| 1. |
- Condén, Emelie, 1979-
(författare)
-
Type D Personality : Psychometric Properties of the DS14 and Associations with Ill Health and Coronary Heart Disease in General and Clinical Populations
- 2014
-
Doktorsavhandling (övrigt vetenskapligt/konstnärligt)abstract
- Type D personality, or distressed personality, refers to the joint tendency to experience negative emotions and to inhibit self-expression in social interactions. The overall aims of this thesis were to examine the impact of Type D personality on adolescents’ self-perceived health, to examine the factorial and temporal stability of the Type D personality construct DS14, and to clarify whether type D personality is an independent risk factor for recurrent myocardial infarction and all-cause mortality among patients with myocardial infarction.The prevalence of Type D personality in the adolescent population was 10.4% for boys and 14.6% for girls. Boys and girls with Type D personality were approximately twice as likely to report musculoskeletal pain and five times as likely to report psychosomatic symptoms.Adolescents with Type D personality were four times more likely to have sleep disturbances and to sleep fewer hours, especially on school nights.Among patients with myocardial infarction, the Swedish DS14 had stable structural validity. Our measurements confirmed the two-factor model of the DS14. However, the DS14 exhibited low temporal stability, especially when comparing the measurement obtained during hospitalization with the 1- and 12-month follow-up measurements.Among patients with myocardial infarction, the Framingham risk score had a strong predictive value for recurrent myocardial infarction, and a somewhat weaker predictive value for all-cause mortality. However, none of the previously proposed methods for the analysis of the DS14 Type D personality measurement predicted recurrent myocardial infarction or all-cause mortality, either in univariable analyses or in addition to the Framingham risk score.In conclusion, the present thesis found significant associations between the DS14 and psychosomatic symptoms in adolescents. However, the measurement exhibited a low stability over time and no predictive value for recurrent myocardial infarction and mortality among patients with myocardial infarction. Taken together, these results raise the question of whether the Swedish DS14 really is a measure of personality. An alternative explanation for the strong cross-sectional associations observed between the DS14 and psychosomatic symptoms might be that the DS14 functions as a pseudo-measure of ill health, or co-varies with depressive or psychosomatic characteristics.
|
|
| 2. |
- Schraml, Karin, 1981-
(författare)
-
Chronic stress among adolescents : Contributing factors and associations with academic achievement
- 2013
-
Doktorsavhandling (övrigt vetenskapligt/konstnärligt)abstract
- According to recent nationwide surveys there have been dramatic increases in stress and serious stress-related health problems among Swedish adolescents. The aims of the present thesis were to investigate the prevalence of perceived chronic stress among sixteen-year-old adolescents who attended their first year at high-ranking high schools in the Stockholm area, to examine if factors that have been found to be relevant in the development of chronic stress among adults also contribute to chronic stress among adolescents, and to investigate the associations between chronic stress and sleep-related variables and academic achievement. Data were collected by means of self-report instruments. The main outcomes showed that a substantial number of individuals (30%) reported to perceive severe stress symptoms. The highest degree was perceived by 8% who suffered from symptoms to an extent which otherwise only has been observed among adult clinical burnout patients. Besides, 15% reported severe stress symptoms throughout high school and were thus considered to suffer from chronic stress. Perceived high demands, low global self-esteem, sleep disturbances and low social support were crucial factors in explaining stress symptoms. Another finding showed that perceived chronic stress was associated with adolescents’ academic achievement. A closer look at the potential contribution of sleep-related variables to academic achievement revealed further that, apart from severe stress symptoms, social jetlag was involved in predicting variation in academic achievement. Overall, the findings indicated that there is a high prevalence of chronic stress among adolescents. The results should be taken seriously, as young people’s sense of well-being during this period impacts both their successful transition into adulthood and their life course. Future research options and potential practical applications in terms of chronic stress prevention were suggested and discussed.
|
|
