A patient temperament may contribute to cardiac complications in high blood pressure

Temperament has been traditionally associated with high blood pressure. A new study that has appeared in the current issue of Psychotherapy and Psychosomatics has substantiated this issue.

Major depression and have a strong, bidirectional relationship. A type A behavioral pattern, as well as cyclothymic disorder, is a subclinical manifestation of bipolar illness, and in cardiovascular patients may result in extreme behavioral changes detrimental to cardiac prognosis.

To further characterize this most vulnerable group, Authors examined the affective temperamental traits (Temperament Evaluation of Memphis, Pisa, Paris and San Diego Autoquestionnaire, TEMPS-A) on depressive, cyclothymic, hyperthymic, irritable and anxious subscales, ICD-10-diagnosed depression and (Beck Depression Inventory, BDI [5,6]) in relation to cardiac complications (CC) requiring acute hospitalization (acute coronary syndrome, ) in a primary hypertensive outpatient population.

Results showed that patients with CC scored markedly higher on the cyclothymic temperament scale (p = 0.027) than those without CC. Also, cyclothymic temperament significantly predicted CC independently of depression (either ICD-10-diagnosed or depressive symptoms), age, gender and smoking in hypertensive outpatients.

Even though, the study presents some limitations (cross-sectional nature hinders drawing a causal relationship, the relatively small sample size and low proportion of CC restrict generalizability), the findings shed light on the possible role of affective temperaments in cardiovascular morbidity and carry the advantage of exploring trait-like characteristics which precede and also determine the type of depression affecting the clinical outcome. Further research in the field would enrich the preventative options in clinical medicine in the future.

More information: Eory A, Rozsa S, Torzsa P, Kalabay L, Gonda X, Rihmer Z. "Affective Temperaments Contribute to Cardiac Complications in Hypertension Independently of Depression." Psychother Psychosom 2014;83:187-189 (DOI: 10.1159/000357364)

add to favorites email to friend print save as pdf

Related Stories

A new look at personality and heart attacks

Jul 07, 2014

A new study published in the current issue of Psychotherapy and Psychosomatics has addressed the relationship between personality and heart attacks. Distressed (type D) personality (TDP), characterized by high negative affect ...

More white blood cells in cardiac patients with depression

Sep 06, 2012

(Medical Xpress)—Cardiac patients suffering from depression are at greater risk for new cardiac events or cardiac death than patients without depression. It is still unclear which underlying mechanisms play a role in this ...

Recommended for you

Intervention program helps prevent high-school dropouts

9 hours ago

New research findings from a team of prevention scientists at Arizona State University demonstrates that a family-focused intervention program for middle-school Mexican American children leads to fewer drop-out rates and ...

Bilingualism over the lifespan

10 hours ago

It's a scene that plays out every day in Montreal. On the bus, in schools, in the office and at home, conversations weave seamlessly back and forth between French and English, or one of the many other languages represented ...

User comments