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The Analysis of Type D Personality Research as a Psychosocial Risk Factor in Cardiovascular Disease for Elders with a Chronic Disease

Journal of Korean Academy of Nursing 2008³â 38±Ç 1È£ p.19 ~ 28
KMID : 0806120080380010019
¼ÛÀº°æ ( Song Eun-Kyeung ) - ¿¬¼¼´ëÇб³ °£È£´ëÇÐ

¼Õ¿¬Á¤ ( Son Youn-Jung ) - ¼øõÇâ´ëÇб³ ÀÇ°ú´ëÇÐ °£È£Çаú

Abstract

Purpose: The purpose of this paper was to examine the relationship between type D personality and cardiovascular disease, and to suggest future research directions.

Methods: A literature search was conducted from the following nine databases: 1) MEDLINE, 2) CINAHL, 3) Pubmed Unrestricted, 4) PsycINFO, 5) KISS, 6) RICHIS, 7) RISS4U, and 8) Nanet. The combinations of the words, ¡°type D personality¡±, ¡°personality¡±, ¡°heart¡±, ¡°cardiovascular¡±, and ¡°coronary¡± were used for keyword searches to find relevant articles. Twenty eight studies were identified.

Results: Type D personality has been associated with increased morbidity and mortality in patients with established cardiovascular disease. Type D patients are also at increased risk for impaired quality of life, and seem to benefit less from medical and invasive treatment.

Conclusion: There is substantial evidence for a relationship between type D personality and clinical outcomes related to cardiovascular disease. Randomized clinical trials are needed to further evaluate the value of controlling type D personality to improve survival and reduce morbidity in patients with cardiovascular disease. Accumulating evidence from this analysis indicates the urgent need to adopt a personality approach in order to optimize the identification of patients at risk for stress related cardiac events.
KeyWords
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Personality, Risk factors, Cardiovascular disease
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