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Original Article

The Psychometric Properties of the DS14 in Hebrew and the Prevalence of Type D Personality in Israeli Adults

Published Online:September 15, 2011https://doi.org/10.1027/1015-5759/a000074

Abstract

Objectives: To examine the psychometric properties of the 14-item Type D Scale (DS14) in Hebrew, and to estimate the prevalence of Type D personality (high negative affectivity and social inhibition) in Israeli adults. Methods: 1,350 consecutive community volunteers were recruited and completed questionnaires that included the DS14, the 140-item Temperament and Character Inventory (TCI-140), the Toronto Alexithymia Scale-20 (TAS-20), the Positive and Negative Affect Scale (PANAS), social support, well-being, assessment of smoking behavior, physical and sexual activity, known medical diagnoses, and family history of coronary heart disease (CHD). Results: The structural validity, as demonstrated by exploratory and confirmatory factor analysis, and the internal reliability of the DS14 was acceptable. Overall prevalence of Type D was 24.1%; individuals of Type D versus non-D were significantly higher in self-reported rates of hypertension, CHD diagnosis, and first-degree relatives diagnosed with CHD. They were also elevated for TCI-140 Harm Avoidance, as well as negative affect, alexithymia, and significantly lower in TCI-140 Novelty Seeking, Reward Dependence, Persistence, Self-Directedness, and Cooperativeness, as well as in subjective well-being, social support, and positive affect. Conclusion: The DS14 in Hebrew has good psychometric qualities, supporting cross-cultural validity.

References

  • Arbuckle, J. L. (2006). Amos (Version 7.0) [Computer Program]. Chicago, IL: SPSS. First citation in articleGoogle Scholar

  • Bagby, R. M. , Parker, J. D. A. , Taylor, G. J. (1994). The 20-item Toronto alexithymia scale-I. Item selection and cross-validation of the factor structure. Journal of Psychosomatic Research, 38, 23–32. First citation in articleCrossref, Google Scholar

  • Bentler, P. M. , Bonett, D. G. (1980). Significance tests and goodness of fit in the analysis of covariance structures. Psychological Bulletin, 88, 588–606. First citation in articleCrossref, Google Scholar

  • Browne, M. W. , Cudeck, R. (1993). Alternative ways of assessing model fit. In K. A. Bollen, J. S. Long, (Eds.), Testing structural equation models (pp. 136–162). Newbury Park, CA: Sage. First citation in articleGoogle Scholar

  • Chapman, B. P. , Duberstein, P. R. , Lyness, J. M. (2007). The Distressed Personality Type: replicability and general health associations. European Journal of Personality, 2, 911–929. First citation in articleCrossref, Google Scholar

  • Denollet, J. (2005). DS14: Standard assessment of negative affectivity, social inhibition, and Type D personality. Psychosomatic Medicine, 67, 89–97. First citation in articleCrossref, Google Scholar

  • Denollet, J. , Kupper, N. (2007). Type-D personality, depression, and cardiac prognosis: Cortisol dysregulation as a mediating mechanism. Journal of Psychosomatic Research, 62, 607–609. First citation in articleCrossref, Google Scholar

  • Denollet, J. , Schiffer, A. A. , Spek, V. (2010). A general propensity to psychological distress affects cardiovascular outcomes: Evidence from research on the type D (distressed) personality profile. Circulation and Cardiovascular Qualitative Outcomes, 3, 546–57. First citation in articleCrossref, Google Scholar

  • Emons, W. H. , Meijer, R. R. , Denollet, J. (2007). Negative affectivity and social inhibition in cardiovascular disease: Evaluating type-D personality and its assessment using item response theory. Journal of Psychosomatic Research, 63, 27–39. First citation in articleCrossref, Google Scholar

  • Fagerström, K. O. , & Schneider, N. G. (1989). Measuring nicotine dependence: A review of the Fagerström Tolerance Questionnaire. Journal of Behavioral Medicine, 12, 159–182. First citation in articleCrossref, Google Scholar

  • Faria, M. A. (1992). The forging of the Renaissance physician: A philosophic and historic perspective. Journal of the Medical Association of Georgia, 81, 119–123. First citation in articleGoogle Scholar

  • Friedman, M. , Rosenman, R. H. (1959). Association of a specific overt behavior pattern with increases in blood cholesterol: Blood clotting time: Incidence of arcus senilis and clinical coronary artery disease. Journal of the American Medical Association, 169, 1286–96. First citation in articleCrossref, Google Scholar

  • Grande, G. , Jordan, J. , Kummel, M. , Struwe, C. , Schubmann, R. , Schulze, F. , (2004). Evaluation of the German Type D Scale (DS14) and prevalence of the Type D personality pattern in cardiological and psychosomatic patients and healthy subjects. Psychotherapy and Psychosomatic Medical Psychology, 54, 413–422. First citation in articleCrossref, Google Scholar

