The DS-14 Questionnaire: Psychometric Characteristics and Utility in Patients with Obstructive Sleep Apnea

Overview

Journal Sleep Breath

Publisher Springer

Date 2023 Jul 7

PMID 37418222

Authors

Sonia De Weerdt

Christiaan Schotte

Kurt Barbe

Sylvia Verbanck

Johan Verbraecken

Affiliations

Soon will be listed here.

Abstract

Purpose: To determine the internal consistency and test-retest reliability of the DS-14 questionnaire, as well as the prevalence of type D personality in the overall OSA sample and subgroups. We assessed the influence of type D on perceived symptoms and its congruence with self-reported measures of personality, depression, fatigue, anxiety, quality of life, and quality of sleep.

Methods: Patients with OSA completed the DS-14 questionnaire, Big Five Inventory-2 questionnaire, Hospital Anxiety and Depression Scale, SF-36 Health Survey Questionnaire, Epworth Sleepiness Scale and Stanford Sleepiness Scale, Pittsburgh Sleep Quality Index and Insomnia Severity Index, Fatigue Assessment Scale, and Checklist Individual Strength. After 1 month, the DS-14 questionnaire was repeated.

Results: The overall prevalence of type D personality was 32%. Internal consistency (negative affectivity: α = 0.880, social inhibition: α = 0.851) and diagnostic test-retest reliability (kappa value = 0.664) of the DS-14 questionnaire were high. Significantly more symptoms of anxiety, depression, poor sleep quality, fatigue, and a worse health perception were found in OSA with type D. Neither OSA severity nor REM predominance altered these observations.

Conclusion: The DS-14 questionnaire showed excellent psychometric properties in patients with OSA. The prevalence of type D personality in patients with OSA was higher than in the general population. The presence of type D personality was associated with higher symptom burden.

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References

Denollet J . DS14: standard assessment of negative affectivity, social inhibition, and Type D personality. Psychosom Med. 2005; 67(1):89-97. DOI: 10.1097/01.psy.0000149256.81953.49. View

Hausteiner C, Klupsch D, Emeny R, Baumert J, Ladwig K . Clustering of negative affectivity and social inhibition in the community: prevalence of type D personality as a cardiovascular risk marker. Psychosom Med. 2010; 72(2):163-71. DOI: 10.1097/PSY.0b013e3181cb8bae. View

Denollet J, Sys S, Brutsaert D . Personality and mortality after myocardial infarction. Psychosom Med. 1995; 57(6):582-91. DOI: 10.1097/00006842-199511000-00011. View

Denollet J, Sys S, Stroobant N, Rombouts H, Gillebert T, Brutsaert D . Personality as independent predictor of long-term mortality in patients with coronary heart disease. Lancet. 1996; 347(8999):417-21. DOI: 10.1016/s0140-6736(96)90007-0. View

Denollet J, Schiffer A, Spek V . A general propensity to psychological distress affects cardiovascular outcomes: evidence from research on the type D (distressed) personality profile. Circ Cardiovasc Qual Outcomes. 2010; 3(5):546-57. DOI: 10.1161/CIRCOUTCOMES.109.934406. View

Brostrom A, Stromberg A, Martensson J, Ulander M, Harder L, Svanborg E . Association of Type D personality to perceived side effects and adherence in CPAP-treated patients with OSAS. J Sleep Res. 2007; 16(4):439-47. DOI: 10.1111/j.1365-2869.2007.00620.x. View

Aikens J, Vanable P, Tadimeti L, Mendelson W . MMPI correlates of sleep and respiratory disturbance in obstructive sleep apnea. Sleep. 1999; 22(3):362-9. DOI: 10.1093/sleep/22.3.362. View

Senaratna C, Perret J, Lodge C, Lowe A, Campbell B, Matheson M . Prevalence of obstructive sleep apnea in the general population: A systematic review. Sleep Med Rev. 2016; 34:70-81. DOI: 10.1016/j.smrv.2016.07.002. View

Benjafield A, Ayas N, Eastwood P, Heinzer R, Ip M, Morrell M . Estimation of the global prevalence and burden of obstructive sleep apnoea: a literature-based analysis. Lancet Respir Med. 2019; 7(8):687-698. PMC: 7007763. DOI: 10.1016/S2213-2600(19)30198-5. View

10.

Soto C, John O . The next Big Five Inventory (BFI-2): Developing and assessing a hierarchical model with 15 facets to enhance bandwidth, fidelity, and predictive power. J Pers Soc Psychol. 2016; 113(1):117-143. DOI: 10.1037/pspp0000096. View

11.

Zigmond A, SNAITH R . The hospital anxiety and depression scale. Acta Psychiatr Scand. 1983; 67(6):361-70. DOI: 10.1111/j.1600-0447.1983.tb09716.x. View

12.

Ware Jr J, Sherbourne C . The MOS 36-item short-form health survey (SF-36). I. Conceptual framework and item selection. Med Care. 1992; 30(6):473-83. View

13.

Buysse D, Reynolds 3rd C, Monk T, BERMAN S, Kupfer D . The Pittsburgh Sleep Quality Index: a new instrument for psychiatric practice and research. Psychiatry Res. 1989; 28(2):193-213. DOI: 10.1016/0165-1781(89)90047-4. View

14.

Bastien C, Vallieres A, Morin C . Validation of the Insomnia Severity Index as an outcome measure for insomnia research. Sleep Med. 2001; 2(4):297-307. DOI: 10.1016/s1389-9457(00)00065-4. View

15.

Johns M . A new method for measuring daytime sleepiness: the Epworth sleepiness scale. Sleep. 1991; 14(6):540-5. DOI: 10.1093/sleep/14.6.540. View

16.

Hoddes E, Zarcone V, Smythe H, Phillips R, Dement W . Quantification of sleepiness: a new approach. Psychophysiology. 1973; 10(4):431-6. DOI: 10.1111/j.1469-8986.1973.tb00801.x. View

17.

Vercoulen J, Swanink C, Fennis J, Galama J, van der Meer J, Bleijenberg G . Dimensional assessment of chronic fatigue syndrome. J Psychosom Res. 1994; 38(5):383-92. DOI: 10.1016/0022-3999(94)90099-x. View

18.

Berry R, Budhiraja R, Gottlieb D, Gozal D, Iber C, Kapur V . Rules for scoring respiratory events in sleep: update of the 2007 AASM Manual for the Scoring of Sleep and Associated Events. Deliberations of the Sleep Apnea Definitions Task Force of the American Academy of Sleep Medicine. J Clin Sleep Med. 2012; 8(5):597-619. PMC: 3459210. DOI: 10.5664/jcsm.2172. View

19.

Hudgel D . Sleep Apnea Severity Classification - Revisited. Sleep. 2016; 39(5):1165-6. PMC: 4835315. DOI: 10.5665/sleep.5776. View

20.

Williams L, OConnor R, Howard S, Hughes B, Johnston D, Hay J . Type-D personality mechanisms of effect: the role of health-related behavior and social support. J Psychosom Res. 2007; 64(1):63-9. DOI: 10.1016/j.jpsychores.2007.06.008. View