Type D personality in the general population: a systematic review of health status, mechanisms of disease, and work-related problems
Open accessAbstract
BACKGROUND: The objective was to review all available literature concerning Type D (distressed) personality among the general population and to discuss its implications for research on health status, disease-promoting mechanisms and work-related problems in non-clinical populations. METHODS: A computerized search of the literature was performed independently and in duplicate by both investigators on December 21st, 2009. Published research reports were included if they studied Type D personality among the general population. Nineteen articles were selected and they were subjected to an 11-item standardised quality checklist by both investigators. RESULTS: The methodological quality of the selected studies was adequate to high. The studies included in this review showed that the presence of Type D characteristics had a negative impact on mental health status (more symptoms of depression, anxiety, post-traumatic stress disorder, mental distress, passive coping, and less social support) and physical health status (more somatic complaints, lower health status, more influenza-like illness reporting). Other studies reported on behavioral and biological mechanisms of disease in apparently healthy individuals with a Type D personality. Finally, some studies also showed a negative effect of Type D personality on work-related problems (higher absence-leave, higher levels of vital exhaustion and burnout, and more work-related stress). CONCLUSIONS: Type D personality is a vulnerability factor for general psychological distress that affects mental and physical health status and is associated with disease-promoting mechanisms and work-related problems in apparently healthy individuals.
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Many studies have documented poorer general health correlates of Type D in community (rather than CVD) samples.
“While many studies have documented poorer general health correlates of Type D in community (rather than CVD) samples [154, 155]”
From Personality and Longevity: Knowns, Unknowns, and Implications for Public Health and Personalized Medicine (2011) · cites this paper as [155]
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- Authors
- Mols, F., & Denollet, J.
- Affiliations
- Tilburg University (NL)
- Corresponding author
- Mols, Floortje
- Venue
- Health and Quality of Life Outcomes
- Published
- 2010
- Volume
- 8
- Issue
- 1
- Pages
- 9
- ISSN
- 1477-7525 (ISSN-L)
- PMC
- PMC2822747
- OpenAlex
- W2148986482
- Cited by
- 287
- References
- 51
- Citations by year
- 2026: 11 · 2025: 13 · 2024: 17 · 2023: 19 · 2022: 18 · 2021: 25 · 2020: 18 · 2019: 21 · 2018: 25 · 2017: 10 · 2016: 16 · 2015: 23 · 2014: 8 · 2013: 20 · 2012: 21
- FWCI
- 3.35
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- cc-by
- Locations
- Health and Quality of Life Outcomes (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- Research portal (Tilburg University) (publishedVersion, other-oa)
- PubMed (publishedVersion)
- Data Archiving and Networked Services (DANS) (submittedVersion, other-oa)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion)
- Topics
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiac Health and Mental Health
- Health Sciences › Medicine › Psychiatry and Mental health › Psychosomatic Disorders and Their Treatments
- Social Sciences › Psychology › Clinical Psychology › Personality Traits and Psychology
- Keywords
- Type D personality, health status, mental health, physical health, work-related problems, burnout, occupational stress, absenteeism, passive coping, social support, vulnerability factors, general population
- MeSH terms
- Disease, Female, Health Status, Humans, Male, Personality, Surveys and Questionnaires, Temperament, Work
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