  • Gremigni, P. , Sommaruga, M. (2005). Type D personality, a relevant construct in cardiology: Preliminary validation study of the Italian DS14. Psicoterapia Cognitivo-Comportamentale, 11, 7–18. First citation in articleGoogle Scholar

  • Habra, M. E. , Linden, W. , Anderson, J. C. , Weinberg, J. (2003). Type D personality is related to cardiovascular and neuroendocrine reactivity to acute stress. Journal of Psychosomatic Research, 55, 235–245. First citation in articleCrossref, Google Scholar

  • Hankey, A. (2001). Ayurdevic physiology and etiology. Journal of Alternative Medicine, 7, 567–574. First citation in articleGoogle Scholar

  • Hintsanen, M ,. Pulkki-Råback, L. , Juonala, M. , Viikari, J. S. , Raitakari, O. T. , Keltikangas-Järvinen, L. (2009). Cloninger’s temperament traits and preclinical atherosclerosis: The Cardiovascular Risk in Young Finns Study. Journal of Psychosomatic Research, 67, 77–84. First citation in articleCrossref, Google Scholar

  • Kupper, N. , Denollet, J. , de Geus, E. J. , Boomsma, D. I. , Willemsen, G. (2007). Heritability of type-D personality. Psychosomatic Medicine, 69, 675–681. First citation in articleCrossref, Google Scholar

  • Molloy, G. J. , Perkins-Porras, L. , Strike, P. C. , Steptoe, A. (2008). Type D personality and cortisol in survivors of acute coronary syndrome. Psychosomatic Medicine, 70, 863–868. First citation in articleCrossref, Google Scholar

  • Mols, F. , Martens, E. J. , Denollet, J. (2010). Type D personality and depressive symptoms are independent predictors of impaired health status following acute myocardial infarction. Heart, 96, 30–5. First citation in articleCrossref, Google Scholar

  • Nabi, H. , Kivimäki, M. , Suominen, S. , Koskenvuo, M. , Singh-Manoux, A. , Vahtera, J. (2010). Does depression predict coronary heart disease and cerebrovascular disease equally well? The Health and Social Support Prospective Cohort Study. International Journal of Epidemiology, epub ahead of print. First citation in articleGoogle Scholar

  • Pavot, W. , Diener, E. , Colvin, C. R. , Sandvik, E. (1991). Further validation of the Satisfaction with Life Scale: Evidence for the cross-method convergence of well-being measures. Journal of Personality Assessment, 57, 149–161 First citation in articleCrossref, Google Scholar

  • Pedersen, S. S. , Yagensky, A. , Smith, O. R. , Yagenska, O. , Shpak, V. , Denollet, J. (2009). Preliminary evidence for the cross-cultural utility of the Type D personality construct in the Ukraine. International Journal of Behavioral Medicine, 16, 108–115. First citation in articleCrossref, Google Scholar

  • Sher, L. (2005). Type D personality: The heart, stress, and cortisol. Quarterly Journal of Medicine, 98, 323–329. First citation in articleCrossref, Google Scholar

  • Strike, P. C. , Steptoe, A. (2005). Behavioral and emotional triggers of acute coronary syndromes: A systematic review and critique. Psychosomatic Medicine, 67, 179–186. First citation in articleCrossref, Google Scholar

  • Watson, D. , Clark, L. A. , Tellegen, A. (1988). Development and validation of brief measures of positive and negative affect: The PANAS scales. Journal of Personality and Social Psychology, 54, 1063–1070. First citation in articleCrossref, Google Scholar

  • Whitehead, D. L. , Perkins-Porras, L. , Strike, P. C. , Magid, K. , Steptoe, A. (2007). Cortisol awakening response is elevated in acute coronary syndrome patients with type-D personality. Journal of Psychosomatic Research, 62, 419–425. First citation in articleCrossref, Google Scholar

  • Williams, L. , O’Connor, R. C. , Howard, S. , Hughes, B. M. , Johnston, D. W. , Hay, J. L. (2008). Type-D personality mechanisms of effect: The role of health-related behavior and social support. Journal of Psychosomatic Research, 64, 63–69. First citation in articleCrossref, Google Scholar

  • Yu, X. N. , Zhang, J. , Liu, X. (2008). Application of the Type D Scale (DS14) in Chinese coronary heart disease patients and healthy controls. Journal of Psychosomatic Research, 65, 595–601. First citation in articleCrossref, Google Scholar

  • Zimet, G. D. , Powell, S. S. , Farley, G. K. , Werkman, S. , Berkoff, K. A. (1990). Psychometric characteristics of the Multidimensional Scale of Perceived Social Support. Journal of Personality Assessment, 55, 610–617. First citation in articleCrossref, Google Scholar

  • Zohar, A. H. , Cloninger, C. R. (2011). The psychometric properties of the TCI-140 in Hebrew. European Journal of Psychological Assessment, 27, 73–80. First citation in articleLink, Google Scholar