2016


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2016/№1

Features of affective disorders in patients with type D personality who have heart failure and chronic obstructive lung disease

Gazizyanova V. M., Bulashova O. V., Khazova E. V., Nasybullina A. A., Malkova M. I.
State Budgetary Educational Institution, “Kazan State Medical University” of the RF Ministry of Health Care, Butlerova 49, Kazan 420012

Keywords:  heart failure, chronic obstructive pulmonary disease, type D personality, anxiety, depression

DOI: 10.18087/rhfj.2016.1.2187

Background. Diseases associated with the distress type D personality (type D) has evoked particular interest in recent decades. Aim. To study clinical characteristics and psycho-emotional condition of patients with type D personality and concurrent chronic obstructive lung disease (COPD). Materials and methods. We evaluated 53 patients with type D personality and clinically pronounced CHF in combination with COPD and 50 CHF patients with type D personality without lung disease. Patients aged 66.0±10.1, and CHF duration did not exceed 6 years. CHF etiology did not significantly differ between the CHF groups: 88.8 % of patients had IHD and 85 % of them had AH. Psycho-emotional condition was studied using the DS-14 test for diagnosing the type D personality and using the Hospital Anxiety and Depression scale to detect anxiety / depression. Results. Prevalence scores of depression and anxiety were 10.8±4.6 and 9.2±2.8 in patients with type D personality associated with COPD, which was significantly higher than in the control group (scores 7.6±2.1 and 6.8±2.3). Conclusion. The study showed that patients with the distress type D personality associated with COPD had lower quality of life and deteriorated course of disease, particularly, a lower FEV1, the index of bronchial obstruction severity.
  1. Смулевич А. Б. Депрессии при сердечно-сосудистых заболеваниях. Психические расстройства в общей медицине. 2013;14:4–9 [Smulevich A. B. Depressii pri serdechno-sosudisty`x zabolevaniyax. Psixicheskie rasstrojstva v obshhej mediczine. 2013;14:4–9].
  2. Denolett J. DS-14: standard assessment of negative affectivity, social inhibition, and type D personality. Psychosom Med. 2005 Jan-Feb;67 (1):89–97.
  3. Сумин А. Н., Райх О. И. Взаимосвязь типа личности Д и физической активности у пациентов кардиологического профиля. Креативная кардиология. 2014;2:28–35 [Sumin A. N., Rajx O. I. Vzaimosvyaz` tipa lichnosti D i fizicheskoj aktivnosti u paczientov kardiologicheskogo profilya. Kreativnaya kardiologiya. 2014;2:28–35].
  4. Staniute M, Brozaitiene J, Burkaukas J, Kazukauskiene N, Mickuviene N, Bunevicius R. Type D personality, mental distress, social support and health-related quality of life in coronary artery diseases patients with heart failure: a longitudinal observational study. Health Qual Life Outcomes. 2015 Jan 22;13:1.
  5. Smith OR, Michielsen HJ, Pelle AJ, Schiffer AA, Winter JB, Denollet J. Symptoms of fatigue in chronic heart failure patients: clinical and psychological predictors. Eur J Heart Fail. 2007 Sep;9 (9):922–7.
  6. Martens EJ, Mols F, Burg MM, Denollet J. Type D personality predicts clinical events after myocardial infarction, above and beyond disease severity and depression. J Clin Psychiatry. 2010 Jun;71 (6):778–83.
  7. Coyne JC, Jaarsma T, Luttik ML, van Sonderen E, van Veldhuisen DJ, Sanderman R. Lack of prognostic value of type D personality for mortality in alLarge sample of heart failure patients. Psychosom Med. 2011 Sep;73 (7):557–62.
  8. Svansdottir E, van den Broek KC, Karlsson HD, Gudnason T, Denollet J. Type D personality is associated with impaired psychological status and unhealthy lifestyle in Icelandic cardiac patients: a cross-sectional study. BMC Public Health. 2012 Jan 18;12:42.
  9. Kupper N, Pedersen SS, Höfer S, Saner H, Oldridge N, Denollet J. 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 Jun 20;166 (2):327–33.
  10. Wittchen H, Winter S, Höfler M, Spiegel B, Ormel H, Müller M, Pfister H. Prevalence and recognition rates of generalized anxiety and depression in primary care. Fortschr Med Orig. 2001;118:22–30.
