ARTICLE INFO

Article Type

Original Research

Authors

Poursharifi   H. (1)
Alipour   A. (2)
Zare   H. (2)
Afkhami Ardakani   M. (3)
Arab Sheybani   Kh. (*)






(*) Department of Psychology, Faculty of Psychology, Payam-e-Noor University, Tehran, Iran
(1) Department of Psychology, Faculty of Psychology, Payam-e-Noor University, Tehran, Iran
(2) Department of Psychology, Faculty of Psychology, Payam-e-Noor University, Tehran, Iran
(3) Internal Department, Faculty of Medicine, Yazd University of Medical Sciences, Yazd, Iran

Correspondence


Article History

Received:   June  28, 2012
Accepted:   March 4, 2013
ePublished:   May 10, 2013

ABSTRACT

Aims Diabetes is the source of stress for people suffering from the disease. Diabetes-related stress has numerous negative psychological effects. This study was conducted aiming at determining the role of type D personality in the effect of stress on Hb Alc and cortisol secretion.
Materials & Methods the present correlational study which was a retrospective research, was conducted in 2011 and 2012 on all women with type II diabetes, who were member of Yazd Diabetes Research Centre, 80 patients were selected by multistage cluster sampling. They completed some questionnaires including the depression scale, anxiety scale (DASS), stress as well as type D personality questionnaires. Then, their fasting blood was tested and the effect of stress and personality type on Hb Alc and cortisol level was evaluated. Data was analyzed using SPSS 18 software and statistical tests including Pearson correlation coefficient and stepwise regression analysis.
Findings There were significant relationship between stress and personality type; cortisol and Hb Alc; and cortisol and Hb Alc. Based on the results of the regression analysis, stress factor by itself (p=0.001), and together with personality type (p=0.001) had effect on Hb Alc. Moreover, stress factor by itself (p=0.002), and together with personality type (p=0.001) had effect on cortisol level. Stress and personality type scales explained 0.312 of the Hb Alc variance and 0.28 of the cortisol variance.
Conclusion Stress and personality type are correlated with the level of cortisol serum and Hb Alc. Moreover, personality type acts in line with the increase in the impact of stress on patients with diabetes.


