Type D personality, Psychological Distress and Quality of Life in MI patients
Objective:Studies have shown that certain personality types (distressed personality-Type D) and Psychological Distress (anxiety/depression) is associated with Myocardial Infarction (MI) and has etiological and prognostic implications. Substantial research evidence has also suggested that Type D personality is significant predictor of post MI anxiety, depression and impaired quality of life. The present study was conducted for the first time in Pakistan to assess type D personality and its association with the level of anxiety, depression and Quality of life in patients after Myocardial Infarction (MI). Methods: In the present crosssectional study, 100(54 males, 46females) first time diagnosed (3 weeks -12 weeks) patients of Myocardial Infarction (WHO criteria) were selected. Socio-demographic details and medical histories were recorded. Type D personality was assessed with translated version (Urdu) of Distress Scale (DS-14). Psychological Distress in terms of Anxiety and Depression was measured with Hospital Anxiety and Depression Scale (HADS) while Quality of Life was assessed with WHO quality of Life scale (WHOQOL-BREF). Results: The data analysis revealed that 59％ of MI patients were identified as having Type D personality traits (27 Males, 32 Females). Significant symptoms of depression (43％) and anxiety (46％) were exhibited by these patients. Type D personality was identified as significant predictor of Quality of life OR: 1.06; 95％ CI (1.02 - 1.11), p<.001, Depression OR: 1.11; 95％ CI (1.06 - 1.16), p<.001 and Anxiety OR: 1.09; 95％ CI (1.04 - 1.14), p<.001, after adjusting for demographic variables. Conclusion: It was concluded that significant levels of Type D personality characteristics, symptoms of anxiety and depression were exhibited by MI patients and Type D was independent predictor of depression, anxiety and impaired Quality of life in these patients. The present research highlighted the importance of Type D personality in research on MI as a determinant of adverse health outcomes. It further emphasized the need for psychological assessment of these patients along with medical treatment to improve their quality of life and rehabilitation.
Type D personality Depression Anziety Quality of Life Myocardial Infarction
Iram Gul Razia Ali Bhatti
Department of Behavioral Sciences Fatima Jinnah Women University Rawalpindi,Pakistan School of Health Studies University of Bradford Bradford,UK
国际会议
北京
英文
1-7
2009-06-11（万方平台首次上网日期，不代表论文的发表时间）