Prognostic value of Type D personality for post-stroke depression in ischemic stroke patients

Authors：Yin, Shi; Li, Na; Wang, Yini^*

Source：Journal of Affective Disorders, 2023, 333: 172-176.

DOI：10.1016/j.jad.2023.04.064

• Type D personality
• Post -stroke depression
• Ischemic stroke
• Prognosis

Background: Depression in patients with stroke has been a risk factor for adverse outcomes. Type D personality as a significant predictor of negative psychological status. However, the relationship with post-stroke depression (PSD) is still unclear.Methods: A prospective observational study of 533 patients with first-ever ischemic stroke was conducted be-tween November 2020 and March 2021. Type D personality was assessed at baseline. The presence of depression was measured 3-month after discharge.Results: During 3-month follow-up, a total of 141 patients developed PSD. On multivariate logistic analysis, the main effect of negative affectivity (OR = 1.28, 95%CI = 1.03-1.61, p = 0.030) and social inhibition (OR = 1.25, 95%CI = 1.01-1.54, p = 0.039) showed significant correlation with PSD when Type D analyzed as continuous variables. Furthermore, positive effects were found for the negative affectivity and social inhibition interaction (OR = 1.31, 95 % CI =1.11-1.55, p = 0.001) on PSD.Conclusions: Our findings suggest that Type D personality is high risk group of PSD. These findings highlight the importance of personalized interventions management in Type D individuals.

• Institution
  哈尔滨医科大学