Relationship between type D personality and metabolic syndrome in general population of the Kemerovo region (results of the ESSE-RF epidemiological study)

Objective. To study prevalence of type D personality and examine the relationship with metabolic syndrome (MS) in general population of the Kemerovo region.

Design and methods. A randomized sample was selected from general population in Kemerovo region within the multicentre observational trial «Epidemiology of Cardiovascular Diseases in the Regions of Russian Federation — ESSE-RF», including 1 610 subjects (response was more than 80%). The mean age was 45,8 ± 11,9 years, gender distribution was the following: women — 918 (57%), men — 692 (43%). They were divided into two groups: patients with type D personality (n = 231) and patients without type D (n = 1379). Psychological status was assessed by the questionnaire DS‑14. MS was defined according to the recommendations of the experts of the Russian Scientific Society of Cardiology (2009).

Results. MS was detected in 406 (25,2%) patients. The presence of type D personality was associated with the more than twofold increase in the risk of MS and its components, such as obesity and hypertension.

Conclusions. Predisposition to the MS may be one of the factors explaining the association between type D personality and poorer cardiovascular prognosis.

1. Pedersen SS, Kupper N, Denollet J. Psychological imp act and heart disease. In The ESC Textbook of Cardiovascular Medicine Second Edition. Edited by AJ Camm, TF Lüscher, and P.W. Serruys, trans. from English ed. by EV Shlyakhto. Moscow: «GEOTAR-Media», 2011. P. 1332–1352.

2. Garganeeva NP, Petrova MM, Evsyukov AA, Shtarik SU, Kaskaeva DS. The influence of depression on the course of coronary heart disease and quality of life. Klinicheskaja medicina. 2014;92(12):30–37. In Russian.

3. Akimova EV, Gakova EI, Kayumova MM, Zagorodnikh EY, Kayumov RK, Smaznov VY et al. Anxiety, coronary heart disease and metabolic syndrome in male population: prevalence and interrelations. Arterial’naya Gipertenziya = Arterial Hypertension. 2015;21(2):138–144. In Russian.

4. Denollet J. DS14: standard assessment of negative affectivity, social inhibition, and Type D personality. Psychosom Med. 2005;67(1):89–97.

5. Ogińska-Bulik N. Type D personality and quality of life in subjects after myocardial infarction. Kardiol Pol. 2014;72(7):624–630.

6. Kim SR, Kim HK, Kang JH. Does type D personality affect symptom control and quality of life in asthma patients? J Clin Nurs. 2015;24(5–6):739–748.

7. Grande G, Romppel M, Vesper JM, Schubmann R, Glaesmer H, Herrmann-Lingen C. Type D personality and all-cause mortality in cardiac patients — data from a German cohort study. Psychosom Med. 2011;73(7):548–556.

8. Denollet J, Tekle FB, van der Voort PH, Alings M, van den Broek KC. Age-related differences in the effect of psychological distress on mortality: type D personality in youngerversus older patients with cardiac arrhythmias. Biomed Res Int. 2013;2013:246035. doi: 10.1155/2013/246035

9. Mommersteeg PM, Pelle AJ, Ramakers C. Type D personality and course of health status over 18 months in outpatients with heart failure: multiple mediating inflammatory biomarkers. Brain Behav Immun. 2012;26(2):301–310.

10. Bibbey A, Carroll D, Ginty AT, Phillips AC. Cardiovascular and cortisol reactions to acute psychological stress under conditions of high versus low social evaluative threat: associations with the type D personality construct. Psychosom Med. 2015;77(5):599–608.

11. Kelly-Hughes DH, Wetherell MA, Smith MA. Type D personality and cardiovascular reactivity to an ecologically valid multitasking stressor. Psychol Health. 2014;29(10):1156–1175.

12. Sumin AN, Osokina AV, Fedorova NV, Raikh OI, Khriachkova ON, Barbarash OL. The levels of matrix metalloproteinase-2, -9 and soluble ligand CD 40 in patients with coronary heart disease and susceptibility to psychological distress. Atherosclerosis and Dyslipidaemias. 2015;2:41–49. In Russian.

13. Williams L, Abbott C, Kerr R. Health behaviour mediates the relationship between Type D personality and subjective health in the general population. J Health psychol. 2015. pii: 1359105315571977

14. Wu JR, Song EK, Moser DK. Type D personality, self-efficacy, and medication adherence in patients with heart failure-A mediation analysis. Heart Lung. 2015;44 (4):276–281.

