J Korean Med Sci.  2011 Jan;26(1):116-123. 10.3346/jkms.2011.26.1.116.

Assessment of the Type D Personality Construct in the Korean Population: A Validation Study of the Korean DS14

Affiliations
  • 1Korea University Cardiovascular Centre, Guro Hospital, Seoul, Korea.
  • 2Department of Psychiatry, Korea University College of Medicine, Seoul, Korea. korean@chol.com
  • 3Department of Psychiatry, Ilsanpaik Hospital, Inje University College of Medicine, Ilsan, Korea.
  • 4CoRPS-Center of Research on Psychology in Somatic Diseases, Tilburg University, Netherland.

Abstract

This study aimed to develop a Korean version of the Type D Personality Scale-14 (DS14) and evaluate the psychiatric symptomatology of Korean cardiac patients with Type D personality. Healthy control (n = 954), patients with a coronary heart disease (n = 111) and patients with hypertension and no heart disease (n = 292) were recruited. All three groups completed DS14, the Eysenck Personality Questionnaire (EPQ), the state subscale of Spielberger State and Trait Anxiety Inventory (STAI-S), the Center for Epidemiologic Studies Short Depression Scale (CESD), and the General Health Questionnaire (GHQ). The Korean DS14 was internally consistent and stable over time. 27% of the subjects were classified as Type D. Type D individuals had significantly higher mean scores on the STAI-S, CESD, and GHQ compared to non-Type D subjects in each group. The Korean DS14 was a valid and reliable tool for identifying Type D personality. The general population and cardiovascular patients with Type D personality showed higher rate of depression, anxiety and psychological distress regarding their health. Therefore, identifying Type D personality is important in clinical research and practice in chronic medical disorders, especially cardiovascular disease, in Korea.

Keyword

Anxiety; Coronary Disease; Depression; Hypertension; Type D Personality; DS14

MeSH Terms

Anxiety Disorders/diagnosis
Asian Continental Ancestry Group/ethnology/*psychology
Coronary Disease/diagnosis
Humans
Hypertension/diagnosis
Personality/*classification
*Personality Assessment/statistics & numerical data
Psychometrics
Questionnaires
Republic of Korea
Risk Factors

Figure

  • Fig. 1 Mean scores on the measures compared between Type D and non-Type D. Standard deviations are presented on top of bars, *P < 0.001; †P < 0.05. CESD, Center for Epidemiologic Studies Short Depression Scale; STAI-S, Spielberger State and Trait Anxiety Inventory-state; GHQ, General Health Questionnaire/Quality of Life -12; CHD, coronary heart disease; HTN, hypertension.


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