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The impact of the Type D Personality pattern on prehospital delay in patients suffering from acute myocardial infarction.
J. Thorac. Dis. 12, 4680-4689 (2020)
Background: The Type D Personality (TDP) has been specifically linked to acute myocardial infarction (AMI). However, the impact on prehospital delay of AMI patients is unclear. The aim of this study was to assess the relationship between TDP and pre-hospital delay time (PHT) in a Chinese population.Methods: A total of 256 AMI patients (47 women and 209 men) were taken from the Multicenter Delay in Patients Experiencing AMI in Shanghai (MEDEA FAR-EAST) study. Sociodemographic and psychobehavioral characteristics were assessed by bedside interviews and questionnaires. TDP was evaluated according to the Type D Personality Scale (DS14) subdivided in social inhibition (SI) and negative affectivity (NA). Based on a significant interaction analysis of TDP and sex on PHT, all analyses were stratified by sex.Results: PHT of female patients with TDP were substantially shorter compared to non-TDP female patients (108 vs. 281 min, P=0.029). In male patients, no effect of TDT on PHT was found. Spearman correlation analysis suggests that NA was negatively correlated with PHT (r=-0.358, P=0.014). Further age-adjusted logistic regression analyses showed that female patients with TDP were generally less likely to prehospital delay compared with non-TDP patients (OR =0.28; 95% CI, 0.08-0.98) and had a lower risk of PHT >360 minutes (OR =0.10; 95% CI, 0.01-0.91). However, statistical significance disappeared after adjustment for psychological factors (anxiety, depression, suboptimal wellbeing, cardiac denial and stress event).Conclusions: TDP is associated with less prehospital delay in female patients during AMI-an effect which may be particularly mediated by NA.
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Publication type
Article: Journal article
Document type
Scientific Article
Keywords
Type D Personality (tdp) ; Acute Myocardial Infarction (ami) ; Prehospital Delay ; Decision Time; Negative Affectivity; Social Inhibition; Depression; Mortality; Anxiety; Reperfusion; Time; Associations; Stress; Death
ISSN (print) / ISBN
2077-6624
e-ISSN
2072-1439
Journal
Journal of thoracic disease
Quellenangaben
Volume: 12,
Issue: 9,
Pages: 4680-4689
Publisher
Pioneer Bioscience Publ.
Publishing Place
Hong Kong
Non-patent literature
Publications
Reviewing status
Peer reviewed
Institute(s)
Institute of Epidemiology II (EPI2)
Grants
German Heart Foundation
Science and Technology Committee Foundation of Shanghai, PR China
Science and Technology Committee Foundation of Shanghai, PR China