Type D (distressed) personality in primary care patients with type 2 diabetes: validation and clinical correlates of the DS14 assessment
- PMID: 22405217
- DOI: 10.1016/j.jpsychores.2012.01.006
Type D (distressed) personality in primary care patients with type 2 diabetes: validation and clinical correlates of the DS14 assessment
Abstract
Objective: In cardiovascular research, Type D personality (high negative affectivity and social inhibition) has been associated with a more than 3-fold increased risk of adverse health outcomes. This study examined the validity and clinical correlates of the Type D construct as assessed by the Type D Scale-14 (DS14) in type 2 diabetes patients.
Methods: 1553 primary care patients with type 2 diabetes were assessed for demographic, clinical, lifestyle and psychological characteristics in 2007. A subgroup (n=1012) completed the DS14 again 1 year later.
Results: The two-factor model of the Type D construct was confirmed in exploratory and confirmatory factor analyses; results were stable across gender. The Negative Affectivity (NA) and Social Inhibition (SI) subscales had adequate reliability in both men and women, as measured by Cronbach's alpha (NA=0.87, SI=0.83), lambda2 (NA=0.87/0.88, SI=0.84), corrected item-total correlations (NA 0.47-0.77, SI 0.34-0.72) and mean inter-item correlations (NA=0.50/0.51, SI=0.42). One year test-retest reliability using intraclass correlation coefficients was 0.64/0.63 for NA and 0.73/0.65 for SI. Type D and non-Type D patients did not differ in vascular history or physiological risk factors, but Type D women had a more sedentary lifestyle (p=.003). Type D patients experienced less social support and more stressful life events, loneliness, and more depressed mood, anhedonia and anxiety (p<.001 for most variables). These differences were clinically significant (Cohen's d>0.60 for most variables).
Conclusion: Type D personality can be reliably assessed in primary care patients with type 2 diabetes, and is associated with increased loneliness, stress and emotional distress in these patients.
Copyright © 2012 Elsevier Inc. All rights reserved.
Similar articles
-
DS14: standard assessment of negative affectivity, social inhibition, and Type D personality.Psychosom Med. 2005 Jan-Feb;67(1):89-97. doi: 10.1097/01.psy.0000149256.81953.49. Psychosom Med. 2005. PMID: 15673629
-
Multi-method analysis of the internal structure of the Type D Scale-14 (DS14).J Psychosom Res. 2012 Apr;72(4):258-65. doi: 10.1016/j.jpsychores.2012.01.005. Epub 2012 Feb 8. J Psychosom Res. 2012. PMID: 22405218
-
Negative affectivity and social inhibition in cardiovascular disease: evaluating type-D personality and its assessment using item response theory.J Psychosom Res. 2007 Jul;63(1):27-39. doi: 10.1016/j.jpsychores.2007.03.010. J Psychosom Res. 2007. PMID: 17586335
-
Type D personality and vulnerability to adverse outcomes in heart disease.Cleve Clin J Med. 2011 Aug;78 Suppl 1:S13-9. doi: 10.3949/ccjm.78.s1.02. Cleve Clin J Med. 2011. PMID: 21972324 Review.
-
Type D personality. A potential risk factor refined.J Psychosom Res. 2000 Oct;49(4):255-66. doi: 10.1016/s0022-3999(00)00177-x. J Psychosom Res. 2000. PMID: 11119782 Review.
Cited by
-
The mediating role of binge-watching in the relationship between type D personality and loneliness.Health Psychol Rep. 2021 Nov 1;10(3):157-167. doi: 10.5114/hpr.2021.109550. eCollection 2022. Health Psychol Rep. 2021. PMID: 38084275 Free PMC article.
-
Personality and weight management in adults with type 2 diabetes: A systematic review.Front Clin Diabetes Healthc. 2022 Nov 11;3:1044005. doi: 10.3389/fcdhc.2022.1044005. eCollection 2022. Front Clin Diabetes Healthc. 2022. PMID: 36992758 Free PMC article.
-
Relationship between Type D personality and adverse health outcomes in people with type 2 diabetes: The parallel mediating roles of diabetes distress and social isolation.Nurs Open. 2023 May;10(5):3347-3355. doi: 10.1002/nop2.1587. Epub 2022 Dec 28. Nurs Open. 2023. PMID: 36576733 Free PMC article.
-
Type D Personality Is an Independent Predictor of Lower Urinary Tract Symptoms in Young Men.Front Psychol. 2022 Feb 22;13:822490. doi: 10.3389/fpsyg.2022.822490. eCollection 2022. Front Psychol. 2022. PMID: 35273543 Free PMC article.
-
The impact of type D personality on self-care of patients with type 2 diabetes: the mediating role of coping strategies.J Diabetes Metab Disord. 2020 Aug 29;19(2):1191-1198. doi: 10.1007/s40200-020-00624-y. eCollection 2020 Dec. J Diabetes Metab Disord. 2020. PMID: 33553023 Free PMC article.
Publication types
MeSH terms
LinkOut - more resources
Full Text Sources
Medical