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How are Depression and Type D Personality Associated with Outcomes in Chronic Heart Failure Patients?

  • Self-Care and Health Outcomes (T Jaarsma, Section Editor)
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Abstract

This review aims to summarize the current evidence for the association of depression and Type D personality with clinical and patient-centred outcomes and self-care in chronic heart failure (CHF) patients. Emotional distress is highly prevalent in CHF patients. In contrast to results in coronary artery disease, there is inconsistent evidence for the adverse effects of depression and Type D on prognosis. Type D and depression are important predictors of impaired health status in CHF, and patients characterised by depression or Type D report reduced self-care. Pathophysiological processes associated with depression and Type D are discussed, as they may contribute to disease progression. Future research may benefit from taking inconsistencies in and problems with assessment of depression and Type D into account, as well as focusing on the network of psychophysiological and behavioural factors to elucidate their precise role in CHF patients with depression or Type D. Furthermore, it is advised that clinicians address the observed differences in self-care behaviours to improve health in CHF patients with depression or Type D personality.

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Conflict of Interest

Jos Widdershoven is supported by grants from Medtronic, St. Jude Medical, Inc., Boston Scientific, and Sorin, and has been reimbursed for travel/accommodations/meeting expenses for a congressional travel grant.

Dionne Kessing declares that she has no conflict of interest.

Angélique Schiffer declares that she has no conflict of interest.

Johan Denollet declares that he has no conflict of interest.

Nina Kupper is supported by a grant from the Netherlands Organization for Scientific Research (NWO), and has received payment for lectures for the RINO group, an institution for postdoctoral education.

Human and Animal Rights and Informed Consent

This article does not contain any studies with human or animal subjects performed by any of the authors.

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Authors and Affiliations

  1. CoRPS – Center of Research on Psychology in Somatic Diseases, Department of Medical and Clinical Psychology, Tilburg University, P.O. Box 90153, 5000LE, Tilburg, The Netherlands

    Jos Widdershoven, Dionne Kessing, Johan Denollet & Nina Kupper

  2. Department of Cardiology, TweeSteden Hospital, Tilburg/Waalwijk, the Netherlands

    Jos Widdershoven

  3. Department of Medical Psychology, TweeSteden Hospital, Tilburg/Waalwijk, the Netherlands

    Angélique Schiffer

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  1. Jos Widdershoven
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  3. Angélique Schiffer
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  4. Johan Denollet
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  5. Nina Kupper
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Correspondence to Jos Widdershoven.

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Widdershoven, J., Kessing, D., Schiffer, A. et al. How are Depression and Type D Personality Associated with Outcomes in Chronic Heart Failure Patients?. Curr Heart Fail Rep 10, 244–253 (2013). https://doi.org/10.1007/s11897-013-0139-7

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  • DOI: https://doi.org/10.1007/s11897-013-0139-7

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