Schiffer Angélique A, Pedersen Susanne S, Widdershoven Jos W, Denollet Johan
CoRPS - Center of Research on Psychology in Somatic diseases, Tilburg University, Tilburg, The Netherlands.
Eur J Heart Fail. 2008 Aug;10(8):802-10. doi: 10.1016/j.ejheart.2008.06.012. Epub 2008 Jul 9.
To examine whether Type D personality exerts a stable, independent effect on health status in CHF over time, adjusted for depressive symptoms.
CHF outpatients (n=166; 75% men; mean age 66 years) completed the Type D Scale and Beck Depression Inventory (baseline) and the Minnesota Living with Heart Failure Questionnaire and Short-Form Health Survey (baseline and 12 months).
There was a general improvement in disease-specific physical (p=.029) and mental (p<.001) health over time, but Type D patients scored significantly lower on both outcomes (p<or=.001). The interaction effects Type D x time were not significant, indicating stability of the personality effect. Type D patients also scored significantly lower on all generic physical (p values between .001 and .04) and mental (all p values <.001) health status subdomains; these effects were also stable over time. Type D was an independent predictor of disease-specific mental health (p<.001), social functioning (p=.04), role emotional functioning (p<.001), bodily pain (p=.05), and general health (p=.04), adjusted for depressive symptoms, baseline health status and clinical characteristics. Depressive symptom was an independent predictor of role physical functioning and bodily pain.
Type D personality and depressive symptoms were independent predictors of impaired health status in CHF.
研究D型人格是否会在考虑抑郁症状的情况下，随时间对慢性心力衰竭（CHF）患者的健康状况产生稳定、独立的影响。
CHF门诊患者（n = 166；75%为男性；平均年龄66岁）完成了D型人格量表和贝克抑郁量表（基线），以及明尼苏达心力衰竭生活问卷和简短健康调查问卷（基线和12个月）。
随着时间推移，特定疾病的身体（p = 0.029）和心理（p < 0.001）健康状况总体有所改善，但D型人格患者在这两项结果上的得分均显著较低（p ≤ 0.001）。D型人格×时间的交互作用不显著，表明人格效应具有稳定性。D型人格患者在所有一般身体（p值在0.001至0.04之间）和心理（所有p值 < 0.001）健康状况子领域的得分也显著较低；这些效应随时间也保持稳定。在考虑抑郁症状、基线健康状况和临床特征后，D型人格是特定疾病心理健康（p < 0.001）、社会功能（p = 0.04）、角色情绪功能（p < 0.001）、身体疼痛（p = 0.05）和总体健康（p = 0.04）的独立预测因素。抑郁症状是角色身体功能和身体疼痛的独立预测因素。
D型人格和抑郁症状是CHF患者健康状况受损的独立预测因素。