15. Mommersteeg PM, Kupper N, Denollet J. Type D personality is associated with increased metabolic syndrome prevalence and an unhealthy lifestyle in a cross-sectional Dutch community sample. BMC Public Health. 2010;10:714. doi: 10.1186/1471–2458–10–714

16. Tziallas D, Kostapanos MS, Skapinakis P, Milionis HJ, Athanasiou T, Elisaf M et al. The association between Type D personality and the metabolic syndrome: a cross-sectional study in a University-based outpatient lipid clinic. BMC Res Notes. 2011;4:105. doi: 10.1186/1756-0500-4-105

17. Gami AS, Witt BJ, Howard DE, Erwin PJ, Gami LA, Somers VK et al. Metabolic syndrome and risk of incident cardiovascular events and death: a systematic review and meta-analysis of longitudinal studies. J Am Coll Cardiol. 2007;49(4):403–414.

18. Sidorenkov O, Nilssen O, Grjibovski AM. Metabolic syndrome in Russian adults: associated factors and mortality from cardiovascular diseases and all causes. BMC Public Health. 2010;10:582. doi: 10.1186/1471–2458–10–582

19. Mommersteeg PM, Pouwer F. Personality as a risk factor for the metabolic syndrome: a systematic review. J Psychosom Res. 2012;73(5):326–333.

20. Boitsov SA, Chazov EI, Shlyakhto EV, Shal’nova SA, Konradi AO, Karpov JuA et al. Epidemiology of cardiovascular diseases in different regions of Russia (ESSE-RF). The rationale for and design of the study. Profilakticheskaja medicina = Preventive Medicine. 2013;6:25–34. Russian.

21. Mommersteeg PM, Herr R, Bosch J, Fischer JE, Loerbroks A. Type D personality and metabolic syndrome in a 7-year prospective occupational cohort. J Psychosom Res. 2011;71(5):357–363.

22. Artamonova GV, Maksimov SA, Skripchenko AE, Yankin MU, Ogarkov MU. Medical and social and epidemiological aspects of occupational risk of development of arterial hypertension. Complex Issues of Cardiovascular Diseases. 2012;2:52–57. In Russian].

23. Booth L, Williams L. Type D personality and dietary intake: The mediating effects of coping style. J Health Psychol. 2015;20(6):921–927.

24. Simon A, TringerI, BerényiI, Veress G. Psychological factors considerably influence the results of 6‑min walk test after coronary bypass surgery. Orv Hetil. 2007;148 (44):2087–2094.

25. Bunevicius A, Brozaitiene J, Staniute M, GelzinieneV, Duoneliene I, Pop VJ et al. Decreased physical effort, fatigue, and mental distress in patients with coronary artery disease: importance of personality-related differences. Int J Behav Med. 2014;21(2):240–247.

26. Sumin AN, Raikh OI. Type D personality in patients with cardiovascular disease and its impact on physical activity. Kreativnaya Kardiologiya = Creative Cardiology. 2014;2:28–35. In Russian.

27. Kupper N, Pedersen SS, Höfer S, Saner H, Oldridge N, Denollet J et al. Cross-cultural analysis of type D (distressed) personality in 6222 patients with ischemic heart disease: a study from the International HeartQoL Project. Int J Cardiol. 2013;166(2):327–333.

28. Einvik G, Dammen T, Hrubos-Strøm H, Namtvedt SK, Randby A, Kristiansen HA et al. Prevalence of cardiovascular risk factors and concentration of C-reactive protein in Type D personality persons without cardiovascular disease. Eur J Cardiovasc Prev Rehabil. 2011;18(3):504–509.

29. Dolganova NP, Rotar OP, Moguchaya EV, Boiarinova MA, Kolesova EP, Erina AM et al. Personal determinants of behavior associated with health in individuals with different risk of developing metabolic syndrome. Arterial’naya Gipertenziya = Arterial Hypertension. 2013; 19(5):419–427. In Russian.

30. Nyklíček I, van Beugen S, Denollet J. Effects of mindfulness-based stress reduction on distressed (type D) personality traits: a randomized controlled trial. J Behav Med. 2013;36(4):361–370.

31. Sergeeva VV, Rodionova AU. Modern approach to the assessment of hypertension and metabolic disorders. Arterial’naya Gipertenziya = Arterial Hypertension. 2013;19 (5):397–404. In Russian.