Prevalence of Type D personality and factorial and temporal stability of the <scp>DS</scp>14 after myocardial infarction in a Swedish population

Condén, Emelie; Rosenblad, Andreas; Ekselius, Lisa; Åslund, Cecilia

doi:10.1111/sjop.12162

Cited by 18 publications

(28 citation statements)

References 56 publications

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“…The temporal stability of DS14 dichotomized, measured with Cohen's kappa, was fair in the non‐depressed group with the lowest score in the depressed group between T0 and T2 (Table ) as observed previously (Condén et al ., ). The ICC showed a moderate agreement between T0 and T2 for NA and NA*SI but a poor agreement between T2 and T12, specifically for the depressed group.…”

Section: Resultsmentioning

confidence: 97%

DS14 is more likely to measure depression rather than a personality disposition in patients with acute coronary syndrome

Ossola

Panfilis

Tonna³

et al. 2015

Scandinavian J Psychology

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It has been suggested that Type D Personality is a risk factor for acute coronary syndrome (ACS) and the DS14 has been developed for its assessment. However, some of the items on the DS14 seem to evaluate depressive symptoms rather than personality features. Therefore, the present study aims to verify whether an overlap exists between the constructs of Type D Personality and depression. Three-hundred-and-four consecutive patients who were both presenting their first ACS and had no history of major depression completed the Hospital Anxiety and Depression Scale (HADS) and the DS14 to assess Type D personality at baseline and have been re-evaluated at 1, 2, 4, 6, 9 and 12-month follow-ups. Out of 304 subjects (80.6% males), 40 were diagnosed as depressed. An exploratory factor analysis of HADS and the DS14 in the second month revealed that four out of seven items on the depressive subscale of HADS (HADS-D) and six out of seven items on the Negative Affectivity (NA) subscale of the DS14 segregated on the same factor. Results were verified by a Partial Confirmatory Factor Analysis performed at the twelfth month when most of the patients achieved complete remission from the depressive episode. Temporal stability was poor for NA and Type D Personality and these construct co-vary with HADS-D over time. Our data suggests that NA and depression are overlapping constructs, supporting the idea that the DS14 measures depressed features, rather than a personality disposition.

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Section: Resultsmentioning

confidence: 97%

DS14 is more likely to measure depression rather than a personality disposition in patients with acute coronary syndrome

Ossola

Panfilis

Tonna³

et al. 2015

Scandinavian J Psychology

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show abstract

“…Some studies of CVD patients, report the percentage of patients who remain Type D at retest. In a Swedish study of CVD patients, over 12 months, 6.1% of individuals were Type D at each of three consecutive testing times ( Condén et al, 2014 ); this very low temporal stability may be due to variation in assessment method at the different time-points. In a study of consecutive patients who were admitted into a coronary intensive care unit during a 3-year window, patients were assessed every month for 12 months ( Ossola et al, 2015 ).…”

Section: Discussionmentioning

confidence: 99%

Is type-D personality trait(s) or state? An examination of type-D temporal stability in older Israeli adults in the community

Zohar

2016

PeerJ

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Background. Type D personality was suggested as a marker of poorer prognosis for patients of cardiovascular disease. It is defined by having a score of 10 or more on both sub-scales of the DS14 questionnaire, Social Inhibition (SI) and Negative Affectivity (NA). As Type D was designed to predict risk, its temporal stability is of prime importance.Methods. Participants in the current study were 285 community volunteers, who completed the DS14, and other personality scales, at a mean interval of six years.Results. The prevalence of Type D did not change. The component traits of Type D showed rank order stability. Type D caseness temporal stability was improved by using the sub-scales product as a criterion. Logistic hierarchical regression predicting Type D classification from Time1 demonstrated that the best predictors were Time1 scores on NA and SI, with the character trait of Cooperation, and the alexithymia score adding some predictive power.Conclusions. The temporal stability of the component traits, and of the prevalence of Type D were excellent. Temporal stability of Type D caseness may be improved by using a product threshold, rather than the current rule. Research is required in order to formulate the optimal timing for Type D measurement for predictive purposes.

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“…were Type-D at each of three consecutive testing times (Condén, Rosenblad, Ekselius, and Åslund, 2014). In a German study of CVD patients (Dannemann et al, 2010) In one of the studies it was possible to retrieve the relevant numbers for the temporal stability of Type-D classification as defined here.…”

Section: Discussionmentioning

confidence: 99%

Is type-D personality trait(s) or state? An examination of type-D temporal stability in older Israeli adults in the community

Zohar

2015

Preprint

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Background: Type-D personality was suggested as a marker of poorer prognosis for patients of cardiovascular disease. It is defined by having a score of 10 or more on both sub-scales of the DS14 questionnaire, Social Inhibition (SI) and Negative Affect (NA). As Type-D was designed to predict risk, its temporal stability is of prime importance. Methods: Participants in the current study were 285 community volunteers, who completed the DS14, and other personality scales, at a mean interval of six years. Results: The prevalence of Type-D did not change. The component traits of Type-D showed rank order stability. Type-D caseness temporal stability was improved by using the total DS14 score. Using the scale's product as a criterion further improved temporal stability. Logistic hierarchical regression predicting Type-D classification from Time1 demonstrated that the best predictors were Time1 scores on NA and SI, with the character trait of Cooperation, and the alexithymia score adding some predictive power. Conclusions: Temporal stability of Type-D caseness may be improved by using a sum or product threshold, rather than the current rule. In any case, as the temporal stability of Type-D is limited, research is required to formulate the optimal timing for Type-D measurement for predictive purposes.

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Prevalence of Type D personality and factorial and temporal stability of the DS14 after myocardial infarction in a Swedish population

Cited by 18 publications

References 56 publications

DS14 is more likely to measure depression rather than a personality disposition in patients with acute coronary syndrome

DS14 is more likely to measure depression rather than a personality disposition in patients with acute coronary syndrome

Is type-D personality trait(s) or state? An examination of type-D temporal stability in older Israeli adults in the community

Is type-D personality trait(s) or state? An examination of type-D temporal stability in older Israeli adults in the community

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