Cognitive Bias of Interpretation in Type D Personality: Associations with Physiological Indices of Arousal

Howard, Siobhán; O'Riordan, Adam; Nolan, Michelle

doi:10.1007/s10484-018-9397-1

Cited by 13 publications

(24 citation statements)

References 34 publications

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“…Additionally, prior research has demonstrated that Type D may be more accurately represented as a continuous construct (Ferguson et al., 2009). Thus, in line with prior Type D studies, a continuous Type D construct was computed as the product of the SI and NA subscales (Howard & Hughes, 2013; Howard et al., 2011, 2018). All analyses were initially conducted using the traditional Type D dichotomy and were subsequently replicated using the continuous Type D interaction term (NA × SI).…”

Section: Methodsmentioning

confidence: 99%

“…Given that Type D individuals are posited to feel tense, socially inhibited, and insecure when in the presence of other people (Denollet, 2005), this perception of lower social support is likely to be due to a cognitive bias of interpersonal interpretation among Type D individuals. Furthermore, this cognitive bias has been found to promote increased perceptions of negativity (perceived threat, anticipated distress, and difficulty forming verbal responses) during hypothetical social interactions among Type D individuals (Grynberg, Gidron, Denollet, & Luminet, 2012; Howard, O'Riordan, & Nolan, 2018). Additionally, prior studies have found this cognitive bias of interpersonal interpretation to influence patterns of physiological arousal among Type D individuals (Howard et al., 2018).…”

Section: Introductionmentioning

confidence: 99%

“…Furthermore, this cognitive bias has been found to promote increased perceptions of negativity (perceived threat, anticipated distress, and difficulty forming verbal responses) during hypothetical social interactions among Type D individuals (Grynberg, Gidron, Denollet, & Luminet, 2012; Howard, O'Riordan, & Nolan, 2018). Additionally, prior studies have found this cognitive bias of interpersonal interpretation to influence patterns of physiological arousal among Type D individuals (Howard et al., 2018). Given that social support (stress buffering) and negative social relationships (stress exacerbation/social aggravation) are propounded to impact health outcomes by influencing stress appraisal and coping (Birmingham & Holt‐Lunstad, 2018; Cohen & Wills, 1985; Cranford, 2004; Rook, 1984), it is likely that these types of social relationships are important mediating factors engendering the aberrant physiological reactions to stress for Type D individuals.…”

Section: Introductionmentioning

confidence: 99%

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Type D personality and cardiovascular reactivity to acute stress: The mediating effects of social support and negative social relationships

et al. 2020

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Type D personality has been consistently associated with adverse cardiovascular health with atypical cardiovascular reactions to psychological stress one potential underlying mechanism. As Type D individuals have been noted to report lower social support and greater perceptions of negativity in social interactions, this study examined if the association between Type D personality and cardiovascular reactivity was mediated by these social relationships. A sample of 195 undergraduate students (138 female) participated in this observational study, where they completed measures assessing Type D personality (DS14), social support, and perceptions of negative social relationships (National Institute of Health social relationship scales), before undergoing a traditional cardiovascular reactivity protocol. Systolic and diastolic blood pressure (SBP; DBP), heart rate (HR), cardiac output (CO), and total peripheral resistance (TPR) were monitored throughout. ANCOVAs and regressions indicated that Type D personality was associated with lower cardiovascular reactivity to a mental arithmetic stressor. Furthermore, mediation analyses (process macro) indicated that the relationship between Type D personality and cardiovascular reactivity was mediated via increased perceptions of negative social relationships, as well as lower levels of social support. Apart from a significant association between Type D personality and increased HR reactivity, all results failed to withstand adjustment for the individual effects of negative affect (NA) and social inhibition (SI) in controlled analyses. Overall, these findings suggest that the predictive utility of Type D personality on cardiovascular reactivity above and beyond the individual effects of NA and SI is limited, and may vary depending on the cardiovascular parameter of focus.

