scholarly journals Type D personality: a predictor of perceived stress, self-efficacy, self-care behaviors, and psychological distress in T2DM

Author(s):  
Yi-Hsin Lin
2020 ◽  
Author(s):  
Yi-Hsin Lin ◽  
Di-An Chen ◽  
Chemin Lin ◽  
Hsuan Huang

Abstract Background: Type D personality (TDP) has been recognized as a risk factor for many diseases. Researches in association with TDP and type 2 diabetes mellitus (T2DM) were limited. Aims: The aim of this study was to estimate the prevalence of TDP, also to assess the relationship between TDP and perceived stress, self-efficacy, self-care behaviors, and psychological distress on Taiwanese patients with T2DM.Methods: 198 patients with T2DM were recruited consecutively from the department of endocrinology of a regional hospital in Taipei, Taiwan from December 2017 to April 2018. The participants completed questionnaires containing questions about sociodemographic characteristics, TDP, illness-related stress, self-efficacy, execution of diabetes management and emotional distress. Their medical records were reviewed for biomedical data.Results: 41.4% of the 198 patients had TDP. Controlling for sociodemographic factors, patients with TDP were reported significantly poorer on glycemic control than those without this personality (P<0.05). Compared to those without TDP, the results showed significantly higher levels of perceived stress (P<0.001) and psychological distress (anxiety and depression) (P<0.001), as well as significantly lower levels of self-efficacy (P<0.001) and self-care behaviors (P<0.001) on patients with TDP. TDP is positively correlated with perceived stress and psychological distress. It is negatively correlated with self-efficacy and self-care behavior scores.Discussion: This study provides the evidence linking TDP with poor glycemic control, self-efficacy, and self-care behaviors, as well as high perceived stress and psychological distress, which highlights the screening of TDP and the specific needs for the care among T2DM patients with TDP.


2020 ◽  
Author(s):  
Chayanee Wongsuriyanan ◽  
Sucheera Phattharayuttawat ◽  
Woraphat Ratta-apha

Abstract Background: Type D personality is a combination of 2 traits which are negative affectivity and social inhibition. In health care situation, type D patients are more likely to have non-medication adherence, pessimistic about their ability to cope with illness and believe that it will be long-lasting which lead them to present worse health outcomes. This study aimed to examine the prevalence of type D personality and associations among medication self-efficacy and self-care behaviors in patients with hypertension. Methods: This is a descriptive cross-sectional study. Patients with hypertension (n = 383) who attended a primary care unit were recruited. Volunteering participants completed the Type D-Scale (DS14) questionnaire for the evaluation of the prevalence of type D personality. To evaluate medication self-efficacy and self-care behavior, Self-efficacy for Appropriate Medication Use Scale Thai version and Self-care behaviors scale for patients with hypertension were employed. Descriptive statistics, t-test, and Pearson’s correlations were used in data analysis. Results: Fifty-six participants (14.6%) were classified with type D personality (26 males and 30 females). A positive relationship between medication self-efficacy and self-care behavior was found (r = 0.294, p < 0.01). In contrast, type D personality had a negative association with medication self-efficacy and self-care behavior (r = -0.251, r = -0.138, p < 0.01). Conclusion: Compare to the previous studies, the present study illustrated quite lower prevalence of type D personality. Type D personality is a psychological health risk factor which negatively affects health both directly and indirectly, especially self-efficacy and self-care behavior. Even just one of the two type D personality traits can lead to a similar detrimental result. Positive relationship between medication self-efficacy and self-care behavior can be applied to develop health promotion programs for patient with hypertension.


