Impacts of Type D Personality and Depression, Alone and in Combination, on Medication Non-Adherence Following Percutaneous Coronary Intervention

Son, Youn‐Jung; Lee, Kyounghoon; Morisky, Donald E.; Kim, Bo-Hwan

doi:10.3390/ijerph15102226

Cited by 13 publications

(12 citation statements)

References 57 publications

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“…Previous evidence also corroborates this study’s findings that depression is associated with lower medication adherence [45,46,50] with one study reporting that patients were four times more likely to be non-adherent if they reported having depression. [50] Furthermore, prior studies have shown depression increased as ACE scores increased, in addition to those with childhood traumas having more physical symptoms and engaging in more health-risk behaviors.…”

Section: Discussionsupporting

confidence: 88%

Factors impacting medication adherence in a birth cohort at higher risk for Hepatitis C infection

et al. 2022

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Due to the high prevalence of Hepatitis C virus (HCV) infection among individuals born between 1945 and 1965, in 2012 the Centers for Disease Control and Prevention began recommending HCV screening for this birth cohort. As adherence to HCV treatment is essential for sustained virologic response, identifying factors influencing medication adherence is important. The validated Adherence to Refills and Medications Scale (ARMS) is used to study recent medication adherence in those with chronic disease. This cross-sectional pilot study assesses factors associated with reduced adherence, indicated by higher ARMS scores, among individuals in this birth cohort. To elucidate factors associated with medication adherence, measured by the ARMS score, among a birth cohort at higher risk for HCV to guide future treatment and improve adherence. Patients born between 1945 and 1965, accessing care at an academic family medicine clinic, were recruited between April and June 2019. Demographics, prior HCV diagnosis, HCV risk factors (prior imprisonment, tattoos, and intravenous drug use), depression assessment (Patient Health Questionnaire-9), adverse childhood experiences (ACEs), and ARMS scores were collected. Mean ARMS scores were compared using t tests and analysis of variance (α = 0.05), while multiple variable models were performed using linear regression. Women comprised 58% of participants (n = 76), 52% reported depression and 37% 4 or more ACEs. The mean ARMS score was 16.3 (SD = 3.43) and 10% reported prior diagnosis of HCV. In the final multiple variable model, ARMS scores were 2.3 points higher in those with mild depression (95% CI: 0.63, 4.04), 2.0 in those with at least 4 ACEs (95% CI: 0.55, 3.49), and 1.8 in those with tattoos (95% CI: 0.30, 3.28). ACEs and food insecurity were identified as confounding variables in those with moderate to severe depression. This study found medication adherence was related to depression, ACEs, tattoos, and food insecurity among patients in this birth cohort at higher risk for HCV.

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Section: Discussionsupporting

confidence: 88%

Factors impacting medication adherence in a birth cohort at higher risk for Hepatitis C infection

et al. 2022

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“…A deeper study of the issue has contributed to the creation of a type D personality that describes the body's response to distress (Mols and Denollet, 2010 ; Kupper and Denollet, 2018 ; Spek et al, 2018 ). Type D personality is characterized by a high level of negative affectivity and a high level of social inhibition (Sher, 2005 ; Kasai et al, 2013 ; Li et al, 2016 ; Jandackova et al, 2017 ; Borkoles et al, 2018 ; Son et al, 2018 ). The synergy of both variables, according to Mols and Denollet ( 2010 ), is a risk factor with which various other health complications are associated.…”

Section: Introductionmentioning

confidence: 99%

Competitive Anxiety, and Guilt and Shame Proneness From Perspective Type D and Non-type D Football Players

Kaplánová

2021

Front. Psychol.

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The precompetitive, competitive, and postcompetitive mental states of athletes are currently not sufficiently researched. Long-term exposure to stressors contributes to the formation of mental blocks and leads to various health problems. One of the factors that can explain the variability of athletes' reactions to stress is their personality. This study is the first to examine competitive anxiety, and guilt and shame proneness in the context of the reaction of football players to distress in sports. The study consists of 112 male football players aged 16–24 (21.00 ± 1.90) who were divided into type D and non-type D football players according to scoring on the Denollet Scale (DS14). Football players also filled out the Sport Anxiety Scale (SAS-2) and the Guilt and Shame Proneness Scale (GASP). The taxonomic approach was conducted to test and to examine differences in stressor intensity as a function of type D personality. A correlation, multivariate analysis of variance, and regression analysis were performed in the study. We found that type D football players were more afraid of failures in sports (worry), felt more often autonomous excitement concentrated in the stomach and muscles (somatic anxiety), and showed more frequent concentration disruption than did non-type D football players. We also found that although type D football players were more likely to rate their behavior as negative and inappropriate, they showed a much greater effort to correct it than did non-type D football players. Negative affectivity and social inhibition of type D football players were positively correlated with competitive anxiety. In addition, we noted lower levels of somatic anxiety and lower concentration disruption for football players who used escape strategies to manage stress. The shame proneness subscale monitoring negative self-evaluation was also closely related to the concentration disruption of football players. We found that the examination of athletes by type D personality is necessary due to the fact that negative affectivity and social inhibition are significant predictors of competitive anxiety of football players, which explains their worries at 24.0%, somatic anxiety at 8.2%, and concentration disruption at 10.6%.

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“…Depression has been a risk factor for the development and progression of CAD, and a significant relative risk exists (1.5-2.5) ( 7 ). Furthermore, patients with persistent depression after the onset of ACS were found to have lower rates of adherence to quitting smoking, using medications, exercising, and attending cardiac rehabilitation than those without depression ( 8 , 9 ).…”

Section: Introductionmentioning

confidence: 99%

The Association of Depression with Type D Personality and Coping Strategies in Patients with Coronary Artery Disease

2020

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Objective Depression in patients with coronary artery disease (CAD) has been a risk factor for adverse cardiovascular events. However, personality types, strategies for coping with stressors, and their associations with depression have not been fully elucidated in patients with CAD. This study explored depression in patients with CAD and examined its association with personality types and coping strategies. Methods A prospective observational study of 89 patients with CAD was conducted between August 2016 and July 2018. The presence of depression and type D personality and types of coping strategies were measured one month after percutaneous coronary intervention. A logistic regression analysis was performed to identify characteristics associated with depression. Results Generally, the incidence of depression and type D personality was 55.1% and 44.9%, respectively. The incidence of depression in patients with type D and non-type D personality was 72.5% and 40.8%, respectively. Patients with type D personality coped less frequently using a planning strategy but frequently using a responsibility-shifting strategy. A logistic regression analysis showed that the presence of depression was significantly associated with type D personality and inversely associated with a planning strategy. Conclusion The high prevalence of depression in patients with CAD was associated with type D personality and a low rate of adoption of a planning strategy. Specific coping interventions in patients with CAD with type D personality may be potential targets for improving coping skills and preventing the development of depression.

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Impacts of Type D Personality and Depression, Alone and in Combination, on Medication Non-Adherence Following Percutaneous Coronary Intervention

Cited by 13 publications

References 57 publications

Factors impacting medication adherence in a birth cohort at higher risk for Hepatitis C infection

Factors impacting medication adherence in a birth cohort at higher risk for Hepatitis C infection

Competitive Anxiety, and Guilt and Shame Proneness From Perspective Type D and Non-type D Football Players

The Association of Depression with Type D Personality and Coping Strategies in Patients with Coronary Artery Disease

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