Annals of Rehabilitation Medicine

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Original Articles

Effect of Type D Personality on Short-Term Cardiac Rehabilitation in Patients With Coronary Artery Disease: Sang Jae Lee, Sunghoon Koh, Byung Ok Kim, Bongseog Kim, Chul Kim; Ann Rehabil Med 2018;42(5):748-757. Published online October 31, 2018; DOI: https://doi.org/10.5535/arm.2018.42.5.748

Objective
To investigate the effect of type D personality on cardiac rehabilitation (CR) participation rates and the effect of a short-term CR program.
Methods
Study participants included patients diagnosed with acute coronary syndrome who underwent percutaneous coronary intervention. Patients completed the Type D personality Scale (DS-14) and the Hospital Anxiety and Depression Scale (HADS) at program entry. Subjects were recommended participation in 6 weeks of CR exercise training. Cardiopulmonary exercise test (CPET) was conducted before and after completion of the training. CR participation refers to completion of the 6-week CR exercise program and performance of the secondary CPET. Drop-out refers to the subjects who were unable to participate in the 6-week CR exercise program or to perform the secondary CPET.
Results
At baseline, type D personality was evident in 21 of 63 patients (33.3%). Type D patients were more often depressed (57.1%) and anxious (38.1%) than non-type D patients (31.0% and 9.5%, respectively). At baseline, participants with type D personality showed a decreased body mass index (24.6 vs. 26.1 kg/m², p=0.025). The type D group displayed a lower CR participation rate (5/21, 23.8%) compared with the non-type D group of (22/42, 52.4%). Logistic regression analysis revealed the association of type D personality with CR drop-out rate (odds ratio=3.87; 95% confidence interval, 1.2–12.5; p<0.05).
Conclusion
Type D personality was independently associated with drop-out from CR program and with significantly higher levels of anxiety and depressive mood.

Citations

Citations to this article as recorded by

PSYCHOPHYSIOLOGICAL REACTIVITY TO MENTAL STRESS IN HEALTHY INDIVIDUALS: THE INFLUENCE OF PERSONALITY TYPE D, DEPRESSION LEVEL AND COPING STRATEGIES
Alexey N. Sumin, Natalia N. Zagorskaya, Anna V. Shcheglova, Ingrid Y. Prokashko
Complex Issues of Cardiovascular Diseases.2026; 14(6S): 177. CrossRef
Type D personality and psychophysiological reactivity during stress-testing
A. N. Sumin, N. N. Zagorskaya, A. V. Shcheglova, I. Y. Prokashko
Acta Biomedica Scientifica.2026; 11(2): 219. CrossRef
A quantitative and qualitative analysis of non-participation in cardiac rehabilitation: The role of psychological burden and experienced barriers
Emma R. Douma, Sophie C.M. van den Houdt, Willem J. Kop, Nina Kupper
Journal of Psychosomatic Research.2026; 209: 112906. CrossRef
Personality Type D and Psychophysiological Stress Reactivity During Mental Stress in Young Healthy Individuals
Alexey N. Sumin, Natalia N. Zagorskaya, Anna V. Shcheglova, Anatoly A. Shipilov, Daniil Z. Kostylbaev, Elena A. Shikanova, Ingrid Y. Prokashko
Behavioral Sciences.2025; 15(7): 852. CrossRef
Eficacia preliminar de una intervención psicológica mixta en un programa de rehabilitación cardíaca
Alejandro Muriel Hermosilla, Mariana Togneri Pastor, Begoña Arbulo Rufrancos, María Luisa García-Ontiveros Cuéllar, Marta Oviedo Nieto, Alejandro Parages Martínez
Clínica Contemporánea.2025;[Epub] CrossRef
The association of Type D personality with functional outcomes, quality of life and neuropathic pain in persons with spinal cord injury
Selma Eroğlu, Samed Solak, Ümit Dündar
Spinal Cord.2022; 60(6): 567. CrossRef
An Integrative Pharmacology-Based Strategy to Uncover the Mechanism of Xiong-Pi-Fang in Treating Coronary Heart Disease with Depression
Lihong Zhang, Yu Zhang, Mingdan Zhu, Limin Pei, Fangjun Deng, JinHong Chen, Shaoqiang Zhang, Zidong Cong, Wuxun Du, Xuefeng Xiao
Frontiers in Pharmacology.2021;[Epub] CrossRef
Canonical Correlation between Behavioral-Psychological Variables and Predictors of Coronary Artery Disease Prognosis
Chul-Hoon Kim, In-Kyoung Noh, Jung Mi Ryu, Eun Jung Bae, Hoo Jeung Cho, Myoung Soo Kim
International Journal of Environmental Research and Public Health.2020; 17(5): 1608. CrossRef
The Association of Depression with Type D Personality and Coping Strategies in Patients with Coronary Artery Disease
Daisuke Yamaguchi, Atsushi Izawa, Yasuko Matsunaga
Internal Medicine.2020; 59(13): 1589. CrossRef
Is the concept of type D personality a component of personalized medicine or a prognostic factor in the treatment of cardiovascular diseases?
A. N. Sumin, A. V. Shcheglova
Russian Journal of Cardiology.2020; 25(9): 3996. CrossRef

