Journal of Korean Medical Science

Korean Acad Medical Sciences (대한의학회)
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Assessment of the Type D Personality Construct in the Korean Population: A Validation Study of the Korean DS14

  • Lim, Hong-Euy (Korea University Cardiovascular Centre, Guro Hospital) ;
  • Lee, Moon-Soo (Department of Psychiatry, Korea University College of Medicine) ;
  • Ko, Young-Hoon (Department of Psychiatry, Korea University College of Medicine) ;
  • Park, Young-Min (Department of Psychiatry, Ilsanpaik Hospital, Inje University College of Medicine) ;
  • Joe, Sook-Haeng (Department of Psychiatry, Korea University College of Medicine) ;
  • Kim, Yong-Ku (Department of Psychiatry, Korea University College of Medicine) ;
  • Han, Chang-Su (Department of Psychiatry, Korea University College of Medicine) ;
  • Lee, Hwa-Young (Department of Psychiatry, Korea University College of Medicine) ;
  • Pedersen, Susanne S. (CoRPS-Center of Research on Psychology in Somatic Diseases, Tilburg University) ;
  • Denollet, Johan (CoRPS-Center of Research on Psychology in Somatic Diseases, Tilburg University)
  • Published : 2011.01.01
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Abstract

This study aimed to develop a Korean version of the Type D Personality Scale-14 (DS14) and evaluate the psychiatric symptomatology of Korean cardiac patients with Type D personality. Healthy control (n = 954), patients with a coronary heart disease (n = 111) and patients with hypertension and no heart disease (n = 292) were recruited. All three groups completed DS14, the Eysenck Personality Questionnaire (EPQ), the state subscale of Spielberger State and Trait Anxiety Inventory (STAI-S), the Center for Epidemiologic Studies Short Depression Scale (CESD), and the General Health Questionnaire (GHQ). The Korean DS14 was internally consistent and stable over time. 27% of the subjects were classified as Type D. Type D individuals had significantly higher mean scores on the STAI-S, CESD, and GHQ compared to non-Type D subjects in each group. The Korean DS14 was a valid and reliable tool for identifying Type D personality. The general population and cardiovascular patients with Type D personality showed higher rate of depression, anxiety and psychological distress regarding their health. Therefore, identifying Type D personality is important in clinical research and practice in chronic medical disorders, especially cardiovascular disease, in Korea.

