The impact of type D personality on health-related quality of life in patients with symptomatic haemorrhoids

• Published in: Przegląd gastroenterologiczny Vol. 9; no. 4; pp. 242 - 248
• Main Authors: Sit, Mustafa, Yilmaz, Edip Erdal, Canan, Fatih, Yıldırım, Osman, Cetin, Mehmet Mustafa
• Format: Journal Article
• Language: English; Polish
• Published: Poland Termedia Publishing House 01.01.2014
• Subjects: Inflammatory diseases; Original Paper; Patients; Personality traits; Quality of life; Small intestine; type D personality; quality of life; haemorrhoids
• ISSN: 1895-5770; 1897-4317
• DOI: 10.5114/pg.2014.45107

Haemorrhoids are one of the most common reasons that patients seek consultation from a colon and rectal surgeon. Health-related quality of life (HrQoL) is a significant factor in describing the burden of illness and the impact of treatment in patients with gastrointestinal disease. Type D (distressed) personality is defined as the co-occurrence of negative affect and social inhibition. To assess the prevalence of type D personality in patients with haemorrhoids and to investigate whether the presence of a type D personality would affect HrQoL in patients with haemorrhoids. One hundred and six outpatients with symptomatic haemorrhoids with no psychiatric comorbidity were consecutively enrolled, along with 96 healthy controls. The Type D Scale (DS14) and the General Health Survey Short Form-36 (SF-36) were used in the collection of data. Of 106 patients evaluated, 29.2% met criteria for type D personality. Patients with haemorrhoids scored lower on bodily pain and vitality dimensions of SF-36 than did healthy subjects (p < 0.001). Patients with a type D personality were found to score lower on bodily pain domain of HrQoL than patients without a type D personality. Linear regression analysis revealed a significant independent association of type D personality with bodily pain dimension of the SF-36 in patients with symptomatic haemorrhoids (r = -0.315, p < 0.01). Type D personality was associated with increased perceived bodily pain in patients with haemorrhoids. Consideration of type D personality construct personality traits could improve risk stratification in research and clinical practice in this patient group.