Universität zu Köln

Lambertus, Frank, Herrmann-Lingen, Christoph, Fritzsche, Kurt, Hamacher, Stefanie ORCID: 0000-0003-2158-9101, Hellmich, Martin, Juenger, Jana, Ladwig, Karl-Heinz, Michal, Matthias, Ronel, Joram, Schultz, Jobst-Hendrik, Vitinius, Frank, Weber, Cora and Albus, Christian (2018). Prevalence of mental disorders among depressed coronary patients with and without Type D personality. Results of the multi-center SPIRR-CAD trial. Gen. Hosp. Psych., 50. S. 69 - 76. NEW YORK: ELSEVIER SCIENCE INC. ISSN 1873-7714

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Abstract

Objective: Type D personality, as with formal mental disorders, is linked to increased mortality in coronary heart disease (CHD). Our aim was to determine the prevalence of mental disorders among depressed CHD patients with and without Type D personality. Methods: Depressive symptoms (HADS, HAM-D), Type D personality (DS-14) and mental disorders based on DSM-IV (SCID I and II) were assessed. Results were calculated by Kruskal-Wallis tests, Fisher's exact tests and logistic regression analyses. Results: 570 CHD patients were included (age 59.2 +/- 9.5 years; male 78.9%, HADS-D depression 10.4 +/- 2.5; HAM-D 11.3 +/- 6.6; Type D 60.1%). 84.8% of patients with Type D personality and 79.3% of non-Type D patients suffered from at least one mental disorder (p = 0.092), while 41.8% of Type D positives and 27.8% of Type D negatives had at least two mental disorders (p = 0.001). Patients with Type D personality significantly more often had social phobia [odds ratio (95% confidence interval): 3.79 (1.1 to 13.12); p = 0.035], dysthymia [1.78 (1.12 to 2.84); p = 0.015], compulsive [2.25 (1.04 to 4.86); p = 0.038] or avoidant [8.95 (2.08 to 38.49); p = 0.003] personality disorder. Conclusions: Type D personality among depressed CHD patients is associated with more complex and enduring mental disorders. This implies higher treatment demands.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Lambertus, Frank UNSPECIFIED UNSPECIFIED UNSPECIFIED Herrmann-Lingen, Christoph UNSPECIFIED UNSPECIFIED UNSPECIFIED Fritzsche, Kurt UNSPECIFIED UNSPECIFIED UNSPECIFIED Hamacher, Stefanie UNSPECIFIED orcid.org/0000-0003-2158-9101 UNSPECIFIED Hellmich, Martin UNSPECIFIED UNSPECIFIED UNSPECIFIED Juenger, Jana UNSPECIFIED UNSPECIFIED UNSPECIFIED Ladwig, Karl-Heinz UNSPECIFIED UNSPECIFIED UNSPECIFIED Michal, Matthias UNSPECIFIED UNSPECIFIED UNSPECIFIED Ronel, Joram UNSPECIFIED UNSPECIFIED UNSPECIFIED Schultz, Jobst-Hendrik UNSPECIFIED UNSPECIFIED UNSPECIFIED Vitinius, Frank UNSPECIFIED UNSPECIFIED UNSPECIFIED Weber, Cora UNSPECIFIED UNSPECIFIED UNSPECIFIED Albus, Christian UNSPECIFIED UNSPECIFIED UNSPECIFIED
URN:	urn:nbn:de:hbz:38-204141
DOI:	10.1016/j.genhosppsych.2017.10.001
Journal or Publication Title:	Gen. Hosp. Psych.
Volume:	50
Page Range:	S. 69 - 76
Date:	2018
Publisher:	ELSEVIER SCIENCE INC
Place of Publication:	NEW YORK
ISSN:	1873-7714
Language:	English
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language STEPWISE PSYCHOTHERAPY INTERVENTION; ARTERY-DISEASE; MYOCARDIAL-INFARCTION; CARDIAC PATIENTS; GERMAN COHORT; NEGATIVE AFFECTIVITY; GENERAL-POPULATION; SOCIAL INHIBITION; RANDOMIZED-TRIAL; REDUCING RISK Multiple languages Psychiatry Multiple languages
Refereed:	Yes
URI:	http://kups.ub.uni-koeln.de/id/eprint/20414