Type D personality in chronic lung diseases: Prevalence, psychological features

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AIM: To estimate the prevalence and impact of Type D personality on the psychological status and quality of life (QL) of patients with chronic lung diseases/MATERIAL AND METHODS: 117 patients (105 men and 12 women; mean age 59.6±0.9 years) with chronic lung diseases were examined. The DS14 questionnaire was used to identify Type D personality. According to the tes/RESULTS: the patients were divided into 2 groups: 1) 39 Type D patients; 2) 78 non-Type D patients. The levels of depression and anxiety and QL were additionally determined using the SF-36 questionnaire. Clinical and laboratory parameters, spirometric data, and 6-minute walk test (6'WT) distance were estimated/RESULTS: The Type D versus non-Type D patients had higher levels of situational (46.6±1.7 and 41.2±1.2 scores; р=0.01) and personality (47.6±1.5 and 43.7±0.9 scores; р=0.02) anxiety and depression (42.9±1.6 and 35.9±0.8 scores; р=0.00004), as well as lower QL levels in the vitality (42.2±2.2 and 52.2±1.9 scores; р=0.002), emotional function (20.5±4.0 and 36.8±4.4 scores; р=0.02), and mental health (56.2±1.9 and 63.4±1.9 scores; р=0.006) scales. The 6'WT distance was less in the Type D patients (463.3±17.2 m) than in non-Type D patients (504.1±8.7 m); р=0.02/CONCLUSION: Type D personality is encountered in 33% of patients with chronic lung diseases associated with the higher level of psychological distress in the patients, with the worsening of a mental component of QL, and with the reduction in exercise tolerance.

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Тип личности Д при хронических заболеваниях легких: распространенность, особенности психологического ста­туса. - Резюме. Цель исследования. Оценка распространенности и влияния на показатели психологического статуса и качества жизни (КЖ) типа личности Д у больных с хронической патологией легких. Материалы и методы. Обследовали 117 больных с хронической патологией легких (105 мужчин и 12 женщин, средний возраст 59,6±0,9 года). Для определения типа личности Д использовали опросник DS-14. По результатам теста пациенты разделены на 2 группы: 1-я - 39 пациентов с типом личности Д, 2-я - 78 пациентов без типа Д. Дополнительно определяли уровень депрессии и тревожности, а также КЖ с помощью опросника SF-36. Оценивали клинические, лабораторные показатели, данные спирометрии, расстояние, пройденное в пробе с 6-минутной ходьбой (П6-МХ). Результаты. У больных с типом личности Д был выше, чем при типе не Д, уровень ситуационной (46,6±1,7 и 41,2±1,2 балла; р=0,01) и личностной (47,6±1,5 и 43,7±0,9 балла; р=0,02) тревожности, депрессии (42,9±1,6 и 35,9±0,8 балла; р=0,00004), а также ниже показатели КЖ по шкалам жизнеспособности (42,2±2,2 и 52,2±1,9 балла; р=0,002), эмоционального функционирования (20,5±4,0 и 36,8±4,4 балла; р=0,02) и психологического (56,2±1,9 и 63,4±1,9 балла; р=0,006) здоровья. У больных с типом Д расстояние, пройденное в П6-МХ (463,3±17,2 м), было меньше, чем у больных с типом не Д (504,1±8,7 м; р=0,02). Заключение. Тип личности Д встречается у 33% больных с хроническими заболеваниями легких, связан с более высоким уровнем психологического дистресса у пациентов, ухудшением ментального компонента КЖ и снижением толерантности к физической нагрузке.


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