Relationships Among Type D Personality, Symptoms, Depression and Anxiety, and Quality of Life in Patients With Gastroesophageal Reflux Disease.
Yusun Park, Boram Cha, Hye Young Kim and 1 others
PMID 42306843WHAT IT FOUND
In patients with GERD, a Type D personality pattern was linked to more depression, anxiety, poor sleep, and lower quality of life.
Symptom scores were similar between groups. Assess mood and symptoms together.
Key findings
01Sixty-nine of 149 participants, or 46.3%, had a Type D personality.
02Type D personality was associated with higher depression and anxiety and lower quality of life, while GERD symptom scores did not differ significantly.
03In the model, depression and GERD symptoms mediated the relationship between Type D personality and quality of life, while the direct path from Type D personality to GERD symptoms was not supported.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
The study used convenience sampling at one Korean university hospital, so results may not apply elsewhere. It measured patients at one time, so it cannot show whether Type D personality caused depression, symptoms, or lower quality of life, or the reverse. The authors did not assess treatment type, comorbidities, social support, or perceived socioeconomic status. Data collection occurred during the pandemic with face-to-face consent, so patients with high fear of infection may have avoided participation. The authors say the model's causal paths should be read as indicative only because the design was cross-sectional.
The easy way to misread this
Do not conclude that Type D personality causes GERD symptoms or lower quality of life, or that assessing it improves outcomes. The study was cross-sectional and tested no intervention; the direct path from Type D personality to GERD symptoms was not supported.