title: Maladaptive emotion regulation is related to distressed personalities in cardiac patients.
abstract: BACKGROUND
  Cardiac patients with Type D ('distressed') personality perceive more stress. It is unclear to what extent Type D personality might represent deficits in emotion regulation that are known to play an important role in the development of mental disorders. This study evaluated the relationship between emotion regulation and Type D personality and assessed the influence of mood and stress on Type D.
  
  
  METHODS
  Emotion regulation, mood, perceived stress and Type D personality were assessed in 163 cardiac patients.
  
  
  RESULTS
  Maladaptive emotional regulation was more pronounced in Type D patients. Depressed mood and perceived partner-related stress were higher in patients with Type D than in those with Non-Type D. Regression models revealed a stronger association between emotion regulation and Type D personality (odds ratio=3.16; 95% confidence interval=1.53, 6.54) than for depressed mood (odds ratio=1.19; 95% confidence interval=1.02, 1.38).
  
  
  CONCLUSIONS
  Patients with deficits in emotion regulation are more likely to have Type D personality. Deficits in emotion regulation might be an agent for future intervention studies to change Type D and its prognostic effect.
authors.affiliation: Department of Psychology, Clinical Psychology and Psychotherapy, University of Bern, Switzerland. nadine.messerli@psy.unibe.ch
authors.forename: Nadine
authors.initials: N
authors.lastname: Messerli-Bürgy
authors.forename: Jürgen
authors.initials: J
authors.lastname: Barth
authors.forename: Roland
authors.initials: R
authors.lastname: von Känel
authors.forename: Jean-Paul
authors.initials: JP
authors.lastname: Schmid
authors.forename: Hugo
authors.initials: H
authors.lastname: Saner
authors.forename: Hansjörg
authors.initials: H
authors.lastname: Znoj
mesh_terms: D000223:Adaptation, Psychological; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001026:Coronary Artery Bypass / Q000523:psychology / Q000534:rehabilitation; D003324:Coronary Artery Disease / Q000523:psychology* / Q000601:surgery; D003863:Depression / Q000523:psychology; D004644:Emotions; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D010551:Personality; D011379:Prognosis; D013315:Stress, Psychological / Q000523:psychology*