Personality traits, ventricular tachyarrhythmias, and mortality in patients with an implantable cardioverter defibrillator: 6 years follow-up of the WEBCARE cohort

E R Broers, M Habibović, J Denollet, J W M G Widdershoven, M Alings, D A M J Theuns, P van der Voort, L Bouwels, J P Herrman, S S Pedersen

Research output: Contribution to journalJournal articleResearchpeer-review

5 Downloads (Pure)

Abstract

OBJECTIVE: Risk stratification within the ICD population warrants the examining of the role of protective- and risk factors. Current study examines the association between Type D personality, pessimism, and optimism and risk of ventricular tachyarrhythmias (VTa's) and mortality in patients with a first-time ICD 6 years post implantation.

METHODS: A total of 221 first-implant ICD patients completed questionnaires on optimism and pessimism (Life Orientation Test) and Type D personality (Type D scale DS14) 10 to 14 days after implantation. VTa's and all-cause mortality 6 years post implant comprised the study endpoints.

RESULTS: Ninety (40.7%) patients had experienced VTa's and 37 (16.7%) patients died, 12 (5.4%) due to a cardiac cause. Adjusted logistic regression analysis showed that pessimism was significantly associated with increased risk of VTa's (OR = 1.09; 95% CI = 1.00-1.19; p = .05). Type D personality (OR = 1.05; 95% CI = 0.47-2.32; p = .91) and optimism (OR = 1.00; 95% CI = 0.90-1.12; p = .98) were not associated with VTa's. None of the personality types were associated with mortality.

CONCLUSION: Pessimism was associated with VTa's but not with mortality. No significant association with either of the endpoints was observed for Type D personality and optimism. Future research should focus on the coexistent psychosocial factors that possibly lead to adverse cardiac prognosis in this patient population.

Original languageEnglish
JournalGeneral Hospital Psychiatry
Volume62
Pages (from-to)56-62
Number of pages7
ISSN0163-8343
DOIs
Publication statusPublished - 1. Jan 2020

Fingerprint

Implantable Defibrillators
Type D Personality
Population
Logistic Models
Regression Analysis
Optimism
Pessimism

Bibliographical note

Copyright © 2019 The Authors. Published by Elsevier Inc. All rights reserved.

Cite this

Broers, E R ; Habibović, M ; Denollet, J ; Widdershoven, J W M G ; Alings, M ; Theuns, D A M J ; van der Voort, P ; Bouwels, L ; Herrman, J P ; Pedersen, S S. / Personality traits, ventricular tachyarrhythmias, and mortality in patients with an implantable cardioverter defibrillator : 6 years follow-up of the WEBCARE cohort. In: General Hospital Psychiatry. 2020 ; Vol. 62. pp. 56-62.
@article{8e85c884d3654797b534abe8c2403a3a,
title = "Personality traits, ventricular tachyarrhythmias, and mortality in patients with an implantable cardioverter defibrillator: 6 years follow-up of the WEBCARE cohort",
abstract = "OBJECTIVE: Risk stratification within the ICD population warrants the examining of the role of protective- and risk factors. Current study examines the association between Type D personality, pessimism, and optimism and risk of ventricular tachyarrhythmias (VTa's) and mortality in patients with a first-time ICD 6 years post implantation.METHODS: A total of 221 first-implant ICD patients completed questionnaires on optimism and pessimism (Life Orientation Test) and Type D personality (Type D scale DS14) 10 to 14 days after implantation. VTa's and all-cause mortality 6 years post implant comprised the study endpoints.RESULTS: Ninety (40.7{\%}) patients had experienced VTa's and 37 (16.7{\%}) patients died, 12 (5.4{\%}) due to a cardiac cause. Adjusted logistic regression analysis showed that pessimism was significantly associated with increased risk of VTa's (OR = 1.09; 95{\%} CI = 1.00-1.19; p = .05). Type D personality (OR = 1.05; 95{\%} CI = 0.47-2.32; p = .91) and optimism (OR = 1.00; 95{\%} CI = 0.90-1.12; p = .98) were not associated with VTa's. None of the personality types were associated with mortality.CONCLUSION: Pessimism was associated with VTa's but not with mortality. No significant association with either of the endpoints was observed for Type D personality and optimism. Future research should focus on the coexistent psychosocial factors that possibly lead to adverse cardiac prognosis in this patient population.",
author = "Broers, {E R} and M Habibović and J Denollet and Widdershoven, {J W M G} and M Alings and Theuns, {D A M J} and {van der Voort}, P and L Bouwels and Herrman, {J P} and Pedersen, {S S}",
note = "Copyright {\circledC} 2019 The Authors. Published by Elsevier Inc. All rights reserved.",
year = "2020",
month = "1",
day = "1",
doi = "10.1016/j.genhosppsych.2019.11.009",
language = "English",
volume = "62",
pages = "56--62",
journal = "General Hospital Psychiatry",
issn = "0163-8343",
publisher = "Elsevier",

