uu.seUppsala University Publications
Change search
CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • ieee
  • modern-language-association
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf
Type D personality is a risk factor for psychosomatic symptoms and musculoskeletal pain among adolescents: a cross-sectional study of a large population-based cohort of Swedish adolescents
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Medicinska och farmaceutiska vetenskapsområdet, centrumbildningar mm, Centre for Clinical Research, County of Västmanland.
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Medicinska och farmaceutiska vetenskapsområdet, centrumbildningar mm, Centre for Clinical Research, County of Västmanland.
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Neuroscience.
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Medicinska och farmaceutiska vetenskapsområdet, centrumbildningar mm, Centre for Clinical Research, County of Västmanland.
2013 (English)In: BMC Pediatrics, ISSN 1471-2431, E-ISSN 1471-2431, Vol. 13, 11- p.Article in journal (Refereed) Published
Abstract [en]

Background: Type D personality, or the "distressed personality", is a psychosocial factor associated with negative health outcomes, although its impact in younger populations is unclear. The purpose of this study was to investigate the prevalence of Type D personality and the associations between Type D personality and psychosomatic symptoms and musculoskeletal pain among adolescences. Methods: A population-based, self-reported cross-sectional study conducted in Vastmanland, Sweden with a cohort of 5012 students in the age between 15-18 years old. The participants completed the anonymous questionnaire Survey of Adolescent Life in Vastmanland 2008 during class hour. Psychosomatic symptoms and musculoskeletal pain were measured through index measuring the presence of symptoms and how common they were. DS14 and its two component subscales of negative affectivity (NA) and social inhibition (SI) were measured as well. Results: There was a difference depending on sex, where 10.4% among boys and 14.6% among girls (p = < 0.001) were defined as Type D personality. Boys and girls with a Type D personality had an approximately 2-fold increased odds of musculoskeletal pain and a 5-fold increased odds of psychosomatic symptoms. The subscale NA explained most of the relationship between Type D personality and psychosomatic symptoms and musculoskeletal pain. No interaction effect of NA and SI was found. Conclusions: There was a strong association between Type D personality and both psychosomatic symptoms and musculoskeletal pain where adolescent with a type D personality reported more symptoms. The present study contributes to the mapping of the influence of Type D on psychosomatic symptoms and musculoskeletal pain among adolescents.

Place, publisher, year, edition, pages
2013. Vol. 13, 11- p.
Keyword [en]
Adolescents, Musculoskeletal pain, Negative affectivity, Psychosomatic symptoms, Social inhibition, Type D personality
National Category
Medical and Health Sciences
Identifiers
URN: urn:nbn:se:uu:diva-197125DOI: 10.1186/1471-2431-13-11ISI: 000314838500001OAI: oai:DiVA.org:uu-197125DiVA: diva2:611919
Available from: 2013-03-19 Created: 2013-03-18 Last updated: 2017-12-06Bibliographically approved
In thesis
1. Type D personality and ill-health among Swedish adolescents
Open this publication in new window or tab >>Type D personality and ill-health among Swedish adolescents
2013 (English)Licentiate thesis, comprehensive summary (Other academic)
Place, publisher, year, edition, pages
Västerås: Tryckeriet Västmanlandssjukhus, 2013. 36 p.
National Category
Medical and Health Sciences
Research subject
Psychiatry
Identifiers
urn:nbn:se:uu:diva-200087 (URN)978-91-506-2346-8 (ISBN)
Presentation
Äpplet, Västmanlands sjukhus, Västerås, Västerås (Swedish)
Supervisors
Available from: 2013-05-20 Created: 2013-05-20 Last updated: 2013-05-20Bibliographically approved
2. Type D Personality: Psychometric Properties of the DS14 and Associations with Ill Health and Coronary Heart Disease in General and Clinical Populations
Open this publication in new window or tab >>Type D Personality: Psychometric Properties of the DS14 and Associations with Ill Health and Coronary Heart Disease in General and Clinical Populations
2014 (English)Doctoral thesis, comprehensive summary (Other academic)
Abstract [en]

Type D personality, or distressed personality, refers to the joint tendency to experience negative emotions and to inhibit self-expression in social interactions. The overall aims of this thesis were to examine the impact of Type D personality on adolescents’ self-perceived health, to examine the factorial and temporal stability of the Type D personality construct DS14, and to clarify whether type D personality is an independent risk factor for recurrent myocardial infarction and all-cause mortality among patients with myocardial infarction.

