A Meta-Analysis of Spurious Associations between Type D Personality and Cardiovascular Disease Endpoints
Denollet et al. claim that high social inhibition and negative affectivity, termed type D personality, predict negative cardiovascular disease outcomes, and notably mortality . Our group noted that almost all research testing this hypothesis came from small studies from Denollet’s group at Tilburg University that for mortality had 4, 6, 8, 12, and 47 deaths to explain. We conducted the largest study of mortality to date, with 192 deaths being explained, recruited patients from some of the same hospitals used by the Tilburg group, but found no association between type D personality and mortality . Our primary analyses retained the component social inhibition and negative affectivity as continuous variables and tested their interaction. Secondary analyses relied upon Denollet’s preferred method of dichotomizing social inhibition and negative affectivity, creating a 2 × 2 cross-tabulation, and then comparing the high/high type D quadrant to the other three. Our results were still nu ...
- Denollet J, Sys SU, Brutsaert DL. Personality and mortality after myocardial infarction. Psychosom Med. 1995; 57: 582–591.
- Coyne JC, Jaarsma T, Luttik ML, van Sonderen E, van Veldhuisen DJ, Sanderman R. Lack of prognostic value of type D personality for mortality in a large sample of heart failure patients. Psychosom Med. 2011; 73: 557–562. CrossRef
- Coyne JC, Whiffen VE. Issues in Personality as Diathesis for Depression—the case of sociotropy-dependency and autonomy-self-criticism. Psychol Bull. 1995; 118: 358–378. CrossRef
- Vargha A, Rudas T, Delaney HD, Maxwell SE. Dichotomization, partial correlation, and conditional independence. J Educ Behav Stat. 1996; 21: 264–282.
- Smith TW. Toward a more systematic, cumulative, and applicable science of personality and health: Lessons from type d personality. Psychosom Med. 2011; 73: 528–532. CrossRef
- Grande G, Romppel M, Barth J. Association between type D personality and prognosis in patients with cardiovascular diseases: A systematic review and meta-analysis. Ann Behav Med. 2012. doi:10.1007/s12160-011-9339-0.
- Babyak MA. What you see may not be what you get: A brief, nontechnical introduction to overfitting in regression-type models. Psychosom Med. 2004; 66: 411–421. CrossRef
- A Meta-Analysis of Spurious Associations between Type D Personality and Cardiovascular Disease Endpoints
- Open Access
- Available under Open Access This content is freely available online to anyone, anywhere at any time.
Annals of Behavioral Medicine
Volume 44, Issue 1 , pp 136-137
- Cover Date
- Print ISSN
- Online ISSN
- Additional Links
- Industry Sectors
- Author Affiliations
- 1. Health Psychology Section, Department of Health Sciences, University Medical Center Groningen, University of Groningen, Groningen, the Netherlands
- 2. Department of Pulmonary Rehabilitation, Center for Rehabilitation, University Medical Center Groningen, Groningen, the Netherlands
- 3. Department of Psychiatry, University of Pennsylvania School of Medicine, 3535 Market St. Rm 676, Philadelphia, PA, 19104, USA