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KMID : 0367020190310030219
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Journal of Korean Academic of Adult Nursing
2019 Volume.31 No. 3 p.219 ~ p.234
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Impact of Type D Personality on Depression, Anxiety, and Health-related Quality of Life among Coronary Artery Disease Patients: A Systematic Review and Meta-analysis
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Bae Sun-Hyoung
Park Jin-Hee
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Abstract
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Purpose: The purpose of this study was to investigate the impact of Type D personality among patients with CoronaryArtery Disease (CAD).
Methods: Seven databases were searched to conduct a systematic review and meta-analysis. Two reviewers independently searched, selected, extracted, and assessed the studies. The quality of studies wasevaluated using the JBI Critical Appraisal Checklist. To estimate the effect size, meta-analysis of the studies wasperformed using the Comprehensive Meta-Analysis 3.0 program.
Results: Of 1,128 publications identified, 31 studiesthat met the inclusion criteria were used to estimate the effect size of Type D personality. Effect size (StandardizedMean Difference [SMD]) was used in the analyses. Patients with CAD who had Type D personality had higher levelsof depression (SMD=0.92; 95% Confidecne Interval (CI)=0.74~1.10) and anxiety (SMD=1.19; 95% CI=0.81~1.57),but lower levels of physical and mental health-related quality of life (SMD=-0.56; 95% CI=-0.75~-0.38; SMD=-0.91;95% CI=-1.10~-0.73). Publication bias was not detected.
Conclusion: Type D personality was associated withincreased depression and anxiety and impaired health-related quality of life in patients with CAD. Personality andpsychosocial risk screening in patients with CAD should be conducted in the clinical setting.
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KEYWORD
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Type D personality, Coronary artery disease, Depression, Anxiety, Quality of life
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