Type D personality is associated with impaired health-related quality of life 7 years following heart transplantation

Abstract

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

Construct, concurrent and discriminant validity of Type D personality in the general population: Associations with anxiety, depression, stress and cardiac output

“…Classically, the trait models of Eysenck (1991) and of Costa and McCrae (1992) are among those to have received the most research interest. Eysenck's threefactor approach posits that human personality can be encapsulated in the combination of neuroticism, extraversion, and psychoticism, while Costa and McCrae's "big five" swaps psychoticism for openness, agreeableness, and conscientiousness.Recently, however, a personality type known as Type D has shown strong and lasting links to a range of negative health outcomes following coronary events (Denollet, Sys, & Brutsaert, 1995), including death (Denollet et al, 1996), second myocardial infarction (Denollet, Vaes, & Brutsaert, 2000), poor quality of life (Pedersen, Holkamp et al, 2006), and higher rates of depression and anxiety (Denollet, 1998a;Pedersen, Ong et al, 2006). While some have argued that Type D and depression overlap, studies have shown the Type D personality to be an independent predictor of poor coronary outcome, independent of depression (for example, see Schiffer et al, 2005).…”

“…Moreover, these two traits themselves appear as though they may overlap with the two traits most prominent in mainstream personality theory, namely neuroticism and extraversion. Although the prognostic power of scores for Type D within cardiac populations is well established (e.g., Denollet, 1998a;Denollet et al, 1995;Denollet et al, 1996;Pedersen, Daemen et al, 2007;Pedersen, Denollet, Ong, Sonnenschein et al, 2007;Pedersen, Holkamp et al, 2006;Pedersen, Ong et al, 2006), virtually none of the research tests whether Type D scores are unique predictors beyond mainstream personality traits.…”

Study Type D Personality and Cognitive Strategies of Emotion Regulation as Predictors of Happiness and Quality of Life in Women with Breast Cancer

“…Pederson and colleagues have established a significant negative association between type D personality and impaired QOL in cardiac patients [25]. Similarly have other researchers proven lower health-related QOL in cardiac patients with type D personality trait [26][27][28]. The results of the above-mentioned studies are inconsistent with the results of the present study, which might be due to the fact that patients with type D personality have difficulty in social relations and mostly choose loneliness [29] and patients with breast cancer have additional problems in social relations [4]; thus, they appear less in society and are less affected by the negative feedbacks of the society.…”

“…Denollet have previously proposed type D personality and age as independent risk factors for cancer development in men [27]. Carver et al have also associated optimism and psychological well-being to survival of patients with breast cancer [7].…”

Quality of Life and Illness Intrusiveness by Type-D Personality in the Patients with Coronary Artery Disease

“…sonality가 경험적 근거를 통해 제시되고 있다 (Denollet, 2000(Denollet, , 2005Pederson & Denollet, 2004;Pedersen et al, 2006).…”