Integrating Psychosocial Screening Into Cardiac Nursing: Feasibility of Nurse-Led Type D Personality Assessment for Predicting Emotional Recovery in Coronary Care Unit Patients.

The cross-sectional design measured variables at one time point, so it cannot show that Type D personality or coping caused anxiety and depression. The study was done in one regional hospital in Greece with 110 patients, so results may not apply to other settings or populations. Patients with severe psychiatric disorders, cognitive impairment, or medical instability were excluded, so the sample may miss some distressed or unstable patients. Anxiety and depression were measured by self-report, so responses may be affected by social desirability or recall. The reported sample size is inconsistent: the text says 110 participants, while Table 1 is labelled n=120. The study did not test whether nurse-led screening or psychosocial support improved recovery or cardiac outcomes.

The authors received no specific funding for this work.

Do not conclude that Type D personality causes anxiety and depression, or that nurse-led screening improves recovery. This was a cross-sectional survey in one hospital, and no outcome was tested after screening.