Type D personality, lifestyle habits, and cardiovascular disease riskA mediational model

  1. Almudena Carneiro-Barrera 1
  2. María Valdés-Díaz 2
  3. Juan Francisco Rodríguez-Testal 2
  1. 1 Centro de Investigación Mente, Cerebro y Comportamiento, CIMCYC, Universidad de Granada, Granada, España
  2. 2 Universidad de Sevilla, Sevilla, España
Revista:
Revista de psicopatología y psicología clínica

ISSN: 1136-5420

Año de publicación: 2018

Volumen: 23

Número: 1

Páginas: 35-46

Tipo: Artículo

DOI: 10.5944/RPPC.VOL.23.NUM.1.2018.19132 DIALNET GOOGLE SCHOLAR

Otras publicaciones en: Revista de psicopatología y psicología clínica

Resumen

La interacción del afecto negativo e inhibición social (personalidad Tipo D) se relaciona con los hábitos de vida y el riesgo cardiovascular. El objetivo de este estudio fue dilucidar si los hábitos de vida median la relación entre personalidad Tipo D y presión arterial (PA) como factor de riesgo cardiovascular. Un total de 91 participantes mayores de 45 años (54.90% muje- res) fueron evaluados de salud subjetiva, hábitos de vida, personalidad Tipo D y PA. Se utilizó el modelo de Baron y Kenny (1986) y el procedimiento de Preacher y Hayes (2008) para el análisis mediacional. Los hábitos de vida mediaron parcialmente la relación entre personalidad Tipo D y PA sistólica y, de manera total, la relación entre personalidad Tipo D y PA diastólica. La práctica de hábitos no saludables podría explicar el mecanismo indirecto mediante el cual la personalidad Tipo D se relaciona con el riesgo de morbilidad y mortalidad en pacientes cardíacos.

Información de financiación

Recibido: 20 de septiembre 2017; aceptado el 10 de febrero 2018. Corresponding author: Josefa Canals Sans, Rovira i Virgili University, Tarragona, Spain. email address: josefa.canals@urv.cat. Funding: This work was partially funded by the Spanish Ministry of Science and Innovation in the EUROSALUD 2008 call (EUS2008-03584).

