ArticleJournal of behavioral medicine2010
Type D personality is a predictor of poor emotional quality of life in primary care heart failure patients independent of depressive symptoms and New York Heart Association functional class.
Article in Journal of behavioral medicine, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.
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Who cites it
15 citing papers in PubMed, 76 citations in OpenAlex.
- Type D personality, self-efficacy, and medication adherence in patients with heart failure-A mediation analysis.Heart & lung : the journal of critical careTrial
- Type A and Type D Personality in Cardiovascular Health: A Narrative Review.Healthcare (Basel, Switzerland) · 2026Review
- Investigating the Relationship Between Type D Personality Characteristics and Self-Efficacy in Coronary Artery Disease Patients With Type A Personality: A Cross-Sectional Descriptive Study.Health science reports · 2025Article
- Observational
- Patient competence in relation with medical and psychosocial characteristics in cardiology context: A cross-sectional study.ARYA atherosclerosis · 2018Article
- Type D personality as a predictor of self-efficacy and social support in patients with type 2 diabetes mellitus.Neuropsychiatric disease and treatment · 2017Article
- Demographic and psychological predictors of recovery from coronary artery bypass graft.Journal of education and health promotion · 2017Article
- Type D personality, mental distress, social support and health-related quality of life in coronary artery disease patients with heart failure: a longitudinal observational study.Health and quality of life outcomes · 2015Observational
- Neuroticism personality trait is associated with Quality of Life in patients with Chronic Heart Failure.World journal of cardiology · 2014Article
- Anxiety, depression, coronary artery disease and diabetes mellitus; an association study in ghaem hospital, iran.Iranian Red Crescent medical journal · 2014Article
- Type D personality predicts poor medication adherence in patients with heart failure in the USA.International journal of behavioral medicine · 2014Article
- How are depression and type D personality associated with outcomes in chronic heart failure patients?Current heart failure reports · 2013Review
- Personality is of central concern to understand health: towards a theoretical model for health psychology.Health psychology review · 2013Article
- Article
- Synthesis of dinucleoside tetraphosphates in transfected cells by a firefly luciferase reporter gene.Cellular and molecular life sciences : CMLS · 2004Article
Corrections and comments
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Authors and funding
4 authors at 4 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Quality of life is an important patient-centered outcome and predictor of mortality in heart failure, but little is known about the role of personality as a determinant of quality of life in this patient group. We examined the influence of Type D personality (i.e., increased negative emotions paired with emotional non-expression) on quality of life in primary care heart failure patients, using a prospective study design. Heart failure patients (n = 251) recruited from 44 primary care practices in Germany completed standardized questionnaires at baseline and 9 months. The prevalence of Type D was 31.9%. Type D patients experienced poorer emotional (P < .001) and physical quality of life (P = .01) at baseline and 9 months compared to non-Type D patients. There was no significant change in emotional (P = .78) nor physical quality of life (P = .74) over time; neither the interaction for time by Type D for emotional (P = .31) nor physical quality of life (P = .91) was significant, indicating that Type D exerted a stable effect on quality of life over time. Adjusting for demographics, New York Heart Association functional class, and depressive symptoms, Type D remained an independent determinant of emotional (P = .03) but not physical quality of life (P = .29). Primary care heart failure patients with a Type D personality experienced poorer emotional but not physical quality of life compared to non-Type D patients. Patients with this personality profile should be identified in primary care to see if their treatment is optimal, as both Type D and poor quality of life have been associated with increased morbidity and mortality.
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