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

Authors
Jeon, Sang WonLim, Hong EuyYoon, SeoyoungNa, Kyoung SeKo, Young-HoonJoe, Sook-HaengKim, Young-Hoon
Issue Date
5월-2017
Publisher
KOREAN NEUROPSYCHIATRIC ASSOC
Keywords
Anxiety; Atrial fibrillation; Depression; Type D personality; Quality of life
Citation
PSYCHIATRY INVESTIGATION, v.14, no.3, pp.281 - 288
Indexed
SCIE
SSCI
SCOPUS
KCI
Journal Title
PSYCHIATRY INVESTIGATION
Volume
14
Number
3
Start Page
281
End Page
288
URI
https://scholar.korea.ac.kr/handle/2021.sw.korea/83543
DOI
10.4306/pi.2017.14.3.281
ISSN
1738-3684
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.
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