Inverse association between hyperthymic affective temperament and coronary atherosclerosis: A coronary computed tomography angiography study

János Nemcsik, Milán Vecsey-Nagy, Bálint Szilveszter, Márton Kolossváry, Júlia Karády, Andrea László, Beáta Kőrösi, Zsófia Nemcsik-Bencze, X. Gonda, B. Merkely, Z. Ríhmer, Pál Maurovich-Horvat

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4 Citations (Scopus)

Abstract

Objective A bidirectional relationship exists between psychiatric disorders and cardiovascular diseases, however less is known with regards to personality traits. Accumulating data suggest that affective temperaments are both associated with psychiatric and somatic diseases. The aim of our study was to evaluate the associations between different affective temperaments and the presence of coronary atherosclerosis. Methods 200 consecutive patients referred to coronary computed tomography angiography (CCTA) due to suspected coronary artery disease (CAD) were included in our study. Medical history and demographic parameters were recorded and all patients completed the Temperament Evaluation of Memphis, Pisa, Paris, and San Diego Autoquestionnaire (TEMPS-A) and the Beck Depression Inventory (BDI). The presence of coronary artery disease was evaluated based on the CCTA images. Results 39 patients were free of any coronary atherosclerosis (CCTA-) and 161 had coronary atherosclerosis (CCTA +). Hyperthymic affective temperament score was higher in CCTA- subjects as compared to CCTA + (13.1 ± 3.0 vs 11.5 ± 4.6, p = 0.010, respectively). Hyperthymic affective temperament score showed a significant independent, inverse relationship with coronary atherosclerosis (OR: 0.91 CI: 0.82–0.99, p = 0.04). Conclusion Our results suggest that hyperthymic affective temperament is independently associated with the absence of CAD. It requires further research to delineate the mechanism mediating the effect of hyperthymia on better coronary artery health and establishing potential biochemical or behavioral factors, both of which could be exploited for prevention and treatment purposes. But it is plausible, that the evaluation of affective temperaments have importance both in relation with psychiatric and cardiovascular disorders.

Original languageEnglish
Pages (from-to)108-112
Number of pages5
JournalJournal of Psychosomatic Research
Volume103
DOIs
Publication statusPublished - Dec 1 2017

Keywords

  • Affective temperaments
  • Coronary atherosclerosis
  • Coronary computed tomography angiography
  • Hyperthymic temperament score

ASJC Scopus subject areas

  • Clinical Psychology
  • Psychiatry and Mental health

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    Nemcsik, J., Vecsey-Nagy, M., Szilveszter, B., Kolossváry, M., Karády, J., László, A., Kőrösi, B., Nemcsik-Bencze, Z., Gonda, X., Merkely, B., Ríhmer, Z., & Maurovich-Horvat, P. (2017). Inverse association between hyperthymic affective temperament and coronary atherosclerosis: A coronary computed tomography angiography study. Journal of Psychosomatic Research, 103, 108-112. https://doi.org/10.1016/j.jpsychores.2017.10.013