Personality predictors of mortality in cardiac transplant candidates and recipients

Brandwin, Marvin A.; Trask, Peter C.; Schwartz, Steven M.; Clifford, Mary

doi:10.1016/s0022-3999(00)00152-5

Cited by 56 publications

(36 citation statements)

References 14 publications

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“…9,10 However, data on personality traits among HTx populations are sparse, 19 and the present findings confirm previous evidence suggesting that post-HTx mortality may be increased in recipients who experience chronic stress and social inhibition. 21 Hence, our findings support the notion that psychologic factors require continuous attention in the longterm care of post-HTx patients. 11 Symptoms of psychologic distress are prevalent among HTx patients, 11,12 but recipients differ greatly in the extent to which they experience distress.…”

supporting

confidence: 83%

“…19,20 One study also found that postHTx mortality was increased in recipients who were characterized by chronic stress and inhibition in interpersonal situations. 21 These characteristics closely resemble those of the distressed personality (Type D); that is, Type D denotes the joint tendency toward negative affectivity (chronic negative emotions) and social inhibition (inhibited self-expression toward others), and has been related to mortality and poor health status in cardiovascular patients. [22][23][24][25][26] However, other investigators did not find an association between distress and outcomes after HTx, 27 and the exact role of personality in this context remains largely unknown.…”

mentioning

confidence: 91%

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Unfavorable Outcome of Heart Transplantation in Recipients With Type D Personality

Denollet

Vrints

et al. 2007

The Journal of Heart and Lung Transplantation

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Unfavorable outcome of heart transplantation in recipients with type D personalityDenollet, Johan; Holmes, R.V.F.H.; Vrints, C.J.; Conraads, V. Published in:The Journal of Heart and Lung Transplantation Document version:Publisher's PDF, also known as Version of record General rightsCopyright and moral rights for the publications made accessible in the public portal are retained by the authors and/or other copyright owners and it is a condition of accessing publications that users recognise and abide by the legal requirements associated with these rights.-Users may download and print one copy of any publication from the public portal for the purpose of private study or research -You may not further distribute the material or use it for any profit-making activity or commercial gain -You may freely distribute the URL identifying the publication in the public portal Take down policy If you believe that this document breaches copyright, please contact us providing details, and we will remove access to the work immediately and investigate your claim. Background: The role of personality in heart transplantation (HTx) remains largely unknown. We examined the distressed personality (Type D) as a predictor of outcomes in patients suffering from end-stage heart disease who underwent HTx. Methods:Using the DS14 scale, 51 patients (75% men; 54.1 Ϯ 9.7 years of age) were diagnosed as Type D or non-Type D in the pre-transplant period. End-points of this prospective follow-up study (mean 5.4 years) were mortality and allograft rejection (Grade Ն3A rejection, rejection-free days after HTx). Results:At baseline, 15 patients were diagnosed as Type D and 36 as non-Type D; they did not differ in recipient or donor characteristics. At follow-up, there were 8 deaths; the mortality rate of Type D recipients was 33% vs 8% for non-Type Ds ( p ϭ 0.036). Two deaths were due to early post-operative complications and were excluded from further analyses. Type D recipients had a 10-fold higher mortality rate after hospital discharge (5 of 15, or 33%) as compared with non-Type D recipients (1 of 34, or 3%) ( p ϭ 0.013, adjusting for age and gender). Among surviving recipients, the rate of Grade Ն3A rejection for both groups was 40% vs 27%, respectively (p ϭ 0.45). The first episode of rejection was diagnosed, on average, after 14 days in Type D recipients vs after 50 days in the other patients (p ϭ 0.032). The risk of unfavorable outcomes (death, Grade Ն3A rejection, or number rejection-free days Յ14) was greater in Type D recipients (12 of 15, or 80%) than in non-Type Ds (13 of 34, or 38%), adjusting for other risk factors (odds ratio: 6.75; 95% confidence interval: 1.47 to 30.97) ( p ϭ 0.014). Conclusions: Type D personality independently predicted mortality and early allograft rejection, and should be accounted for when planning interventions to achieve optimal outcomes after HTx. J Heart Lung Transplant 2007;26:152-8.

