This mysterious "type D".
Imagine two patients undergoingequally dangerous heart attack. One of them - a cheerful, open and optimistic person, who of all the forces trying to recover. The second - a closed, dull, grumbling all the time and does not want to hear about the recovery. One of them recovered. Do you think that is?
It is not difficult to guess that the merry probably hasadvantage over the grumblers. Doctors have long said that the type of character is associated with the degree of risk to health. One of these doctors, John Denollet working as a psychologist in the department of rehabilitation of patients with diseases of the coronary system, notice that patients with exactly the same conditions respond differently to therapy. "When I worked with these patients, I have the impression that the two main traits play an important role. But in order to make a more serious conclusions, we need empirical evidence."
Denollet, professor of medical psychologyTilburg University in the Netherlands, has conducted a study involving heart patients departments, as well as patients suffering from hypertension, heart failure, arrhythmia, arterial diseases. The research results prove that his intuition did not fail. With the help of this study, he was able to identify a variety of patients of type D - those who are prone to the formation of chronic stress, harmful to health. This suggests that the state of mind is just as crucial to heart health, such as diet, exercise and external stress.
Warning: the negative affectivity and social inhibition
Two essential characteristics of this type of card,isolated Denolletom - is, first of all, "negative affectivity", the tendency to experience negative emotions: anxiety, sadness, pessimism; and, secondly, the "social repression" - the tendency to restrain the expression of emotions, a tendency to low self-esteem, and stealth. However, he stressed that its classification - is not just the difference between the humorist and croaker.
"It is important to the combination of negative and excitabilitysocial oppression. A person can be very negative excitable, but if he says that he feels he can handle it, and the risk is not increased for him, "- he says.
To set belonging to type D,Professor Denollet developed a questionnaire of 14 questions, known as the DS14, which proved to be an effective tool for forecasts in cases of cardiovascular disease.
"If a patient with cardiovascular disease is a type of the D, the risk of heart attack or premature death is increased four times for it", - says Denollet.
The relationship type and psychological diseases.
Selecting the type of person D is a continuationknown work of psychologists 1960-70-ies, who tied the specific personality characteristics of health. Ambitious, motivated workaholics were classified as type A. They are more likely to experience stress and increases their risk of high blood pressure and heart disease. Related to Type B people are not prone to competition, easygoing and thoughtful, not at particular risk for the health. Type C - reliable people who are able to overcome the difficulties to avoid conflict situations, suppressing his feelings. For them, the results of studies, an increased risk of cancer.
"Paradoxically, the D-type patients are awarewhat happens to them - that they quickly get tired or they suffocate, but they do not go to the cardiologist to cope with these problems. If the cardiologist knows that his patient belongs to this type, it may appoint more meetings with patients and conduct more tests to be aware of what was happening to him, "- says Denollet about the value of his discovery.
And if I am a "type D"?
Does this mean that you should be concerned about,if you are a type D? Not necessary. "There are quite healthy representatives of this type, which are free to talk about what is happening in their life. Smoking is also associated with the risk of heart disease, but if you are a smoker, you will not necessarily be a heart attack. But if you think of the type D and thus suffer from chronic diseases, you need to change something in your life to be happier. "
These changes can be achieved with the help of psychotherapy, antidepressant drugs or lifestyle changes that will reduce the disturbing thoughts.
Meanwhile, the Texas Institute for heart diseaseHe issued a statement that "there is evidence that the Type D was replaced by type A in regard to the greatest risk factor for cardiovascular disease."
Author: Penny Wark