The DOI matches its Crossref record; 50 of the 51 references it cites were found in a registry or an index.
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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“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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Cites
DS14: Standard Assessment of Negative Affectivity, Social Inhibition, and Type D Personality
Denollet, J. (2005) · Psychosomatic Medicine · doi:10.1097/01.psy.0000149256.81953.49 · Cited by 1,583 · cited 6×
“Moreover, Type D personality is based on normal personality traits rather than psychopathology which implies that it should be prevalent in the general population as well [1], and that it may have an adverse effect on the perceived health status as reported by individuals from the general population.”
BackgroundMethodInfluentialSelf-citationPersonality as independent predictor of long-term mortality in patients with coronary heart disease
Denollet, J., Rombouts, H., Gillebert, T. C., Brutsaert, D. L., Sys, S. U., Brutsaert, D. L., & Stroobant, N. (1996) · The Lancet · doi:10.1016/s0140-6736(96)90007-0 · Cited by 679 · cited 3×
“These studies in cardiovascular patients have shown that Type D personality is an independent predictor of negative health outcomes such as poor health status, (recurrent) myocardial infarction, and increased risk of mortality [4-7].”
BackgroundSelf-citationQuality of life among long-term breast cancer survivors: A systematic review
Mols, F., Vingerhoets, A. J. J. M., Coebergh, J. W., & van de Poll-Franse, L. V. (2005) · European Journal of Cancer · doi:10.1016/j.ejca.2005.05.017 · Cited by 585 · cited 1×
“The checklist was based on established criteria lists for systematic reviews [27,28].”
MethodSelf-citationInadequate Response to Treatment in Coronary Heart Disease
Denollet, J., Vaes, J., & Brutsaert, D. L. (2000) · Circulation · doi:10.1161/01.cir.102.6.630 · Cited by 388 · cited 2×
“These studies in cardiovascular patients have shown that Type D personality is an independent predictor of negative health outcomes such as poor health status, (recurrent) myocardial infarction, and increased risk of mortality [4-7].”
BackgroundSelf-citationPersonality and Mortality After Myocardial Infarction
Denollet, J., Sys, S. U., & Brutsaert, D. L. (1995) · Psychosomatic Medicine · doi:10.1097/00006842-199511000-00011 · Cited by 310 · cited 1×
“Although the majority of studies on Type D personality has focussed on cardiovascular [1,3-7,29-34], or other medical populations [35], this systematic review indicates that Type D may negatively affect health status of apparently healthy individuals from the general population as well.”
BackgroundSelf-citationType D personality, cardiac events, and impaired quality of life: a review
Pedersen, S. S., & Denollet, J. (2003) · European Journal of Cardiovascular Prevention & Rehabilitation · doi:10.1097/00149831-200308000-00005 · Cited by 284
Self-citationType D personality is related to cardiovascular and neuroendocrine reactivity to acute stress
Habra, M. E., Linden, W., Anderson, J. C., & Weinberg, J. (2003) · Journal of Psychosomatic Research · doi:10.1016/s0022-3999(02)00553-6 · Cited by 253 · cited 9×
“Accordingly, Type D was associated with increased cardiac output [25], heightened systolic and diastolic blood pressure reactivity [11], and dampened heart rate reactivity during experimental stress.”
BackgroundMethodInfluentialType-D personality mechanisms of effect: The role of health-related behavior and social support
Williams, L., O’Connor, R. C., Howard, S., Hughes, B. M., Johnston, D. W., Hay, J. L., O'Connor, D. B., Lewis, C. A., Ferguson, E., Sheehy, N. P., et al. (2007) · Journal of Psychosomatic Research · doi:10.1016/j.jpsychores.2007.06.008 · Cited by 245 · cited 8×
“Furthermore, the studies included in this review showed that people with a Type D personality more often reported mental health disorders [17] as well as lower levels of social support [26] compared to non-Type D adults.”
BackgroundMethodResultInfluentialPolman, R. C. J., Borkoles, E., & Nicholls, A. R. (2009) · British Journal of Health Psychology · doi:10.1348/135910709x479069 · Cited by 178 · cited 5×
“Various studies showed that individuals from the general population with a Type D personality experienced more symptoms of distress, depression and anxiety compared to non-Type D’s [9,13,18,19,23-25].”
BackgroundMethodInfluentialValidity of the Type D personality construct in Danish post-MI patients and healthy controls
Pedersen, S. S., & Denollet, J. (2004) · Journal of Psychosomatic Research · doi:10.1016/s0022-3999(03)00614-7 · Cited by 170 · cited 1×
“Although the majority of studies on Type D personality has focussed on cardiovascular [1,3-7,29-34], or other medical populations [35], this systematic review indicates that Type D may negatively affect health status of apparently healthy individuals from the general population as well.”
Self-citation
Research works printed but not linked: 1
- Schiffer AA Denollet J Widdershoven JW Hendriks EH Smith OR Failure to consult for symptoms of heart failure in patients with a type-D personality Heart 2007 93 7 814 818 10.1136/hrt.2006.102822 17344329 PMC1994460 · DOI
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Sorted by citations
Staniute, M., Brozaitiene, J., Burkauskas, J., Kazukauskiene, N., Mickuviene, N., & Bunevicius, R. (2015) · Health and Quality of Life Outcomes · doi:10.1186/s12955-014-0204-2 · Cited by 332
“A distressed personality Type D profile is a vulnerability factor for general psychological distress that affects mental and physical health status [13].”
BackgroundChapman, B. P., Roberts, B., & Duberstein, P. (2011) · Journal of Aging Research · doi:10.4061/2011/759170 · Cited by 283
“While many studies have documented poorer general health correlates of Type D in community (rather than CVD) samples [154, 155], the risk posed by Type D for mortality due to non-CVD causes, in nonpatient samples, remains to be elaborated.”
BackgroundPsychological issues in inflammatory bowel disease: an overview
Sajadinejad, M. S., Asgari, K., Molavi, H., Kalantari, M., & Adibi, P. (2012) · Gastroenterology Research and Practice · doi:10.1155/2012/106502 · Cited by 242
Ferguson, E. (2011) · Health Psychology Review · doi:10.1080/17437199.2010.547985 · Cited by 220
Cardinali, P., Migliorini, L., & Rania, N. (2019) · Frontiers in Psychology · doi:10.3389/fpsyg.2019.01780 · Cited by 142
Metadata
- 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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