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Correlations between Pre-morbid Personality and Depression Scales in Stroke Patients: Sung Il Hwang, Kyung In Choi, Oak Tae Park, Si-Woon Park, Eun Seok Choi, Sook-Hee Yi; Ann Rehabil Med 2011;35(3):328-336. Published online June 30, 2011; DOI: https://doi.org/10.5535/arm.2011.35.3.328

Abstract
PDF

Objective

To investigate the correlation between pre-morbid personality and depression scales in patients with stroke.

Method

The subjects of this study included 45 patients with stroke and their caregivers. We conducted an interview of patients with Beck Depression Inventory (BDI) and also evaluated general characteristic (age, sex, location of lesion, cause of stroke, duration of illness, educational background, history of medication for depression) and functional level. Caregivers were evaluated with Hamilton Rating Scale for Depression (HRSD) for depressive mood, with NEO-PI (Neuroticism, Extraversion and Openness Personality Inventory) for pre-morbid personality. The results of each questionnaire were analyzed in order to investigate their correlation. The results were statistically analyzed with independent t-test, ANOVA, and Pearson correlation test.

Results

The HRSD score of the caregivers had a significant correlation with the BDI score (p=0.001) of the patients. The BDI score correlated with Neuroticism (p=0.021) and the HRSD score also correlated with Neuroticism (p=0.015). There were no statistical correlation of depression with sex, age, case of stroke, location of lesion, duration of illness and functional level.

Conclusion

Among pre-morbid personalities, neuroticism of NEO-PI is the only factor which is significantly correlated with depression scales in stroke patients. Evaluating pre-morbid personality can be helpful in predicting the depressive mood in stroke patients, so we may have early intervention for it.

