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RESEARCH PRODUCT
A Type A and Type D Combined Personality Typology in Essential Hypertension and Acute Coronary Syndrome Patients: Associations with Demographic, Psychological, Clinical, and Lifestyle Indicators.
Maria Elena MagrinDario MonzaniAndrea Greco DPatrizia StecaS. RiccobonoFrancesca CesanaCristina GiannattasioMarco D’addarioMarcello SariniLuca PancaniMarta ScrignaroFrancesco FattirolliMassimo MigliorettiLuca Vecchiosubject
MaleEmotionsSocial Scienceslcsh:Medicine030204 cardiovascular system & hematologyAnxietyCardiovascular MedicineEssential hypertensionInhibitionsType D Personality0302 clinical medicinecardiovascular diseaseRisk FactorsMedicine and Health SciencesPsychologyPublic and Occupational Health030212 general & internal medicineBig Five personality traitslcsh:ScienceDepression (differential diagnoses)media_commonMultidisciplinaryAlcohol ConsumptionPersonality types Type A Type DDepressionPersonality typeMiddle AgedAcute Coronary Syndrome; Aged; Anxiety; Depression; Female; Humans; Intracranial Hypotension; Male; Middle Aged; Risk Factors; Sedentary Behavior; Self Concept; Social Adjustment; Social Behavior; Stress Psychological; Life Style; Type A Personality; Type D Personality; Biochemistry Genetics and Molecular Biology (all); Agricultural and Biological Sciences (all)Cardiovascular DiseasesAnxietyFemalemedicine.symptomSocial AdjustmentResearch ArticlePersonalitySettore M-PSI/01 - Psicologia Generalemedicine.medical_specialtyhypertensionmedia_common.quotation_subjectIntracranial HypotensionContext (language use)03 medical and health sciencesMental Health and PsychiatrymedicinePersonalityHumansAcute Coronary SyndromePsychiatrySocial BehaviorLife StyleAgedNutritionPersonality TraitsBehaviorbusiness.industryMood DisordersType D personalitylcsh:RBiology and Life SciencesType A and Type B personality theoryType A PersonalityPhysical Activitymedicine.diseaseSelf ConceptDietcoronary syndromelcsh:QSedentary BehaviorbusinessStress Psychologicaldescription
Many studies have focused on Type A and Type D personality types in the context of cardiovascular diseases (CVDs), but nothing is known about how these personality types combine to create new profiles. The present study aimed to develop a typology of Type A and Type D personality in two groups of patients affected by and at risk for coronary disease. The study involved 711 patients: 51.6% with acute coronary syndrome, 48.4% with essential hypertension (mean age = 56.4 years; SD = 9.7 years; 70.7% men). Cluster analysis was applied. External variables, such as socio-demographic, psychological, lifestyle, and clinical parameters, were assessed. Six groups, each with its own unique combined personality profile scores, were identified: Type D, Type A-Negatively Affected, Not Type A-Negatively Affected, Socially Inhibited-Positively Affected, Not Socially Inhibited, and Not Type A-Not Type D. The Type A-Negatively Affected cluster and, to a lesser extent, the Type D cluster, displayed the worst profile: namely higher total cardiovascular risk index, physical inactivity, higher anxiety and depression, and lower self-esteem, optimism, and health status. Identifying combined personality profiles is important in clinical research and practice in cardiovascular diseases. Practical implications are discussed.
| year | journal | country | edition | language |
|---|---|---|---|---|
| 2016-01-01 | PLoS ONE |