Annagür Bilge B, Demir Kenan, Avci Ahmet, Uygur Ömer Faruk
ANNAGÜR and UYGUR: Department of Psychiatry, Faculty of Medicine, Selçuk University, Konya, Turkey DEMIR and AVCI, Department of Cardiology, Faculty of Medicine, Selçuk University, Konya, Turkey.
J Psychiatr Pract. 2017 Jan;23(1):3-10. doi: 10.1097/PRA.0000000000000201.
Recent studies have shown that a Type D personality is associated with an increased risk of cardiac mortality.
This study aimed to examine the impact of a Type D personality on clinical and psychometric properties in a sample of Turkish patients with a first myocardial infarction (MI).
The study included 131 patients who were admitted to the coronary care unit of a hospital. All of the patients underwent a psychiatric assessment within 2 to 6 months after their MI. Psychiatric interviews were conducted using the Structured Clinical Interview for DSM-IV (SCID-I). Patients also completed the Beck Depression Inventory, the Spielberger State-Trait Anxiety Inventory, the Health Anxiety Inventory, and the Type D personality scale.
The patients were divided into 2 groups on the basis of the presence or absence of Type D personality. There was a 38.2% prevalence of Type D personality in the patients with a first MI. Those with this type of personality had a significantly higher frequency of hypertension and stressful life events. The Type D patients also had more psychiatric disorders, including depressive and anxiety disorders, than the non-Type D patients.
Our findings suggest that Type D personality traits may increase the risk of hypertension and the risk of psychiatric morbidity in patients with a first MI. We suggest that this type of personality is a contributor to depression and anxiety disorders. These findings emphasize the importance of screening for Type D personality as both a cardiovascular and psychiatric risk marker in patients who have had an MI.
近期研究表明，D型人格与心脏性死亡风险增加有关。
本研究旨在探讨D型人格对首次心肌梗死（MI）的土耳其患者样本的临床和心理测量学特征的影响。
该研究纳入了131名入住某医院冠心病监护病房的患者。所有患者在心肌梗死后2至6个月内接受了精神评估。使用《精神疾病诊断与统计手册》第四版（DSM-IV）的结构化临床访谈（SCID-I）进行精神科访谈。患者还完成了贝克抑郁量表、斯皮尔伯格状态-特质焦虑量表、健康焦虑量表和D型人格量表。
根据是否存在D型人格将患者分为两组。首次心肌梗死患者中D型人格的患病率为38.2%。具有这种人格类型的患者患高血压和经历应激性生活事件的频率显著更高。与非D型患者相比，D型患者还患有更多精神障碍，包括抑郁和焦虑障碍。
我们的研究结果表明，D型人格特质可能会增加首次心肌梗死患者患高血压的风险以及精神疾病发病风险。我们认为这种人格类型是导致抑郁和焦虑障碍的一个因素。这些研究结果强调了在心肌梗死患者中筛查D型人格作为心血管和精神风险标志物的重要性。
