Background: Type D personality has been proposed as a prognostic indicator for mortality in cardiovascular disease. Most research examining this construct originates from one research group, and it is critical that the predictive value of Type D personality for adverse outcomes is independently cross-validated. This study examined its prognostic value in heart failure, relative to B-type natriuretic peptide (BNP) and depressive symptoms. Methods: We studied 706 patients with complete BNP, depressive symptom, and Type D personality and mortality data from 958 patients with heart failure enrolled after hospitalization for a multisite study of a disease management program. Multivariable models were adjusted for BNP and depression. Results: At 18 months, there were 192 deaths (27.2%). No evidence was found for a prognostic value of Type D personality in the unadjusted model (hazard ratio [HR] = 0.893, 95% confidence interval [CI] = 0.582-1.370). In contrast, BNP was significantly predictive of ...

Researchers asked 184 patients (average age 65) diagnosed with PAD to fill out a 14-item personality questionnaire to assess character traits, such as negativity and social inhibition. They rated statements such as I would rather keep people at a distance and I often find myself worrying about something as false or true on a scale of zero to four. During the next four years, 16 patients (9%) died -- six of cardiovascular disease, seven of cancer and one each from emphysema, pneumonia and acute pancreatitis. After factoring in other variables such as age, gender, diabetes and kidney disease, investigators learned that those with type D personalities were more than three times as likely to have died as those who were Type A or B ...

Meanwhile, given our recent discussion of the Angry Patient, I thought Id link to a recent study published in the American Journal of Cardiology. This study suggests that people who tend to experience negative emotions and to inhibit the expression of these emotions in social interactions are at increased risk of adverse cardiac events. The study refers to a Type D personality, although Im at a loss to know how they validated their Type D personality scale. I think this finding is more likely explained by the known relationship between clinical depression and cardiovascular disease ...

A proper psychiatric and psychological history: Its relevance to knowing the patient as a particular human being, and its importance in determining treatment.

The Mediating Effect of the Resilience on the Relationship between Type D Personality and Compliance in Patients with Coronary Artery Disease - Coronary artery disease;Patient compliance;Type D personality;Psychological resilience;

In this study, we aimed to identify the most important and sex-specific social, psychological, behavioral and somatic predictors of recurrent depressive symptoms. Data was obtained at two measurement points within five years by the Gutenberg Health Study (GHS). Out of N = 12,061 individuals, a sample of 877 (age 52.3 ± 9.9) who reported clinically relevant depressive symptoms at baseline was analyzed. Univariate analyses and multiple logistic regression analyses were conducted. Almost half of participants depressed at baseline also reported depressive symptoms five years later. Sex-stratified multivariate analyses revealed that solely social support remained a significant protective predictor against recurrence of depression in men (OR = 0.93; CI95% = 0.87-0.99), whereas in women smoking (OR = 1.97; CI95% = 1.23-3.22), and Type D personality (OR = 1.65; CI95% = 1.10-2.49) were significant risk factors. However, when analyzing the entire sample, no interaction effect between sex and each predictor

Background Psychological factors are known predictors of cardiovascular disease in many clinical settings, but data are lacking for HIV infection. We carried out a prospective cohort study to evaluate potential psychological predictors of preclinical and clinical vascular disease in HIV patients. Methodology/Principal Findings HIV patients were consecutively enrolled. Demographics, viral and immune parameters and traditional cardiovascular predictors were considered; Intima-Media Thickness (c-IMT, continuous measure) and Carotid Plaques (CPs, focal thickening ≥1.5 mm) were investigated by B-mode ultrasonography; depressive symptoms by the Beck Depression Inventory (BDI-II), Type D personality (Distressed Personality or Type D) by the DS14, alexithymia by the Toronto Alexithymia Scale (TAS-20). Vascular outcomes included transient ischemic attacks or stroke, acute coronary syndrome, myocardial or other organ infarction. We enrolled 232 HIV subjects, 73.9% males, aged 44.5±9.9 y, 38.2% with AIDS

BACKGROUNDIn physical diseases including cardiovascular diseases (CVDs), illness perception (IP) plays an important role in illness outcomes. Fatigue is a major bothersome symptom after myocardial infarction (MI). This manuscript presents the research design, methodology, and primary findings of a study on factors in relation with fatigue and IP in patients with MI, and changes in fatigue after intervention on IP.METHODS241 patients with MI who experienced a first-time acute MI (AMI) participated in this study in 2016-2017. During hospitalization, the demographic and clinical information of participants were collected. After four months, the information regarding fatigue, IP, coping with stress, type D personality, perceived social support (PSS), and locus of control of the participants was collected at their houses. About one year later, based on the results of phase one of the study, a psychoeducation course was conducted for 35 of the patients as intervention group while 36 patients were supervised

