Type D personality is associated with impaired health-related quality of life 7 years following heart transplantation Pedersen, S.S.; Holkamp, P.G.; Caliskan, K.; van Domburg, R.T.; Erdman, R.A.M.; Balk, A.H.M.M. Published in: Journal of Psychosomatic Research Document version:Publisher's PDF, also known as Version of record Publication date: 2006 Link to publicationCitation for published version (APA): Pedersen, S. S., Holkamp, P. G., Caliskan, K., van Domburg, R. T., Erdman, R. A. M., & Balk, A. H. M. M. (2006). Type D personality is associated with impaired health-related quality of life 7 years following heart transplantation. Journal of Psychosomatic Research, 61(6), 791-795. General rightsCopyright and moral rights for the publications made accessible in the public portal are retained by the authors and/or other copyright owners and it is a condition of accessing publications that users recognise and abide by the legal requirements associated with these rights.-Users may download and print one copy of any publication from the public portal for the purpose of private study or research -You may not further distribute the material or use it for any profit-making activity or commercial gain -You may freely distribute the URL identifying the publication in the public portal Take down policy If you believe that this document breaches copyright, please contact us providing details, and we will remove access to the work immediately and investigate your claim. AbstractObjective: Health-related quality of life (HRQoL) following transplantation is gaining importance as an endpoint, but little is known about the role of normal personality traits as a determinant of HRQoL in this patient group. We investigated whether Type D personality (tendency to experience increased negative emotions paired with the nonexpression of these emotions) was associated with impaired HRQoL in heart transplant recipients. Methods: Data were collected from all surviving heart transplant recipients z21 years of age (n=186) with a mean (S.D.) of 7 (5) Conclusions: Type D personality was associated with more than a three-to six-fold increased risk of impaired HRQoL in heart transplant recipients, showing that the Type D personality construct also has value in heart transplant recipients. The adoption of a personality approach may lead to improved risk stratification in research and clinical practice in this patient group. D