Type D, in Association with Quality of Life in Patients with Multiple Sclerosis

Afsaneh Akhani; Mani Bahrami Monajemi; Mojtaba Habibi

doi:doi:10.11648/j.ejpm.20170505.15

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Type D, in Association with Quality of Life in Patients with Multiple Sclerosis

Afsaneh Akhani, Mani Bahrami Monajemi, Mojtaba Habibi

Published in European Journal of Preventive Medicine (Volume 5, Issue 5)

Received: 14 July 2017 Accepted: 19 July 2017 Published: 28 September 2017

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Abstract

Objective: According to recent literatures, Type-D personality, physically and psychologically is tangled with quality of life. Aim of current study is to assess psychological and physical aspects of quality of life among patients with multiple sclerosis. Materials and Methods: In current study, 113 patients were included, who were chosen from MS center (Tehran, Iran). After acquiring written consent form by participants, they were asked to answer to Type D Scale-14 (DS14), Hospital Anxiety and Depression Scale (HADS), Illness Perception Questionnaire (IPQ-SF), Health Status Questionnaire (SF-36) and Expanded Disability Status Scale (EDSS). Results: From 113 MS patients, 48(42.5%) individuals had Type-D personality type. Results were demonstrative of meaningful impact of this group on quality of life variables, depression and anxiety, illness perception and disability status (p<0.001, η²=0.29). Furthermore, results showed that depression, anxiety, illness perceptions and disability status maintained higher mean score among Type-D individuals in comparing to individuals other than Type-D; former group showed lower quality of life in comparing to latter (p ≤0.05). Conclusion: With respect to results of current study, MS patients with Type D personality have lower psychological quality of life (physically, psychologically) in comparing to patients with personality other than Type D. Latter group experience higher level of disability in comparing to former group. It appears plausible that notifying personality type of MS patients, can efficiently influence the intervention and clinical implication of these patients.

Published in	European Journal of Preventive Medicine (Volume 5, Issue 5)
DOI	10.11648/j.ejpm.20170505.15
Page(s)	77-82
Creative Commons	This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.
Copyright	Copyright © The Author(s), 2017. Published by Science Publishing Group

Keywords

Multiple Sclerosis, Type D, Illness Perception, Quality of Life, Disability Status