}

Personality traits, ventricular tachyarrhythmias, and mortality in patients with an implantable cardioverter defibrillator : 6 years follow-up of the WEBCARE cohort. / Broers, E R; Habibović, M; Denollet, J; Widdershoven, J W M G; Alings, M; Theuns, D A M J; van der Voort, P; Bouwels, L; Herrman, J P; Pedersen, S S.

In: General Hospital Psychiatry, Vol. 62, 01.01.2020, p. 56-62.

Research output: Contribution to journalJournal articleResearchpeer-review

TY - JOUR

T1 - Personality traits, ventricular tachyarrhythmias, and mortality in patients with an implantable cardioverter defibrillator

T2 - 6 years follow-up of the WEBCARE cohort

AU - Broers, E R

AU - Habibović, M

AU - Denollet, J

AU - Widdershoven, J W M G

AU - Alings, M

AU - Theuns, D A M J

AU - van der Voort, P

AU - Bouwels, L

AU - Herrman, J P

AU - Pedersen, S S

N1 - Copyright © 2019 The Authors. Published by Elsevier Inc. All rights reserved.

PY - 2020/1/1

Y1 - 2020/1/1

N2 - OBJECTIVE: Risk stratification within the ICD population warrants the examining of the role of protective- and risk factors. Current study examines the association between Type D personality, pessimism, and optimism and risk of ventricular tachyarrhythmias (VTa's) and mortality in patients with a first-time ICD 6 years post implantation.METHODS: A total of 221 first-implant ICD patients completed questionnaires on optimism and pessimism (Life Orientation Test) and Type D personality (Type D scale DS14) 10 to 14 days after implantation. VTa's and all-cause mortality 6 years post implant comprised the study endpoints.RESULTS: Ninety (40.7%) patients had experienced VTa's and 37 (16.7%) patients died, 12 (5.4%) due to a cardiac cause. Adjusted logistic regression analysis showed that pessimism was significantly associated with increased risk of VTa's (OR = 1.09; 95% CI = 1.00-1.19; p = .05). Type D personality (OR = 1.05; 95% CI = 0.47-2.32; p = .91) and optimism (OR = 1.00; 95% CI = 0.90-1.12; p = .98) were not associated with VTa's. None of the personality types were associated with mortality.CONCLUSION: Pessimism was associated with VTa's but not with mortality. No significant association with either of the endpoints was observed for Type D personality and optimism. Future research should focus on the coexistent psychosocial factors that possibly lead to adverse cardiac prognosis in this patient population.

AB - OBJECTIVE: Risk stratification within the ICD population warrants the examining of the role of protective- and risk factors. Current study examines the association between Type D personality, pessimism, and optimism and risk of ventricular tachyarrhythmias (VTa's) and mortality in patients with a first-time ICD 6 years post implantation.METHODS: A total of 221 first-implant ICD patients completed questionnaires on optimism and pessimism (Life Orientation Test) and Type D personality (Type D scale DS14) 10 to 14 days after implantation. VTa's and all-cause mortality 6 years post implant comprised the study endpoints.RESULTS: Ninety (40.7%) patients had experienced VTa's and 37 (16.7%) patients died, 12 (5.4%) due to a cardiac cause. Adjusted logistic regression analysis showed that pessimism was significantly associated with increased risk of VTa's (OR = 1.09; 95% CI = 1.00-1.19; p = .05). Type D personality (OR = 1.05; 95% CI = 0.47-2.32; p = .91) and optimism (OR = 1.00; 95% CI = 0.90-1.12; p = .98) were not associated with VTa's. None of the personality types were associated with mortality.CONCLUSION: Pessimism was associated with VTa's but not with mortality. No significant association with either of the endpoints was observed for Type D personality and optimism. Future research should focus on the coexistent psychosocial factors that possibly lead to adverse cardiac prognosis in this patient population.

U2 - 10.1016/j.genhosppsych.2019.11.009

DO - 10.1016/j.genhosppsych.2019.11.009

M3 - Journal article

C2 - 31841873

VL - 62

SP - 56

EP - 62

JO - General Hospital Psychiatry

JF - General Hospital Psychiatry

SN - 0163-8343

ER -