The aim of the present study was to assess whether EPC (endothelial progenitor cell) number/function might be an explanatory factor for the observed relationship between Type D personality (a joint tendency towards negative affectivity and social inhibition) and poor cardiovascular prognosis. We also assessed whether the effect of a single exercise bout on EPC number/function was affected by Type D personality. A total of 35 sedentary men with CHF (chronic heart failure; left ventricular ejection fraction |or=45%) underwent CPET (cardiopulmonary exercise testing) and personality assessment with the 14-item Type D scale. CD34+/KDR (kinase insert domain-containing receptor)+ cells were quantified by flow cytometry before and immediately after CPET. Migration of early EPC towards VEGF (vascular endothelial growth factor) and SDF-1alpha (stromal-cell-derived factor-1alpha) was investigated. Type D (n=10) and non-Type D (n=25) patients were comparable with regards to demographics, disease severity and

This thesis deals with socioeconomic and ethnic inequalities in psychological factors and in health-related quality of life among patients with coronary heart disease, as well as with psychosocial predictors of positive and negative changes in quality of life among patients with coronary heart disease (CHD). With regard to the psychological factors, the present study is focusing on the following most commonly researched characteristics: psychological well-being, vital exhaustion, Type D personality and hostility. Psychological well-being is characterized by the occurrence and severity of the depression and anxiety symptoms, which are strongly associated with the coronary heart disease. Vital exhaustion, a state characterized by lack of energy, increased irritability and feelings of demoralisation, is also known as one of the risk factors for coronary heart disease, and has been shown to be a substantial predictor of myocardial infarction. Type D personality defines individuals who experience ...

PLEASE NOTE: The IEC Type D formulation (our product GSM-D) is currently available as a service to the testing community working with the new formulation - the demand for that product is currently still very low. However, the product is produced in regular batch sizes. We supply from each given batch as long as chemical analysis data do not indicate any substantial degradation. Depending on the demand for the product this may mean that we supply batches that are older than the estimated minimum shelf life given above.. ...

How to Wire Automotive SPDT Relays. Door Locks - Actuators / Reverse Polarity - Negative Switch/Trigger (Type D) (b). Both motor legs rest at ground at the relays. To lock or unlock the vehicle, polarity is changed on one motor leg via a negative pulse from a switch, alarm, keyless entry, etc. to th

CC: FO in Rectum. ASSESSMENT: Pt has a cucumber and coke bottle stuck in rectum x 24 hours. attempted to remove throughout day without success., Airway: clear, Breathing: non-labored, Breathing: normal, Circulation: adequate, Capillary refill: less than 2 seconds, Skin color is normal, Skin is warm, Orientation: Alert. PSYCHIATRIC HISTORY: Psychiatric history includes, depression.. I think Id be depressed if Id spent the last 24 hours with a vegetable stuck up my arse.. ...

Hi everyone, Im trying to fill in the form for the Type D visa for Family Reunification and Ive got a few doubts about it. What should I put on

Xpress 300 Xpress 500 Xpress 700 22 32 24 27 49 30 39 61 35 50 73 39 81 Punch type D/EU1 D/EU1 B/EU19 B/EU19 B/EU19 B/EU19 Die type D D B B BB BBS (22 mm O/D) Maximum tablet diameter 25 mm 25 mm 16 mm+ 16 mm+ 13 mm+ 11 mm Tablet output/hour minimum 9,000 Learn More ...

PSYCHIATRIC HISTORY: Past psychiatric diagnoses: . Past psychiatric hospitalizations: . Past hx of outpatient psychiatric treatment: . Past psychiatric medication trials include:

DIN 6885 Keyway, key details Extract Page 1 heavy type d b P9 / JS9 Hub keyway b P9 / N9 Shaft keyway h t 1 = d + t 2 t 2 t 3 = d t 4 t 4 6 2 2 2 7 1 +0,1 4,8 1,2 +0,1 7 2 2 2 8 1 +0,1 5,8 1,2 +0,1 8 2 2 2 9 1 +0,1 6,8 1,2 +0,1 9 3 3 3 10,4 1,4 +0,1 7,2 1,8 +0, ...

The social work file on Smith inspected by the MWC lacked information about his psychiatric history, assessment issues, and an assault conviction in 1997 which led to him being detained under mental health legislation. There was also no written evidence of a new care assessment taking place before Smiths release in April 2003 ...

Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the contacts provided below. For general information, Learn About Clinical Studies. ...