首页> 外文期刊>Psychosomatic Medicine: Journal of the American Psychosomatic Society >DS14: standard assessment of negative affectivity, social inhibition, and Type D personality.
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DS14: standard assessment of negative affectivity, social inhibition, and Type D personality.

机译:DS14:负面情感,社交抑制和D型人格的标准评估。

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OBJECTIVE: Type D personality-a joint tendency toward negative affectivity (NA) and social inhibition (SI)-is related to poor cardiac prognosis, but there is no standard for assessing Type D. This study reports on the Type D Scale-14 (DS14) as a standard measure of NA, SI, and Type D. METHODS: The study included 3813 participants (2508 from the general population, 573 cardiac patients, 732 hypertension patients). They all filled out the DS14, containing 7-item NA and SI subscales; 275 subjects also completed the NEO-FFI, and 121 patients filled out the DS14 twice. RESULTS: Factor analysis of the DS14 yielded 2 dominant traits; all of the NA and SI items loaded between 0.62 to 0.82 on their corresponding factor (N = 3678). The NA scale covered dysphoria, worry, and irritability; the SI scale covered discomfort in social interactions, reticence, and lack of social poise. The NA and SI scales were internally consistent (alpha = 0.88/0.86; N = 3678), stable over a 3-month period (test-retest r = 0.72/0.82)and not dependent on mood and health status (N = 121). NA correlated positively with neuroticism (r = 0.68); SI correlated negatively with extraversion (r -0.59/-0.65). Scale-level factor analysis confirmed the construct validity of the DS14 against the NEO-FFI. Using a cutoff of 10 (NA > or 10 and SI > or in the general population versus 28% in coronary heart disease and 53% in hypertension (p < or = .001). Age, sex, and Type D (odds ratio, 3.98; 95% confidence interval, 3.2-4.6; p <.0001) were independently associated with cardiovascular morbidity. CONCLUSION: The DS14 is a brief, psychometrically sound measure of negative affectivity and social inhibition that could readily be incorporated in epidemiologic and clinical research.
机译:目的:D型人格-趋向负面情感(NA)和社会抑制(SI)的共同趋势-与不良的心脏预后相关,但尚无评估D型的标准。这项研究报告针对D型量表Scale-14( DS14)作为NA,SI和D型的标准度量。方法:该研究包括3813名参与者(2508名普通人群,573名心脏病患者,732名高血压患者)。他们都填写了DS14,其中包含7个项目的NA和SI子量表; 275名受试者也完成了NEO-FFI,121名患者两次填写了DS14。结果:DS14的因子分析产生了2个显性特征。所有NA和SI项的相应系数均加载在0.62至0.82之间(N = 3678)。 NA等级涵盖烦躁不安,忧虑和烦躁; SI量表涵盖了社交互动中的不适,沉默寡言和缺乏社交风度。 NA和SI量表在内部是一致的(alpha = 0.88 / 0.86; N = 3678),在3个月内稳定(重测r = 0.72 / 0.82),并且与情绪和健康状况无关(N = 121) 。 NA与神经质呈正相关(r = 0.68); SI与外向性呈负相关(r -0.59 / -0.65)。规模因素分析证实了DS14抗NEO-FFI的结构有效性。在一般人群中使用10的临界值(NA>或10和SI>或冠心病的临界值分别为28%和高血压的53%(p <或= .001)。年龄,性别和D型(比值比3.98; 95%置信区间3.2-4.6; p <.0001)与心血管疾病的发病率独立相关。结论:DS14是一项简短的从心理上讲对不良影响和社会抑制进行心理测量的方法,很容易纳入流行病学和临床研究。

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