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Open Access 01-12-2013 | Research article

The validity of the Type D construct and its assessment in Taiwan

Authors: Chia-Ying Weng, Johan Denollet, Chin-Lon Lin, Tin-Kwang Lin, Wen-Chung Wang, Jyun-Ji Lin, Shu-Shu Wong, Floortje Mols

Published in: BMC Psychiatry | Issue 1/2013

Abstract

Background

Type D (distressed) personality, defined by negative affectivity and social inhibition, is related to cardiovascular outcomes. Little is known about Type D in non-Western cultures. We examined the validity of this construct and its assessment in Taiwanese patients with coronary artery disease (CAD) and adults from the general population.

Methods

CAD patients (N = 87) and adults from the general population (N = 421) completed the 14-item Type D Scale- Taiwanese version (DS14-T), State-Trait Anxiety Inventory, Beck Depression Inventory-II, and Chinese Hostility Inventory Short-Form.

Results

Based on the psychometric examination, item #3 of the original DS14, "I often talk to strangers" was replaced by "I don't like to have a lot of people around me" which comes from the “Withdrawal” facet of social inhibition of DS-24. The reliability of Type D assessment in Taiwan was good, with Cronbach’s α for negative affectivity and social inhibition of .86 and .79. Factor analyses confirmed the two-factor model of the Type D construct. The prevalence rate of Type D personality in Taiwan was 20% in CAD patients and 16% in the general population. Negative affectivity was positively associated with anxiety, depression and hostility, and social inhibition was positively associated with suppressive hostility and negatively associated with expressive hostility after controlling for the total hostility. Furthermore, Taiwanese individuals with a Type D personality displayed elevated levels of anxiety, depression and hostility.

Conclusions

The Type D construct and its assessment with the DS14-T is generalizable to an Asian setting, Taiwan. The DS14-T showed good psychometric properties, and the prevalence of Type D personality in Taiwan was similar to the prevalence rates in Western countries and Mainland China, and Type D was associated with anxiety, depression and hostility.

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The pre-publication history for this paper can be accessed here:http://www.biomedcentral.com/1471-244X/13/46/prepub

Title: The validity of the Type D construct and its assessment in Taiwan
Authors: Chia-Ying Weng
Johan Denollet
Chin-Lon Lin
Tin-Kwang Lin
Wen-Chung Wang
Jyun-Ji Lin
Shu-Shu Wong
Floortje Mols
Publication date: 01-12-2013
Publisher: BioMed Central
Published in: BMC Psychiatry / Issue 1/2013
Electronic ISSN: 1471-244X
DOI: https://doi.org/10.1186/1471-244X-13-46

Keynote webinar | Spotlight on sleep in brain health

Springer Medicine

The validity of the Type D construct and its assessment in Taiwan

Abstract

Background

Methods

Results

Conclusions

Keynote webinar | Spotlight on sleep in brain health

Springer Medicine

Abstract

Background

Methods

Results

Conclusions

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