Increased negative emotions amongst psoriasis patients

[Fred]

I'm always saying a positive attitude is a huge benefit to those of us with psoriasis (struggling myself at the moment, but that's another story) and I found this small study interesting in that it suggests *Type D personality is higher in patients with moderate to severe psoriasis as compared to healthy volunteers.

*Individuals with a Type D personality have the tendency to experience increased negative emotions across time and situations and tend not to share these emotions with others, because of fear of rejection or disapproval.

Quote:

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Background:
Psoriasis may imply a remarkable psychological impairment, which can influence patient's personality. The Type D personality is defined by the combination of social inhibition and negative affectivity. Furthermore, Type D personality has been associated with impaired health-related quality of life (HRQOL) and increased cardiovascular risk, both facts being associated with moderate to severe psoriasis.

Objectives:
To explore the prevalence of Type D personality in moderate to severe psoriasis patients; To analyse the relationship between Type D personality and the most common physical and psychological comorbidities in moderate to severe psoriasis and To explore the impact of Type D personality on HRQOL.

Methods:
A prospective comparative study matched to age and sex. Eighty patients with moderate to severe psoriasis and 80 healthy volunteers were included in the study. The participants completed the DS14 test, the Massachusetts General Hospital-Sexual Functioning Questionnaire, the Hospital Anxiety and Depression Scale, the SF-36 and the Psoriasis Disability Index.

Results:
The prevalence of Type D personality was higher in patients with moderate to severe psoriasis as compared to healthy volunteers: 38.7% vs. 23.7%, P < 0.001. Psoriasis patients with Type D personality had a 3.2-fold risk of anxiety when compared to patients without Type D personality; odds ratio 3.2 (1.3–8.83 P = 0.01). Type D personality was significantly associated with an impaired general, sexual and psoriasis-related HRQOL (P < 0.01).

Conclusion:
Because Type D personality could represent a frequent type of personality among individuals with moderate to severe psoriasis, it could serve as a ‘marker’ of more psychologically vulnerable patients, probably related to dysfunctional coping strategies. The Type D personality could represent a profile more frequently encountered among patients with psoriasis, and might therefore help identify subjects physiologically more vulnerable to disease, most likely due to inadequate adaptation mechanisms.

Source: NO LINKS ALLOWED

*Early view no funding declared.

[D Foster]

I'm always saying a positive attitude is a huge benefit to those of us with psoriasis (struggling myself at the moment, but that's another story) and I found this small study interesting in that it suggests *Type D personality is higher in patients with moderate to severe psoriasis as compared to healthy volunteers.

*Individuals with a Type D personality have the tendency to experience increased negative emotions across time and situations and tend not to share these emotions with others, because of fear of rejection or disapproval.

Quote:

---

Background:
Psoriasis may imply a remarkable psychological impairment, which can influence patient's personality. The Type D personality is defined by the combination of social inhibition and negative affectivity. Furthermore, Type D personality has been associated with impaired health-related quality of life (HRQOL) and increased cardiovascular risk, both facts being associated with moderate to severe psoriasis.

Objectives:
To explore the prevalence of Type D personality in moderate to severe psoriasis patients; To analyse the relationship between Type D personality and the most common physical and psychological comorbidities in moderate to severe psoriasis and To explore the impact of Type D personality on HRQOL.

Methods:
A prospective comparative study matched to age and sex. Eighty patients with moderate to severe psoriasis and 80 healthy volunteers were included in the study. The participants completed the DS14 test, the Massachusetts General Hospital-Sexual Functioning Questionnaire, the Hospital Anxiety and Depression Scale, the SF-36 and the Psoriasis Disability Index.

Results:
The prevalence of Type D personality was higher in patients with moderate to severe psoriasis as compared to healthy volunteers: 38.7% vs. 23.7%, P < 0.001. Psoriasis patients with Type D personality had a 3.2-fold risk of anxiety when compared to patients without Type D personality; odds ratio 3.2 (1.3–8.83 P = 0.01). Type D personality was significantly associated with an impaired general, sexual and psoriasis-related HRQOL (P < 0.01).

Conclusion:
Because Type D personality could represent a frequent type of personality among individuals with moderate to severe psoriasis, it could serve as a ‘marker’ of more psychologically vulnerable patients, probably related to dysfunctional coping strategies. The Type D personality could represent a profile more frequently encountered among patients with psoriasis, and might therefore help identify subjects physiologically more vulnerable to disease, most likely due to inadequate adaptation mechanisms.

Source: NO LINKS ALLOWED

*Early view no funding declared.

I am glad then that I am not Type D personality though I wonder what I am?

[Caroline]

How many types of personalities are there by the way?

[Fred]

I am glad then that I am not Type D personality though I wonder what I am?

I doubt they have one for you.  

How many types of personalities are there by the way?

I don't have a clue, hang on Google how many types of personalities are there? ...................................

Blimey there's some rubbish in those answers (But then what would I expect from Google) I'm going for this answer though as it looks the most likely going by the study.

Quote:

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A B C D

A: Type A personalities are competitive, high achievers and have a high sense of time urgency. As a result of these combined traits Type A's are always found to be busy working on their own projects. Type A's felt insecure at one point of their lives and so they decided to fight the insecurity by changing their lives and making achievements as fast as they can.

B: Type B's are the opposite of type A's. They are relaxed, laid back and not easily stressed. While type B can be achievers too still they won't be as competitive as Type A's. Tybe b can delay work and do it in the last moment, some of them can turn into procrastinators which is something that a type A can never do.

C: Type C personalities love details and can spend a lot of time trying to find out how things work and this makes them very suitable for technical jobs. Type C are not assertive at all and they always suppress their own desires even if there is something that they dislike. The lack of assertiveness results in tremendous stress and sometimes in depression. Type Cs are very vulnerable to depression compared to type A and type B.

D: D stands for distressed, Type D's have a negative outlook towards life and are pessimistic. A small event that is not even noticed by type B can ruin type D's day. Type D might become socially withdrawn as a result of fear of rejection even if they like to be around people. Type D's are famous for suppressing their emotions and this makes them the most vulnerable type to depression.

[jiml]

Interesting I think that puts me between "B"and '"C" or am I indecisive .... I can't make up my mind  

[Kat]

I must have a multi personality disorder!  I think I'm type A and type B and since they are opposites, there must be two of me??

Actually, there's a little bit of C in me too....... I must be Type E  

It does make sense though that different personalities would handle the stress of psoriasis differently.  I think people are too complex to narrow down to a personality type so it's more of an individual type thing to me.  It does make sense that people prone to depression would then be more apt to be depressed

Like Fred said, it's important to try one's best to stay positive (although not always easy during certain times in one's life)

[Fred]

I suppose you can be an inbetweeny, and it must be possible to change which one you fit in. So if you're B & C you define it more of one than both, plus they have a to draw the line somewhere or we would go all the way up to Z and then start using number too.

I'm a Z1563.9

[jiml]

But I try hard not to "fit" any category it's for others who know me to put me in a box ... Bad term .. Category

[Fred]

But I try hard not to "fit" any category it's for others who know me to put me in a box ... Bad term .. Category

Join me in the Zs then.

[Caroline]

Looks like one of those tests in a psychology journal.
"Which type are you?"
Then 20 obvious questions and you know your type.

Mine is closest to Kat's, a combination of all types. Dynamic, relaxed, detailed and sometimes vulnerable. So I think I am falling in the 38.7% vs. 23.7%, P < 0.001 category