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Impact of a Type D Personality on Clinical and Psychometric Properties in a Sample of Turkish Patients With a First Myocardial Infarction


Journal of Psychiatric Practice®: January 2017 - Volume 23 - Issue 1 - p 3–10
doi: 10.1097/PRA.0000000000000201

Background: Recent studies have shown that a Type D personality is associated with an increased risk of cardiac mortality.

Objective: This study aimed to examine the impact of a Type D personality on clinical and psychometric properties in a sample of Turkish patients with a first myocardial infarction (MI).

Method: The study included 131 patients who were admitted to the coronary care unit of a hospital. All of the patients underwent a psychiatric assessment within 2 to 6 months after their MI. Psychiatric interviews were conducted using the Structured Clinical Interview for DSM-IV (SCID-I). Patients also completed the Beck Depression Inventory, the Spielberger State-Trait Anxiety Inventory, the Health Anxiety Inventory, and the Type D personality scale.

Results: The patients were divided into 2 groups on the basis of the presence or absence of Type D personality. There was a 38.2% prevalence of Type D personality in the patients with a first MI. Those with this type of personality had a significantly higher frequency of hypertension and stressful life events. The Type D patients also had more psychiatric disorders, including depressive and anxiety disorders, than the non-Type D patients.

Conclusions: Our findings suggest that Type D personality traits may increase the risk of hypertension and the risk of psychiatric morbidity in patients with a first MI. We suggest that this type of personality is a contributor to depression and anxiety disorders. These findings emphasize the importance of screening for Type D personality as both a cardiovascular and psychiatric risk marker in patients who have had an MI.

ANNAGÜR and UYGUR: Department of Psychiatry, Faculty of Medicine, Selçuk University, Konya, Turkey

DEMIR and AVCI, Department of Cardiology, Faculty of Medicine, Selçuk University, Konya, Turkey

The authors declare no conflicts of interest.

Please send correspondence to: Bilge B. Annagür, MD, Selçuk Üniversitesi, Tip Fakültesi, Psikiyatri AD, Selçuklu (Department of Psychiatry, Faculty of Medicine, Selçuk University), Konya, 42075, Turkey (

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