The prevalence of Type D personality in the adolescent population was 10.4% for boys and 14.6% for girls. Boys and girls with Type D personality were approximately twice as likely to report musculoskeletal pain and five times as likely to report psychosomatic symptoms.

Adolescents with Type D personality were four times more likely to have sleep disturbances and to sleep fewer hours, especially on school nights.

Among patients with myocardial infarction, the Swedish DS14 had stable structural validity. Our measurements confirmed the two-factor model of the DS14. However, the DS14 exhibited low temporal stability, especially when comparing the measurement obtained during hospitalization with the 1- and 12-month follow-up measurements.

Among patients with myocardial infarction, the Framingham risk score had a strong predictive value for recurrent myocardial infarction, and a somewhat weaker predictive value for all-cause mortality. However, none of the previously proposed methods for the analysis of the DS14 Type D personality measurement predicted recurrent myocardial infarction or all-cause mortality, either in univariable analyses or in addition to the Framingham risk score.

In conclusion, the present thesis found significant associations between the DS14 and psychosomatic symptoms in adolescents. However, the measurement exhibited a low stability over time and no predictive value for recurrent myocardial infarction and mortality among patients with myocardial infarction. Taken together, these results raise the question of whether the Swedish DS14 really is a measure of personality. An alternative explanation for the strong cross-sectional associations observed between the DS14 and psychosomatic symptoms might be that the DS14 functions as a pseudo-measure of ill health, or co-varies with depressive or psychosomatic characteristics.

Place, publisher, year, edition, pages
Uppsala: Acta Universitatis Upsaliensis, 2014. 74 p.
Series
Digital Comprehensive Summaries of Uppsala Dissertations from the Faculty of Medicine, ISSN 1651-6206 ; 1034
Keyword
adolescence, ill health, mortality, myocardial infarction, sleep, stability, Type D personality
National Category
Neurosciences
Research subject
Psychiatry
Identifiers
urn:nbn:se:uu:diva-233041 (URN)978-91-554-9052-2 (ISBN)
Public defence
2014-11-14, Aulan, Ingång 21, Västmanlands sjukhus, Västerås, 13:15 (Swedish)
Opponent
Supervisors
Available from: 2014-10-23 Created: 2014-09-29 Last updated: 2015-01-23Bibliographically approved

Open Access in DiVA

fulltext(208 kB)100 downloads
File information
File name FULLTEXT01.pdfFile size 208 kBChecksum SHA-512
0eac3d6aaad4f3389df98c4bf95d8997be8baa8c7c04f979f87b7bb4fb6407d6a81dc5040b642d7902f522ccfd8326c6c9765e5dcd672977d5e6ba5d95b7bc6d
Type fulltextMimetype application/pdf

Other links

Publisher's full text

Authority records BETA

Conden, EmelieLeppert, JerzyEkselius, LisaÅslund, Cecilia

Search in DiVA

By author/editor
Conden, EmelieLeppert, JerzyEkselius, LisaÅslund, Cecilia
By organisation
Centre for Clinical Research, County of VästmanlandDepartment of Neuroscience
In the same journal
BMC Pediatrics
Medical and Health Sciences

Search outside of DiVA

GoogleGoogle Scholar
Total: 100 downloads
The number of downloads is the sum of all downloads of full texts. It may include eg previous versions that are now no longer available

doi
urn-nbn

Altmetric score

doi
urn-nbn
Total: 464 hits
CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • ieee
  • modern-language-association
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf