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Psychiatry Investig. 2017 May;14(3):281-288. doi: 10.4306/pi.2017.14.3.281. Epub 2017 May 16.

Does Type D Personality Impact on the Prognosis of Patients Who Underwent Catheter Ablation for Atrial Fibrillation? A 1-Year Follow-Up Study.

Author information

1
Department of Psychiatry, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine, Seoul, Republic of Korea.
2
Division of Cardiology, Department of Internal Medicine, Korea University Medical Center, Seoul, Republic of Korea.
3
Department of Psychiatry, Korea University Ansan Hospital, Korea University College of Medicine, Ansan, Republic of Korea.
4
Department of Psychiatry, Gachon University Gil Medical Center, Incheon, Republic of Korea.
5
Department of Psychiatry, Korea University Guro Hospital, Korea University College of Medicine, Seoul, Republic of Korea.

Abstract

OBJECTIVE:

Although Type D personality has been associated with the prognosis of various cardiac diseases, few studies have investigated the influence of Type D personality on the cardiac and psychiatric prognoses of patients with atrial fibrillation (AF).

METHODS:

Depression, anxiety, and quality of life were measured at baseline and 6 months. The recurrence of AF was measured during 1-year following radiofrequency catheter ablation (RFCA) for AF. The Kaplan-Meier method with log-rank tests were used to compare the cumulative recurrence of AF. ACox proportional hazard model was conducted to identify factors that contribute to the recurrence of AF.

RESULTS:

A total of 236 patients admitted for RFCA were recruited. Patients with a Type D personality had higher levels of depression and anxiety and a poorer quality of life compared to controls. Although depression, anxiety, and quality of life had improved 6 months after RFCA, significant differences in psychiatric symptoms remained between patients with and without Type D personality. In the Cox models, the type of AF was the only factor that influenced the recurrence of AF.

CONCLUSION:

Our results suggest that Type D personality predominately influences psychological distress in patients with AF, but not the recurrence of AF.

KEYWORDS:

Anxiety; Atrial fibrillation; Depression; Quality of life; Type D personality

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