Psychosocial risk factors and personality disorders in outpatient cardiology setting

Abstract

<p><strong>Purpose</strong>: The aim of this study is to describe psychological risk factors and personality disorders in outpatient cardiology setting without cardiovascular diseases.</p><p><strong>Materials and methods</strong>: A cross sectional and multicenter study was conducted. Outpatients over 21 years old without cardiovascular diseases were enrolled. Psychosocial risk factors and personality disorders were assessed. For data analysis, patients were grouped according to the number of cardiovascular risk factors: one (CRF=1), two (CRF=2), three or more (CRF≥3).</p><p><strong>Results</strong>: 104 adults were enrolled. Mean age 50.66±14.79. 56.7% were male. 46.2% had between three and eight cardiovascular risk factors. 34.6% had two cardiovascular risk factors. 19.2% had one cardiovascular risk factor. Psychosocial risk factors were present in 77.9% and personality disorders in 74%. 70.2% had psychosocial risk factor and personality disorder comorbidities. Statistical differences between groups CRF=1, CRF=2 and CRF≥3 were founded for hostility (p=0.017) and narcissistic personality disorder (p=0.049). Statistical association were founded for obesity and hostility (p=0.033), hereditary and schizotypal personality disorder (p=0.002).</p><strong>Conclusion</strong>: Psychological risk factors and personality disorders comorbidities are more frequent than psychological risk factors only or personality disorders only in outpatient cardiology setting without cardiovascular diseases.

Associations Between Personality Functioning, Childhood Trauma and Non-adherence in Cardiovascular Disease: A Psychodynamically-Informed Cross-Sectional Study

“…Deficits in personality functioning appear to have a negative impact on disease progression and adherence ( Collier et al, 1999 ) in mental illness (bipolar disorder ( Wagner-Skacel et al, 2020 ; Ortelbach et al, 2022 ); eating disorders ( Rohde et al, 2019 ); personality disorders ( Zimmermann et al, 2014 ); major depressive disorder ( Zeeck et al, 2020 ) as well as cancer ( Wynn, 2010 ; Di Mattei et al, 2018 ) and chronic physical illness ( Leichter and Dreelin, 2005 ; Pollock-BarZiv and Davis, 2005 ; Moran et al, 2007 ; Lee et al, 2010 ). Only two studies have examined the influence of personality disorders on non-adherence in cardiovascular health to date ( Suárez-Bagnasco et al, 2015 ; Hall et al, 2019 ), indeed despite knowledge that personality disorders are an important risk factor for health-related matters such as physical functioning, role limitations, fatigue, and pain ( Powers and Oltmanns, 2012 ). Furthermore, personality disorders are linked to several variables concerning general health status ( Soeteman et al, 2008 ; El-Gabalawy et al, 2010 ).…”