Type D personality

摘要: Abstract Objective. Acute and chronic psychological distress have been associated with coronary heart disease (CHD) but little is known about the determinants of as a risk factor. Broad stable personality traits may much explanatory power; this article selectively focuses on negative affectivity (NA; tendency to experience emotions) social inhibition (SI; inhibit self-expression in interaction) context CHD. Methods. The first part reviews research NA SI patients second presents new findings 734 hypertension. Results. Accumulating evidence suggests that combination high designates subtype (“distressed” type or D) who are at for clustering psychosocial factors incidence long-term cardiac events. Type D its contributing low-order (dysphoria/tension reticence/withdrawal) could also be reliably assessed community-based sample This finding was replicated men women, Dutch- French-speaking subjects. hypertensives reported more depressive affect than their non counterparts. Conclusions. There an urgent need adopt approach identification broad special interest not only CHD, other medical conditions well.