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Liu X, Jin J, Yu M, Shen L, Ning L, Zheng B. Association between personality traits and psychological distress among postmenopausal women with coronary heart disease: A cross-sectional survey and mediation analysis. Nurs Health Sci 2024; 26:e13109. [PMID: 38467127 DOI: 10.1111/nhs.13109] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/16/2023] [Revised: 01/28/2024] [Accepted: 02/23/2024] [Indexed: 03/13/2024]
Abstract
Postmenopausal women with negative personality characteristics are at an increased risk of psychological disorders, yet little is known about the mechanism underlying the relationship between type D personality and psychological distress in postmenopausal women with coronary disease. This study assessed the mediating roles of perceived social support and self-perceived burden in the relationship between type D and psychological distress based on the equity theory and stress-buffering model. Demographic characteristics, type D, psychological distress, perceived social support, and self-perceived burden were completed by 335 participants with self-reported questionnaires using a cross-sectional design in Southeast China. The results revealed that perceived social support and self-perceived burden both separately and serially mediated the relationship between type D personality and psychological distress. Effective intervention strategies aimed at improving perceived social support or reducing self-perceived burden may be beneficial in reducing psychological distress.
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Affiliation(s)
- Xin Liu
- Department of Cardiovascular Medicine, Affiliated Hangzhou First People's Hospital, School of Medicine, Westlake University, Hangzhou, Zhejiang, China
| | - Jianfen Jin
- Department of Nursing, Affiliated Hangzhou First People's Hospital, School of Medicine, Westlake University, Hangzhou, Zhejiang, China
| | - Mengying Yu
- Department of Nursing, Affiliated Hangzhou First People's Hospital, School of Medicine, Westlake University, Hangzhou, Zhejiang, China
| | - Lishui Shen
- Cardiology Department, Shanghai Tenth People's Hospital, Tongji University, Shanghai, China
| | - Li Ning
- Department of Nursing, Affiliated Hangzhou First People's Hospital, School of Medicine, Westlake University, Hangzhou, Zhejiang, China
| | - Beibei Zheng
- Department of Cardiovascular Medicine, Affiliated Hangzhou First People's Hospital, School of Medicine, Westlake University, Hangzhou, Zhejiang, China
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Wang S, Zhao L, Jia X, Yin X, Tan X, Lyu J, Sun H. Do the male with type D personality have more mental symptoms? Evidence from coping tendency of Chinese college students. PERSONALITY AND INDIVIDUAL DIFFERENCES 2021. [DOI: 10.1016/j.paid.2021.110811] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/11/2022]
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Holt R, Kornhaber R, Kwiet J, Rogers V, Shaw J, Law J, Proctor MT, Vandervord J, Streimer J, Visentin D, Cleary M, McLean L. Insecure adult attachment style is associated with elevated psychological symptoms in early adjustment to severe burn: A cross-sectional study. Burns 2019; 45:1359-1366. [PMID: 31160134 DOI: 10.1016/j.burns.2019.03.011] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/09/2018] [Revised: 02/06/2019] [Accepted: 03/03/2019] [Indexed: 12/28/2022]
Abstract
Research into recovery and adjustment after burn injury has indicated a link between psychopathological symptoms including traumatic stress, distress, depression and anxiety, and worse psychosocial and physical outcomes. The severity of psychological symptoms does not always correlate with that of the burn injury, and symptoms can be ongoing in certain patients for extensive periods, leading to a need for early screening in burns patients for psychological vulnerabilities. One potential factor influencing recovery from the psychological impact of burn injury is adult attachment style, specifically secure and insecure attachment, as this describes how an individual organizes their stress regulation. This cross-sectional study measured: (a) attachment style (via the Relationship Questionnaire [RQ]): (b) negative psychological symptoms (via the Depression Anxiety and Stress Scale [DASS]); and, (c) post-traumatic symptoms (via the Davidson Trauma Scale [DTS]) in a cohort of burns patients (n = 104, 51 analysed) in a severe burns unit in Australia during the acute phase of their recovery. Secure attachment style was inversely related to psychopathological symptoms. Secure participants scored significantly lower scores on the DASS (M = 17.63, SD = 17.07) compared to self-rated insecure participants [(M = 42.38, SD = 34.69), p < .01] and on the DTS (M = 14.22, SD = 15.42) compared to insecure participants [(M = 40.54, SD = 35.72), p < .01]. Similar results were found in analyses controlling for covariates of gender, age and burn severity as potential confounders. This research suggests attachment style may play an important role in psychosocial recovery from severe burn injury.
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Affiliation(s)
- Rachael Holt
- Brain and Mind Centre, Faculty of Medicine and Health, The University of Sydney, Australia
| | - Rachel Kornhaber
- College of Health and Medicine, University of Tasmania, Sydney Campus, Australia; National Burns Center, Sheba Medical Center, Israel
| | - Julia Kwiet
- Severe Burns Injury Unit (SBIU), Royal North Shore Hospital, St Leonards, Sydney, Australia; Social Work, Royal North Shore Hospital, St Leonards, Sydney, Australia
| | - Vanessa Rogers
- Discipline of Psychiatry, Sydney Medical School, The University of Sydney, Australia; Consultation-Liaison Psychiatry, Royal North Shore Hospital, St Leonards, Sydney, Australia
| | - Joanne Shaw
- School of Psychology, Faculty of Science, The University of Sydney, Australia
| | - Jeremy Law
- Brain and Mind Centre, Faculty of Medicine and Health, The University of Sydney, Australia
| | | | - John Vandervord
- Severe Burns Injury Unit (SBIU), Royal North Shore Hospital, St Leonards, Sydney, Australia
| | - Jeffrey Streimer
- Discipline of Psychiatry, Sydney Medical School, The University of Sydney, Australia; Consultation-Liaison Psychiatry, Royal North Shore Hospital, St Leonards, Sydney, Australia
| | - Denis Visentin
- College of Health and Medicine, University of Tasmania, Sydney Campus, Australia
| | - Michelle Cleary
- College of Health and Medicine, University of Tasmania, Sydney Campus, Australia
| | - Loyola McLean
- Brain and Mind Centre, Faculty of Medicine and Health, The University of Sydney, Australia; Consultation-Liaison Psychiatry, Royal North Shore Hospital, St Leonards, Sydney, Australia; Westmead Psychotherapy Program for Complex Traumatic Disorders, Western Sydney Local Health District, Parramatta, Australia.
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