Financiadores

Referencias bibliográficas

  • Baron, R. M., & Kenny, D. A. (1986). The moderator-mediator variable distinction in social psychological research: Conceptual, strategic, and statistical considerations. Journal of Personality and Social Psychology, 51, 1173-1182.
  • Barth, J., Schneider, S., & von Känel, R. (2010). Lack of social support in the etiology and the prognosis of coronary heart disease: A systematic review and meta-analysis. Psychosomatic Medicine, 72(3), 229-238.
  • Barth, J., Schumacher, M., & Herrmann-Lingen, C. (2004). Depression as a risk factor for mortality in patients with coronary heart disease: A meta-analysis. Psychosomatic Medicine, 66(6), 802-813.
  • Bongard, S., & Hodapp, V. (1997). Active coping, work-pace, and cardiovascular responses: Evidence from laboratory studies. Journal of Psychophysiology, 11(3), 227-237.
  • Booth-Kewley, S., & Friedman, H. S. (1987). Psychological predictors of heart disease: A quantitative review. Psychological Bulletin, 101(3), 343-362.
  • Buceta, J. M., & Bueno, A. M. (1996). Tratamiento psicológico después del infarto de miocardio. In J. M. Buceta & A. M. Bueno (Eds.), Tratamiento psicológico de hábitos y enfermedades (pp. 455-493). Madrid: Pirámide.
  • Carneiro-Barrera, A., & Rodríguez-Testal, J.F. (2017). Scale of Healthy Life Habits. Unpublished manuscript.
  • Cea, J. I., González, A., & Brazal, J. J. (2002). Estrategias de afrontamiento e hipertensión arterial esencial. Revista Española de Motivación y Emoción, 4(7), 37-50.
  • Chida, Y., & Steptoe, A. (2009). The association of anger and hostility with future coronary heart disease : A meta-analytic review of prospective evidence. Journal of the American College of Cardiology, 53(11), 936-946.
  • Coy, T. V. (1998). The effect of repressive coping style on cardiovascular reactivity and speech disturbances during stress. Dissertation Abstracts International: Section B. Sciences and Engineering, 58(8-B), 4512.
  • Coyne J. C., de Voogd J. N., (2012) Are we witnessing the decline effect in the Type D personality literature? What can be learned? Journal of Psychosomatic Research, 73, 401-407.
  • Denollet, J. (2005). DS14: Standard assessment of negative affectivity, social inhibition, and Type D personality. Psychosomatic Medicine, 67, 89-97.
  • Denollet, J., & Brutsaert, D. L. (1998). Personality, disease severity, and the risk of long-term cardiac events in patients with decreased ejection fraction after myocardial infarction. Circulation, 97, 167-173.
  • Denollet, J., & Pedersen, S. S. (2009). Anger, depression and anxiety in cardiac patients: The complexity of individual differences in psychological risk. Journal of the American College of Cardiology, 53, 947-949.
  • Denollet, J., & Pedersen, S. S. (2012). Type D personality in patients with cardiovascular disorders. In R. Allan & J. Fisher (Eds.), Heart and Mind: The practice of cardiac psychology (pp. 219-247). Washington, DC: American Psychological Association.
  • Denollet, J., Pedersen, S. S., Ong, A. T., Erdman, R. A., Serruys, P. W., & van Domburg, R. T. (2006). Social inhibition modulates the effect of negative emotions on cardiac prognosis following percutaneous coronary intervention in the drug-eluting stent era. European Heart Journal, 27, 171-177.
  • Denollet, J., Sys, S. U., & Brutsaert, D. L. (1995). Personality and mortality after myocardial infarction. Psychosomatic Medicine, 57, 582-591.
  • Denollet, J., Sys, S. U., Stroobant, N., Rombouts, H., Gillebert, T. C., & Brutsaert, D. L. (1996). Personality as independent predictor of long-term mortality in patients with coronary heart disease. The Lancet, 347, 417-421.
  • Denollet, J., Tekle F. B., van der Voort, P. H., Alings, M., & van den Broek, K. C. (2013). Age-related differences in the effect of psychological distress on mortality: Type D personality in younger versus older patients with cardiac arrhythmias. BioMed Research International, 2013, 246035.
  • Denollet, J., Vaes, J., & Brutsaert, D. L. (2000). Inadequate response to treatment in coronary heart disease: Adverse effects of Type D personality and younger age on 5-year prognosis and quality of life. Circulation, 102, 630-635.
  • Fernández-Abascal, E. G., Martín, M. D., & Domínguez, F. J. (2003). Factores de riesgo e intervenciones psicológicas eficaces en los trastornos cardiovasculares. Psichothema, 15, 615-630.
  • Gandek, B., Ware, J. E., Aaronson, N. K., Apolone, G., Bjorner, J. B., Brazier, J. E., … Sullivan, M. (1998). Cross-validation of item selection and scoring for the SF-12 Health Survey in nine countries: Results from the IQOLA Project. International Quality of Life Assessment. Journal of Clinical Epidemiology, 51, 1171-1178.
  • García, M. A., & Vallejo, G. (2011). Los efectos de terceras variables en la investigación psicológica. Anales de Psicología, 27(2), 550-561.
  • Goldberg, D. P., & Hillier, V. F. (1979). A scaled version of the General Health Questionnaire. Psychological Medicine, 9, 139-145.
  • Grøntved, A., & Hu, F. B. (2011). Television viewing and risk of type 2 diabetes, cardiovascular disease, and all-cause mortality: A meta-analysis. Journal of the American Medical Association, 305, 2448-2455.
  • Habra, M. E., Linden, W., Anderson, J. C., & Weinberg, J. (2003). Type-D personality is related to cardiovascular and neuroendocrine reactivity to acute stress. Journal of Psychosomatic Research, 55, 235-245.
