Association of Type D personality and mild cognitive impairment in patients with hypertension

Qingfang Ye; Li Liu; Yini Wang; Ling Li; Zhengjun Wang; Guojie Liu; Ping Lin; Qiujie Li

doi:10.3389/fpsyg.2022.974430

Association of Type D personality and mild cognitive impairment in patients with hypertension

Front Psychol. 2022 Nov 16:13:974430. doi: 10.3389/fpsyg.2022.974430. eCollection 2022.

Authors

Qingfang Ye^{1

2}, Li Liu², Yini Wang³, Ling Li³, Zhengjun Wang², Guojie Liu³, Ping Lin³, Qiujie Li¹

Affiliations

¹ College of Nursing of Harbin Medical University, The Second Affiliated Hospital of Harbin Medical University, Harbin, China.
² Department of Basic Nursing, School of Nursing, Harbin Medical University, Daqing, China.
³ Department of Cardiology, The Second Affiliated Hospital of Harbin Medical University, Harbin, China.

Abstract

Objective: The aim of this study was to evaluate the association between Type D personality and mild cognitive impairment (MCI) in patients with hypertension.

Methods: A total of 324 subjects with hypertension were included in the study. All of them completed questionnaires on demographic characteristics, Type D personality Scale, Montreal Cognitive Assessment (MoCA), Beck Anxiety Inventory (BAI) and Beck Depression Inventory (BDI). The Type D personality effect was analyzed as both dichotomous and continuous methods.

Results: The incidence of MCI was 56.5% in hypertensive individuals. Type D personality presenting as a dichotomous construct was an independent risk factor of MCI (odds ratio [OR] = 2.814, 95% confidence interval [CI] = 1.577-5.021, p < 0.001), after adjusting for ages, sex and some clinical factors. Meanwhile, main effect of negative affectivity component was independently related to the prevalence of MCI (OR = 1.087, 95%CI = 1.014-1.165, p = 0.019). However, associations between the main effect of social inhibition component (OR = 1.011, 95%CI = 0.924-1.107, p = 0.811) as well as the interaction of negative affectivity and social inhibition (OR = 1.013, 95%CI = 0.996-1.030, p = 0.127) with MCI were not found.

Conclusion: The findings suggest that Type D personality is strongly associated with MCI in patients with hypertension. The negative affectivity component of the Type D appears to drive the correlations between Type D and MCI. These findings provide new ideas for studying the mechanisms underlying the relationship between personality and cognitive decline in hypertensive individuals.

Keywords: Type D personality; hypertension; medication adherence; mild cognitive impairment; negative affectivity.