| BMC Pediatrics | |
| Type D personality is a risk factor for psychosomatic symptoms and musculoskeletal pain among adolescents: a cross-sectional study of a large population-based cohort of Swedish adolescents | |
| Cecilia Åslund1  Lisa Ekselius2  Jerzy Leppert1  Emelie Condén1  | |
| [1] Centre for Clinical Research, Uppsala University, Central Hospital, S-721 89, Västerås, Sweden;Department of Neuroscience, Uppsala University, Uppsala, Sweden | |
| 关键词: Type D personality; Social inhibition; Psychosomatic symptoms; Negative affectivity; Musculoskeletal pain; Adolescents; | |
| Others : 1164278 DOI : 10.1186/1471-2431-13-11 |
|
| received in 2011-10-14, accepted in 2013-01-10, 发布年份 2013 | |
PDF
|
|
【 摘 要 】
Background
Type D personality, or the “distressed personality”, is a psychosocial factor associated with negative health outcomes, although its impact in younger populations is unclear. The purpose of this study was to investigate the prevalence of Type D personality and the associations between Type D personality and psychosomatic symptoms and musculoskeletal pain among adolescences.
Methods
A population-based, self-reported cross-sectional study conducted in Västmanland, Sweden with a cohort of 5012 students in the age between 15–18 years old. The participants completed the anonymous questionnaire Survey of Adolescent Life in Västmanland 2008 during class hour. Psychosomatic symptoms and musculoskeletal pain were measured through index measuring the presence of symptoms and how common they were. DS14 and its two component subscales of negative affectivity (NA) and social inhibition (SI) were measured as well.
Results
There was a difference depending on sex, where 10.4% among boys and 14.6% among girls (p = < 0.001) were defined as Type D personality. Boys and girls with a Type D personality had an approximately 2-fold increased odds of musculoskeletal pain and a 5-fold increased odds of psychosomatic symptoms. The subscale NA explained most of the relationship between Type D personality and psychosomatic symptoms and musculoskeletal pain. No interaction effect of NA and SI was found.
Conclusions
There was a strong association between Type D personality and both psychosomatic symptoms and musculoskeletal pain where adolescent with a type D personality reported more symptoms. The present study contributes to the mapping of the influence of Type D on psychosomatic symptoms and musculoskeletal pain among adolescents.
【 授权许可】
2013 Condén et al.; licensee BioMed Central Ltd.
【 预 览 】
| Files | Size | Format | View |
|---|---|---|---|
| 20150414020949633.pdf | 207KB | ||
| Figure 1. | 44KB | Image |
【 图 表 】
Figure 1.
【 参考文献 】
- [1]McBeth J, Jones K: Epidemiology of chronic musculoskeletal pain. Best Pract Res Clin Rheumatol 2007, 21(3):403-425.
- [2]De Inocencio J: Epidemiology of musculoskeletal pain in primary care. Arch Dis Child 2004, 89(5):431-434.
- [3]Prins Y, Crous L, Louw QA: A systematic review of posture and psychosocial factors as contributors to upper quadrant musculoskeletal pain in children and adolescents. Physiother Theory Pract 2008, 24(4):221-242.
- [4]Hankin BL, Abramson LY, Moffitt TE, Silva PA, McGee R, Angell KE: Development of depression from preadolescence to young adulthood: emerging gender differences in a 10-year longitudinal study. J Abnorm Psychol 1998, 107(1):128-140.
- [5]Brattberg G: Do pain problems in young school children persist into early adulthood? A 13-year follow-up. Eur J Pain 2004, 8(3):187-199.
- [6]Roth-Isigkeit A, Thyen U, Stoven H, Schwarzenberger J, Schmucker P: Pain among children and adolescents: restrictions in daily living and triggering factors. Pediatrics 2005, 115(2):e152-162.
- [7]Schiffer AA, Pedersen SS, Widdershoven JW, Hendriks EH, Winter JB, Denollet J: The distressed (type D) personality is independently associated with impaired health status and increased depressive symptoms in chronic heart failure. Eur J Cardiovasc Prev Rehabil 2005, 12(4):341-346.