  11. Оганов Р. Г., Погосова Г. В., Шальнова С. А., Деев А. Д. Депрессивные расстройства в общемедицинской практике по данным исследования КОМПАС: взгляд кардиолога. Кардиология. 2005;45 (8):38–43 [Oganov R. G., Pogosova G. V., Shal`nova S. A., Deev A. D. Depressivny`e rasstrojstva v obshhe­mediczinskoj praktike po danny`m issledovaniya KOMPAS: vzglyad kardiologa. Kardiologiya. 2005;45 (8):38–43].
  12. Polikandrioti M, Goudevenos J, Michalis LK, Koutelekos J, Kyristi H, Tzialas D, Elisaf M. Factors associated with depression and anxiety of hospitalized atients with heart failure. Hellenic J Cardiol. 2015 Jan-Feb;56 (1):26–35.
  13. Vatutin MT, Khrystychenko O, Keting OV. Quality of life in patients with chronic heart failure of ischemic etiology: role of anxiety and depressive disorders. J V. N. Karazin. 2013;1090:46–52.
  14. Sullivan M, Levy WC, Russo JE, Spertus JA. Depression and health status in patients with advanced heart failure: а prospective study in tertiary care. J Card Fail. 2004 Oct;10 (5):390–6 [Sullivan M, Levy WC, Russo JE, Spertus JA. Depression and health status in patients with advanced heart failure: a prospective study in tertiary care. J Card Fail. 2004 Oct;10 (5):390–6].
  15. Gottlieb SS, Khatta M, Friedmann E, Einbinder L, Katzen S, Baker B et al. The influence of age, gender, and race on the prevalence of depression in heart failure patients. J Am Coll Cardiol. 2004 May 5;43 (9):1542–9.
  16. Carels RA. The association between disease severity, functional status, depression and daily quality of life in congestive heart failure patients. Qual Life Res. 2004 Feb;13 (1):63–72.
  17. Junger J, Schellberg D, Muller-Tasch T, Raupp G, Zugck C, Haunstetter A et al. Depression increasingly predicts mortality in the course of congestive heart failure. Eur J Heart Fail. 2005 Mar 2;7 (2):261–7.
  18. Jiang W, Alexander J, Christopher E, Kuchibhatla M, Gaulden LH, Cuffe MS et al. Relationship of depression to increased risk of mortality and rehospitalization in patients with congestive heart failure. Arch Intern Med. 2001 Aug 13–27;161 (15):1849–56.
  19. Barger SD, Sydeman SJ. Does generalized anxiety disorder predict coronary heart disease risk factors independently of major depressive disorder? J Affect Disord. 2005 Sep;88 (1):87–91.
  20. Easton K, Coventry P, Lovell K, Carter LA, Deaton C. Prevalence and measurement of anxiety in samples of patients with heart failure: meta-analysis. J Cardiovasc Nurs. 2015 May 7. [Epub ahead of print]
  21. Чазов Е. И., Оганов Р. Г., Погосова Г. В., Деев А. Д., Шальнова С. А., Колтунов И. Е., Ромасенко Л. В. Депрес­сивная симптоматика ухудшает прогноз у больных артериальной гипертонией и ишемической болезнью сердца: первые результаты проспективного этапа российского многоцентрового исследования КООРДИНАТА. Кардиология. 2007;47 (10):24–30 [Chazov E. I., Oganov R. G., Pogosova G. V., Deev A. D., Shal`nova S. A., Koltunov I. E., Romasenko L. V. Depressivnaya simptomatika uxudshaet prognoz u bol`ny`x arterial`noj gipertoniej i ishemicheskoj bolezn`yu serdcza: pervy`e rezul`taty` prospektivnogo e`tapa rossijskogo mnogoczentrovogo issledovaniya KOORDINATA. Kardiologiya. 2007;47 (10):24–30].
  22. Curtis BM, O`Keefe JH. Autonomic tone as a cardiovascular risk factor: the dangers of chronic fight or flight. Mayo Clin Proc. 2002 Jan;77 (1):45–54.
  23. Сумин А. Н., Недосейкина Е. В., Архипов О. Г. Тип личности Д при хронических заболеваниях лёгких: распространённость, особенности психологического статуса. Терапевтический архив. 2013;85 (3):51–7 [Sumin A. N., Nedosejkina E. V., Arxipov O. G. Tip lichnosti D pri xronicheskix zabolevaniyax lyogkix: rasprostranyonnost`, osobennosti psixologicheskogo statusa. Terapevticheskij arxiv. 2013;85 (3):51–7].
  24. Schnell K, Weiss CO, Lee T, Krishnan JA, Leff B, Wolff JL, Boyd C. The prevalence of clinically-relevant comorbid conditions in patients with physician-diagnosed COPD: a cross-sectional study using data from NHANES 1999–2008. BMC Pulm Med. 2012 Jul 9;12:26.
