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Ann Behav Med. 2014 Oct;48(2):156-62. doi: 10.1007/s12160-014-9590-2.

Type D personality is unrelated to major adverse cardiovascular events in patients with coronary artery disease treated by intracoronary stenting.

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  • 1Department of Psychosomatic Medicine and Psychotherapy, University of Göttingen, Göttingen, Germany.



Previous research in cardiac patients suggested that type D personality, defined as a combination of negative affectivity (NA) and social inhibition (SI), was associated with adverse outcome.


The objective of this prospective study was to examine the independent prognostic value of type D in patients with coronary artery disease (CAD).


A total of 465 patients completed the Type D Scale (DS14) questionnaire before undergoing stent implantation and were followed up for 5 years.


In a Cox regression model adjusted for selected confounders, we found a trend towards NA for the prediction of nonfatal major adverse cardiovascular event (MACE, hazard ratio (HR) = 1.07, 95 % confidence intervals (CIs) = 0.99-1.14, p = 0.074), while, in contrast, SI was a significant and independent predictor of better outcome (HR = 0.92, 95 % CI = 0.86-0.99, p = 0.027).


In a cohort of CAD patients, the type D pattern was not linked to adverse outcome, whereas SI was negatively associated with MACE.

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