Dermatology Unit, Hospital Universitario Virgen de las Nieves, Granada.
Acta Derm Venereol. 2022 Jun 9;102:adv00734. doi: 10.2340/actadv.v102.676.
Type D personality (TDp) is a stable personality type that has been associated with poor quality of life in the general population and in patients with a variety of diseases, such as cancer, cardiac diseases, and dermatological diseases (e.g. psoriasis). To date, the potential association between chronic spontaneous urticaria and TDp has not been studied. The aim of this study is to analyse the impact of TDp on patients with chronic spontaneous urticaria, regarding mood disturbances, quality of life, sexuality, and sleep disturbances. A cross-sectional study including 75 patients with chronic spontaneous urticaria was performed. Data on socio- demographic variables and disease activity, quality of life, sleep, sexual dysfunction, anxiety, depression and TDp were collected using validated questionnaires. TDp was present in 28% (21/75) of the patients. Although TDp was not related to worse disease control, the presence of anxiety and depression was higher in patients with TDp. Regarding quality of life, TDp was associated with poorer quality of life and higher frequency of sleep disturbances. Prevalence of TDp in patients with chronic spontaneous urticaria is similar to that in the general population. It is associated with mood status disturbances and worse quality of life regardless of disease severity, especially in the emotional and psychological domains. This group of patients could benefit from additional psychological support as a complement to their medical treatment.
D 型人格（TDp）是一种稳定的人格类型，与普通人群和各种疾病患者的生活质量差有关，例如癌症、心脏病和皮肤病（例如银屑病）。迄今为止，慢性自发性荨麻疹与 TDp 之间的潜在关联尚未得到研究。本研究旨在分析 TDp 对慢性自发性荨麻疹患者的情绪障碍、生活质量、性功能和睡眠障碍的影响。进行了一项包括 75 例慢性自发性荨麻疹患者的横断面研究。使用经过验证的问卷收集了社会人口统计学变量和疾病活动、生活质量、睡眠、性功能障碍、焦虑、抑郁和 TDp 的数据。TDp 存在于 28%（21/75）的患者中。尽管 TDp 与较差的疾病控制无关，但 TDp 患者的焦虑和抑郁发生率更高。就生活质量而言，TDp 与较差的生活质量和更高的睡眠障碍频率相关。慢性自发性荨麻疹患者中 TDp 的患病率与普通人群相似。它与情绪状态障碍和较差的生活质量有关，无论疾病严重程度如何，尤其是在情感和心理领域。这群患者可能需要额外的心理支持作为其医疗治疗的补充。
