Type D Personality and Health-Related Quality of Life in Vascular Surgery Patients.

Publisher: Informa Healthcare Country of Publication: England NLM ID: 9421097 Publication Model: Print Cited Medium: Internet ISSN: 1532-7558 (Electronic) Linking ISSN: 10705503 NLM ISO Abbreviation: Int J Behav Med Subsets: MEDLINE

Publication: London : Informa Healthcare
Original Publication: Hillsdale, NJ : Lawrence Erlbaum Associates, c1994-

Type D Personality*; Depression/*epidemiology ; Quality of Life/*psychology ; Vascular Diseases/*psychology ; Vascular Surgical Procedures/*psychology; Aged ; Depression/psychology ; Female ; Health Status ; Humans ; Inhibition, Psychological ; Male ; Middle Aged ; Prevalence ; Prospective Studies ; Surveys and Questionnaires ; Vascular Diseases/surgery

Background: This study evaluated the association of type D personality and health-related quality of life (HRQoL) and assessed the stability of type D personality in vascular surgery patients during the year after surgery.
Method: In a prospective cohort study between 2008 and 2014, 294 patients were assessed with validated questionnaires preoperatively and at 1, 6, and 12 months after surgery. Associations between type D personality, depression, and HRQoL were analyzed by generalized estimating equation models. Type D personality was analyzed in its standard dichotomous form as well as continuous (z) scores of its two components, negative affectivity (NA) and social inhibition (SI), and their interaction term.
Results: Prevalence of type D personality varied between 18% and 25%. However, only 9% of the complete responders were classified as type D personality at all four assessments, whereas one third changed between type D classifications. Continuous scores showed greater stability over time. Dichotomized type D personality measured over time was significantly associated with impaired HRQoL, but this was not the case if measured once at baseline, like in general use. The continuous NA score and depression were also significantly associated with impaired HRQoL over time.
Conclusion: Type D personality was not a stable trait over time. Preoperative assessment of type D personality did not predict improvement in HRQoL after vascular surgery. However, the study revealed associations between the NA component of type D personality, depression, and lower HRQoL. This indicates that measures of overall negative affect should be taken into account when assessing HRQoL patient-reported outcomes in vascular surgery patients.

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Keywords: Patient-reported outcomes; Quality of life; Type D personality; Vascular disease

Date Created: 20190703 Date Completed: 20191104 Latest Revision: 20210110

20240104

PMC6652784

10.1007/s12529-018-09762-3

31264102