Type D personality in Poland: Validity and application of the Polish DS14

Open access

Type D personality in Poland: Validity and application of the Polish DS14

Type D personality (increased negative emotions paired with emotional non-expression) is an emerging risk indicator in cardiovascular disease (CVD), associated with poor patient-centered outcomes, mortality and morbidity. Little is known about the cross-cultural utility of the construct, as it has primarily been used in the Western European setting. We applied the Type D Scale to a large sample of healthy and CVD patients to validate the DS14 in Poland. DS14 was used in the sample comprised 1154 persons, healthy and CVD. The internal consistency of the Polish version of the DS14 was good with Cronbach's alpha of 0.86 for negative affectivity (NA) and 0.84 for social inhibition (SI). The 2-factor structure of the DS14 was confirmed both with exploratory and confirmatory factor analysis. Both of the DS14 subscales were internally consistent and stable over time. Using the standardized cut-off ≥10 for both NA and SI to identify those with a Type D personality, the prevalence was 72.1% in CVD patients and 34.8% in healthy. The Type D personality construct, as assessed with the DS14, seems to be applicable to the Polish setting, as the Polish DS14 was shown to be a psychometrically sound instrument.

Albus, C., Jordan, J. & Herrmann-Lingen, C. (2004). Screening for psychosocial risk factors in patients with coronary heart disease - recommendations for clinical practice. European Journal of Cardiovascular Prevention and Rehabilitation, 11, 75-79.

Al-Ruzzeh, S., Athanasiou, T., Mangoush, O., Wray, J., Modine, T., George, S. & Amrani, M. (2005). Predictors of poor mid-term health related quality of life after primary isolated coronary artery bypass grafting surgery. Heart, 91, 1557-1562.

Aquarius, A., Denollet, J., Hamming, J., & De Vries, J. (2005). Role of disease status and Type D personality in outcomes in patients with peripheral arterial disease. American Journal of Cardiology, 96, 996-1001.

Aquarius, A., Denollet, J., Hamming, J., Breek, J., & De Vries, J. (2005). Impaired health status and invasive treatment in peripheral arterial disease: a prospective 1-year follow-up study. Journal of Vascular Surgery, 41, 436-442.

Chapman, B., Duberstein, P., & Lyness, J. (2007). The distressed personality type: replicability and general health associations. European Journal of Personality, 21, 911-929.

De Jonge, P., Denollet, J., van Melle, J., Kuyper, A., Honig, A., Schene, A., & Ormel, J. (2007). Associations of type-D personality and depression with somatic health in myocardial infarction patients. Journal of Psychosomatic Research, 63, 477-482.

Denollet, J. (1998). Personality and risk of cancer in men with coronary heart disease. Psychological Medicine, 28, 991-995.

Denollet, J. (2005). DS14: Standard assessment of negative affectivity, social inhibition, and Type D personality. Psychosomatic Medicine, 67, 89-97.

Denollet, J., Vaes, J., & Brutsaert, D. (2000). Inadequate response to treatment in coronary heart disease. Adverse effects of Type D personality and younger age on 5-year prognosis and quality of life. Circulation, 102, 630-635.

Denollet, J., Pedersen, S., Ong, A., Erdman, R., Serruys, P., & van Domburg, R. (2006). Social inhibition modulates the effect of negative emotions on cardiac prognosis following percutaneous coronary intervention in the drug-eluting stent era. European Heart Journal, 27, 171-177.

Emons, W., Meijer, R., & Denollet, J. (2007). Negative affectivity and social inhibition in cardiovascular disease: evaluating Type D personality and its assessment using item response theory. Journal of Psychosomatic Research, 63, 27-39.

Grande, G., Jordan, J., Kummel, M., Struwe, C., Schubmann, R., Schulze, F., Unterberg, C., von Kanel, R., Kudielka, B., Fischer, J., & Herrmann-Lingen, C. (2004). Evaluation of the German Type D Scale (DS14) and prevalence of the Type D personality pattern in cardiological and psychosomatic patients and healthy subjects. Psychotherapie, Psychosomatik, Medizinische Psychologie, 54: 413-422.

Gremigni, P. & Sommaruga, M. (2005). Pesonalità di Tipo D, un costrutto rilevante in cardiologia. Studio preliminare di validazione del questionario italiano. Psicoterapia Cognitiva e Comportamentale, 11, 7-18.

Habra, M., Linden, W., Anderson, J., Weinberg, J. (2003). Type D personality is related to cardiovscular and neuroendocrine reactivity to acute stress. Journal of Psychosomatic Research, 55, 235-245.

Juczynski, Z. & Ogińska-Bulik, N. (2009). Narzedzia pomiaru stresu i radzenia sobie ze stresem (Methods to measure stress and coping). Warszawa: Pracownia Testów Psychologicznych.

Kop, W. J. (1999). Chronic and acute psychological risk factors for clinical manifestations of coronary artery disease. Psychosomatic Medicine, 61, 476-487.

Martens, E., Kupper, N., Pedersen, S., Aquarius, A., & Denollet, J. (2007). Type-D personality is a stable taxonomy in post-MI patients over an 18-month period. Journal of Psychosomatic Research, 63, 545-550.

Ogińska-Bulik, N. (2009). Osobowość typu D: teoria i badania. (Type D personality: theory and research). Lódź: WSHE.

Ogińska-Bulik, N. & Juczyński, Z. (2008). Osobowość, stres a zdrowie (Personality, stress and health). Warszawa: Difin.

Pedersen S. & Denollet J. (2003). Type D personality, cardiac events and impaired quality of life: a review. European Journal of Cardiovascular Prevention and Rehabilitation, 10, 241-248.

