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Article: Validating the Type D personality construct in Chinese patients with coronary heart disease

TitleValidating the Type D personality construct in Chinese patients with coronary heart disease
Authors
KeywordsAnxiety
Coronary heart disease
Depression
DS14 scale
Psychometric evaluation
Type D personality
Issue Date2010
Citation
Journal of Psychosomatic Research, 2010, v. 69, n. 2, p. 111-118 How to Cite?
AbstractObjective: Type D personality predicts poor prognosis in coronary heart disease (CHD) but little is known about Type D in non-Western cultures. We examined the (a) validity of the Type D construct and its assessment with the DS14 scale in the Chinese culture, (b) prevalence of Type D, and (c) gender vs. Type D discrepancies in depression/anxiety, among Chinese patients with CHD. Method: Patients with CHD (N=326) completed the Chinese version of the DS14. The NEO Five Factor Inventory (NEO-FFI), Hospital Anxiety and Depression Scale (HADS), and Stress Symptom Checklist (SSC) were administered to subsamples to establish construct and discriminant validity.Administration of the DS14, HADS, and SSC was repeated at 1 month after hospital discharge in 66 patients, and stability of the DS14 was examined in another subsample of 100 patients. Results: The theoretical structure of the Type D construct in the Chinese culture was supported (Χ2/df=2.89, root mean square error of approximation=0.08, normal fit index=0.91, non-normal fit index=0.91, comparative fit index=0.93). The Negative Affectivity (NA) and Social Inhibition (SI) subscales of the DS14 in the entire sample were internally consistent (Cronbach's alpha=0.89/0.81), measured stable traits (3-month test-retest ICC=0.76/0.74), and correlated significantly with the neuroticism (NA/neuroticism, r=0.78, P<001) and extraversion subscales (SI/extraversion, r=-0.64, P<001) of the NEO-FFI, respectively. The prevalence of Type D personality was 31%. Type D was not related to transient emotional states. However, Chinese patients with a Type D personality were at increased concurrent risk of anxiety (P=002) and depression (P=016). Conclusion: Type D personality is a cross-culturally valid construct, is associated with an increased risk of anxiety and depression, and deserves prompt attention in estimating the prognostic risk of Chinese CHD patients. © 2010 Elsevier Inc.
Persistent Identifierhttp://hdl.handle.net/10722/280765
ISSN
2023 Impact Factor: 3.5
2023 SCImago Journal Rankings: 1.304
ISI Accession Number ID

 

DC FieldValueLanguage
dc.contributor.authorYu, Doris S.F.-
dc.contributor.authorThompson, David R.-
dc.contributor.authorYu, Cheuk Man-
dc.contributor.authorPedersen, Susanne S.-
dc.contributor.authorDenollet, Johan-
dc.date.accessioned2020-02-17T14:34:53Z-
dc.date.available2020-02-17T14:34:53Z-
dc.date.issued2010-
dc.identifier.citationJournal of Psychosomatic Research, 2010, v. 69, n. 2, p. 111-118-
dc.identifier.issn0022-3999-
dc.identifier.urihttp://hdl.handle.net/10722/280765-
dc.description.abstractObjective: Type D personality predicts poor prognosis in coronary heart disease (CHD) but little is known about Type D in non-Western cultures. We examined the (a) validity of the Type D construct and its assessment with the DS14 scale in the Chinese culture, (b) prevalence of Type D, and (c) gender vs. Type D discrepancies in depression/anxiety, among Chinese patients with CHD. Method: Patients with CHD (N=326) completed the Chinese version of the DS14. The NEO Five Factor Inventory (NEO-FFI), Hospital Anxiety and Depression Scale (HADS), and Stress Symptom Checklist (SSC) were administered to subsamples to establish construct and discriminant validity.Administration of the DS14, HADS, and SSC was repeated at 1 month after hospital discharge in 66 patients, and stability of the DS14 was examined in another subsample of 100 patients. Results: The theoretical structure of the Type D construct in the Chinese culture was supported (Χ2/df=2.89, root mean square error of approximation=0.08, normal fit index=0.91, non-normal fit index=0.91, comparative fit index=0.93). The Negative Affectivity (NA) and Social Inhibition (SI) subscales of the DS14 in the entire sample were internally consistent (Cronbach's alpha=0.89/0.81), measured stable traits (3-month test-retest ICC=0.76/0.74), and correlated significantly with the neuroticism (NA/neuroticism, r=0.78, P<001) and extraversion subscales (SI/extraversion, r=-0.64, P<001) of the NEO-FFI, respectively. The prevalence of Type D personality was 31%. Type D was not related to transient emotional states. However, Chinese patients with a Type D personality were at increased concurrent risk of anxiety (P=002) and depression (P=016). Conclusion: Type D personality is a cross-culturally valid construct, is associated with an increased risk of anxiety and depression, and deserves prompt attention in estimating the prognostic risk of Chinese CHD patients. © 2010 Elsevier Inc.-
dc.languageeng-
dc.relation.ispartofJournal of Psychosomatic Research-
dc.subjectAnxiety-
dc.subjectCoronary heart disease-
dc.subjectDepression-
dc.subjectDS14 scale-
dc.subjectPsychometric evaluation-
dc.subjectType D personality-
dc.titleValidating the Type D personality construct in Chinese patients with coronary heart disease-
dc.typeArticle-
dc.description.naturelink_to_subscribed_fulltext-
dc.identifier.doi10.1016/j.jpsychores.2010.01.014-
dc.identifier.pmid20624509-
dc.identifier.scopuseid_2-s2.0-77954592406-
dc.identifier.volume69-
dc.identifier.issue2-
dc.identifier.spage111-
dc.identifier.epage118-
dc.identifier.isiWOS:000280322700004-
dc.identifier.issnl0022-3999-

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