title: Impact of a Type D Personality on Clinical and Psychometric Properties in a Sample of Turkish Patients With a First Myocardial Infarction.
abstract: Recent studies have shown that a Type D personality is associated with an increased risk of cardiac mortality.
  
  
  
  This study aimed to examine the impact of a Type D personality on clinical and psychometric properties in a sample of Turkish patients with a first myocardial infarction (MI).
  
  
  
  The study included 131 patients who were admitted to the coronary care unit of a hospital. All of the patients underwent a psychiatric assessment within 2 to 6 months after their MI. Psychiatric interviews were conducted using the Structured Clinical Interview for DSM-IV (SCID-I). Patients also completed the Beck Depression Inventory, the Spielberger State-Trait Anxiety Inventory, the Health Anxiety Inventory, and the Type D personality scale.
  
  
  
  The patients were divided into 2 groups on the basis of the presence or absence of Type D personality. There was a 38.2% prevalence of Type D personality in the patients with a first MI. Those with this type of personality had a significantly higher frequency of hypertension and stressful life events. The Type D patients also had more psychiatric disorders, including depressive and anxiety disorders, than the non-Type D patients.
  
  
  
  Our findings suggest that Type D personality traits may increase the risk of hypertension and the risk of psychiatric morbidity in patients with a first MI. We suggest that this type of personality is a contributor to depression and anxiety disorders. These findings emphasize the importance of screening for Type D personality as both a cardiovascular and psychiatric risk marker in patients who have had an MI.
authors.affiliation: ANNAGÜR and UYGUR: Department of Psychiatry, Faculty of Medicine, Selçuk University, Konya, Turkey DEMIR and AVCI, Department of Cardiology, Faculty of Medicine, Selçuk University, Konya, Turkey.
authors.forename: Bilge B
authors.initials: BB
authors.lastname: Annagür
authors.forename: Kenan
authors.initials: K
authors.lastname: Demir
authors.forename: Ahmet
authors.initials: A
authors.lastname: Avci
authors.forename: Ömer Faruk
authors.initials: ÖF
authors.lastname: Uygur
mesh_terms: D000328:Adult; D000368:Aged; D001008:Anxiety Disorders / Q000453:epidemiology / Q000523:psychology*; D015897:Comorbidity; D003866:Depressive Disorder / Q000453:epidemiology / Q000523:psychology*; D005260:Female; D006801:Humans; D006973:Hypertension / Q000453:epidemiology / Q000523:psychology*; D008297:Male; D008875:Middle Aged; D009203:Myocardial Infarction / Q000453:epidemiology / Q000523:psychology*; D011594:Psychometrics; D012307:Risk Factors; D013315:Stress, Psychological / Q000453:epidemiology / Q000523:psychology*; D014421:Turkey / Q000453:epidemiology; D064415:Type D Personality