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

G.M. Nefs, J. Speight, F. Pouwer, V.J.M. Pop, M. Bot, J. Denollet

Research output: Contribution to journalArticleScientificpeer-review

Abstract

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 X2 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, HbA1c). 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.
Keywords: Type D personality, Negative affectivity, Social inhibition, Diabetes, Health behaviors, Emotional distress
Original languageEnglish
Pages (from-to)94–105
JournalDiabetes Research and Clinical Practice
Volume108
Issue number1
DOIs
Publication statusPublished - 2015

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Health Behavior
Netherlands
Loneliness
Type 2 Diabetes Mellitus
Body Mass Index
Logistic Models
Depression
Delivery of Health Care

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@article{7f57a8897a964f1bb16b2e91510b8d70,
title = "Type D personality, suboptimal health behaviors and emotional distress in adults with diabetes: Results from Diabetes MILES–The Netherlands",
abstract = "AimsType 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.Methods3314 Dutch adults with self-reported type 1 or 2 diabetes completed an online survey, including the DS14 Type D Scale. AN(C)OVAs and X2 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).ResultsParticipants 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, HbA1c). 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.ConclusionsType 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.Keywords: Type D personality, Negative affectivity, Social inhibition, Diabetes, Health behaviors, Emotional distress",
author = "G.M. Nefs and J. Speight and F. Pouwer and V.J.M. Pop and M. Bot and J. Denollet",
year = "2015",
doi = "10.1016/j.diabres.2015.01.015",
language = "English",
volume = "108",
pages = "94–105",
journal = "Diabetes Research and Clinical Practice",
issn = "0168-8227",
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number = "1",

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T1 - Type D personality, suboptimal health behaviors and emotional distress in adults with diabetes

T2 - Results from Diabetes MILES–The Netherlands

AU - Nefs, G.M.

AU - Speight, J.

AU - Pouwer, F.

AU - Pop, V.J.M.

AU - Bot, M.

AU - Denollet, J.

PY - 2015

Y1 - 2015

N2 - AimsType 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.Methods3314 Dutch adults with self-reported type 1 or 2 diabetes completed an online survey, including the DS14 Type D Scale. AN(C)OVAs and X2 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).ResultsParticipants 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, HbA1c). 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.ConclusionsType 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.Keywords: Type D personality, Negative affectivity, Social inhibition, Diabetes, Health behaviors, Emotional distress

AB - AimsType 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.Methods3314 Dutch adults with self-reported type 1 or 2 diabetes completed an online survey, including the DS14 Type D Scale. AN(C)OVAs and X2 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).ResultsParticipants 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, HbA1c). 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.ConclusionsType 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.Keywords: Type D personality, Negative affectivity, Social inhibition, Diabetes, Health behaviors, Emotional distress

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