Yi-Da Li1,2, Tin-Kwang Lin1,2, Yi-Ru Tu3,4, Chih-Wei Chen1,2, Chin-Lon Lin1,2,5, Ming-Nan Lin2,6, Malcolm Koo7,8, Chia-Ying Weng4. 1. Division of Cardiology, Department of Internal Medicine, Dalin Tzu Chi Hospital, Buddhist Tzu Chi Medical Foundation, Dalin, Chiayi. 2. School of Medicine, Tzu Chi University, Hualien City, Hualien. 3. Department of Psychiatry, China Medical University Hospital, China Medical University, Taichung. 4. Department of Psychology, National Cheng Chung University, Minxiong, Chiayi. 5. Medical Mission, Tzu Chi Foundation, Hualien City, Hualien. 6. Department of Family Medicine. 7. Department of Medical Research, Dalin Tzu Chi Hospital, Buddhist Tzu Chi Medical Foundation, Dalin, Chiayi, Taiwan. 8. Dalla Lana School of Public Health, University of Toronto, Toronto, Ontario, Canada.
Abstract
BACKGROUND: Type D, otherwise known as distressed personality type, has been associated with an increased risk of cardiovascular morbidity and mortality. Blood pressure reactivity and recovery to stress could be a possible underlying pathway linking type D personality and cardiovascular events. METHODS: A total of 41 patients with hypertension were recruited from a regional hospital in southern Taiwan. Demographic and clinical characteristics were obtained from all participants. Type D personality was assessed using the 14-item Type D Scale-Taiwanese version. Systolic blood pressure, diastolic blood pressure, and heart rate were measured at the end of baseline, anger recall, verbal, and recovery phases of an anger recall task. Analysis of covariance was used to examine differences in blood pressure and heart rate at the anger recall, verbal, and recovery phase between patients with or without type D personality. RESULTS: After adjusting for baseline measurements, sex, and age, systolic blood pressure (p = 0.002) and diastolic blood pressure (p = 0.011) at the recovery phase were significantly higher in the patients with type D personality. No significant differences in blood pressure or heart rate were observed in the anger recall or verbal phase between the two groups of patients. CONCLUSIONS: The findings of this study support the notion that prolonged blood pressure recovery rather than high reactivity could be an underlying pathway linking type D personality and the risk of future cardiovascular events among patients with hypertension.
BACKGROUND: Type D, otherwise known as distressed personality type, has been associated with an increased risk of cardiovascular morbidity and mortality. Blood pressure reactivity and recovery to stress could be a possible underlying pathway linking type D personality and cardiovascular events. METHODS: A total of 41 patients with hypertension were recruited from a regional hospital in southern Taiwan. Demographic and clinical characteristics were obtained from all participants. Type D personality was assessed using the 14-item Type D Scale-Taiwanese version. Systolic blood pressure, diastolic blood pressure, and heart rate were measured at the end of baseline, anger recall, verbal, and recovery phases of an anger recall task. Analysis of covariance was used to examine differences in blood pressure and heart rate at the anger recall, verbal, and recovery phase between patients with or without type D personality. RESULTS: After adjusting for baseline measurements, sex, and age, systolic blood pressure (p = 0.002) and diastolic blood pressure (p = 0.011) at the recovery phase were significantly higher in the patients with type D personality. No significant differences in blood pressure or heart rate were observed in the anger recall or verbal phase between the two groups of patients. CONCLUSIONS: The findings of this study support the notion that prolonged blood pressure recovery rather than high reactivity could be an underlying pathway linking type D personality and the risk of future cardiovascular events among patients with hypertension.
Entities:
Keywords:
Anger; Blood pressure; Hypertension; Type D personality
Authors: Fleur E P van Dooren; Frans R J Verhey; Frans Pouwer; Casper G Schalkwijk; Simone J S Sep; Coen D A Stehouwer; Ronald M A Henry; Pieter C Dagnelie; Nicolaas C Schaper; Carla J H van der Kallen; Annemarie Koster; Miranda T Schram; Johan Denollet Journal: J Affect Disord Date: 2015-09-25 Impact factor: 4.839
Authors: J Unterrainer; M Michal; B Rahm; J Hadzibegovic; P S Wild; A Schulz; T Münzel; M Blettner; K Lackner; N Pfeiffer; S Blankenberg; J Denollet; M E Beutel Journal: Int J Cardiol Date: 2016-04-03 Impact factor: 4.164