References

[1]	Atkins G, Amor S, Fletcher J, Mills K. The biology of multiple sclerosis: Cambridge University Press; 12.
[2]	Izadi S, Nikseresht A, Sharifian M, Sahraian MA, Jahromi AH, Aghighi M, et al. Significant increase in the prevalence of multiple sclerosis in iran in 2011. Iranian journal of medical sciences. 2014; 39 (2): 152.
[3]	Sahraian MA, Khorramnia S, Ebrahim MM, Moinfar Z, Lotfi J, Pakdaman H. Multiple sclerosis in Iran: a demographic study of 8,000 patients and changes over time. European neurology. 2010; (6): 331-6.
[4]	Janssens ACJW, van Doorn PA, de Boer JB, van der Meché FGA, Passchier J, Hintzen RQ. Impact of recently diagnosed multiple sclerosis on quality of life, anxiety, depression and distress of patients and partners. Acta Neurologica Scandinavica. 2003; 108 (6): 389-95.
[5]	Warren S, Warren K, Cockerill R. Emotional stress and coping in multiple sclerosis (MS) exacerbations. Journal of psychosomatic research. 1991; 35 (1): 37-47.
[6]	Akhani A, Habibi M, Izadikhah Z, Monajemi MB, Jamshinejad N. Quality of Life Model in Multiple Sclerosis: Personality, Mood Disturbance, Catastrophizing and Disease Severity. 2015.
[7]	Rätsep T, Kallasmaa T, Pulver A, Gross-Paju K. Personality as a predictor of coping efforts in patients with multiple sclerosis. Multiple Sclerosis. 2000; 6 (6): 397-402.
[8]	Benedict RH, Zivadinov R. Risk factors for and management of cognitive dysfunction in multiple sclerosis. Nature Reviews Neurology. 2011; 7 (6): 332-42.
[9]	Goretti B, Portaccio E, Zipoli V, Razzolini L, Amato MP. Coping strategies, cognitive impairment, psychological variables and their relationship with quality of life in multiple sclerosis. Neurological Sciences. 2010; 31: 227-30.
[10]	Akhani A, Izadikhah Z, Bagherian-Sararoudi R, Khorvash F. Investigating the effect of illness perception on the relationship between early maladaptive schemas and level of motor disability in multiple sclerosis patients. J Res Behav Sci. 2013; 10 (7): 609-18.
[11]	Goretti B, Portaccio E, Zipoli V, Hakiki B, Siracusa G, Sorbi S, et al. Coping strategies, psychological variables and their relationship with quality of life in multiple sclerosis. Neurological Sciences. 2009; 30 (1): 15-20.
[12]	Dornelas EA. Stress Proof the heart: Springer; 2012.
[13]	Kupper N, Kessing D, Denollet J. Recent progress in understanding the clinical concept of Type D. Journal of Psychosomatic Research. 2013; 2 (75): 197-8.
[14]	Denollet J, Conraads VM. Type D personality and vulnerability to adverse outcomes in heart disease. Cleveland Clinic journal of medicine. 2011; 78 Suppl 1: S13-9..
[15]	Denollet J, Conraads VM, Brutsaert DL, De Clerck LS, Stevens WJ, Vrints CJ. Cytokines and immune activation in systolic heart failure: the role of Type D personality. Brain, Behavior, and Immunity. 2003; 17 (4): 304-9.
[16]	Kim SR, Kim HK, Kang JH, Jeong SH, Kim HY, Kim SR, et al. Does type D personality affect symptom control and quality of life in asthma patients? Journal of clinical nursing. 2015; 24 (5-6): 739-48.
[17]	Van Middendorp H, Kool MB, van Beugen S, Denollet J, Lumley MA, Geenen R. Prevalence and relevance of Type D personality in fibromyalgia. General Hospital Psychiatry. 2015.
[18]	Mols F, Thong MS, van de Poll-Franse LV, Roukema JA, Denollet J. Type D (distressed) personality is associated with poor quality of life and mental health among 3080 cancer survivors. Journal of affective disorders. 2012; 136 (1): 26-34.
[19]	Broström A, Strömberg A, Mårtensson J, Ulander M, Harder L, Svanborg E. Association of Type D personality to perceived side effects and adherence in CPAP‐treated patients with OSAS. Journal of sleep research. 2007; 16 (4): 439-47.