- [8]Pedersen SS, Denollet J: Type D personality, cardiac events, and impaired quality of life: a review. Eur J Cardiovasc Prev Rehabil 2003, 10(4):241-248.
- [9]Denollet J: Type D personality. A potential risk factor refined. J Psychosom Res 2000, 49(4):255-266.
- [10]Denollet J, Sys SU, Stroobant N, Rombouts H, Gillebert TC, Brutsaert DL: Personality as independent predictor of long-term mortality in patients with coronary heart disease. Lancet 1996, 347(8999):417-421.
- [11]Denollet J, Brutsaert DL: Personality, disease severity, and the risk of long-term cardiac events in patients with a decreased ejection fraction after myocardial infarction. Circulation 1998, 97(2):167-173.
- [12]Merlijn VP, Hunfeld JA, van der Wouden JC, Hazebroek-Kampschreur AA, Koes BW, Passchier J: Psychosocial factors associated with chronic pain in adolescents. Pain 2003, 101(1–2):33-43.
- [13]Zwaigenbaum L, Szatmari P, Boyle MH, Offord DR: Highly somatizing young adolescents and the risk of depression. Pediatrics 1999, 103(6 Pt 1):1203-1209.
- [14]Egger HL, Costello EJ, Erkanli A, Angold A: Somatic complaints and psychopathology in children and adolescents: stomach aches, musculoskeletal pains, and headaches. J Am Acad Child Adolesc Psychiatry 1999, 38(7):852-860.
- [15]Aslund C, Starrin B, Leppert J, Nilsson KW: Social status and shaming experiences related to adolescent overt aggression at school. Aggress Behav 2009, 35(1):1-13.
- [16]Denollet J: DS14: standard assessment of negative affectivity, social inhibition, and Type D personality. Psychosom Med 2005, 67(1):89-97.
- [17]Emons WH, Meijer RR, Denollet J: Negative affectivity and social inhibition in cardiovascular disease: evaluating type-D personality and its assessment using item response theory. J Psychosom Res 2007, 63(1):27-39.
- [18]Ferguson E, Williams L, O'Connor RC, Howard S, Hughes BM, Johnston DW, Allan JL, O'Connor DB, Lewis CA, Grealy MA, et al.: A taxometric analysis of type-D personality. Psychosom Med 2009, 71(9):981-986.
- [19]Williams L, O'Connor RC, Grubb NR, O'Carroll RE: Type D personality and three-month psychosocial outcomes among patients post-myocardial infarction. J Psychosom Res 2012, 72(6):422-426.
- [20]Coyne JC, Jaarsma T, Luttik ML, van Sonderen E, van Veldhuisen DJ, Sanderman R: Lack of prognostic value of type D personality for mortality in a large sample of heart failure patients. Psychosom Med 2011, 73(7):557-562.
- [21]Aslund C, Starrin B, Nilsson KW: Social capital in relation to depression, musculoskeletal pain, and psychosomatic symptoms: a cross-sectional study of a large population-based cohort of Swedish adolescents. BMC Public Health 2010, 10:715. BioMed Central Full Text
- [22]Jellesma FC: Health in young people: social inhibition and negative affect and their relationship with self-reported somatic complaints. J Dev Behav Pediatr 2008, 29(2):94-100.
- [23]Mols F, Denollet J: Type D personality among noncardiovascular patient populations: a systematic review. Gen Hosp Psychiatry 2010, 32(1):66-72.
- [24]Mols F, Denollet J: Type D personality in the general population: a systematic review of health status, mechanisms of disease, and work-related problems. Health Qual Life Outcomes 2010, 8:9. BioMed Central Full Text
- [25]Schiffer AA, Denollet J, Widdershoven JW, Hendriks EH, Smith OR: Failure to consult for symptoms of heart failure in patients with a type-D personality. Heart 2007, 93(7):814-818.
