The relation between type D personality and the clinical condition of patients suffering from psoriasis

Abstract

IntroductionType D personality is the last distinguished specific type of personality that is characterised by two dimensions: a tendency for feeling negative emotions – depression, anxiety, anger or hostility, and a tendency for withdrawal from the society. The latest research shows the significant role played by type D personality in the aetiology and course of a variety of diseases.AimThe article discusses the problem of the occurrence of type D personality in the group of patients suffering from psoriasis. Diversities in the clinical condition of psoriasis patients due to increasing type D personality traits are specified.Material and methodsNinety psoriasis patients and 86 healthy subjects participated in the research. In the research questionnaires, the scale for assessing increasing psoriasis complaints and the DS-14 scale to assess type D personality were applied.ResultsResearch results made it possible to corroborate more frequent occurrence of type D personality among psoriasis patients. Moreover, it was found that with increasing negative affectivity – one of type D personality components – complaints increase as far as the clinical condition of psoriasis patients is concerned.ConclusionsMonitoring of psychological well-being of psoriasis patients, especially within type D personality, seems to be a vital element, irrespective of purely medical treatment.

Elevated prevalence of Type D (distressed) personality in moderate to severe psoriasis is associated with mood status and quality of life impairment: a comparative pilot study

“…Patients with moderate to severe psoriasis were found to run about twice the risk of presenting Type D personality than healthy subjects. Patients with psoriasis have an increased frequency of Type D personality as compared to the general population, according to the results of Basinska et al . The prevalence of Type D personality in healthy volunteers in our study are consistent with the figures for population studies, roughly 23% .…”

“…Patients with moderate to severe psoriasis were found to run about twice the risk of presenting Type D personality than healthy subjects. Patients with psoriasis have an increased frequency of Type D personality as compared to the general population, according to the results Table 6 Multivariate logistic regression analysis of potential factors linked to different dimensions of health-related quality of life of Basinska et al 23 The prevalence of Type D personality in healthy volunteers in our study are consistent with the figures for population studies, roughly 23%. 20,25,26 The increased frequency of Type D personality in subjects with moderate to severe psoriasis may have important implications: Personality, expressed as a relatively permanent feature, is a mediator between the stress produced by the environment and the debut, development and course of somatic diseases.…”

Quality of life and severity of skin changes in the dynamics of psoriasis

“…We found that psoriasis has a negative effect on patients’ psychological condition ( Figure 3 ). This finding corroborates other research findings suggesting that psychological functioning may be directly related to the patient's attitude toward the disease and the need to cope with disease on a daily basis, both of which lead to negative physical self-image and negative self-esteem [ 19 , 25 , 26 ]. Patients with psoriasis repress their emotional conflicts and have low self-acceptance [ 27 , 28 ].…”

Type D Personality and Alexithymia: Common Characteristics of Two Different Constructs. Implications for Research and Clinical Practice

“…Research has extensively supported the role of psychological risk factors both in the pathogenesis and outcomes of physical diseases among different patient populations (Lumley et al, 1997 , 2007 ; Taylor et al, 1997 ; Kudielka et al, 2004 ; Porcelli, 2009 ; Basinska and Wozniewicz, 2013 ; Solano, 2013 ). These studies have shown associations between individual's personality dimensions and a self-management of physical disease.…”