Type D personality, suboptimal health behaviors and emotional distress in adults with diabetes: Results from Diabetes MILES-The Netherlands

被引:51
作者
Nefs, G. [1 ]
Speight, J. [2 ,3 ,4 ]
Pouwer, F. [1 ]
Pop, V. [1 ]
Bot, M. [1 ,5 ,6 ,7 ]
Denollet, J. [1 ]
机构
[1] Tilburg Univ, Dept Med & Clin Psychol, Ctr Res Psychol Somat Dis CoRPS, NL-5000 LE Tilburg, Netherlands
[2] Diabet Australia Vic, Australian Ctr Behav Res Diabet, Melbourne, Vic 3000, Australia
[3] Deakin Univ, Sch Psychol, Ctr Mental Hlth & Wellbeing Res, Burwood, Vic 3125, Australia
[4] AHP Res, Hornchurch, England
[5] Vrije Univ Amsterdam Med Ctr, Dept Psychiat, NL-1081 HL Amsterdam, Netherlands
[6] Vrije Univ Amsterdam Med Ctr, EMGO Inst Hlth & Care Res, NL-1081 HL Amsterdam, Netherlands
[7] GGZ inGeest, NL-1081 HL Amsterdam, Netherlands
关键词
Type D personality; Negative affectivity; Social inhibition; Diabetes; Health behaviors; Emotional distress; CORONARY-HEART-DISEASE; UNHEALTHY LIFE-STYLE; NEGATIVE AFFECTIVITY; SOCIAL INHIBITION; PROGNOSTIC ASSOCIATION; PSYCHOLOGICAL DISTRESS; SAMPLE CHARACTERISTICS; MYOCARDIAL-INFARCTION; GENERAL-POPULATION; PHYSICAL-ACTIVITY;
D O I
10.1016/j.diabres.2015.01.015
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Aims: Type D personality - defined as high negative affectivity (NA) and high social inhibition (SI) - has been associated with adverse cardiovascular prognosis. We explored the differential associations of Type D personality and its constituent components with health behaviors, emotional distress and standard biomedical risk factors as potential risk mechanisms in adults with diabetes. Methods: 3314 Dutch adults with self-reported type 1 or 2 diabetes completed an online survey, including the DS14 Type D Scale. AN(C)OVAs and X-2 tests were used to compare participants scoring (i) low on NA and SI; (ii) high on SI only; (iii) high on NA only; (iv) high on NA and SI (Type D). Results: Participants with Type D personality (29%) were less likely to follow a healthy diet or to consult healthcare professionals in case of problems with diabetes management than those scoring high on neither or only one component. They also reported more barriers surrounding medication use, diabetes-specific social anxiety, loneliness and symptoms of depression and anxiety. There were no differences in standard biomedical risk factors (body mass index, blood pressure, cholesterol, HbA(1c)). After adjustment for demographics, clinical characteristics, NA, and SI in multivariable logistic regression analyses, Type D personality was independently associated with 2 to 3-fold increased odds of suboptimal health behaviors and over 15-fold increased odds of general emotional distress. Conclusions: Type D personality was not related to standard biomedical risk factors, but was associated with unhealthy behaviors and negative emotions that are likely to have adverse impact on adults with diabetes. (C) 2015 Elsevier Ireland Ltd. All rights reserved.
引用
收藏
页码:94 / 105
页数:12
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