Is there a relationship between type D personality and cardiovascular disease? A comprehensive literature review

آخرین دیدگاه‌ها

    0
    0٫0 rating
    0 out of 5 stars (based on 0 reviews)
    عالی0%
    خیلی خوب0%
    میانگین0%
    ضعیف0%
    خیلی ضعیف0%

    Marzieh Azizi 1, Forouzan Elyasi *2

    1 Ph.D. Student of Reproductive Health, Department of Midwifery and Reproductive health, School of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran. Email: marziehazizi70@gmail.com

    *2 Psychiatry and Behavioral Sciences Research Center, Sexual and Reproductive Health Research Center, Addiction Institute, School of Medicine, Mazandaran University of Medical Sciences, Sari, Iran.  E mail: forouzan.elyasi@gmail.com

    Introduction and aim: Psychological distress has been associated with the pathogenesis and progression of cardiovascular diseases (CVDs). Among the several psychological factors, personality traits of an individual have been explored as an important factor influencing the morbidity and mortality of CVDs. Type D personality, known as distressed personality type, comprised of two main characteristics such as negative affectivity and social inhibition.  Studies found that during a period of 6–10 years, the mortality rate among type D patients with cardiovascular diseases was 27%; compared with 7% among healthy subjects. This study aimed to investigate the relation between type D personality and cardiovascular disease according to the literature review.

    Methods: In this review study, researchers conducted their comprehensive computer search in databases such as Google Scholar and more specifically PubMed, PsycINFO, ProQuest, web of science, Cochrane Library, Science Direct and Scopus in the period of 1 August 2020 until 20 August 2020. The keywords which selected by MeSH strategy were [(“Type D personality” OR “Type D personality traits”) AND (“cardiovascular diseases” OR” coronary heart disease” hypertensive disorders”)]. Articles from “1992 to 2020” were selected. Overall 28 articles have been searched. Researchers reviewed the abstract and full text of all searched articles and ultimately they applied 21 articles to write this review.

    Results: The prevalence of type D personality among patients with CHD was reported 18.7 %. Personality  traits such as optimism, conscientiousness, openness to experience, and curiosity have been found to be protective factors against development of CVDs. Studies have found strong association between Type D personality and stress cardiomyopathy after acute emotional stressful triggers leading to acute cardiac events. Individual risk factors such as tendency to unhealthy life style, non-completion of cardiac rehabilitation programs and poor compliance to treatment in individuals with Type D personality has also been found to be associated with the risk of developing serious illness such as CVDs, premature mortality and affect the quality of life in those individuals with chronic medical illness. Psychological issues such as chronic negative affect, low self-esteem, generally dissatisfied with life, suffer from depressive symptoms, chronic tension, anger, pessimism, decreased cognitive functioning, poor social support, and low levels of perceived well-being in individuals with a Type D personality are associated with exacerbating the prognosis of CVDs. Studies have reported that those with type D personality with CVDs experience more cardiac symptoms but are less likely to report cardiac symptoms (such as swollen legs, shortness of breath, etc.) to the medical professionals and tend to seek health care lately which resulting in severe symptoms due to their social inhibition tendency.

    Conclusion: Increasing general public awareness about the role of personality traits and its impact on cardiac illness could be beneficial and various programs for psychological intervention are required to control for the distressed personality of patients with CVDs or hypertensive disorders. 

    Keywords: Type D personality, personality traits, cardiovascular diseases, coronary heart disease,

    {{ reviewsLength }} Review

    {{ reviewsLength }} Reviews

    {{ options.labels.newReviewButton }}
    {{ canReviewMessage }}

    Non-pharmacological interventions on the prevention of delirium in patients under open heart surgery: A narrative review

    آخرین دیدگاه‌ها

      0
      0٫0 rating
      0 out of 5 stars (based on 0 reviews)
      عالی0%
      خیلی خوب0%
      میانگین0%
      ضعیف0%
      خیلی ضعیف0%

      Marzieh Azizi 1, Fatemeh Alizadeh Arimi 2, Forouzan Elyasi *3

      1 Ph.D. Student of Reproductive Health, Department of Midwifery and Reproductive health, School of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran. Email: marziehazizi70@gmail.com

      2 Psychiatric Resident, School of Medicine, Mazandaran University of Medical Sciences, Sari, Iran. Email: fateme.arimi1991@gmail.com

      *3. Psychiatry and Behavioral Sciences Research Center, Sexual and Reproductive Health Research Center, Addiction Institute, School of Medicine, Mazandaran University of Medical Sciences, Sari, Iran. E mail: forouzan.elyasi@gmail.com

       

      Introduction and aim: Delirium is fluctuating, acute, and multifactorial condition leading to mental confusion, altered level of consciousness and declined cognitive level. It affects 15-70% of the medical and surgical population under open heart surgery admitted to intensive care units. Prevention of delirium is clearly desirable for both patients and healthcare professionals, and can also reduce the health service costs. A range of non-pharmacological interventions for preventing delirium in hospitalized patients have been developed. This study aimed to assess the non-pharmacological interventions on the prevention of delirium in patients under open heart surgery.