[20]	Van Dooren FEP, Verhey FRJ, Pouwer F, Schalkwijk CG, Sep SJS, Stehouwer CDA, et al. Association of Type D personality with increased vulnerability to depression: Is there a role for inflammation or endothelial dysfunction? – The Maastricht Study. Journal of Affective Disorders. 2016; 189: 118-25.
[21]	Williams L, O'Connor RC, Grubb NR, O'Carroll RE. Type D personality and illness perceptions in myocardial infarction patients. J Psychosom Res. 2011; 70 (2): 141-4.
[22]	Bibbey A, Carroll D, Ginty AT, Phillips AC. Cardiovascular and Cortisol Reactions to Acute Psychological Stress Under Conditions of High Versus Low Social Evaluative Threat: Associations With the Type D Personality Construct. Psychosomatic Medicine. 2015; 77 (5): 599-608.
[23]	Polman R, Borkoles E, Nicholls AR. Type D personality, stress, and symptoms of burnout: The influence of avoidance coping and social support. British Journal of Health Psychology. 2010; 15 (3): 681-96.
[24]	Reza Bagherian, PhD•, 1 and Hadi Bahrami Ehsan, PhD2. (2011). Psychometric Properties of the Persian Version of Type D Personality Scale (DS14). Available: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3939967/. Last accessed Jan 2017.
[25]	Zigmond, AS; Snaith, RP (1983). "The hospital anxiety and depression scale". Acta Psychiatrica Scandinavica. 67 (6): 361–370. doi: 10.1111/j.1600-0447.1983.tb09716.x. PMID 6880820.
[26]	Bjelland, I; et al. (2002). "The validity of the Hospital Anxiety and Depression Scale. An updated literature review". Journal of Psychosomatic Research. 52 (2): 69–77. doi: 10.1016/s0022-3999 (01) 00296-3. PMID 11832252.
[27]	Broadbent, E. et al. J Psychosom Res. 2006; 60: 631–637.
[28]	Chong, J. et al. Dev Med Child Neurol. 2010; 52: 21–22.
[29]	Giri, P. et al. Occup Med (Lond). 2009; 59: 550–555.
[30]	Cohen RA, Kessler HR, Fischer M. (1993). The Extended Disability Status Scale (EDSS) as a predictor of impairments of functional activities of daily living in multiple sclerosis. Available: https://www.ncbi.nlm.nih.gov/pubmed/8482974. Last accessed Feb 2016. PMID: 8482974
[31]	Bagherian R, Bahrami Ehsan H. Psychometric properties of the persian version of Type D Personality Scale (DS14). Iranian journal of psychiatry and behavioral sciences. 2011; 5 (2): 12-7.
[32]	Melief J, de Wit SJ, van Eden CG, Teunissen C, Hamann J, Uitdehaag BM, et al. HPA axis activity in multiple sclerosis correlates with disease severity, lesion type and gene expression in normal-appearing white matter. Acta neuropathologica. 2013; 126 (2): 237-49.
[33]	Kümpfel T, Schwan M, Weber F, Holsboer F, Trenkwalder C, Then Bergh F. Hypothalamo-pituitary-adrenal axis activity evolves differentially in untreated versus treated multiple sclerosis. Psychoneuroendocrinology. 2014; 45: 87-95.
[34]	Kern S, Krause I, Horntrich A, Thomas K, Aderhold J, Ziemssen T. Cortisol awakening response is linked to disease course and progression in multiple sclerosis: Public Library of Science; 2013.
[35]	Lassmann H, van Horssen J. Oxidative stress and its impact on neurons and glia in multiple sclerosis lesions. Biochimica et Biophysica Acta (BBA)-Molecular Basis of Disease. 2015.
[36]	Gilgun-Sherki Y, Melamed E, Offen D. The role of oxidative stress in the pathogenesis of multiple sclerosis: the need for effective antioxidant therapy. Journal of neurology. 2004251 (3): 261-8.
[37]	Williams L, Abbott C, Kerr R. Health behaviour mediates the relationship between Type D personality and subjective health in the general population. Journal of health psychology. 2015: 1359105315571977.
[38]	Montazeri A, Goshtasebi A, Vahdaninia M, Gandek B. The Short Form Health Survey (SF-36): Translation and validation study of the Iranian version. Qual Life Res. 2005; 14(3): 875-82.
[39]	Habibi M, Khodaei E, Moghadamzadeh A, Shamsedini S, Barekatain M. Psychometric properties and hierarchical factor structure of short form health survey scale (SF-36) in a non-clinical sample J Res Behav Sci. 2013; 10(6): 472-90.

