Relationships between depression, anxiety, type D personality, and worry and rumination in patients with coronary heart disease
Psychological distress, including depression and anxiety, and Type-D personality are prevalent in patients with coronary heart disease (CHD) and associated with poor cardiovascular outcomes. Worry and rumination may be among the core features responsible for driving psychological distress in these p...
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2022-09-01
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| Series: | Frontiers in Psychology |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fpsyg.2022.929410/full |
| _version_ | 1797995092970045440 |
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| author | Kristoffer Tunheim Kristoffer Tunheim Toril Dammen Toril Dammen Silje Baardstu Torbjørn Moum John Munkhaugen John Munkhaugen Costas Papageorgiou Costas Papageorgiou |
| author_facet | Kristoffer Tunheim Kristoffer Tunheim Toril Dammen Toril Dammen Silje Baardstu Torbjørn Moum John Munkhaugen John Munkhaugen Costas Papageorgiou Costas Papageorgiou |
| author_sort | Kristoffer Tunheim |
| collection | DOAJ |
| description | Psychological distress, including depression and anxiety, and Type-D personality are prevalent in patients with coronary heart disease (CHD) and associated with poor cardiovascular outcomes. Worry and rumination may be among the core features responsible for driving psychological distress in these patients. However, the nature of associations between these constructs remains to be delineated, yet they may have implications for the assessment and treatment of CHD patients. This study aimed to (1) explore the factorial structure and potential overlap between measures of depression, anxiety and the Type-D personality factors known as negative affectivity and social inhibition, and (2) examine how these constructs relate to worry and rumination in a sample of 1,042 CHD outpatients who participated in the in the cross-sectional NORwegian CORonary Prevention study. We conducted confirmatory factor analyses (n = 1,042) and regression analyses (n = 904) within a structural equation modeling framework. Results showed all constructs to have acceptable factor structure and indicated an overlap between the constructs of depression and negative affectivity. Worry was most strongly associated with anxiety, whereas rumination was most strongly associated with depression and negative affectivity. The results suggest conceptual similarities across the measures of depression and negative affectivity. They further suggest that intervention efforts could benefit from targeting worry and/or rumination in the treatment of CHD outpatients presenting with symptoms of psychological distress. |
| first_indexed | 2024-04-11T09:56:02Z |
| format | Article |
| id | doaj.art-23a8ae8b279e41efbe17534289dd1e86 |
| institution | Directory Open Access Journal |
| issn | 1664-1078 |
| language | English |
| last_indexed | 2024-04-11T09:56:02Z |
| publishDate | 2022-09-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Psychology |
| spelling | doaj.art-23a8ae8b279e41efbe17534289dd1e862022-12-22T04:30:37ZengFrontiers Media S.A.Frontiers in Psychology1664-10782022-09-011310.3389/fpsyg.2022.929410929410Relationships between depression, anxiety, type D personality, and worry and rumination in patients with coronary heart diseaseKristoffer Tunheim0Kristoffer Tunheim1Toril Dammen2Toril Dammen3Silje Baardstu4Torbjørn Moum5John Munkhaugen6John Munkhaugen7Costas Papageorgiou8Costas Papageorgiou9The Medical Faculty, Institute of Clinical Medicine, University of Oslo, Oslo, NorwayDepartment of Medicine, Drammen Hospital, Vestre Viken Trust, Drammen, NorwayThe Medical Faculty, Institute of Clinical Medicine, University of Oslo, Oslo, NorwayDivision of Mental Health and Addiction, Department for Research and Innovation, Oslo University Hospital, Oslo, NorwayDepartment of Child Health and Development, Norwegian Institute of Public Health, Oslo, NorwayDepartment of Behavioral Medicine, The Medical Faculty, University of Oslo, Oslo, NorwayDepartment of Medicine, Drammen Hospital, Vestre Viken Trust, Drammen, NorwayDepartment of Behavioral Medicine, The Medical Faculty, University of Oslo, Oslo, NorwayDepartment of Psychology, University of Oslo, Oslo, NorwayPriory Hospital Altrincham, Cheshire, United KingdomPsychological distress, including depression and anxiety, and Type-D personality are prevalent in patients with coronary heart disease (CHD) and associated with poor cardiovascular outcomes. Worry and rumination may be among the core features responsible for driving psychological distress in these patients. However, the nature of associations between these constructs remains to be delineated, yet they may have implications for the assessment and treatment of CHD patients. This study aimed to (1) explore the factorial structure and potential overlap between measures of depression, anxiety and the Type-D personality factors known as negative affectivity and social inhibition, and (2) examine how these constructs relate to worry and rumination in a sample of 1,042 CHD outpatients who participated in the in the cross-sectional NORwegian CORonary Prevention study. We conducted confirmatory factor analyses (n = 1,042) and regression analyses (n = 904) within a structural equation modeling framework. Results showed all constructs to have acceptable factor structure and indicated an overlap between the constructs of depression and negative affectivity. Worry was most strongly associated with anxiety, whereas rumination was most strongly associated with depression and negative affectivity. The results suggest conceptual similarities across the measures of depression and negative affectivity. They further suggest that intervention efforts could benefit from targeting worry and/or rumination in the treatment of CHD outpatients presenting with symptoms of psychological distress.https://www.frontiersin.org/articles/10.3389/fpsyg.2022.929410/fullanxietydepressiontype D personalityworryruminationmetacognition |
| spellingShingle | Kristoffer Tunheim Kristoffer Tunheim Toril Dammen Toril Dammen Silje Baardstu Torbjørn Moum John Munkhaugen John Munkhaugen Costas Papageorgiou Costas Papageorgiou Relationships between depression, anxiety, type D personality, and worry and rumination in patients with coronary heart disease Frontiers in Psychology anxiety depression type D personality worry rumination metacognition |
| title | Relationships between depression, anxiety, type D personality, and worry and rumination in patients with coronary heart disease |
| title_full | Relationships between depression, anxiety, type D personality, and worry and rumination in patients with coronary heart disease |
| title_fullStr | Relationships between depression, anxiety, type D personality, and worry and rumination in patients with coronary heart disease |
| title_full_unstemmed | Relationships between depression, anxiety, type D personality, and worry and rumination in patients with coronary heart disease |
| title_short | Relationships between depression, anxiety, type D personality, and worry and rumination in patients with coronary heart disease |
| title_sort | relationships between depression anxiety type d personality and worry and rumination in patients with coronary heart disease |
| topic | anxiety depression type D personality worry rumination metacognition |
| url | https://www.frontiersin.org/articles/10.3389/fpsyg.2022.929410/full |
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