Pedersen, S. & Denollet, J. (2004). Validity of the Type D personality construct in Danish post-MI patients and healthy controls. Journal of Psychosomatic Research. 57, 265-272.

Pedersen, S., & Denollet, J. (2006). Is type D personality here to stay? Emerging evidence across cardiovascular disease patient groups. Current Cardiological Review, 2, 205-213.

Pedersen, S. & Middel, B. (2001). Increased vital exhaustion among Type D patients with ischemic heart disease. Journal of Psychosomatic Research, 51, 443-449.

Pedersen, S., Daemen, J., van de Sande, M., Sonnenschein, K., Serruys, P., Erdman, R., & van Domburg, R. (2007). Type-D personality exerts a stable, adverse effect on vital exhaustion in PCI patients treated with paclitaxel-eluting stents. Journal of Psychosomatic Research, 62, 447-453.

Pedersen, S., Denollet, J., Ong, A., Serruys, P., Erdman, R., & van Domburg, R. (2007). Impaired health status in Type D patients following PCI in the drug-eluting stent era. International Journal of Cardiology, 114, 358-365.

Pedersen, S., Lemos, P., van Vooren, P., Liu, T., Daemen, J., Erdman, R., Serruys, P., & van Domburg, R. (2004). Type D personality predicts death or myocardial infarction after bare metal stent or sirolimuseluting stent implantation: A Rapamycin-Eluting Stent Evaluated At Rotterdam Cardiology Hospital (RESEARCH) registry sub-study. Journal of the American College of Cardiology, 44, 997-1001.

Pedersen, S., Ong, A., Serruys, P., Erdman, R., & van Domburg, R. (2006). Type D Personality and diabetes predict the onset of depressive symptoms in patients following percutaneous coronary intervention. American Heart Journal, 151, 367.e1-367.e6.

Pedersen, S., Theuns, D., Muskens-Heemskerk, A., Erdman, R., & Jordaens, L. (2007). Type-D personality but not ICD indication is associated with impaired health-related quality of life 3 months post implantation. Europace, 9, 675-680.

Pedersen, S., Van Domburg, R, Theuns, D., Jordaens, L., & Erdman, R. (2004). Type D personality is associated with increased anxiety and depressive symptoms in patients with an implantable cardioverter defibrillator and their partners. Psychosomatic Medicine, 66, 714-719.

Pedersen, S., Yagensky, A., Smith, O., Yagenska, O., Shpak, V., & Denollet, J. (2009). Preliminary evidence for the cross-cultural utility of the Type D personality construct in the Ukraine. International Journal of Behavioral Medicine, 16(2), 108-115.

Schiffer, A., Pedersen, S., Broers, H., Widdershoven, J., & Denollet, J. (2008). Type-D personality but not depression predicts severity of anxiety in heart failure patients at 1-year follow-up. Journal of Affective Disorders, 106, 73-81.

Schiffer, A., Pedersen, S., Widdershoven, J., Hendriks, E., Winter, J., & Denollet, J. (2005). Type D personality is independently associated with impaired health status and increased depressive symptoms in chronic heart failure. European Journal of Cardiovascular Prevention and Rehabilitation, 12, 341-346.

Spindler, H., Pedersen, S., Serruys, P., Erdman, R., & van Domburg, R. (2007). Type D personality predicts chronic anxiety following percutaneous coronary intervention in the drug-eluting stent era. Journal of Affective Disorders, 99, 173-179.

van Gestel, Y., Pedersen, S., van de Sande, M., de Jaegere, P., Serruys, P., Erdman, R., & van Domburg, R. (2007). Type D personality and depressive symptoms predict anxiety 12 months post-percutaneous coronary intervention. Journal of Affective Disorders, 103, 197-203.

Watson, D., Clark, L., & Tellegen, A. (1988). Development and validation of brief measures of positive and negative affect: the PANAS scales. Journal of Personality and Social Psychology, 54(6), 1063-70.

Whitehead, D., Perkins-Porras, L, Strike, P., Magid, K., & Steptoe A. (2007). Cortisol awakening response is elevated in acute coronary syndrome patients with type-D personality. Journal of Psychosomatic Research, 62, 419-425.

Williams, L., O'Connor, R. C., Howard, S., Hughes, B., Johnston, D. W., Hay, J. L., O'Connor, D. B., Lewis, C. A., Ferguson, E., Sheehy, N., Grealy, M. A., & O'Carroll, R. E. (2008). Type-D personality mechanisms of effect: the role of health-related behavior and social support. Journal of Psychosomatic Research, 64, 63-69.

Zawadzki, B., Strelau, B. (1997). Formalna Charakterystyka Zachowania - Kwestionariusz Temperamentu (FCZ-KT), (Formal Characteristics of Behaviour - Temperament Inventory (FCZ-KT). Manual. Warszawa: PTP.

Zawadzki, B., Strelau, J., Szczepaniak, P., & Śliwińska, M. Inwentarz osobowości NEO-FFI Costy i McCrae (Personality Inventory NEO-FFI by Costa and McCrae). Warszawa: Pracownia Testów Psychologicznych PTP 1998.

Polish Psychological Bulletin

The Journal of Committee for Psychological Sciences of Polish Academy of Sciences

Journal Information


CiteScore 2016: 0.33

SCImago Journal Rank (SJR) 2016: 0.185
Source Normalized Impact per Paper (SNIP) 2016: 0.258

Cited By

Metrics

All Time Past Year Past 30 Days
Abstract Views 0 0 0
Full Text Views 162 149 9
PDF Downloads 58 54 4