Type D personality among noncardiovascular patient populations: a systematic review.

Abstract:

OBJECTIVE:This article reviews all available literature concerning the implications of Type D personality (the conjoint effects of negative affectivity and social inhibition) among patients with noncardiovascular conditions. METHODS:Published papers were included if they studied Type D personality among noncardiovascular patient populations. Twelve articles met our inclusion criteria and were subjected to a methodological quality checklist (e.g., sample size, response rate, Type D measurement). RESULTS:The methodological quality of the selected studies was quite good. The noncardiovascular patient populations included chronic pain, asthma, tinnitus, sleep apnea, primary care patients, vulvovaginal candidiasis, mild traumatic brain injury, vertigo, melanoma and diabetic foot syndrome. Type D personality was associated with an increased number or severity of reported health complaints, heightened the perception of negative emotions (e.g., depression and anxiety), had an adverse effect on health-related behaviors, was associated with poor adherence to treatment and significantly reduced effort to perform during diagnostic testing. CONCLUSION:Type D is a vulnerability factor that not only affects people with cardiovascular conditions but also those with other medical conditions. Type D was associated with poor physical and mental health status and poor self-management of the disease. Consequently, including Type D in future studies seems warranted.

journal_name

Gen Hosp Psychiatry

authors

Mols F,Denollet J

doi

10.1016/j.genhosppsych.2009.09.010

subject

Has Abstract

pub_date

2010-01-01 00:00:00

pages

66-72

issue

1

eissn

0163-8343

issn

1873-7714

pii

S0163-8343(09)00184-4

journal_volume

32

pub_type

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