Type D personality and three-month psychosocial outcomes among patients post-myocardial infarction.
OBJECTIVE
Type D personality has been proposed as a risk factor for poor prognosis in cardiac patients. Recent studies which have adopted a dimensional approach to Type D (negative affectivity×social inhibition) found no effect of Type D on mortality, after controlling for its constituent elements. To-date, no study has determined if Type D is associated with psychosocial outcomes in post-myocardial infarction (MI) patients when conceptualised as a dimensional variable.


METHODS
Participants were 192 MI patients (138 males, 54 females, mean age 66.0years) who provided demographic and clinical information, and completed measures of Type D one-week post-MI. Three months later, 131 of these MI patients completed measures of disability and quality of life.


RESULTS
Using regression analyses, adjusted for demographic and clinical data, Type D emerged as a significant predictor of disability and quality of life in MI patients, when analysed using the traditional categorical approach. However, Type D did not predict disability and quality of life when it was analysed using the interaction of negative affectivity and social inhibition. Negative affect emerged as a significant predictor of both disability (β=.433, t(130)=3.53, p<.01), and quality of life (β=-.624, t(130)=-5.68, p<.001).


CONCLUSIONS
The results suggest that Type D is not associated with short-term psychosocial outcome in MI patients, after controlling for its constituent elements. However, negative affect was significantly associated with both disability and quality of life. Future research should conceptualise Type D as the interaction between negative affectivity and social inhibition, rather than as a typology.
School of Social Sciences, University of the West of Scotland, Paisley, UK. lynn.williams@uws.ac.uk
Lynn
L
Williams
Rory C
RC
O'Connor
Neil R
NR
Grubb
Ronan E
RE
O'Carroll
D000203:Activities of Daily Living / Q000523:psychology; D000328:Adult; D000339:Affect; D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D006801:Humans; D007398:Interpersonal Relations; D008297:Male; D008875:Middle Aged; D009203:Myocardial Infarction / Q000175:diagnosis / Q000523:psychology*; D010551:Personality; D010552:Personality Assessment; D011379:Prognosis; D011788:Quality of Life / Q000523:psychology; D016896:Treatment Outcome