psychiatric problems such as anxiety, somatization, posttraumatic stress disorder and depression [ 11 ].…”