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Johan Denollet, PhD; Susanne S. Pedersen, PhD

Arch Intern Med. 2008;168(4):431-432.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

The association between depression and coronary artery disease (CAD) is complex, and a more detailed subtyping of high-risk patients is needed.^1-3 Type D personality (the tendency to experience negative emotions and to be socially inhibited) is also related to poor prognosis.⁴ There has been vigorous debate about whether Type D personality adds to the evidence concerning depression.³ It is important to show that the predictive validity of Type D personality extends beyond that which can be predicted by depression, but to our knowledge, no study to date has compared the cognitive-affective symptoms of depression, as measured by the Beck Depression Inventory (BDI), with the Type D personality construct.

We therefore examined the relative effect of Type D personality and depressive symptoms on 5-year cardiac prognosis in 337 Belgian patients with CAD (297 men; mean age, 57.0 years).⁴ Covariates included exercise tolerance, index myocardial . . . [Full Text of this Article]

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