  • Hayes, A. F., & Preacher, K. J. (2014). Statistical mediation analysis with a multicategorial independent variable. British Journal of Mathematical and Statistical Psychology, 67, 451-470.
  • Hirshkowitz, M., Whiton, K., Albert, S. M., Alessi, C., Bruni, O., DonCarlos, L., … Ware, J. C. (2015). National Sleep Foundation’s updated sleep duration recommendations: final report. Sleep Health, 1, 233-243.
  • Horwood, S., Anglim J., & Tooley, G. (2016). Statistically modelling the relationships between Type D personality and social support, health behaviors and symptom severity in chronic illness groups. Psychology & Health, 31(9), 1047-1063.
  • Kupper, N., Pedersen, S. S., Höfer, S., Saner, H., Oldridge, N., & Denollet, J. (2013). Cross-cultural analysis of Type D (distressed) personality in 6222 patients with ischemic heart disease: A study from the International HeartQoL Project. International Journal of Cardiology, 166, 327-333.
  • Lobo, A., Pérez-Echevarría, M. J., & Artal, J. (1986). Validity of the scaled General Health Questionnaire (GHQ-28) in a Spanish population. Psychological Medicine, 16, 135-140.
  • Molerio, O., & García, G. (2004). Influencia del estrés y las emociones en la hipertensión arterial esencial. Revista Cubana Medicina, 43, 2-3.
  • Molloy, G. J., Perkins-Porras, L., Strike, P. C., & Steptoe, A. (2008). Type D personality and cortisol in survivors of acute coronary syndrome. Psychosomatic Medicine, 70, 863-868.
  • Mommersteeg, P. M. C., Pot, I., Aarnoudse, W., Denollet, J., & Widdershoven, J. W. (2013). Type D personality and patient-perceived health in nonsignificant coronary artery disease: The TWeesteden mIld STenosis (TWIST) study. Quality of Life Research 22(8), 2041-2050.
  • Montero, P., Bermúdez, J., & Rueda, B. (2017). Adaptación al castellano de la Escala DS-14 («Type D Scale-14») para la medida de la personalidad tipo D. Revista de Psicopatología y Psicología Clínica, 22(1), 55-67.
  • Montero, P., Rueda, B., & Bermúdez, J. (2012). Relación de la personalidad tipo D y el agotamiento vital con las emociones negativas y el ajuste psicológico a la enfermedad cardiaca. Revista de Psicopatología y Psicología Clínica, 17(2), 93-106.
  • Pedersen, S. S., & Denollet, J. (2006). Is Type-D personality here to stay? Emerging evidence across cardiovascular patient groups. Current Cardiology Reviews, 2, 205-213.
  • Pluijmers, E. M., & Denollet, J. (2017). Type D personality as a predictor of poor health outcomes in patients with cardiovascular disease. Netherlands Heart Journal, 25(4), 286-287.
  • Preacher, K. J., & Hayes, A. F. (2008). Asymptotic and resampling strategies for assessing and comparing indirect effects in multiple mediator models. Behaviour Research Methods, 40, 879891.
  • Rodríguez-Testal, J.F. (2017). Escala Tipo D (Experimental adaptation). Unpublished document.
  • Roest, A. M., Martens, E. J., de Jonge, P., & Denollet, J. (2010). Anxiety and risk of incident coronary heart disease: A meta-analysis. Journal of the American College of Cardiology, 56(1), 38-46.
  • Sociedad Española de Dietética y Ciencias de la Alimentación (2011). Recomendaciones nutricionales basadas en la evidencia para la prevención y el tratamiento del sobrepeso y la obesidad en adultos. Madrid: Acción Médica. Retrieved from http://www.nutricion.org
  • Sousa, V. D., & Rojjanasrirat, W. (2011). Translation, adaptation and validation of instruments or scales for use in cross-cultural health care research: A clear and user-friendly guideline. Journal of Evaluation in Clinical Practice, 17(2), 268-274.
  • Svansdottir, E., Denollet, J., Thorsson, B., Gudnason, T., Halldorsdottir, S., Gudnason, V., … Karlsson, H. D. (2013). Association of Type D personality with unhealthy lifestyle, and estimated risk of coronary events in the general Icelandic population. European Journal of Preventive Cardiology, 20, 322-330.
  • Unterrainer, J., Michal, M., Rahm, B., Hadzibegovic, J., Wild, P. S., Schulz, A., … Beutel, M. E. (2016). Association of Type D personality with cognitive functioning in individuals with and without cardiovascular disease The Gutenberg Health Study. International Journal of Cardiology, 214, 256-261.
  • Ware, J., Kosinski, M., & Keller, S. (1996). A 12-item Short-Form health survey: Construction of scales and preliminary tests of reliability and validity. Medical Care, 34, 220-233.
  • Williams, L., Abbott, C., & Kerr, R. (2015). Health behaviour mediates the relationship between Type D personality and subjective health in the general population. Journal of Health Psychology, 21, 2148-2155.
  • Williams, L., O’Carroll, R. E., & O’Connor, R. C. (2009). Type-D personality and cardiac output in response to stress. Psychology and Health, 24, 489-500.
  • Williams, L., O’Connor, R. C., Howard, S., Hughes, B. M., Johnston, D. W., Hay, J. L., … O’Carrol, R. E. (2008). Type-D personality mechanisms of effect: The role of health-related behavior and social support. Journal of Psychosomatic Research, 64, 63-69.
  • World Health Organization (2004). Global strategy on diet, physical activity and health. Retrieved from http://www.who.int/dietphysicalactivity/strategy/eb11344/strategy_english_web.pdf
  • World Health Organization Expert Consultation (2004). Appropriate body-mass index for Asian populations and its implications for policy and intervention strategies. Lancet, 363, 157163.