Keywords

References

  1. Heilbrun AB Jr, Friedberg EB. Type A personality, self-control, and vulnerability to stress. J Pers Assess 1988; 52: 420-33. https://doi.org/10.1207/s15327752jpa5203_3
  2. Rosenman RH, Brand RJ, Jenkins D, Friedman M, Straus R, Wurm M. Coronary heart disease in Western Collaborative Group Study. Final follow- up experience of 8 1/2 years. JAMA 1975; 233: 872-7. https://doi.org/10.1001/jama.1975.03260080034016
  3. Haynes SG, Feinleib M. Type A behavior and the incidence of coronary heart disease in the Framingham Heart Study. Adv Cardiol 1982; 29: 85-94.
  4. Case RB, Heller SS, Case NB, Moss AJ. Type A behavior and survival after acute myocardial infarction. N Engl J Med 1985; 312: 737-41. https://doi.org/10.1056/NEJM198503213121201
  5. Cohen JB, Reed D. The type A behavior pattern and coronary heart disease among Japanese men in Hawaii. J Behav Med 1985; 8: 343-52. https://doi.org/10.1007/BF00848368
  6. Dembroski TM, MacDougall JM, Williams RB, Haney TL, Blumenthal JA. Components of Type A, hostility, and anger-in: relationship to angiographic findings. Psychosom Med 1985; 47: 219-33.
  7. Barefoot JC, Dahlstrom WG, Williams RB Jr. Hostility, CHD incidence, and total mortality: a 25-year follow-up study of 255 physicians. Psychosom Med 1983; 45: 59-63.
  8. Denollet J, Sys SU, Brutsaert DL. Personality and mortality after myocardial infarction. Psychosom Med 1995; 57: 582-91.
  9. Pedersen SS, Denollet J, Ong AT, Sonnenschein K, Erdman RA, Serruys PW, van Domburg RT. Adverse clinical events in patients treated with sirolimus- eluting stents: the impact of Type D personality. Eur J Cardiovasc Prev Rehabil 2007; 14: 135-40. https://doi.org/10.1097/HJR.0b013e328045c282
  10. Denollet J. DS14: Standard assessment of negative affectivity, social inhibition, and Type D personality. Psychosom Med 2005; 67: 89-97. https://doi.org/10.1097/01.psy.0000149256.81953.49
  11. Grande G, Jordan J, Kummel M, Struwe C, Schubmann R, Schulze F, Unterberg C, von Kanel R, Kudielka BM, Fischer J, Herrmann-Lingen C. Evaluation of the German type D scale (DS14) and prevalence of the type D personality pattern in cardiological and psychosomatic patients and healthy subjects. Psychother Psychosom Med Psychol 2004; 54: 413-22. https://doi.org/10.1055/s-2004-828376
  12. Pedersen SS, Denollet J. Validity of the Type D personality construct in Danish post-MI patients and healthy controls. J Psychosom Res 2004; 57: 265-72. https://doi.org/10.1016/S0022-3999(03)00614-7
  13. Yu XN, Zhang J, Liu X. Application of the Type D Scale (DS14) in Chinese coronary heart disease patients and healthy controls. J Psychosom Res 2008; 65: 595-601. https://doi.org/10.1016/j.jpsychores.2008.06.009
  14. Denollet J. Type D personality. A potential risk factor refined. J Psychosom Res 2000; 49: 255-66. https://doi.org/10.1016/S0022-3999(00)00177-X
  15. Lee HS. The Mannual of Eysenck Personality Questionnaire. Seoul: Hakjisa 2004; 7-32.
  16. Hahn DW, Lee CH, Chon KK. Korean adaptation of Spielberger's STAI (K-STAI). Korean J Health Psychol 1996; 1: 1-14. https://doi.org/10.1111/j.2044-8287.1996.tb00486.x
  17. Cho MJ, Kim KH. Use of the Center for Epidemiologic Studies Depression (CES-D) Scale in Korea. J Nerv Ment Dis 1998; 186: 304-10. https://doi.org/10.1097/00005053-199805000-00007
  18. Kook SH, Son CN. A validation of GHQ/QL-12 to assess the quality of life in patients with schizophrenia: using RMSEA, ECVI, and Rasch Model. Korean J Clin Psychol 2000; 19: 587-602.
  19. Kline RB. Principles and Practice of Structural Equation Modeling. New York: Guilford Press 1998; 189-242.
  20. Hu L, Bentler PM. Cutoff criteria for fit indexes in covariance structure analysis: conventional criteria versus new alternatives. Struct Equ Modeling 1999; 6: 1-55. https://doi.org/10.1080/10705519909540118
  21. Kramer MS, Feinstein AR. Clinical biostatistics. LIV. The biostatistics of concordance. Clin Pharmacol Ther 1981; 29: 111-23. https://doi.org/10.1038/clpt.1981.18
  22. Rubin KH. Social and emotional development from a cultural perspective. Dev Psychol 1998; 34: 611-5.
  23. Heinrichs N, Rapee RM, Alden LA, Bogels S, Hofmann SG, Oh KJ, Sakano Y. Cultural differences in perceived social norms and social anxiety. Behav Res Ther 2006; 44: 1187-97. https://doi.org/10.1016/j.brat.2005.09.006
  24. Williams L, O'Connor RC, Howard S, Hughes BM, Johnston DW, Hay JL, O'Connor DB, Lewis CA, Ferguson E, Sheehy N, Grealy MA, O'Carroll RE. Type-D personality mechanisms of effect: the role of health-related behavior and social support. J Psychosom Res 2008; 64: 63-9. https://doi.org/10.1016/j.jpsychores.2007.06.008
  25. Kopp M, Skrabski A, Csoboth C, Rethelyi J, Stauder A, Denollet J. Type D personality: cross-sectional associations with cardiovascular morbidity in the Hungarian population. Psychosom Med 2003; 65: A64.
  26. Pignay-Demaria V, Lespérance F, Demaria RG, Frasure-Smith N, Perrault LP. Depression and anxiety and outcomes of coronary artery bypass surgery. Ann Thorac Surg 2003; 75: 314-21. https://doi.org/10.1016/S0003-4975(02)04391-6
  27. van Melle JP, de Jonge P, Spijkerman TA, Tijssen JG, Ormel J, van Veldhuisen DJ, van den Brink RH, van den Berg MP. Prognostic association of depression following myocardial infarction with mortality and cardiovascular events: a meta-analysis. Psychosom Med 2004; 66: 814-22. https://doi.org/10.1097/01.psy.0000146294.82810.9c
  28. Rozanski A, Blumenthal JA, Kaplan J. Impact of psychological factors on the pathogenesis of cardiovascular disease and implications for therapy. Circulation 1999; 99: 2192-217. https://doi.org/10.1161/01.CIR.99.16.2192
  29. Whitehead DL, Perkins-Porras L, Strike PC, Magid K, Steptoe A. Cortisol awakening response is elevated in acute coronary syndrome patients with type-D personality. J Psychosom Res 2007; 62: 419-25. https://doi.org/10.1016/j.jpsychores.2006.11.005
  30. Denollet J, Vrints CJ, Conraads VM. Comparing Type D personality and older age as correlates of tumor necrosis factor-alpha dysregulation in chronic heart failure. Brain Behav Immun 2008; 22: 736-43. https://doi.org/10.1016/j.bbi.2007.10.015

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