- [26]Murphy GM Jr, Hollander SB, Rodrigues HE, Kremer C, Schatzberg AF: Effects of the serotonin transporter gene promoter polymorphism on mirtazapine and paroxetine efficacy and adverse events in geriatric major depression. Arch Gen Psychiatry 2004, 61(11):1163-1169.
- [27]McEwen BS: Allostasis and allostatic load: implications for neuropsychopharmacology. Neuropsychopharmacology 2000, 22(2):108-124.
- [28]Asendorpf JB, van Aken MA: Personality-relationship transaction in adolescence: core versus surface personality characteristics. J Pers 2003, 71(4):629-666.
- [29]Pedersen SS, Denollet J: Validity of the Type D personality construct in Danish post-MI patients and healthy controls. J Psychosom Res 2004, 57(3):265-272.
- [30]Aquarius AE, Smolderen KG, Hamming JF, De Vries J, Vriens PW, Denollet J: Type D personality and mortality in peripheral arterial disease: a pilot study. Arch Surg 2009, 144(8):728-733.
- [31]Kupper N, Denollet J, de Geus EJ, Boomsma DI, Willemsen G: Heritability of type-D personality. Psychosom Med 2007, 69(7):675-681.
- [32]Watson D, Pennebaker JW: Health complaints, stress, and distress: exploring the central role of negative affectivity. Psychol Rev 1989, 96(2):234-254.
- [33]Asendorpf J (Ed): Social inhibition: a general- developmental perspective Seattle. Hogrefe: Huber Publishers; 1993.
- [34]Friedman HS, Booth-Kewley S: Personality, type A behavior, and coronary heart disease: the role of emotional expression. J Pers Soc Psychol 1987, 53(4):783-792.
- [35]Bolger N, Zuckerman A: A framework for studying personality in the stress process. J Pers Soc Psychol 1995, 69(5):890-902.
- [36]Eisenberg N, Fabes RA, Murphy BC: Relations of shyness and low sociability to regulation and emotionality. J Pers Soc Psychol 1995, 68(3):505-517.
- [37]Fox JK, Halpern LF, Ryan JL, Lowe KA: Stressful life events and the tripartite model: relations to anxiety and depression in adolescent females. J Adolesc 2010, 33(1):43-54.
- [38]Larson NC, Barger SD, Sydeman SJ: Type D Personality is Not Associated with Coronary Heart Disease Risk in a North American Sample of Retirement-aged Adults. Int J Behav Med 2012. [Epub ahead of print]
- [39]Maclean A, Sweeting H, Hunt K: 'Rules' for boys, 'guidelines' for girls: Gender differences in symptom reporting during childhood and adolescence. Soc Sci Med 2010, 70(4):597-604.
- [40]Hetland J, Torsheim T, Aaro LE: Subjective health complaints in adolescence: dimensional structure and variation across gender and age. Scand J Public Health 2002, 30(3):223-230.
- [41]Vallerand AH, Polomano RC: The relationship of gender to pain. Pain Manag Nurs 2000, 1(3 Suppl 1):8-15.
- [42]Barnett MD, Ledoux T, Garcini LM, Baker J: Type D personality and chronic pain: construct and concurrent validity of the DS14. J Clin Psychol Med Settings 2009, 16(2):194-199.
- [43]van den Broek KC, Nyklicek I, Denollet J: Selection bias in a study of implantable defibrillator patients: the role of Type D personality. Int J Behav Med 2011, 18(1):65-70.
- [44]Deubner DC: An epidemiologic study of migraine and headache in 10–20 year olds. Headache 1977, 17(4):173-180.
- [45]Fishbain DA, Cole B, Cutler RB, Lewis J, Rosomoff HL, Rosomoff RS: Chronic pain and the measurement of personality: do states influence traits? Pain Med 2006, 7(6):509-529.
- [46]Goodwin R, Engstrom G: Personality and the perception of health in the general population. Psychol Med 2002, 32(2):325-332.
PDF