The Association of Depression with Type D Personality and Coping Strategies in Patients with Coronary Artery Disease.

Content Provider	Europe PMC
Author	Yamaguchi, Daisuke Izawa, Atsushi Matsunaga, Yasuko
Abstract	Objective Depression in patients with coronary artery disease (CAD) has been a risk factor for adverse cardiovascular events. However, personality types, strategies for coping with stressors, and their associations with depression have not been fully elucidated in patients with CAD. This study explored depression in patients with CAD and examined its association with personality types and coping strategies. Methods A prospective observational study of 89 patients with CAD was conducted between August 2016 and July 2018. The presence of depression and type D personality and types of coping strategies were measured one month after percutaneous coronary intervention. A logistic regression analysis was performed to identify characteristics associated with depression. Results Generally, the incidence of depression and type D personality was 55.1% and 44.9%, respectively. The incidence of depression in patients with type D and non-type D personality was 72.5% and 40.8%, respectively. Patients with type D personality coped less frequently using a planning strategy but frequently using a responsibility-shifting strategy. A logistic regression analysis showed that the presence of depression was significantly associated with type D personality and inversely associated with a planning strategy. Conclusion The high prevalence of depression in patients with CAD was associated with type D personality and a low rate of adoption of a planning strategy. Specific coping interventions in patients with CAD with type D personality may be potential targets for improving coping skills and preventing the development of depression.
ISSN	09182918
Volume Number	59
PubMed Central reference number	PMC7402968
Issue Number	13
PubMed reference number	32612062
Journal	Internal Medicine [Intern. Med]
e-ISSN	13497235
DOI	10.2169/internalmedicine.3803-19
Language	English
Publisher	The Japanese Society of Internal Medicine
Publisher Date	2020-07-01
Access Restriction	Open
Rights License	The Internal Medicine is an Open Access journal distributed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License. To view the details of this license, please visit (https://creativecommons.org/licenses/by-nc-nd/4.0/). Copyright © 2020 by The Japanese Society of Internal Medicine
Subject Keyword	coronary artery disease depression type D personality coping strategy
Content Type	Text
Resource Type	Article
Subject	Internal Medicine