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印度南部一家三级护理中心急性心肌梗死幸存者中D型人格的患病率及其相关因素

Prevalence and Correlates of Type D Personality among Survivors following Acute Myocardial Infarction in a Tertiary Care Center in South India.

作者信息

Pillai Anoop Gangadharan, Menon Vikas, Satheesh Santhosh

机构信息

Department of Psychiatry, Jawaharlal Institute of Post Graduate Medical Education and Research, Puducherry, India.

Department of Cardiology, Jawaharlal Institute of Post Graduate Medical Education and Research, Puducherry, India.

出版信息

J Neurosci Rural Pract. 2019 Jul;10(3):405-412. doi: 10.1055/s-0039-1697242. Epub 2019 Oct 7.

Abstract

Type D personality, described as a consistent tendency to experience increased levels of social inhibition and negative affectivity, has a robust association with negative outcomes following myocardial infarction (MI). However, little is known about its determinants in our setting. Our aim was to assess the prevalence and correlates of Type D personality among survivors following acute MI (AMI).  Two hundred participants with AMI were recruited over an 18-month period. Type D scale-14 was used to evaluate the presence of Type D personality. Apart from sociodemographic factors, depression, anxiety, stress, coping, personality, quality of life, and perceived social support were assessed using standard measures.  Type D personality was present in 24% of samples ( = 48). In multivariate Poisson regression analysis, younger age (prevalence ratio [PR]: 0.950, 95% confidence intervals [CIs]: 0.927-0.974), high depression (PR: 1.372, 95% CI: 1.216-1.548), and low family support (PR: 0.898, 95% CI: 0.849-0.949) emerged as independent predictors of Type D personality in participants with AMI.  Type D personality is seen in a significant proportion of AMI, consistent with global literature. Our findings suggest that among Indian patients with AMI, the presence or absence of Type D personality may represent two distinct subpopulations.

摘要

D型人格被描述为一种持续倾向于经历社交抑制和消极情感增加的状态,与心肌梗死(MI)后的负面结果有着密切关联。然而,在我们的研究环境中,对其决定因素知之甚少。我们的目的是评估急性心肌梗死(AMI)幸存者中D型人格的患病率及其相关因素。

在18个月的时间里招募了200名AMI患者。使用D型人格量表-14来评估D型人格的存在情况。除了社会人口统计学因素外,还使用标准测量方法评估了抑郁、焦虑、压力、应对方式、人格、生活质量和感知到的社会支持。

24%的样本(n = 48)存在D型人格。在多变量泊松回归分析中,年龄较小(患病率比值[PR]:0.950,95%置信区间[CI]:0.927 - 0.974)、高抑郁水平(PR:1.372,95% CI:1.216 - 1.548)和低家庭支持(PR:0.898,95% CI:0.849 - 0.949)成为AMI患者中D型人格的独立预测因素。

与全球文献一致,在相当比例的AMI患者中发现了D型人格。我们的研究结果表明,在印度的AMI患者中,D型人格的存在与否可能代表两个不同的亚群体。

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