2017 ◽  
Vol 10 (1) ◽  
pp. 94-103 ◽  
Author(s):  
Katja Petrowski ◽  
Katharina Wendt ◽  
Susann Wichmann ◽  
Martin Siepmann

Background:Unemployment may impair mental and physical health. The influencing factors causing such negative effects are relevant from an individual and public health perspective. The personality as one possible influencing factor was discussed. This study investigated the prevalence of the type-D personality in an unemployed population and its connections to socio-demographic, psychological and heart rate variability (HRV) parameters.Methods:A questionnaire set including socio-demographics, type-D scale (DS14), Complaint list (BL), Beck-Depression-Inventory II (BDI-II) and the General Self-Efficacy Scale (GSE) was handed out to 203 unemployed individuals [126 females, mean age ± SD: 42.36 ± 11.08]. For HRV assessment (RMSSD), a subsample of 83 participants [50 females, median age ± IQR: 47.00 ± 17.00] passed the “stress-tests” (timed breathing, d2-attention-stress-test, math test) while heart frequency (HF) was acquiredviathe Stressball software (BioSign GmbH, Ottenhofen, Germany).Results:53% of the unemployed had a type-D personality. Compared to non-type-D individuals, type-D individuals had rarely children and by trend a lower educational level; they showed significantly higher scores in the BDI-II and lower scores in the GSE and BL. No differences were observed in mean HF or RMSSD during all the stress-tests.Conclusion:The HRV of individuals with a type-D personality is no worse than that of individuals without a type-D personality. Type-D personality was significantly associated with negative health effects regarding depressiveness, self-efficacy and physical complaints. Our main findings implicate that the DS14 could serve as a short and reliable screening instrument to select concerned unemployed individuals who might be at risk for negative health effects for adequate intervention.


2021 ◽  
Vol 12 ◽  
Author(s):  
Grzegorz Bejda ◽  
Agnieszka Kułak-Bejda ◽  
Napoleon Waszkiewicz ◽  
Elzbieta Krajewska-Kułak

Alcohol consumption among older adults is becoming an increasing public health problem due to the rapidly growing elderly population. There is a theory that Type D personality is positively correlated with alcohol dependence. The study aimed to assess the style of coping with stress, emotions and anxiety in elder men addicted to alcohol and the relationship between the above. The study included 170 men aged 60 years and older (mean age - 63 ± 3.1 years) addicted to alcohol staying in the Department of Alcohol Addiction Therapy for Men. They were tested with the questionnaire sheet and the following scales: Perceived Family Wealth (PFW), Family Affluence Scale (FAS), Cantril's Ladder of Life Scale, Satisfaction with Life Scale, Type D Personality Scale-14 (DS14), and the 10-item Perceived Stress Scale (PSS-10). The respondents' wealth on a scale of 1–5 points was assessed on avg. 3.1 ± 0.2. The above was confirmed by the results of the FAS scale study, where the respondents obtained an average of 3.9 ± 1.9 (min. 1, max. 8), which proves their average level of affluence. The evaluation of the satisfaction with life using Cantril's Ladder showed that the respondents were also satisfied with life on average (on average 5.5 ± 1.9). The assessment of life satisfaction using the Satisfaction with Life Scale (SWLS) scale allowed for the conclusion that the respondents were very dissatisfied with their lives (mean 17.2 ± 4.9). The evaluation of the measurement of perceived stress (PSS-10 scale) showed that the respondents obtained an average of 23.5 ± 3.7, and on the sten scale, a mean of 7.7 ± 0.98, which proves a high level of perceived stress. The study using the DS14 scale showed that the respondents were in the negative emotionality (NE) subscale - 17.4 ± 4.5 points, and in the HS scale - 16.2 ± 3.2, which proves that they can be classified as a Type D personality. The participants were very dissatisfied with their lives, with a high perceived stress and Type D personality.


Stress ◽  
2018 ◽  
Vol 21 (3) ◽  
pp. 229-236 ◽  
Author(s):  
Michael A. Smith ◽  
Victoria C. Riccalton ◽  
Denise H. Kelly-Hughes ◽  
Olivia A. Craw ◽  
Sarah F. Allen ◽  
...  

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