Prz Gastroenterol. 2014;9(4):242-8. doi: 10.5114/pg.2014.45107. Epub 2014 Sep 16.
The impact of type D personality on health-related quality of life in patients with symptomatic haemorrhoids.
Przeglad gastroenterologiczny
Mustafa Sit, Edip Erdal Yilmaz, Fatih Canan, Osman Yıldırım, Mehmet Mustafa Cetin
Affiliations
Affiliations
- Department of General Surgery, Abant Izzet Baysal University, School of Medicine, Bolu, Turkey.
- General Surgery Clinic, Diyarbakir Education and Research Hospital, Diyarbakir, Turkey.
- Department of Psychiatry, Akdeniz University, School of Medicine, Antalya, Turkey.
- Department of Psychiatry, Abant Izzet Baysal University, School of Medicine, Bolu, Turkey.
- General Surgery Clinic, Agri State Hospital, Agri, Turkey.
PMID: 25276256
PMCID: PMC4178051 DOI: 10.5114/pg.2014.45107
Abstract
INTRODUCTION: Haemorrhoids are one of the most common reasons that patients seek consultation from a colon and rectal surgeon. Health-related quality of life (HrQoL) is a significant factor in describing the burden of illness and the impact of treatment in patients with gastrointestinal disease. Type D (distressed) personality is defined as the co-occurrence of negative affect and social inhibition.
AIM: To assess the prevalence of type D personality in patients with haemorrhoids and to investigate whether the presence of a type D personality would affect HrQoL in patients with haemorrhoids.
MATERIAL AND METHODS: One hundred and six outpatients with symptomatic haemorrhoids with no psychiatric comorbidity were consecutively enrolled, along with 96 healthy controls. The Type D Scale (DS14) and the General Health Survey Short Form-36 (SF-36) were used in the collection of data.
RESULTS: Of 106 patients evaluated, 29.2% met criteria for type D personality. Patients with haemorrhoids scored lower on bodily pain and vitality dimensions of SF-36 than did healthy subjects (p < 0.001). Patients with a type D personality were found to score lower on bodily pain domain of HrQoL than patients without a type D personality. Linear regression analysis revealed a significant independent association of type D personality with bodily pain dimension of the SF-36 in patients with symptomatic haemorrhoids (r = -0.315, p < 0.01).
CONCLUSIONS: Type D personality was associated with increased perceived bodily pain in patients with haemorrhoids. Consideration of type D personality construct personality traits could improve risk stratification in research and clinical practice in this patient group.
Keywords: haemorrhoids; quality of life; type D personality
References
- Int J Behav Med. 2012 Jun;19(2):234-40 - PubMed
- Med Care. 1996 Mar;34(3):220-33 - PubMed
- Klin Khir. 2009 Mar;(3):24-7 - PubMed
- J Behav Med. 2008 Aug;31(4):331-9 - PubMed
- Psychother Psychosom. 2012;81(2):108-17 - PubMed
- Europace. 2010 Oct;12(10):1446-52 - PubMed
- J Psychosom Res. 2007 Jul;63(1):27-39 - PubMed
- Pol Przegl Chir. 2011 Apr;83(4):204-11 - PubMed
- Sarcoidosis Vasc Diffuse Lung Dis. 2011 Jul;28(1):65-71 - PubMed
- Clin Colon Rectal Surg. 2011 Mar;24(1):5-13 - PubMed
- J Psychosom Res. 2008 Jan;64(1):63-9 - PubMed
- Colorectal Dis. 2011 Apr;13(4):e48-52 - PubMed
- Cleve Clin J Med. 2011 Aug;78 Suppl 1:S13-9 - PubMed
- Br J Surg. 1955 Jul;43(177):51-61 - PubMed
- Psychosomatics. 2010 Jan-Feb;51(1):29-38 - PubMed
- Psychosom Med. 2005 Jan-Feb;67(1):89-97 - PubMed
- Gastroenterology. 1990 Feb;98(2):380-6 - PubMed
- BMC Public Health. 2012 Jan 18;12:46 - PubMed
- Heart. 2007 Jul;93(7):814-8 - PubMed
- J Gastroenterol Hepatol. 2002 Feb;17 Suppl:S72-84 - PubMed
- Conn Med. 2000 Apr;64(4):199-203 - PubMed
- Med Care. 1992 Jun;30(6):473-83 - PubMed
- J Clin Psychol Med Settings. 2009 Jun;16(2):194-9 - PubMed
- Monaldi Arch Chest Dis. 2010 Dec;74(4):181-91 - PubMed
Publication Types