Display options
Share it on

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

  1. Department of General Surgery, Abant Izzet Baysal University, School of Medicine, Bolu, Turkey.
  2. General Surgery Clinic, Diyarbakir Education and Research Hospital, Diyarbakir, Turkey.
  3. Department of Psychiatry, Akdeniz University, School of Medicine, Antalya, Turkey.
  4. Department of Psychiatry, Abant Izzet Baysal University, School of Medicine, Bolu, Turkey.
  5. 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

  1. Int J Behav Med. 2012 Jun;19(2):234-40 - PubMed
  2. Med Care. 1996 Mar;34(3):220-33 - PubMed
  3. Klin Khir. 2009 Mar;(3):24-7 - PubMed
  4. J Behav Med. 2008 Aug;31(4):331-9 - PubMed
  5. Psychother Psychosom. 2012;81(2):108-17 - PubMed
  6. Europace. 2010 Oct;12(10):1446-52 - PubMed
  7. J Psychosom Res. 2007 Jul;63(1):27-39 - PubMed
  8. Pol Przegl Chir. 2011 Apr;83(4):204-11 - PubMed
  9. Sarcoidosis Vasc Diffuse Lung Dis. 2011 Jul;28(1):65-71 - PubMed
  10. Clin Colon Rectal Surg. 2011 Mar;24(1):5-13 - PubMed
  11. J Psychosom Res. 2008 Jan;64(1):63-9 - PubMed
  12. Colorectal Dis. 2011 Apr;13(4):e48-52 - PubMed
  13. Cleve Clin J Med. 2011 Aug;78 Suppl 1:S13-9 - PubMed
  14. Br J Surg. 1955 Jul;43(177):51-61 - PubMed
  15. Psychosomatics. 2010 Jan-Feb;51(1):29-38 - PubMed
  16. Psychosom Med. 2005 Jan-Feb;67(1):89-97 - PubMed
  17. Gastroenterology. 1990 Feb;98(2):380-6 - PubMed
  18. BMC Public Health. 2012 Jan 18;12:46 - PubMed
  19. Heart. 2007 Jul;93(7):814-8 - PubMed
  20. J Gastroenterol Hepatol. 2002 Feb;17 Suppl:S72-84 - PubMed
  21. Conn Med. 2000 Apr;64(4):199-203 - PubMed
  22. Med Care. 1992 Jun;30(6):473-83 - PubMed
  23. J Clin Psychol Med Settings. 2009 Jun;16(2):194-9 - PubMed
  24. Monaldi Arch Chest Dis. 2010 Dec;74(4):181-91 - PubMed

Publication Types