      Methods: The present study is a review in which researchers conducted their computer search in database such as Google Scholar, ScienceDirect,, Web of Science, PubMed and Scopus with using text word and medical Subject Heading (MesH) methods with key words such as [(“non-pharmacological interventions” OR “non-pharmacological strategies” OR “psychological interventions”) AND (“delirium” OR ” acute confusion state) AND (“open heart surgeries” OR “heart surgery”)]. As a result of search process, 40 articles were extracted from 1995-2020. Articles were excluded if they were written in languages other than Persian or English or were irrelevant to the topic. The abstract of all retrieved articles were read and screened and ultimately, we used 31 full text articles to write this review study.

      Results: Among studies showed that there are different non-pharmacological strategies to prevent the delirium in patients under heart surgeries. Results were classified in three main categories. Physical interventions (such as counteraction of immobilization, range of motion exercises, multicomponent physical therapy, multicomponent intensive occupational therapy including positioning, physical rehabilitation, paired awakening and breathing, avoidance of sensory deprivation (glasses, denture and hearing aids)), environmental interventions (such as bright light therapy, environmental manipulation, inserted familiar objects in the room such as clock and calendar), psychosocial intervention (such as systematic cognitive screening, multicomponent orientation and cognitive stimulation and training, cognitive-behavioral methods, relative involvement such as reorientation using family voice and family supportive reorientation, daily proactive geriatrics consultation, progressive muscle relaxation, relaxing breathing techniques, (self) hypnosis, guided imagery or autogenic training, psychoeducational interventions, music therapy and singing).

      Conclusion: Given the possibility of delirium incidence in patients under the heart surgery is relatively high, so considering multicomponent interventions such as multicomponent non-pharmacological in the therapeutic planning may be useful in preventing of the delirium in these patients.

      {{ reviewsLength }} Review

      {{ reviewsLength }} Reviews

      {{ options.labels.newReviewButton }}
      {{ canReviewMessage }}

      Biopsychosocial factors related of sexual dysfunction in women with cardiovascular diseases

      آخرین دیدگاه‌ها

        0
        0٫0 rating
        0 out of 5 stars (based on 0 reviews)
        عالی0%
        خیلی خوب0%
        میانگین0%
        ضعیف0%
        خیلی ضعیف0%

        Marzieh Azizi 1, Forouzan Elyasi *2

        1 Ph.D. Student of Reproductive Health, Department of Midwifery and Reproductive health, School of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran. Email: marziehazizi70@gmail.com

        *2 Sexual and Reproductive Health Research Center, Addiction Institute, School of Medicine, Mazandaran University of Medical Sciences, Sari, Iran.  E mail: forouzan.elyasi@gmail.com

        Introduction and purpose: Patients with cardiovascular disease (CVD) often experience changes in their ability to engage in and enjoy of sexual activities, which can lead to less frequent and less satisfying sexual relationship. The problem of sexual dysfunction in women with CVD has less attention to the healthcare professional and also researchers all over the world and most of studies were conducted on men with cardiovascular diseases and erectile dysfunction. Based on the literature approximately 60-90% of patients with congestive heart failure reported the sexual dysfunction in their disease period. The aim of this study is to investigate the biopsychosocial factors related of sexual dysfunction in women with cardiovascular diseases.

        Methods: The present study is a review in which researchers conducted their computer search in public database like Google Scholar and more specific databases such as ScienceDirect, SID, Web of Science, PubMed and Scopus with using text word and medical Subject Heading (MesH) methods with key words such as [(“sexual dysfunction” OR “sexual disorders” OR “sexual activity”) AND (“cardiovascular diseases” OR “coronary artery disease” OR ” congestive heart failure “) AND (“psychiatric disorders” OR “psychological problems”)]. As a result of searching process, 33 articles were extracted from 2002-2020. Articles were excluded if they were written in languages other than English or Persian, were duplicates or were irrelevant to the topic. Researchers reviewed the abstract of all retrieved articles and ultimately, they used 25 full text articles to write this review study.

         Results: Studies showed that different factors lead to sexual dysfunction in these patients. Biological causes such as changes in blood circulation and reduced amount of blood supplied to distant area of body in these patients such as the genital region can lead to erectile dysfunction in men and sexual arousal difficulties in women. Also symptoms of cardiovascular disease such as chest pain, shortness of breath, and fatigue may also interfere with sexual performance and enjoyment of sexual activities. Having multiple chronic comorbidities such as diabetes, chronic pulmonary disease, cancer and side effects of medications such as diuretics and beta-blockers may also disrupt sexual activity. Social issues such as unhealthy behaviors included of smoking, inadequate sleep, alcohol abuse, physical inactivity and higher age have also negative effect on these patient’s desire for sexual relationships. Psychological issues such as emotional distress, depression and anxiety due to suffering from CVD in the first stages of disease, fear of not safe to be sexually active, adjustment and relational challenges among couples also increased the prevalence of sexual dysfunction and disturbed quality of life among these patients.

        Conclusion: Due to the sexual activity directly effect on the quality of life such as mental and physical health among patients with CVD, so healthcare professionals should seriously notice to these patient’s sexual relationships and for cases with sexual dysfunction, the appropriate counseling in this regard should be considered and provided.

        {{ reviewsLength }} Review

        {{ reviewsLength }} Reviews

        {{ options.labels.newReviewButton }}
        {{ canReviewMessage }}