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Relationship between type A personality and coronary heart disease

Published online by Cambridge University Press:  01 September 2022

W. Saadi ,
M. Gorgi ,
N. Fouel ,
N. Haloui ,
W. Belaguide ,
W. Abdelghaffar ,
M.I. Bouzid  and
R. Rafrafi
W. Saadi
Affiliation:
Mongi Slim hospital, Psychiatry, tunis, Tunisia
M. Gorgi
Affiliation:
Mongi Slim hospital, Psychiatry, tunis, Tunisia
N. Fouel*
Affiliation:
Taher Sfar Hospital, Psychiartric Department, Mahdia, Tunisia
N. Haloui
Affiliation:
Mongi Slim hospital, Psychiatry, tunis, Tunisia
W. Belaguide
Affiliation:
Mongi Slim hospital, Psychiatry, tunis, Tunisia
W. Abdelghaffar
Affiliation:
Faculty of medicine of Tunis University Tunis El Manar, Psychiatry, Tunis, Tunisia
M.I. Bouzid
Affiliation:
Mongi Slim hospital, Psychiatry, tunis, Tunisia
R. Rafrafi
Affiliation:
Mongi Slim hospital, Psychiatry, tunis, Tunisia
*
*Corresponding author.

Abstract

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Introduction

Since the work of R.H. Rosenman and Meyer Friedman in 1959, a correlation has been established between type A behavioral patterns and the occurrence of coronary heart disease. Type A personality has been found to be more of a coronary risk factor than a poor prognostic factor once coronary disease has set in. Subsequent studies have not supported such a relationship.

Objectives

The objective of our work was to investigate the association between type A personalities and coronary heart disease.

Methods

We conducted a retrospective study involving a sample of 200 patients recruited at the Mohamed Tahar Maâmouri Hospital in Nabeul. Our sample was composed of 100 coronary patients hospitalized or followed as outpatients in the cardiology department and 100 controls hospitalized or followed as outpatients in the general surgery or orthopedics department respectively. The study was conducted between April 15 and June 30, 2014. Personality type A was assessed according to the Bortner questionnaire.

Results

After performing a binary logistic regression to adjust for the associations looked for, and taking into account confounding factors, we did not observe a statistically significant association between type A personality and coronary pathology (p=0.123). In addition, type A personality was significantly associated with the following factors: diabetes (p=0.040), hypertension (p=0.049), and age <49 years (p=0.002) in coronary heart disease.

Conclusions

Future large-scale, multicenter, longitudinal studies with follow-up over time of patients would be necessary to consolidate our findings.

Disclosure

No significant relationships.

Keywords

Type A personalitycoronary heart disease
Type
Abstract
Information
European Psychiatry , Volume 65 , Special Issue S1: Abstracts of the 30th European Congress of Psychiatry , June 2022 , pp. S374
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Creative Common License - CCCreative Common License - BY
This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
Copyright
© The Author(s), 2022. Published by Cambridge University Press on behalf of the European Psychiatric Association
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