CITATION LINKS

[1] American Diabetes Association (ADA). National standards for diabetes self-management education. Diabetes Care. 2005;28(l1):72-9.
[2] Snoek FJ. Management of diabetes: Psychological aspects of diabetes management. Tucson: The Medicine Publisher; 2002.
[3] Kreyer I. Endocrine stress responses in critical care nurses: A possible relation to job turnover [dissertation]. Zurich: University of Zurich; 2003.
[4] Goymann W, Wingfield JC. Allostatic load, social status and stress hormones: The costs of social status matter. Anim Behav. 2004;67(3):591-602.
[5] Bjorntorp P, Holm G, Rosmond R. Hypothalamic arousal, insulin resistance and type2 diabetes mellitus. Diabet Med. 1999;16(5):373-83.
[6] Nicholson A, Kuper H, Hemingway H. Depression as an etiologic and prognostic factor in coronary heart disease: A meta-analysis of 6362 events among 146,538 participants in 54 observational studies. Eur Heart J. 2006;27(23):2763-74.
[7] Barth J, Schumacher M, Herrmann-Lingen C. Depression as a risk factor for mortality in patients with coronary heart disease: A meta-analysis. Psychosom Med. 2004;66:802-13.
[8] Watson D, Clark LA, Harkness AR. Structures of personality and their relevance to psychopathology. J Abnormal Psychol. 1994;103(1):18-31.
[9] Ursano RJ, Epstein RS, Lazar SG. Behavioral responses to illness: Personality and personality disorders. In: Wise MG, Rundell JR, editors. The American psychiatric publishing textbook of consultation-Liaison psychiatry. Washington DC: American Psychiatric Publishing; 2002.
[10] Ursano RJ, Epstein RS, Lazar SG. Behavioral responses to illness: Personality and personality disorders. 2nd ed. Washington DC: American Psychiatry Publication; 2002.
[11] Denollet J. Type D personality: A potential risk factor defined. J Psychosom Res. 2000;49(4):255-66.
[12] Pedersen SS, Denollet J. Type D personality, cardiac events and impaired quality of life: A review. Eur J Cardiovasc Prev Rehabil. 2003;10(4):241-8.
[13]Everson-Rose SA, Lewis TT. Psychosocial factors and cardiovascular diseases. Annu Rev Public Health. 2005;26:469-500.
[14] Lett HS, Blumenthal JA, Babyak MA, Strauman T, Robins C, Sherwood A. Social support and coronary heart disease: Epidemiologic evidence and implications for treatment. Psychosom Med. 2005;67(6):869-78.
[15] Denollet J. DS14: Standard assessment of negative affectivity, social inhibition and Type D personality. Psychosom Med. 2005;67(1):89-97.
[16] Denollet J, Van Heck GL. Psychological risk factors in heart disease: What type D personality is (not) about. J Psychosom Res. 2001;51(3):465-8.
[17] Spindler H, Larsen ML, Pedersen SS. Type D personality is associated with impaired health status in chronic heart failure patients. J Psychosom Res. 2006;61:404.
[18] Tziallas D, Kostapanos MS, Skapinakis P, Milions HJ, Athanasiou T, Mavreas V. The association between type D personality and the metabolic syndrome: A cross-sectional study in a university-based outpatient lipid clinic. BMC Res Notes. 2011;4:105.
[19] Pedersen SS, Denollet J. Type D personality, cardiac events and impaired quality of life: A review. Eur J Card Pre Rehab. 2003;10:241-8.
[20] Habra ME, Linden W, Anderson JC, Weinberg J. Type D personality is related to cardiovascular and neuroendocrine reactivity to acute stress. J Psychosom Res. 2003;55:235-45.
[21] Molloy GJ, Perkinsi Porras L, Strike PC, Steptoe A. Type D personality and cortisol in survivors of acute coronary syndrome. Psychosom Med. 2008;70(8):863-8.
[22]Mols F, Denollet J. Type D personality in the general population: A systematic review of health status, mechanisms of disease and work-related problems. Health Qual Life Outcomes. 2010;8:9.
[23] Knoops KT, De Groot LC, Kromhout D, Perrin AE, Moreiras-Varela O, Menotti A, et al. Mediterranean diet, lifestyle factors and 10 year mortality in elderly European mean and women. J Am Med Assoc. 2004;292(12):1433-9.
[24]Aditama S. The relationship of self-care, self-efficacy and social support with HbA1c among type2 diabetes mellitus patients [dissertation]. Indonesia: University of Yogyakarta; 2011.
[25] Lovallo WR, Thomas TL. Stress hormones in psychophysiological research: Emotional, behavioral and cognitive implications. Handbook of psychophysiology. 2nd ed. New York: Cambridge University Press; 2000.
[26] Erfurth EM, Bulow B, Eskilsson J, Hagmar L. Incidence of cardiovascular disease and increased prevalence of cardiovascular risk factors in women with hypopituitarism not receiving growth hormone treatment: Preliminary results. Growth Horm IGF Res. 1999;9:21-4.
[27]Jonge P, Denollet J, Van Melle J, Kuyper A, Honig A, Hschene A, et al. Association of type-D personality and depression with somatic health in myocardial infarction patients. J Psychosom Res. 2007;63(5):477-89.
[28] Sahebi A, Sadat Mirabdollahi E, Salari R. Standardization of anxiety, stress and depression scale in university students in Mashhad, report on research projects. Mashhad: Ferdowsi University; 2001. [Persian]
[29] Powers AC. Diabetes mellitus. In: Kasper LD, editor. Harrison's principles of internal medicine. 16th ed. New York: McGraw-Hill; 2005.
[30] Denollet J, Pederson SS, Vrints CJ, Conraads VM. Usefulness of type-D personality in predicting five-year cardiac events above and beyond concurrent symptoms of stress in patients with coronary heart disease. Am J Cardiol. 2006;97(7):970-3.
[31] Schiffer AA, Pedersen SS, Widdershove JW, Hendrik EH, Winter J, Denollet J. The distressed personality is independently associated with impaired health status and increased depressive symptoms in chronic heart failure. Eur J Cardivascular. 2005;12(2):341-6.