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Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Type D personality and cardiovascular reactivity to acute stress: The mediating effects of social support and negative social relationships

et al. 2020

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“…[19][20][21] TDP individuals may be subject to a biased interpretation of their health status dues to dysfunctional cognitive schemas that underlay the negative affective experiences through the erroneous interpretation of objective reality, leading to a more amplified negative affectivity and autonomic over activity. 48 In a clinical study, the presence of TDP was independently associated with the occurrence of ventricular arrhythmias as a marker of sympathetic dysregulation. 49 In both healthy individuals and CAD patients, the presence of TDP has been associated with increased diurnal cortisol release.…”

Section: Biological Substratementioning

confidence: 97%

The Relationship Between Type D Personality and the Complexity of Coronary Artery Disease

Enatescu¹,

Cozma²,

Țînț

et al. 2021

NDT

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The relationship between personality traits and cardiovascular disease has gathered sustained interest over the last years, typeD personality (TDP) being significantly associated with coronary artery disease (CAD). However, data regarding the connection between the TDP and the severity of CAD disease is scarce. The aim of our study was to assess the relationship between TDP and the complexity of CAD, and to compare it with other sociodemographic and clinical features. Patients and Methods: We conducted a cross-sectional case-control clinical-based study on 221 consecutive hospitalized patients with chest pain (60 ± 10.2 years; 131 men), referred for coronary angiography. Results: TDP was identified in 42 (19%) patients, using the DS 14 scale. Symptomatology profile was evaluated using the SCL-90 scale. Syntax score was greater in the subgroup of patients with TDP in comparison to non-TDP subgroup (26.21±12.03 vs 15.49±8.89, respectively, p<0.001), and most of SCL-90 symptom dimensions have significantly higher levels in the subgroup of TDP with CAD patients (all p < 0.05). Smoking (β=0.132, p=0.037), dyslipidemia (β=0.149, p=0.013), Diabetes Mellitus (β=232, p<0.001), NA dimension of TDP (β=0.255, p<0.001) and SI (β=0.279, p<0.001) dimension of TDP have a significant contribution to the complexity of CAD assessed by Syntax score. Conclusion: TDP was associated with a more complex CAD assessed by Syntax score, and may represent a dynamic interface between the biological and psychological vulnerabilities and the symptoms of CAD.

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“…To evaluate two dimensions of Type D personality individually, NA and SI can be regarded as continuous variables with the raw scores (Stevenson & Williams, 2014). The interaction term (NA 9 SI) was computed as the continuous Type D personality score (Howard et al, 2011;Howard, O'Riordan, & Nolan, 2018).…”

Section: Measurementsmentioning

confidence: 99%

Type D personality and blunted cardiovascular stress reactivity: Role of task engagement

Lü

Yao

2020

British J Health Psychol

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Objective. The underlying mechanisms for linking Type D personality to cardiovascular stress reactivity remain unknown. The present study explored the possible mediating role of cognitive appraisals of stress and/or motivational levels involved in stress in the association between Type D personality and cardiovascular stress reactivity.Design. Cross-sectional.Methods. Chinese version of Type D Scale-14 was administered to 154 undergraduate students who underwent psychosocial stress during which the physiological data were continuously monitored, and cognitive appraisals indexed by a ratio of perceived stress demands to perceived personal resources and motivational levels engaged in stress indexed by self-reported stress task engagement were immediately assessed after the stress exposure.Results. Results indicated that Type D personality was related to blunted HR, SBP, and DBP reactivity to stress. Self-reported stress task engagement mediated the relation between Type D personality and blunted cardiovascular stress reactivity. The mediation effect of cognitive appraisals on this link was non-significant.Conclusions. These findings suggest that motivational disengagement in the psychosocial stress task might be an important pathway linking Type D personality to blunted cardiovascular stress reactivity. Statement of contributionWhat is already known on this subject?Type D personality is a high-risk personality trait that leads to cardiovascular diseases. Exaggerated or blunted cardiovascular reactivity to stress is associated with an increased risk of cardiovascular disease.Type D personality is associated with exaggerated/blunted stress cardiovascular reactivity, which is one of the physiological pathways that leads to cardiovascular disease.

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Cognitive Bias of Interpretation in Type D Personality: Associations with Physiological Indices of Arousal

Cited by 13 publications

References 34 publications

Type D personality and cardiovascular reactivity to acute stress: The mediating effects of social support and negative social relationships

Type D personality and cardiovascular reactivity to acute stress: The mediating effects of social support and negative social relationships

The Relationship Between Type D Personality and the Complexity of Coronary Artery Disease

Type D personality and blunted cardiovascular stress reactivity: Role of task engagement

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