CoRPS - Center of Research on Psychology in Somatic diseases, Department of Medical Psychology, Tilburg University, PO Box 90153, 5000 LE Tilburg, The Netherlands.
Gen Hosp Psychiatry. 2010 Jan-Feb;32(1):66-72. doi: 10.1016/j.genhosppsych.2009.09.010. Epub 2009 Oct 23.
This article reviews all available literature concerning the implications of Type D personality (the conjoint effects of negative affectivity and social inhibition) among patients with noncardiovascular conditions.
Published papers were included if they studied Type D personality among noncardiovascular patient populations. Twelve articles met our inclusion criteria and were subjected to a methodological quality checklist (e.g., sample size, response rate, Type D measurement).
The methodological quality of the selected studies was quite good. The noncardiovascular patient populations included chronic pain, asthma, tinnitus, sleep apnea, primary care patients, vulvovaginal candidiasis, mild traumatic brain injury, vertigo, melanoma and diabetic foot syndrome. Type D personality was associated with an increased number or severity of reported health complaints, heightened the perception of negative emotions (e.g., depression and anxiety), had an adverse effect on health-related behaviors, was associated with poor adherence to treatment and significantly reduced effort to perform during diagnostic testing.
Type D is a vulnerability factor that not only affects people with cardiovascular conditions but also those with other medical conditions. Type D was associated with poor physical and mental health status and poor self-management of the disease. Consequently, including Type D in future studies seems warranted.
本文综述了非心血管疾病患者中 D 型人格（负性情感和社交抑制的综合影响）的所有相关文献。
如果研究涉及非心血管患者人群中的 D 型人格，则纳入研究。符合纳入标准的有 12 篇文章，并进行了方法学质量检查表（例如，样本量、应答率、D 型人格测量）。
所选研究的方法学质量相当好。非心血管患者人群包括慢性疼痛、哮喘、耳鸣、睡眠呼吸暂停、初级保健患者、外阴阴道念珠菌病、轻度创伤性脑损伤、眩晕、黑色素瘤和糖尿病足综合征。D 型人格与更多或更严重的健康问题报告有关，增加了负面情绪（如抑郁和焦虑）的感知，对健康相关行为产生了不利影响，与治疗依从性差和诊断测试期间的努力程度显著降低有关。
D 型人格是一个脆弱因素，不仅影响心血管疾病患者，也影响其他患有医疗条件的患者。D 型人格与较差的身心健康状况和疾病自我管理有关。因此，在未来的研究中纳入 D 型人格似乎是合理的。
