Demirci Seden, Demirci Kadir, Demirci Serpil
Department of Neurology, Süleyman Demirel University School of Medicine, Isparta, Turkey.
Department of Psychiatry, Süleyman Demirel University School of Medicine, Isparta, Turkey.
Noro Psikiyatr Ars. 2017 Sep;54(3):272-276. doi: 10.5152/npa.2016.12764. Epub 2016 Sep 1.
The Type D personality was reported as an important indicator of adverse clinical outcomes and quality of life in various diseases. The objective of this study was to investigate the relationships between the Type D personality and clinical features and the effect of Type D personality on quality of life in patients with multiple sclerosis (MS).
Seventy-four patients with MS participated in this study. Clinical parameters of the patients were recorded and disability was assessed using the Expanded Disability Status Scale (EDSS). Patients were examined with the Beck Depression Inventory (BDI), Beck Anxiety Inventory (BAI), Type D Scale (DS14), and 36-Item Short-Form Health Survey (SF-36).
BDI and BAI scores were significantly higher and mental subscale of the SF-36 scores were significantly lower in Type D compared to nonType D (p<0.001, p=0.001, and p<0.001, respectively). The total DS14 scores were found to be positively correlated with EDSS, BDI, and BAI and negatively correlated with SF-36 mental subscale (p=0.02, p<0.001, p<0.001, and p<0.001, respectively). Multivariate linear regression analysis indicated that the total DS14 score was independently associated with the mental component of SF-36 (p<0.001).
The Type D personality traits may worsen the quality of life, particularly the mental component, in patients with MS. Consequently, the assessment of MS patients by brief and valid DS14 may be valuable for clinical practice.
D型人格被报道为多种疾病不良临床结局和生活质量的重要指标。本研究的目的是调查D型人格与临床特征之间的关系以及D型人格对多发性硬化症（MS）患者生活质量的影响。
74例MS患者参与了本研究。记录患者的临床参数，并使用扩展残疾状态量表（EDSS）评估残疾情况。使用贝克抑郁量表（BDI）、贝克焦虑量表（BAI）、D型量表（DS14）和36项简短健康调查（SF - 36）对患者进行检查。
与非D型相比，D型患者的BDI和BAI得分显著更高，SF - 36的心理分量表得分显著更低（分别为p<0.001、p = 0.001和p<0.001）。发现DS14总分与EDSS、BDI和BAI呈正相关，与SF - 36心理分量表呈负相关（分别为p = 0.02、p<0.001、p<0.001和p<0.001）。多因素线性回归分析表明，DS14总分与SF - 36的心理成分独立相关（p<0.001）。
D型人格特质可能会使MS患者的生活质量恶化，尤其是心理成分。因此，通过简短有效的DS14对MS患者进行评估可能对临床实践有价值。
