Effects of type D personality on anxiety, depression and quality of life of hospitalized patients with coronary heart disease

Abstract

Objective To explore the relationship between type D personality, anxiety and depression of coronary heart disease(CHD) and the effects on quality of life(QOL). Methods 296 CHD patients were randomly chosen to answer the questionnaires of general situation, type D personality scale (DS14), Self-rating Anxiety Scale(SAS), Self-rating Depression Scale(SDS) and Short-Form Health Survey (SF-36). Results Of all subjects 37.2% were identified as type D personality, detection rates of anxiety and depression was were higher than the patients with non-type D personality (33.6% vs 14.0%, 49.1% vs 23.1%, separately)(P<0.01). The scores of role-physical(RP), bodily pain(BP), general health(GH), vitality(VT), social functioning(SF), role-emotional(RE), mental health(MH) in patients with type D personality ((32.73±42.52), (57.68±26.93), (42.14±18.23), (47.15±22.60), ( 59.43±26.67), (45.91±46.22), ( 49.25±22.21), separately) were lower than the patients with non-type D personality ((56.00±46.61), (64.62±22.27), (48.27±19.19), (61.56±20.17), (69.70±24.35), (70.79±44.53), (70.52±18.91), separately)(P<0.05 or 0.01). Multiple stepwise regression analysis showed that depression, type D personality, anxiety, coronary artery stenosis degree and degree of education were entered QOL regression equation(β=-16.31, -6.53, -7.69, -15.75, 2.64, P<0.05). Conclusion The type D personality of CHD exist high prevalence of anxiety and depression disorders, and the type D personality influence the QOL of patients with CHD. Key words: Coronary heart disease; Type D personality; Anxiety; Depression; Quality of life