Center of Research on Psychology in Somatic disease, Department of Medical Psychology, Tilburg University, PO Box 90153, 5000 LE Tilburg, Tilburg, The Netherlands.
Int J Psychophysiol. 2011 May;80(2):139-42. doi: 10.1016/j.ijpsycho.2011.02.014. Epub 2011 Feb 26.
Type D personality, the combination of negative affectivity and social inhibition, is associated with poor prognosis in patients with ischemic heart disease. The mechanisms are poorly understood. The aim of the present study was to examine whether Type D personality is associated with cardiovascular function in everyday life of people without documented cardiovascular disease. Eighty-six participants (53% women) aged 27 to 60 years who reported work-related non-cardiac health complaints were equipped with ambulatory cardiovascular monitors for 24h measuring heart rate, respiratory sinus arrhythmia, pre-ejection period, and systolic and diastolic blood pressure. With and without controlling for age, sex, educational level, body mass index, physical activity, smoking and alcohol consumption, mood and social contact, Type D personality was not associated with any cardiovascular measure during the day or at night (all F (1, 79) < 1.00, p > .10). When analyzed separately as continuous variables, only the social inhibition component of Type D personality showed a tendency for an association with nighttime systolic blood pressure (F (1, 78) = 3.65, p =.06, η(2) = .04). In conclusion, Type D personality generally does not seem to be associated with unfavorable cardiovascular function in daily life of people without any documented cardiovascular disease.
D 型人格,即消极情感和社交抑制的组合,与缺血性心脏病患者的预后不良有关。其机制尚不清楚。本研究旨在探讨 D 型人格是否与无心血管疾病记录的人群日常生活中的心血管功能有关。86 名参与者(53%为女性)年龄在 27 至 60 岁之间,报告有与工作相关的非心脏健康问题,他们配备了 24 小时动态心血管监测仪,以测量心率、呼吸窦性心律失常、射血前期、收缩压和舒张压。在不考虑年龄、性别、教育程度、体重指数、体力活动、吸烟和饮酒、情绪和社会接触的情况下,D 型人格与白天或夜间的任何心血管测量值均无关(所有 F(1,79)<1.00,p>.10)。当作为连续变量单独分析时,只有 D 型人格的社交抑制成分与夜间收缩压呈关联趋势(F(1,78)=3.65,p=.06,η(2)=.04)。总之,D 型人格似乎与无任何心血管疾病记录的人群日常生活中的不利心血管功能无关。