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APA Style

Afsaneh Akhani, Mani Bahrami Monajemi, Mojtaba Habibi. (2017). Type D, in Association with Quality of Life in Patients with Multiple Sclerosis. European Journal of Preventive Medicine, 5(5), 77-82. https://doi.org/10.11648/j.ejpm.20170505.15

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ACS Style

Afsaneh Akhani; Mani Bahrami Monajemi; Mojtaba Habibi. Type D, in Association with Quality of Life in Patients with Multiple Sclerosis. Eur. J. Prev. Med. 2017, 5(5), 77-82. doi: 10.11648/j.ejpm.20170505.15

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AMA Style

Afsaneh Akhani, Mani Bahrami Monajemi, Mojtaba Habibi. Type D, in Association with Quality of Life in Patients with Multiple Sclerosis. Eur J Prev Med. 2017;5(5):77-82. doi: 10.11648/j.ejpm.20170505.15

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@article{10.11648/j.ejpm.20170505.15,
  author = {Afsaneh Akhani and Mani Bahrami Monajemi and Mojtaba Habibi},
  title = {Type D, in Association with Quality of Life in Patients with Multiple Sclerosis},
  journal = {European Journal of Preventive Medicine},
  volume = {5},
  number = {5},
  pages = {77-82},
  doi = {10.11648/j.ejpm.20170505.15},
  url = {https://doi.org/10.11648/j.ejpm.20170505.15},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ejpm.20170505.15},
  abstract = {Objective: According to recent literatures, Type-D personality, physically and psychologically is tangled with quality of life. Aim of current study is to assess psychological and physical aspects of quality of life among patients with multiple sclerosis. Materials and Methods: In current study, 113 patients were included, who were chosen from MS center (Tehran, Iran). After acquiring written consent form by participants, they were asked to answer to Type D Scale-14 (DS14), Hospital Anxiety and Depression Scale (HADS), Illness Perception Questionnaire (IPQ-SF), Health Status Questionnaire (SF-36) and Expanded Disability Status Scale (EDSS). Results: From 113 MS patients, 48(42.5%) individuals had Type-D personality type. Results were demonstrative of meaningful impact of this group on quality of life variables, depression and anxiety, illness perception and disability status (p2=0.29). Furthermore, results showed that depression, anxiety, illness perceptions and disability status maintained higher mean score among Type-D individuals in comparing to individuals other than Type-D; former group showed lower quality of life in comparing to latter (p ≤0.05). Conclusion: With respect to results of current study, MS patients with Type D personality have lower psychological quality of life (physically, psychologically) in comparing to patients with personality other than Type D. Latter group experience higher level of disability in comparing to former group. It appears plausible that notifying personality type of MS patients, can efficiently influence the intervention and clinical implication of these patients.},
 year = {2017}
}

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TY  - JOUR
T1  - Type D, in Association with Quality of Life in Patients with Multiple Sclerosis
AU  - Afsaneh Akhani
AU  - Mani Bahrami Monajemi
AU  - Mojtaba Habibi
Y1  - 2017/09/28
PY  - 2017
N1  - https://doi.org/10.11648/j.ejpm.20170505.15
DO  - 10.11648/j.ejpm.20170505.15
T2  - European Journal of Preventive Medicine
JF  - European Journal of Preventive Medicine
JO  - European Journal of Preventive Medicine
SP  - 77
EP  - 82
PB  - Science Publishing Group
SN  - 2330-8230
UR  - https://doi.org/10.11648/j.ejpm.20170505.15
AB  - Objective: According to recent literatures, Type-D personality, physically and psychologically is tangled with quality of life. Aim of current study is to assess psychological and physical aspects of quality of life among patients with multiple sclerosis. Materials and Methods: In current study, 113 patients were included, who were chosen from MS center (Tehran, Iran). After acquiring written consent form by participants, they were asked to answer to Type D Scale-14 (DS14), Hospital Anxiety and Depression Scale (HADS), Illness Perception Questionnaire (IPQ-SF), Health Status Questionnaire (SF-36) and Expanded Disability Status Scale (EDSS). Results: From 113 MS patients, 48(42.5%) individuals had Type-D personality type. Results were demonstrative of meaningful impact of this group on quality of life variables, depression and anxiety, illness perception and disability status (p2=0.29). Furthermore, results showed that depression, anxiety, illness perceptions and disability status maintained higher mean score among Type-D individuals in comparing to individuals other than Type-D; former group showed lower quality of life in comparing to latter (p ≤0.05). Conclusion: With respect to results of current study, MS patients with Type D personality have lower psychological quality of life (physically, psychologically) in comparing to patients with personality other than Type D. Latter group experience higher level of disability in comparing to former group. It appears plausible that notifying personality type of MS patients, can efficiently influence the intervention and clinical implication of these patients.
VL  - 5
IS  - 5
ER  -

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Author Information

Afsaneh Akhani

Tehran Psychiatric Institute, Iran University of Medical Sciences, Tehran, Iran
Mani Bahrami Monajemi

MBPSs, Department of Psychology, University of Tehran, Tehran, Iran
Mojtaba Habibi

Tehran Psychiatric Institute, Iran University of Medical Sciences, Tehran, Iran

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APA Style

Afsaneh Akhani, Mani Bahrami Monajemi, Mojtaba Habibi. (2017). Type D, in Association with Quality of Life in Patients with Multiple Sclerosis. European Journal of Preventive Medicine, 5(5), 77-82. https://doi.org/10.11648/j.ejpm.20170505.15

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ACS Style

Afsaneh Akhani; Mani Bahrami Monajemi; Mojtaba Habibi. Type D, in Association with Quality of Life in Patients with Multiple Sclerosis. Eur. J. Prev. Med. 2017, 5(5), 77-82. doi: 10.11648/j.ejpm.20170505.15