Citations

Citations to this article as recorded by

The influence of psychological factors and mood on the course of participation up to four years after stroke
J. A. de Graaf, V. P. M. Schepers, B. Nijsse, C. M. van Heugten, M. W. M. Post, J. M. A. Visser-Meily
Disability and Rehabilitation.2022; 44(10): 1855. CrossRef
Depressive symptomatology and personality traits in patients with symptomatic and asymptomatic peripheral arterial disease
Gergely Tóth-Vajna, Zsombor Tóth-Vajna, Piroska Balog, Barna Konkolÿ Thege
BMC Cardiovascular Disorders.2020;[Epub] CrossRef
The Big Five personality factors and psychological well-being following stroke: a systematic review
Toni Dwan, Tamara Ownsworth
Disability and Rehabilitation.2019; 41(10): 1119. CrossRef
Personality traits and course of symptoms of depression and apathy after stroke: Results of the CASPER study
Elles Douven, Julie Staals, Syenna H.J. Schievink, Robert J. van Oostenbrugge, Frans R.J. Verhey, Sascha Wetzels-Meertens, Sebastian Köhler, Pauline Aalten
Journal of Psychosomatic Research.2018; 111: 69. CrossRef
Neuroticism and Fatigue 3 Months After Ischemic Stroke
Chieh Grace Lau, Wai Kwong Tang, Xiang Xin Liu, Hua Jun Liang, Yan Liang, Vincent Mok, Adrian Wong, Gabor S. Ungvari, Mansur A. Kutlubaev, Ka Sing Wong
Archives of Physical Medicine and Rehabilitation.2017; 98(4): 716. CrossRef
Effect of neuroticism on risk of cardiovascular disease in depressed persons - a Swedish population-based cohort study
Aysha Almas, Jette Moller, Romaina Iqbal, Yvonne Forsell
BMC Cardiovascular Disorders.2017;[Epub] CrossRef
Reliability of the NEO Five Factor Inventory short form for assessing personality after stroke
Toni Dwan, Tamara Ownsworth, Caroline Donovan, Ada Ho Yan Lo
International Psychogeriatrics.2017; 29(7): 1157. CrossRef
Risk Factors for Symptoms of Depression and Anxiety One Year Poststroke: A Longitudinal Study
Joyce A. Kootker, Maria L. van Mierlo, Jan C. Hendriks, Judith Sparidans, Sascha M. Rasquin, Paul L. de Kort, Johanna M. Visser-Meily, Alexander C. Geurts
Archives of Physical Medicine and Rehabilitation.2016; 97(6): 919. CrossRef
MODERN CONCEPTS OF THE PATHOGENESIS, RISK FACTORS, AND APPROACHES TO THE TREATMENT OF POSTSTROKE DEPRESSION
S G Belokoskova, S G Tsikunov
Medical academic journal.2016; 16(2): 21. CrossRef
Psychological Factors Determine Depressive Symptomatology After Stroke
Maria L. van Mierlo, Caroline M. van Heugten, Marcel W. Post, Paul L. de Kort, Johanna M. Visser-Meily
Archives of Physical Medicine and Rehabilitation.2015; 96(6): 1064. CrossRef
Personality as a predictor of depression symptoms in burn patients: A follow-up study
A. Giannoni-Pastor, M. Gomà-i-Freixanet, S. Valero, S.G. Fidel Kinori, R. Tasqué-Cebrián, J.M. Arguello, M. Casas
Burns.2015; 41(1): 25. CrossRef
Personality Type as a Predictor for Depressive Symptoms and Reduction in Quality of Life Among Stroke Survivals
Svetlana Afanasiev, Judith Aharon-Peretz, Michal Granot
The American Journal of Geriatric Psychiatry.2013; 21(9): 832. CrossRef

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Psychological Characteristics of the Patients with Myofascial Pain Syndrome in Shipyard Work.: Jeong, Ho Joong , Kim, Chi Chan , Chung, Suk Mo , Roh, Kyung Hwan , Kim, Jin Ha , Song, Hye Ran , Kim, Ho Chan; J Korean Acad Rehabil Med 2004;28(3):265-269.

Abstract
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Objective
This study was conducted to analyze the psychological factors which influence myofascial pain syndrome and to evaluate whether the electromyographic study on the myofascial trigger point in shipyard workers satisfied the diagnostic criteria of myofascial pain syndrome. Method: We studied 61 patients who were employed in the shipbuilding industry and diagnosed myofascial pain syndrome. We investigated them using the Minnesota Multiphasic Personality Inventory (MMPI) and the visual analogue scale (VAS) and also obtained spontaneous electrical activity (SEA) by electromyographic study on myofascial trigger point.Results: Mean VAS of subjects was 5.88. On the MMPIprofile, the patients scored highest in psychopathic deviate, and then in hypochondriasis, depression and hysteria, in that order. The correlation of the VAS with results of electromyographic study and with the MMPI were not significant. In the electromyographic study, 19 patients out of 61 (31%) showed initial positive deflection on spontaneous electrical activities. Conclusion: This study suggested that considering the psychosocial aspect of myofascial pain syndrome, as well as organic aspects in hard manual labor such as shipyard work might be useful for treatment. (J Korean Acad Rehab Med 2004; 28: 265-269)

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Psychological Investigation in Myofascial Pain Syndrome Patients.: Na, Young Moo , Kang, Seong Woong , Kim, Hyun Joo , Park, Mi Kyoung; J Korean Acad Rehabil Med 1997;21(5):959-966.

Abstract
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The myofascial pain syndrome patients usually have characteristic personalities. The purpose of this study is to investigate the psychological characteristics of myofascial pain syndrome patients. We reviewed medical records of fifty-four patients with myofascial pain syndrome for their Minnesota Multiphasic Personality Inventory, Visual Analogue Scale, and psychological interview notes.

On MMPI profile, the patients scored high in hypochondriasis, hysteria and depression scales, which are the triad of neurosis. According to stress factors and occupations, the psychologic responses were different. We have compared the severity of pain according to different life stress and occupations. VAS scores of the student group were higher statistically in the occupation comparison and of the marital problem group were higher in the life stress comparison.

It is suggested that psychologic intervention on myofascial pain syndrome patients should be stressed for the management of pain.