Type D personality and the degree of control of bronchial asthma

Andrzej Witusik; Łukasz Mokros; Marcin Kosmalski; Michał Panek; Katarzyna Nowakowska-Domagała; Kasper Sipowicz; Piotr Kuna; Tadeusz Pietras

doi:10.5114/ada.2018.77670

eISSN: 2299-0046
ISSN: 1642-395X

Advances in Dermatology and Allergology/Postępy Dermatologii i Alergologii

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4/2018
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abstract:

Original paper

Type D personality and the degree of control of bronchial asthma

Andrzej Witusik

,

Łukasz Mokros

,

Marcin Kosmalski

,

Michał Panek

,

Katarzyna Nowakowska-Domagała

,

Kasper Sipowicz

,

Piotr Kuna

,

Tadeusz Pietras

Adv Dermatol Allergol 2018; XXXV (4): 387–391

DOI: https://doi.org/10.5114/ada.2018.77670

Online publish date: 2018/08/21

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Introduction
Poor asthma control is probably associated with both biological and psychological factors. Type D pattern of behavior is characterized by negative emotionality and inhibition in social relationships. It was previously found to be associated with cardiovascular diseases.

Aim
To evaluate the correlation between the degree of asthma control and the severity of the components of type D behavior pattern.

Material and methods
The research was conducted on a group of 117 subjects with bronchial asthma. The control group consisted of 32 healthy subjects. The degree of bronchial asthma control was determined using the Asthma Control Test. The D pattern of behavior was measured using the DS-14 questionnaire.

Results
The risk of type D behavior pattern, defined as scoring at least 10 points in both scales (Negative Emotionality and Social Inhibition), was higher in subjects with uncontrolled asthma than in healthy individuals (OR = 5.19; 95% CI: 1.74–15.44), those with partial control of asthma (OR = 6.04; 95% CI: 1.87–19.52) and subjects with good control of asthma (OR = 8.46; 95% CI: 3.09–23.16). The severity of depressiveness correlated positively with the number of infections in the past year. Negative emotionality correlated positively with the number of infections and social inhibition.

Conclusions
Type D pattern of behavior may be associated with diagnosis and severity of asthma. Due to its link to poor control of asthma symptoms, a high level of negative emotionality among patients with asthma might be of particular interest to the clinicians.

keywords:

Type D personality and the degree of control of bronchial asthma

Andrzej Witusik , Łukasz Mokros , Marcin Kosmalski , Michał Panek , Katarzyna Nowakowska-Domagała , Kasper Sipowicz , Piotr Kuna , Tadeusz Pietras

negative emotionality, asthma control, depressiveness

Andrzej Witusik

,

Łukasz Mokros

,

Marcin Kosmalski

,

Michał Panek

,

Katarzyna Nowakowska-Domagała

,

Kasper Sipowicz

,

Piotr Kuna

,

Tadeusz Pietras