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AMA Style

Afsaneh Akhani, Mani Bahrami Monajemi, Mojtaba Habibi. Type D, in Association with Quality of Life in Patients with Multiple Sclerosis. Eur J Prev Med. 2017;5(5):77-82. doi: 10.11648/j.ejpm.20170505.15

Copy | Download

@article{10.11648/j.ejpm.20170505.15,
  author = {Afsaneh Akhani and Mani Bahrami Monajemi and Mojtaba Habibi},
  title = {Type D, in Association with Quality of Life in Patients with Multiple Sclerosis},
  journal = {European Journal of Preventive Medicine},
  volume = {5},
  number = {5},
  pages = {77-82},
  doi = {10.11648/j.ejpm.20170505.15},
  url = {https://doi.org/10.11648/j.ejpm.20170505.15},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ejpm.20170505.15},
  abstract = {Objective: According to recent literatures, Type-D personality, physically and psychologically is tangled with quality of life. Aim of current study is to assess psychological and physical aspects of quality of life among patients with multiple sclerosis. Materials and Methods: In current study, 113 patients were included, who were chosen from MS center (Tehran, Iran). After acquiring written consent form by participants, they were asked to answer to Type D Scale-14 (DS14), Hospital Anxiety and Depression Scale (HADS), Illness Perception Questionnaire (IPQ-SF), Health Status Questionnaire (SF-36) and Expanded Disability Status Scale (EDSS). Results: From 113 MS patients, 48(42.5%) individuals had Type-D personality type. Results were demonstrative of meaningful impact of this group on quality of life variables, depression and anxiety, illness perception and disability status (p2=0.29). Furthermore, results showed that depression, anxiety, illness perceptions and disability status maintained higher mean score among Type-D individuals in comparing to individuals other than Type-D; former group showed lower quality of life in comparing to latter (p ≤0.05). Conclusion: With respect to results of current study, MS patients with Type D personality have lower psychological quality of life (physically, psychologically) in comparing to patients with personality other than Type D. Latter group experience higher level of disability in comparing to former group. It appears plausible that notifying personality type of MS patients, can efficiently influence the intervention and clinical implication of these patients.},
 year = {2017}
}

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TY  - JOUR
T1  - Type D, in Association with Quality of Life in Patients with Multiple Sclerosis
AU  - Afsaneh Akhani
AU  - Mani Bahrami Monajemi
AU  - Mojtaba Habibi
Y1  - 2017/09/28
PY  - 2017
N1  - https://doi.org/10.11648/j.ejpm.20170505.15
DO  - 10.11648/j.ejpm.20170505.15
T2  - European Journal of Preventive Medicine
JF  - European Journal of Preventive Medicine
JO  - European Journal of Preventive Medicine
SP  - 77
EP  - 82
PB  - Science Publishing Group
SN  - 2330-8230
UR  - https://doi.org/10.11648/j.ejpm.20170505.15
AB  - Objective: According to recent literatures, Type-D personality, physically and psychologically is tangled with quality of life. Aim of current study is to assess psychological and physical aspects of quality of life among patients with multiple sclerosis. Materials and Methods: In current study, 113 patients were included, who were chosen from MS center (Tehran, Iran). After acquiring written consent form by participants, they were asked to answer to Type D Scale-14 (DS14), Hospital Anxiety and Depression Scale (HADS), Illness Perception Questionnaire (IPQ-SF), Health Status Questionnaire (SF-36) and Expanded Disability Status Scale (EDSS). Results: From 113 MS patients, 48(42.5%) individuals had Type-D personality type. Results were demonstrative of meaningful impact of this group on quality of life variables, depression and anxiety, illness perception and disability status (p2=0.29). Furthermore, results showed that depression, anxiety, illness perceptions and disability status maintained higher mean score among Type-D individuals in comparing to individuals other than Type-D; former group showed lower quality of life in comparing to latter (p ≤0.05). Conclusion: With respect to results of current study, MS patients with Type D personality have lower psychological quality of life (physically, psychologically) in comparing to patients with personality other than Type D. Latter group experience higher level of disability in comparing to former group. It appears plausible that notifying personality type of MS patients, can efficiently influence the intervention and clinical implication of these patients.
VL  - 5
IS  - 5
ER  -

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