Type D personality and health status in cardiovascular disease populations: a meta-analysis of prospective studies

Versteeg, Henneke; Spek, Viola; Pedersen, Susanne S.; Denollet, Johan

doi:10.1177/1741826711425338

Cited by 60 publications

(39 citation statements)

References 45 publications

(76 reference statements)

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“…These findings in general population coincide with the previous cross-sectional study in the United Kingdom (Williams et al, 2015). This personality type has been associated with a poorer physical health status (Versteeg et al, 2012), musculoskeletal pain and psychosomatic symptoms (Conden et al, 2013). It is counterfactual that people with Type D personality report worse lifestyle or health perceptions, but on the other hand the sample of people with cardiovascular diseases report similar Type D features to general population.…”

Section: Discussionsupporting

confidence: 86%

“…However, the majority of the studies do not enrol people without obvious or specific health condition, making the research on Type D personality predominantly based on health disorders. This creates the situation where the prevalence of Type D in such samples is hard to compare with general population, even though it is largely accepted that Type D personality associates with worse physical and mental health (Versteeg, Spek, Pedersen, & Denollet, 2012). Regarding personality type, it is considered as relatively stable concept, with existing proofs on stability (e.g.…”

Section: Discussionmentioning

confidence: 99%

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Type D personality in cardiovascular patients and general population: prevalence and retrospective perception of stability

Lukoševičiūtė

Šmigelskas

2017

IJPBA

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Abstract. Background and purpose. Type D personality is characterized by negative affectivity and social inhibition. This personality construct is linked to cardiovascular diseases and is considered as stable. However, there has been little research on prevalence in non-clinical samples and on stability of this construct. The main aim of this study was to evaluate the prevalence and retrospective perception of stability of Type D personality in patients and general population. Methods. This was a cross-sectional study with a sample from general population (n=304) and cardiovascular patients (n=154). Type D was evaluated using DS14 questionnaire. Respondents were asked to assess their personal characteristics at the moment and how they felt 5 years ago. Items about health condition, lifestyle and sociodemographic characteristics were also included into questionnaire. Results. Type D personality was similarly prevalent in both study groups -33.1% in cardiovascular patients and 35.9% in general population (p =.561). The prevalence of Type D based on retrospective assessment: during the last 5 years increased by 8.4% points in patients (p =.015) and by 0.4% points in comparison group (p =.472). In addition, Type D personality was associated with less healthy lifestyle in both study groups (p<.05) and also with a worse perceived health in comparison group (p<.001). Conclusions. Type D personality is similarly prevalent in general population and cardiovascular patients. However, this construct is considered as less stable among the patients. Type D personality was associated with less healthy lifestyle and in part with worse perceived health.

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Section: Discussionsupporting

confidence: 86%

Section: Discussionmentioning

confidence: 99%

Type D personality in cardiovascular patients and general population: prevalence and retrospective perception of stability

Lukoševičiūtė

Šmigelskas

2017

IJPBA

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“…Finally, an additional criticism of Type D research is that the majority of studies investigating the influence of Type D on adverse clinical coronary outcomes have been conducted by a single group (Coyne et al, 2011;Smith, 2011). A recent meta-analysis which found support for a relationship between Type D personality and health status in coronary patients (Versteeg et al, 2012) was over-represented by studies from Denollet's group, whom also conducted the meta-analysis itself . However, this same criticism cannot be levelled at the body of research which has investigated the relationship between Type D and physiological functioning in healthy individuals, which has been conducted by several different research groups.…”

Section: Introductionmentioning

confidence: 99%

Type D personality and cardiovascular reactivity to an ecologically valid multitasking stressor

Kelly-Hughes¹,

Wetherell²,

Smith³

2014

Psychology & Health

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Previous research investigating the influence of Type D personality on cardiovascular reactivity to stress in healthy young adults is somewhat mixed. The present study sought to investigate this question using an ecologically valid laboratory stressor. Beat-to-beat blood pressure and heart rate were measured in 77 healthy young adults during exposure to multitasking stress. Mood and background stress were both associated with Type D personality when Type D was conceptualised as a dimensional construct, with less robust findings observed using the traditional dichotomous typological approach. However, the continuous Type D construct added limited predictive value of the self-report measures above that of its constituent components, negative affectivity (NA) and social inhibition (SI).Further, an inverse relationship between the continuous Type D construct and blood pressure reactivity to multitasking stress was observed. In summary, our findings suggest that Type D personality is predictive of blunted cardiovascular reactivity to stress in healthy individuals when Type D is considered as a dimensional construct and the independent influence of NA and SI is controlled for. Further, our findings suggest that Type D does not predict additional variance in mood and background stress above that of NA and SI when these constituent factors are considered independently.

