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

Full Text

Abstract

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.

Full Text

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.
×

References

  1. Denollet J. DS14: standard assessment of negative affectivity, social inhibition, and Type D personality. Psychosom Med 2005; 67: 89-97.
  2. Сумин А.Н. Поведенческий тип личности Д ("дистрессорный") при сердечно-сосудистых заболеваниях. Кардиология 2010; 10: 66-73.
  3. Медведев В.Э. Личность пациента как фактор заболеваемости ишемической болезни сердца. Кардиол и сердечно-сосудистая хир 2010; 5: 18-23.
  4. Denollet J., Schiffer A.A., Spek V. A general propensity to psychological distress affects cardiovascular outcomes: evidence from research on the type D (distressed) personality profile. Circ Cardiovasc Qual Outcomes 2010; 3 (5): 546-557.
  5. Pedersen S.S., Herrmann-Lingen C., de Jonge P., Scherer M. Type D personality is a predictor of poor emotional quality of life in primary care heart failure patients independent of depressive symptoms and New York Heart Association functional class. J Behav Med 2010; 33 (1): 72-80.
  6. Denollet J., Sys S.U., Brutsaert D.L. Personality and mortality after myocardial infarction. Psychosom Med 1995; 57: 582-591.
  7. Schiffer A.A., Smith O.R., Pedersen S.S. et al. Type D personality and cardiac mortality in patients with chronic heart failure. Int J Cardiol 2010; 142 (3): 230-235.
  8. Aquarius A.E., Smolderen K.G., Hamming J.F. et al. Type D personality and mortality in peripheral arterial disease: a pilot study. Arch Surg 2009; 144 (8): 728-733.
  9. Williams L., O'Carroll R.E., O'Connor R.C. Type D personality and cardiac output in response to stress. Psychol Health 2009; 24: 489-500.
  10. Molloy G.J., Perkins-Porras L., Strike P.C., Steptoe A. Type-D personality and cortisol in survivors of acute coronary syndrome. Psychosom Med 2008; 70 (8): 863-868.
  11. Williams L., O'Connor R.C., Howard S. et al. Type-D personality mechanisms of effect: the role of health-related behavior and social support. J Psychosom Res 2008; 64 (1): 63-69.
  12. Pelle A.J., Schiffer A.A., Smith O.R. et al. Inadequate consultation behavior modulates the relationship between Type D personality and impaired health status in chronic heart failure. Int J Cardiol 2010; 142 (1): 65-71.
  13. Mols F., Denollet J. Type D personality among noncardiovascular patient populations: a systematic review. Gen Hosp Psychiatr 2010; 32 (1): 66-72.
  14. Stage K.B., Middelboe T., Pisinger C. Depression and chronic obstructive pulmonary disease (COPD). Impact on survival. Acta Psychiatr Scand 2005; 111: 320-323.
  15. de Voogd J.N., Wempe J.B., Koëter G.H. et al. Depressive symptoms as predictors of mortality in patients with COPD. Chest 2009; 135 (3): 619-625.
  16. Spindler H., Kruse C., Zwisler A.D., Pedersen S.S. Increased anxiety and depression in Danish cardiac patients with a Type D personality: crossvalidation of the Type D Scale (DS14). Int J Behav Med 2009; 16 (2): 98-107.
  17. Barone S., Bacon S.L., Campbell T.S. et al. The association between anxiety sensitivity and atopy in adult asthmatics. J Behav Med 2008; 31 (4): 331-339.
  18. de Voogd J.N., Wempe J.B., Postema K. et al. More Evidence that Depressive Symptoms Predict Mortality in COPD Patients: Is Type D Personality an Alternative Explanation? Аnn Behav Med 2009; 38: 86-93.
  19. Van der Molen T., Pieters W., Bellamy D. et al. Measuring the success of treatment for chronic obstructive pulmonary disease - patient, physician and health-care payer perspectives. Respir Med 2002; 96 (suppl. C): S17-S21.
  20. Kaplan R.M., Ries A.L., Reilly J. Measurement of Health-Related Quality of Life in the National Emphysema Treatment Trial. CHEST 2004; 126: 781-789.
  21. Чучалин А.Г., Белевский А.С., Овчаренко С.И. Качество жизни пациентов с хронической обструктивной болезнью легких: можем ли мы ожидать большего? (Результаты национального исследования ИКАР-ХОБЛ). Пульмонология 2006; 5: 19-24.
  22. Lacasse Y., Martin S., Lasserson T.J., Goldstein R.S. Meta-analysis of respiratory rehabilitation in chronic obstructive pulmonary disease. A Cochrane systematic review. Eura Medicophys 2007; 43 (4): 475-485.
  23. Ng T.P., Niti M., Tan W.C. et al. Depressive symptoms and chronic obstructive pulmonary disease: effect on mortality, hospital readmission, symptom burden, functional status, and quality of life. Arch Intern Med 2007; 167 (1): 60-67.
  24. Omachi T.A., Katz P.P., Yelin E.H. et al. Depression and health-related quality of life in chronic obstructive pulmonary disease. Am J Med 2009; 122 (8): 778.
  25. Jennings J.H., Digiovine B., Obeid D., Frank C. The association between depressive symptoms and acute exacerbations of COPD. Lung 2009; 187 (2): 128-135.
  26. Hausteiner C., Klupsch D., Emeny R. et al. KORA Investigators. Clustering of negative affectivity and social inhibition in the community: prevalence of type D personality as a cardiovascular risk marker. Psychosom Med 2010; 72 (2): 163-171.
  27. Brostrom A., Stromberg A., Martensson J. et al. Association of Type D personality to perceived side effects and adherence in CPAP-treated patients with OSAS. J Sleep Res 2007; 16 (4): 439-447.
  28. Bartels H., Pedersen S.S., van der Laan B. et al. The impact of Type D personality on health-related quality of life in tinnitus patients is mainly mediated by anxiety and depression. Otol Neurotol 2010; 31 (1): 11-18.
  29. Barnett M.D., Ledoux T., Garcini L.M., Baker J. Type D personality and chronic pain: construct and concurrent validity of the DS14. J Clin Psychol Med Settings 2009; 16 (2): 194-199.
  30. Mols F., Holterhues C., Nijsten T., Van de Poll-Franse L.V. Personality is associated with health status and impact of cancer among melanoma survivors. Eur J Cancer 2010; 46 (3): 573-580.
  31. Schneider C., Bothner U., Jick S.S., Meier C.R. Chronic obstructive pulmonary disease and the risk of cardiovascular diseases. Eur J Epidemiol 2010; 25 (4): 253-260.
  32. Finkelstein J., Cha E., Scharf S.M. Chronic obstructive pulmonary disease as an independent risk factor for cardiovascular morbidity. Int J Chron Obstruct Pulmon Dis 2009; 4: 337-349.
  33. Sher L. Type D personality: the heart, stress, and cortisol. QJM 2005; 98 (5): 323-329.

Statistics

Views

Abstract: 346

Article Metrics

Metrics Loading ...

Refbacks

  • There are currently no refbacks.

Copyright (c) 2013 Sumin A.N., Nedoseĭkina E.V., Arkhipov O.G.

Creative Commons License
This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.
 

Address of the Editorial Office:

  • Novij Zykovskij proezd, 3, 40, Moscow, 125167

Correspondence address:

  • Novoslobodskaya str 31c4., Moscow, 127005, Russian Federation

Managing Editor:

 

© 2018-2021 "Consilium Medicum" Publishing house


This website uses cookies

You consent to our cookies if you continue to use our website.

About Cookies