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Title Coping mediates the association between type D personality andperceived health in Chinese patients with coronary heart disease
| Content Provider | Semantic Scholar |
|---|---|
| Author | Yu, Xiao-Nan Chen, Zhansheng Zhang, Jianxin Liu, Xiaohui |
| Copyright Year | 2011 |
| Abstract | Background Increasing evidence show that Type D personality is a risk factor for morbidity, mortality, and quality of life of patients with coronary vascular disease. Few studies examined coping as a potential behavioral mechanism to explain the harmful effect of Type D personality. Purpose This study examined the association between Type D personality, coping, and perceived health among Chinese patients with coronary heart disease (CHD). Methods One hundred seventeen CHD patients completed the assessments on Type D personality, coping, perceived severity of CHD, and morale. Results There was no difference on severity of coronary artery stenosis between Type D and non-Type D patients. Compared to the non-Type D patients, the Type D patients perceived higher severity of CHD (5.31±2.41 versus 4.45± 2.17, p<0.05) and lower morale (12.67±4.71 versus 15.00± 4.43, p<0.05), and used less confrontation (16.90±5.39 versus 20.88±4.95, p<0.001) and more acceptance–resignation coping (10.16±3.50 versus 8.35±3.48, p<0.05). Mediation analyses showed that confrontation coping mediated the association between Type D personality and perceived severity of disease, and acceptance–resignation coping mediated the association between Type D personality and morale after controlling for age, gender, and clinical variables. Conclusion The Type D patients used maladaptive coping in response to disease. These coping strategies fully mediated the association between Type D personality and perceived health. Implications for integrating coping training into the intervention for patients with a Type D personality are discussed. |
| File Format | PDF HTM / HTML |
| Alternate Webpage(s) | http://hub.hku.hk/bitstream/10722/145085/1/12529_2010_Article_9120.pdf |
| Language | English |
| Access Restriction | Open |
| Content Type | Text |
| Resource Type | Article |
