title: Specific personality traits and coping styles predict affective symptoms in early post acute coronary syndrome inpatients.
abstract: OBJECTIVE
  Affective symptoms have adverse effects in hospital and long-term cardiac outcomes of post Acute Coronary Syndrome (ACS) patients. This study aims to identify personality traits and maladaptive coping strategies that could predict affective symptoms in early post-ACS patients.
  
  
  METHODS
  Seventy patients undergoing revascularization procedures were examined within a week after their admission by means of the Hospital Anxiety-Depression Scale. Personality was analyzed through the Type D Personality Scale and the Coping Inventory for Stressful Situation. Multiple logistic regression analysis was used to determine independent predictors of anxiety and depressed mood.
  
  
  RESULTS
  A high rate of depressive and anxious symptoms was found and 76% of patients resulted Type D personality. Depression was associated with b-blocker therapy, Type D personality, and specific coping strategies. Unmarried status, low education, unstable angina, Type D personality, emotion, and avoidance oriented coping independently predicted anxiety.
  
  
  CONCLUSIONS
  These findings underlie the importance of assessment for Type D personality and coping strategies that could be useful to identify post-ACS patients at higher risk for affective symptoms. Using these brief instruments, as sensitive screening measures, we investigated the prevalence of depressive and anxiety symptoms in patients with ACS, we identified personality traits and coping strategies used to manage stress and estimated independent predictors of affectivity disorders after ACS.
authors: University Magna Gracia of Catanzaro, Italy.
authors: Pasquale
authors: P
authors: De Fazio
authors: Mariarita
authors: M
authors: Caroleo
authors: Paolo
authors: P
authors: Rizza
authors: Gregorio
authors: G
authors: Cerminara
authors: Daniela
authors: D
authors: De Serio
authors: Ciro
authors: C
authors: Indolfi
authors: Cristina
authors: C
authors: Segura-García
mesh_terms: D054058:Acute Coronary Syndrome / Q000150:complications / Q000523:psychology*; D000223:Adaptation, Psychological; D000328:Adult; D000342:Affective Symptoms / Q000175:diagnosis* / Q000209:etiology / Q000523:psychology; D000368:Aged; D000369:Aged, 80 and over; D003430:Cross-Sectional Studies; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D010551:Personality; D010552:Personality Assessment; D011569:Psychiatric Status Rating Scales