人格特质与心脏疾病的医疗结果。

Personality traits and medical outcome of cardiac illness.

机构信息

Department of Psychiatry, UCSF Medical School, United States.

出版信息

J Psychiatr Res. 2010 Nov;44(15):1017-20. doi: 10.1016/j.jpsychires.2010.03.016. Epub 2010 May 6.

DOI:10.1016/j.jpsychires.2010.03.016

PMID:20451216

Abstract

OBJECTIVE

Our goal was to examine the empirical literature on the effect of personality traits on the medical outcome of cardiac illness.

METHOD

Pub Med and Psychological Abstracts were searched for the years 1990 to September 2009 using the terms personality, personality traits, personality disorder, health, recovery from illness, cardiac illness and surgical recovery. Articles were then selected that were prospective, had a peer review published measure of personality, a standardized measure of outcome of physical illness and at least one year follow up.

RESULTS

Seven articles were identified that met our criteria. All seven had a significant finding that personality traits predicted medical outcomes. Of these seven articles six had similar enough measures of personality to be included in a meta analysis. (All used Type D personality.) Meta analysis found an odds ratio of 3.76 for Type D personality traits predicting poorer medical outcome. This indicated that patients with Type D personality had a 276% increase in the odds of a poor medical outcome compared to patients without Type D personality.

CONCLUSIONS

These findings indicate that personality traits are a strong predictor of medical outcome of cardiac disease.

摘要

目的

我们的目的是考察人格特质对心脏疾病医疗结果的影响的实证文献。

方法

使用“人格”、“人格特质”、“人格障碍”、“健康”、“疾病康复”、“心脏疾病”和“手术康复”等术语，在 1990 年至 2009 年 9 月期间在 Pub Med 和心理文摘中搜索文献。然后选择具有前瞻性、同行评审的人格发表测量、身体疾病结果的标准化测量以及至少一年随访的文章。

结果

确定了符合我们标准的 7 篇文章。这 7 篇文章都有一个重要的发现，即人格特质可以预测医疗结果。在这 7 篇文章中，有 6 篇的人格测量方法足够相似，可以进行荟萃分析。（均采用 D 型人格测量方法。）荟萃分析发现 D 型人格特质预测较差的医疗结果的优势比为 3.76。这表明，与没有 D 型人格的患者相比，具有 D 型人格的患者不良医疗结果的几率增加了 276%。