  25. Zhang MW, Ho RC, Cheung MW, Fu E, Mak A. Prevalence of depressive symptoms in patients with chronic obstructive pulmonary disease: a systematic review, meta-analysis and meta-regression. Gen Hosp Psychiatry. 2011 May-Jun;33 (3):217–23.
  26. Miyazaki M, Nakamura H, Chubachi S, Sasaki M, Haraguchi M, Yoshida S et al. Analysis of comorbid factors that increase the COPD assessment test scores. Respir Res. 2014 Feb 6;15:13.
  27. Balcells E, Gea J, Ferrer J, Serra I, Orozco-Levi M, de Batlle J et al. Factors affecting the relationship between psychological status and quality of life in COPD patients. Health Qual Life Outcomes. 2010 Sep 27;8:108.
  28. Doyle C, Dunt D, Ames D, Selvarajah S. Managing mood disorders in patients attending pulmonary rehabilitation clinics. Int J Chron Obstruct Pulmon Dis. 2013;8:15–20.
  29. Bratek А, Zawada K, Beil-Gawełczyk J, Beil S, Sozanska E, Krysta K et al. Depressiveness, symptoms of anxiety and cognitive dysfunctions in patients with asthma and chronic obstructive pulmonary disease (COPD): possible associations with inflammation markers: a pilot study. J Neural Transm (Vienna). 2015 Aug;122 (Suppl 1):S83–91 [Bratek A, Zawada K, Beil-Gawełczyk J, Beil S, Sozanska E, Krysta K et al. Depressiveness, symptoms of anxiety and cognitive dysfunctions in patients with asthma and chronic obstructive pulmonary disease (COPD): possible associations with inflammation markers: a pilot study. J Neural Transm (Vienna). 2015 Aug;122 (Suppl 1):S83-91].
  30. Tsai TY, Livneh H, Lu MC, Tsai PY, Chen РC, Sung FC. Increased risk and related factors of depression among patients with COPD: a population-based cohort study. BMC Public Health. 2013 Oct 19;13:976 [Tsai TY, Livneh H, Lu MC, Tsai PY, Chen RC, Sung FC. Increased risk and related factors of depression among patients with COPD: a population-based cohort study. BMC Public Health. 2013 Oct 19;13:976].
  31. Miravitlles M, Worth H, Soler Cataluña JJ, Price D, De Benedetto F, Roche N et al. Observational study to characterise 24‑hour COPD symptoms and their relationship with patient-reported outcomes: results from the ASSESS study. Respir Res. 2014 Oct 21;15:122.
  32. Черногорюк Г. Э., Фисенко А. Ю., Рослякова Е. П., Михайлова А. А., Рачковский М. И., Варвянская Н. В. и др. Коррек­ция тревоги и депрессии у пациентов при обострении хронической обструктивной болезни лёгких. Современные проблемы науки и образования. 2014;6:1137 [Chernogoryuk G. E`., Fisenko A. Yu., Roslyakova E. P., Mixajlova A. A., Rachkovskij M. I., Varvyanskaya N. V. i dr. Korrekcziya trevogi i depressii u paczientov pri obostrenii xronicheskoj obstruktivnoj bolezni lyogkix. Sovremenny`e problemy` nauki i obrazovaniya. 2014;6:1137].
  33. Coventry PA, Gemmell I, Todd CJ. Psychosocial risk factors for hospital readmission in COPD patients on early discharge services: a cohort study. BMC Pulm Med. 2011 Nov 4;11:49.
  34. Jaarsma T, Lesman-Leegte I, Hillege H, Veeger NJ, Sanderman R, van Veldhuisen DJ. Depression and the usefulness of a disease management program in heart failure: insights from the COACH (Coordinating study evaluating Outcomes of Advising and Counseling in Heart failure) study. J Am Coll Cardiol. 2010 Apr 27;55 (17):1837–43.
  35. Ларина В. Н., Барт Б. Я. Тревожно-депрессивное состояние у больных с хронической сердечной недостаточностью пожилого возраста. Кардиология. 2012; 52 (10):26–33 [Larina V. N., Bart B. Ya. Trevozhno-depressivnoe sostoyanie u bol`ny`x s xronicheskoj serdechnoj nedostatochnost`yu pozhilogo vozrasta. Kardiologiya. 2012; 52 (10):26–33].
  36. Schiffer AA, Pedersen SS, Broers H, Widdershoven JW, Denollet J. Type-D personality but not depression predicts severity of anxiety in heart failure patients at 1‑year follow-up. J Affect Disord. 2008 Feb;106 (1–2):73–81.
Gazizyanova V. M., Bulashova O. V., Khazova E. V., Nasybullina A. A., Malkova M. I. Features of affective disorders in patients with type D personality who have heart failure and chronic obstructive lung disease. Russian Heart Failure Journal. 2016;17 (1):15–20

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