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confidence: 83%

mentioning

confidence: 91%

Unfavorable Outcome of Heart Transplantation in Recipients With Type D Personality

Denollet

Vrints

et al. 2007

The Journal of Heart and Lung Transplantation

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“…The impact of Type D personality has not yet been investigated in the context of heart transplantation, although a derivation from the Millon Health Behavioral Inventory (i.e. the bprototypic high-distress patientQ) that resembles Type D has previously been associated with increased risk of mortality in heart transplant recipients [8].…”

Section: Introductionmentioning

confidence: 99%

Type D personality is associated with impaired health-related quality of life 7 years following heart transplantation

Pedersen

Holkamp

Çalışkan

et al. 2006

Journal of Psychosomatic Research

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Type D personality is associated with impaired health-related quality of life 7 years following heart transplantation Pedersen, S.S.; Holkamp, P.G.; Caliskan, K.; van Domburg, R.T.; Erdman, R.A.M.; Balk, A.H.M.M. Published in: Journal of Psychosomatic Research Document version:Publisher's PDF, also known as Version of record Publication date: 2006 Link to publicationCitation for published version (APA): Pedersen, S. S., Holkamp, P. G., Caliskan, K., van Domburg, R. T., Erdman, R. A. M., & Balk, A. H. M. M. (2006). Type D personality is associated with impaired health-related quality of life 7 years following heart transplantation. Journal of Psychosomatic Research, 61(6), 791-795. General rightsCopyright and moral rights for the publications made accessible in the public portal are retained by the authors and/or other copyright owners and it is a condition of accessing publications that users recognise and abide by the legal requirements associated with these rights.-Users may download and print one copy of any publication from the public portal for the purpose of private study or research -You may not further distribute the material or use it for any profit-making activity or commercial gain -You may freely distribute the URL identifying the publication in the public portal Take down policy If you believe that this document breaches copyright, please contact us providing details, and we will remove access to the work immediately and investigate your claim. AbstractObjective: Health-related quality of life (HRQoL) following transplantation is gaining importance as an endpoint, but little is known about the role of normal personality traits as a determinant of HRQoL in this patient group. We investigated whether Type D personality (tendency to experience increased negative emotions paired with the nonexpression of these emotions) was associated with impaired HRQoL in heart transplant recipients. Methods: Data were collected from all surviving heart transplant recipients z21 years of age (n=186) with a mean (S.D.) of 7 (5) Conclusions: Type D personality was associated with more than a three-to six-fold increased risk of impaired HRQoL in heart transplant recipients, showing that the Type D personality construct also has value in heart transplant recipients. The adoption of a personality approach may lead to improved risk stratification in research and clinical practice in this patient group. D

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“…No obstante, este dato nos parece poco concluyente, dado que solo 6 de los 22 pacientes presentaban patología psiquiá-trica previa al TC. La literatura señala que la presencia de mayor distrés psicológico supone una disminución de la supervivencia tanto en el tiempo de espera hasta el TC como en el seguimiento al año y a los 5 años 40 . Respecto a la presencia de psicopatología, entre el 40 y el 60% de los pacientes presentan síntomas psiquiátricos significativos (principalmente depresivos, ansiosos y adaptativos) durante el periodo de espera 22,26,[41][42][43] .…”

Section: Discussionunclassified

Evaluación de factores psiquiátricos y psicosociales en una cohorte de receptores de trasplante cardiaco: estudio de seguimiento a 12meses

Sánchez‐González¹

2016

Psiquiatría Biológica

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Personality predictors of mortality in cardiac transplant candidates and recipients

Cited by 56 publications

References 14 publications

Unfavorable Outcome of Heart Transplantation in Recipients With Type D Personality

Unfavorable Outcome of Heart Transplantation in Recipients With Type D Personality

Type D personality is associated with impaired health-related quality of life 7 years following heart transplantation

Evaluación de factores psiquiátricos y psicosociales en una cohorte de receptores de trasplante cardiaco: estudio de seguimiento a 12meses

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