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[Prevalence of distress and coronary behaviour in patients with atherosclerosis of various localization]

A N Sumin, O I Raĭkh, A V Karpovich

    Kardiologiia
    |November 29, 2011
    PubMed

    Insights

    Coronary behavior type B and distressor personality traits are linked to more severe atherosclerosis. Patients with type B behavior showed higher distressor personality traits, depression, and anxiety, indicating a poorer prognosis.

    Area of Science:

    • Cardiology
    • Psychology

    Context:

    • Atherosclerosis is a significant cardiovascular disease.
    • Personality traits and behavioral patterns can influence cardiovascular health.
    • Understanding these links is crucial for risk stratification and management.

    Purpose:

    • To investigate the prevalence of distressor personality traits and coronary behavioral types in patients with clinical atherosclerosis.
    • To explore the association between behavioral types, personality traits, and atherosclerosis severity.

    Summary:

    • This study examined 943 atherosclerosis patients, finding intermediate behavioral type AB most common (69.9%).
    • Type B behavior, though less frequent (4.8%), was associated with more extensive vascular involvement, increased intima-media thickness, and reduced left ventricular ejection fraction.
    • Patients with type B behavior exhibited significantly higher levels of distressor personality traits (p<0.00001), including type D personality (44.4%), depression, and anxiety, compared to types AB and A.

    Impact:

    • Findings suggest that type B coronary behavior, combined with distressor personality traits, may indicate a higher risk for severe atherosclerosis.
    • This highlights the importance of assessing psychological factors in cardiovascular disease management.
    • Early identification of at-risk individuals can lead to targeted interventions and improved patient outcomes.

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