Center of Research on Psychology in Somatic Diseases, Department of Medical Psychology and Neuropsychology, Tilburg University, Tilburg, The Netherlands.
Eur J Prev Cardiol. 2012 Dec;19(6):1373-80. doi: 10.1177/1741826711425338. Epub 2011 Sep 30.
Knowledge of the factors associated with individual differences in patient-reported outcomes is essential to identify high-risk patients and improve secondary prevention.
In this meta-analysis, we examined the association between Type D personality and the individual differences in patient-reported physical and mental health status among cardiovascular patients.
A computerized search of the literature through PUBMED and PsychINFO (from 1995 to May 2011) was performed and prospective studies were selected that analysed the association between Type D personality and health status in cardiovascular patients. Two separate meta-analyses were performed for the association of Type D personality with physical and mental health status, respectively.
Of all identified studies, ten studies met the selection criteria. The meta-analyses showed that Type D was associated with a two-fold increased odds for impaired physical health status (3035 patients, OR 1.94, 95% CI 1.49-2.52) and a 2.5-fold increased odds for impaired mental health status (2213 patients, OR 2.55, 95% CI 1.57-4.16). There was no significant heterogeneity between the studies on physical health status (Q = 12.78; p = 0.17; I(2 )= 29.59), but there was between those on mental health status (Q = 21.91; p = 0.003; I(2 )= 68.04). Subgroup analyses showed that the association between Type D and mental health status decreased yet remained significant when adjusting for baseline health status.
Type D personality was shown to be an independent correlate of impaired patient-reported physical and mental health status in various cardiovascular patient groups. Clinicians should be aware of the association between chronic psychological distress and poor patient-reported outcomes.
了解与患者报告结局的个体差异相关的因素对于识别高危患者和改善二级预防至关重要。
在这项荟萃分析中，我们研究了 D 型人格与心血管病患者个体报告的身体和心理健康状况差异之间的关系。
通过 PUBMED 和 PsychINFO（从 1995 年到 2011 年 5 月）进行了文献计算机检索，并选择了分析 D 型人格与心血管病患者健康状况之间关系的前瞻性研究。分别对 D 型人格与身体和心理健康状况的关系进行了两次荟萃分析。
在所有确定的研究中，有十项研究符合选择标准。荟萃分析表明，D 型人格与身体不健康状态的几率增加两倍相关（3035 例患者，OR 1.94，95%CI 1.49-2.52），与心理健康状态受损的几率增加 2.5 倍相关（2213 例患者，OR 2.55，95%CI 1.57-4.16）。关于身体健康状况的研究之间没有显著的异质性（Q=12.78;p=0.17;I(2)=29.59），但关于心理健康状况的研究之间存在显著异质性（Q=21.91;p=0.003;I(2)=68.04）。亚组分析表明，当调整基线健康状况时，D 型与心理健康状况之间的关联虽然减弱，但仍然显著。
D 型人格与各种心血管病患者群体中患者报告的身体和心理健康状况受损独立相关。临床医生应注意慢性心理困扰与不良患者报告结局之间的关系。
