Korean J Adult Nurs.  2019 Jun;31(3):219-234. 10.7475/kjan.2019.31.3.219.

Impact of Type D Personality on Depression, Anxiety, and Health-related Quality of Life among Coronary Artery Disease Patients: A Systematic Review and Meta-analysis

• Bae SH
• Park JH

• KMID: 2450087
• DOI: http://doi.org/10.7475/kjan.2019.31.3.219

Abstract

PURPOSE
The purpose of this study was to investigate the impact of Type D personality among patients with Coronary Artery Disease (CAD).
METHODS
Seven databases were searched to conduct a systematic review and meta-analysis. Two reviewers independently searched, selected, extracted, and assessed the studies. The quality of studies was evaluated using the JBI Critical Appraisal Checklist. To estimate the effect size, meta-analysis of the studies was performed using the Comprehensive Meta-Analysis 3.0 program.
RESULTS
Of 1,128 publications identified, 31 studies that met the inclusion criteria were used to estimate the effect size of Type D personality. Effect size (Standardized Mean Difference [SMD]) was used in the analyses. Patients with CAD who had Type D personality had higher levels of depression (SMD=0.92; 95% Confidecne Interval (CI)=0.74~1.10) and anxiety (SMD=1.19; 95% CI=0.81~1.57), but lower levels of physical and mental health-related quality of life (SMD=−0.56; 95% CI=−0.75~−0.38; SMD=−0.91; 95% CI=−1.10~−0.73). Publication bias was not detected.
CONCLUSION
Type D personality was associated with increased depression and anxiety and impaired health-related quality of life in patients with CAD. Personality and psychosocial risk screening in patients with CAD should be conducted in the clinical setting.

MeSH Terms

Anxiety*
Checklist
Coronary Artery Disease*
Coronary Vessels*
Depression*
Humans
Mass Screening
Publication Bias
Quality of Life*
Type D Personality*

Figure

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  Figure 1. Flow diagram for study selection.

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  Figure 2. Forest plot of depression, anxiety, and health-related quality of life.

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  Figure 3. Regression plot.

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Appendix 1. Studies Included in Systematic Review

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A11. Lambertus F, Herrmann-Lingen C, Fritzsche K, Hamacher S, Hellmich M, Jünger J, et al. Prevalence of mental disorders among depressed coronary patients with and without Type D personality. Results of the multicenter SPIRR-CAD trial. General Hospital Psychiatry. 2018; 50:69–75. https://doi.org/10.1016/j.genhosppsych.2017.10.001.

A12. Lee KH. Depression and health status in patient with Type D personality coronary artery disease [master's thesis]. Seoul: Korea University;2015.

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