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“…A large body of evidence has suggested a link between Type D and subjective health (including impaired physical health, increased symptoms of depression and anxiety, and lower quality of life) in CHF patients and those with peripheral arterial disease (PAD) [18][19][20][21][22]. Studies have also demonstrated the usefulness of the Type D construct in predicting subjective outcomes in post-MI patients.…”

Section: Introductionmentioning

confidence: 99%

Type D personality and three-month psychosocial outcomes among patients post-myocardial infarction

Williams

O’Connor

Grubb

et al. 2012

Journal of Psychosomatic Research

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Objective: Type D personality has been proposed as a risk factor for poor prognosis in cardiac patients. Recent studies which have adopted a dimensional approach to Type D (negative affectivity × social inhibition) found no effect of Type D on mortality, after controlling for its constituent elements. To-date, no study has determined if Type D is associated with psychosocial outcomes in post-myocardial infarction (MI) patients when conceptualised as a dimensional variable. Methods: Participants were 192 MI patients (138 males, 54 females, mean age 66.0 years) who provided demographic and clinical information, and completed measures of Type D one-week post-MI. Three months later, 131 of these MI patients completed measures of disability and quality of life. Results: Using regression analyses, adjusted for demographic and clinical data, Type D emerged as a significant predictor of disability and quality of life in MI patients, when analysed using the traditional categorical approach. However, Type D did not predict disability and quality of life when it was analysed using the interaction of negative affectivity and social inhibition. Negative affect emerged as a significant predictor of both disability (β=.433, t(130) = 3.53, p b .01), and quality of life (β= − .624, t(130) = − 5.68, p b .001). Conclusions:The results suggest that Type D is not associated with short-term psychosocial outcome in MI patients, after controlling for its constituent elements. However, negative affect was significantly associated with both disability and quality of life. Future research should conceptualise Type D as the interaction between negative affectivity and social inhibition, rather than as a typology.© 2012 Elsevier Inc. All rights reserved. IntroductionThe Type D construct describes individuals who simultaneously experience high levels of negative affectivity and high levels of social inhibition [1]. Type D individuals are, therefore, thought to experience negative emotions (such as anxiety, sadness, anger etc.) across time and situations and inhibit the expression of these emotions in social interactions due to fears of how others may react. Crucially, it is the synergistic effect of high scores on both stable personality traits, negative affectivity and social inhibition, which has been proposed as the key feature of the Type D construct, suggesting that it is not merely the presence of negative emotions that should be considered as a risk factor but also how an individual copes with these negative emotions [2].The first studies carried out on the Type D construct [1,3,4] demonstrated that Type D is associated with a four-fold increased risk of mortality in coronary heart disease (CHD) patients, independent of traditional biomedical risk factors. In addition, a further study demonstrated that Type D CHD patients had a four-fold risk of major cardiac events over five years, independent of disease severity [5]. Similar findings were demonstrated in recent studies which demonstrated a comparable relationship between Type D and ...

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Type D personality and health status in cardiovascular disease populations: a meta-analysis of prospective studies

Abstract: Type D personality was shown to be an independent correlate of impaired patient-reported physical and mental health status in various cardiovascular patient groups. Clinicians should be aware of the association between chronic psychological distress and poor patient-reported outcomes.

Cited by 60 publications

References 45 publications

Type D personality in cardiovascular patients and general population: prevalence and retrospective perception of stability

Type D personality in cardiovascular patients and general population: prevalence and retrospective perception of stability

Type D personality and cardiovascular reactivity to an ecologically valid multitasking stressor

Type D personality and three-month psychosocial outcomes among patients post-myocardial infarction

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