Main Organiser

Julius Centre University of Malaya

Co-organiser

Department of Social and Preventive Medicine, Faculty of Medicine, University of Malay

Supported by

University of Malaya

TYPE D PERSONALITY AND DISTRESS IN CORONARY ARTERY DISEASE PATIENTS: A PRELIMINARY STUDY

Author

Satpal Kaur 1 , Nor Zuraida Zainal 1 , Wah Yun Low 2 , Mohd. Ali Rosli 3 , Jaideep Singh Sidhu 3

Institution

1. Department of Psychological Medicine, University of Malaya, Kuala Lumpur
2. Faculty of Medicine Dean's Office, University of Malaya, Kuala Lumpur
3. Department of Cardiology, National Heart Institute, Malaysia

Abstract

Objectives: Type D personality has been associated with negative psychological conditions linked to heart disease. We thus examined, 1) the prevalence of Type D personality, anxiety, depression and stress and 2) Type D personality as determinant of anxiety, depression, stress in a Malaysian sample of CAD patients and healthy controls.

Methods: A cross-sectional study including 110 participants was conducted in which 51 CAD patients and 59 healthy individuals completed the Hospital Anxiety and Depression Scale, Perceived Stress Scale and Type D Personality Scale. Results: 51% of CAD patients’ vs 22% of healthy controls had characteristics of Type-D personality (p < 0.01), 71% vs 36% suffered from stress ( p < 0.01), 49% vs 25% suffered from symptoms of anxiety (p = 0.006) and 37% vs 15% from symptoms of depression (p < 0.01). Type D personality was significant independent predictor of anxiety in patients (OR: 17.61; 95% CI: 1.32-234.93) and of depression in both patients (OR: 0.03, 95% CI: 0- 0.33) and healthy controls (OR: 0.02, 95% CI: 0- 0.65).

Conclusion: CAD patients’ experienced higher levels of distress in comparison to healthy controls. Type D personality was a significant determinant of anxiety in patients and of depression in both groups.