Investigation of the relationship between type D personality and sensitivity to reinforcement and latent anxiety

Document Type : Research Paper


1 Assistant professor of psychology, University of Persian Gulf, Boshehr, Iran

2 Associate professor of clinical psychology, Shahid Chamran University of Ahvaz, Ahvaz, Iran

3 M.Sc. student in psychology, University of Persian Gulf, Boshehr, Iran


Introduction:  Gray has provided a bio-ecological model of the character and personality based on brain-behavioral system, which constitutes basis for individual variants, and activities of each of them leads to different emotional responses, such as anxiety and other emotional states. The present study aimed to investigate the relationship between type D personality and sensitivity to reinforcement and latent anxiety in students with type D personality.
Materials and Methods: For this purpose, 600 students (240 boys and 360 girls) from various faculties of Persian Gulf University who were studying in 2013-2014 academic year, were selected randomly using cluster sampling stage, completed type D personality scale, Jackson sensitivity to reinforcement (2009) and Spielberger Anxiety Inventories (1970). After screening, 111 patients were identified as type D personality, and finally, statistical data were analyzed through regression analysis.
Results: The results obtained from regression analysis showed that type D personality has positive and significant relationship with variables of behavioral inhibition system and fight-flight and freeze system, and had negative significant correlation with behavioral activation system. Also, regression analysis results showed that type D personality had a positive and significant associated with latent anxiety in students.
Conclusion: According to the findings, determining the exact position of type D personality in personality systems which are based on bio-behavioral model, increase our understanding of mechanisms underlying properties of type D personality, emotions and emotional response.


  1. Prud'homme JDM, Dunkley E, Bernier JL, Berg Starrs CJ. Specific perfectionism components predicting daily stress, coping, and negative affect six months and three years later. Pers Individ Diff 2017; 111: 134-8.
  2. Raynal PN, Goutaudier V, Nidetch H. Typology of schizotypy in non-clinical young adults: Psychopathological and personality disorder traits correlates. Psychiatr Res 2016; 246: 182-7.
  3. Abdi R, Bakhshi Poor Roodsari A, Aliloo MM. [The rate of sensitivity of behavior inhibition and activation in drug abusers, cigarette smokers, and healthy people]. Iranian psychiatry and clinical psychology journal 17(3): 241-74. (Persian)
  4. Tzialla D, Kostapanos M, Skapinakis P, Milions HJ, Athanasiou T, Elisaf MS, et al. The association between type D Personality and the metabolic syndrome: A cross-selection study in a University-based outpatient lipid clinic. BMC Research Notes. Available from: URL;
  5. Van den Brooek KC, Nyklicek I, Denollet J. Selection bias in a study of implantable defibrillator patients: The role of type D personality. Int J Behav Med 2010; 18: 65-70.
  6. Ali Moradi A, Hooshyar S, Modarres Gharavi M. [Comparing of cerebral-behavioral systems activity and mental health in drug addicts and normal people]. Journal of fundamentals of mental health 2011; 13(4): 304-13. (Persian)
  7. Behdani F, Sar Golzaee MR, Ghorbani A. [Study of the relationship between life and depression and trait anxiety in Sabzevar students]. Asrar, Journal of Sabzevar University of Medical Sciences 2000; 7(2): 59-78. (Persian)
  8. Zhang XX, Chen Y, Gao Y, Liu, Liu Y. Self-promotion hypothesis: The impact of self-esteem on self–other discrepancies in decision making under risk. Pers Individ Diff 2018; 127: 26-30.
  9. Neave NH, Tyson L, McInnes Hamilton C. The role of attachment style and anthropomorphism in predicting hoarding behaviors in a non-clinical sample. Pers Individ Diff 2016; 99: 33-37.
  10. Sarkhanlou SS, Kiamanesh A. The relationship between personality characteristics, perfectionism of mothers and emotional problems of their daughters. Procedia Soc Behav Sci 2015; 185: 460-8.
  11. Fahimi S, Ali Mahdi M, Bakhshi Poor Roodsari A, Aliloo MM. [Biological pattern of Gray personality and addiction]. Andishe va Raftar 2011; 6: 321-40. (Persian)
  12. Pederson SS, Hermann-Lingen C, Jonge PD, Scherer M. Type D personality is a predictor of poor emotional quality of life in primary care heart failure patients independent of depressive symptoms and New York Heart Association Functional Class. J Behav Med 2011; 33: 72-80.
  13. Schiffer AA, Smith OR, Pedersen SS, Widdershoven JW, Denollet J. Type D personality and cardiac mortality in patients with chronic heart failure. Int J Cardiol 2010; 142: 230-5.
  14. Issazadegan A, Sheikhi S, Bashrpoor S. [The relationship between alexytimia and type D personality and general health]. Oroumieh medical journal 2011; 22(6): 530-8. (Persian)
  15. Kunst MJJ, Bogaerts S, Winkel FW. Type D personality and posttraumatic stress disorder in victims of violence: A cross-sectional exploration. J Clin Psychol Psychother 2011; 18: 13-22.
  16. Kunst MJJ, Van Bon-Martens MJH. Examination the link between domestic violence victimization and loneliness in a Dutch community sample: A comparison between victims and non victims by type D personality. J Fam 2011; 26: 403-10.
  17. Nyklicek I, Vorselaars AD, Denolle J. Type D personality and cardiovascular function in daily life of people without documented cardiovascular distress. Int J Psychophysiol 2011; 80: 139-42.
  18. Pedersen SS, Kupper N, Denollet J. Psychological factors and heart disease. In: Camm AJ, Lscher TF, Serruys WP. (editors). The ESC textbook of cardiovascular medicine. 2nd ed. Oxford: Oxford University; 2009: 1287-304.
  19. Pedersen SS, Denollet J. Type D personality, cardiac events, and impaired quality of life: A review. Eur J Cardiovasc Prev Rehabil 2013; 10: 241-8.
  20. Gray JA, McNaughton N. The neuropsychology of anxiety. Oxford Psychology Series 2000; 33.
  21. Poman R, Borkoles E, Nicholls AR. Type D personality, stress, and symptoms of burnout: The influence of avoidance coping and social support. Br J Health Psychol 2010; 15: 681-96.
  22. Gray JA. The psychology of fear and stress. 2nd ed. Cambridge: Cambridge University; 1987.
  23. Ahmadi Tohoor M, Jafari I, Karaminia R, Akhavan H. [Investigation about the relationship between positive and negative perfectionism and type D personality and elders general health]. Journal of Hamedan Medical University and Medical Services 2010; 17: 28-34. (Persian)
  24. Ahmadpoor Mobarakeh AR, Ahadi H, Mazaheri M, Nafisi GH. [Designing and validating a scale for evaluating type D personality, and its relationship with coronary artery disease]. Journal of knowledge and research in psychology, Islamic Azad University, Khoorasgan Branch 2007; 32: 37-60. (Persian)
  25. Yu XN, Chen ZH, Zhang J, Liu X. Coping mediates the association between type D personality and perceived health in Chinese patient with coronary heart disease. Int J Med 2011; 8: 277-84.
  26. Via EC, Orfila C, Pedreño A, Rovira JM, Menchón N, Cardoner DJ, et al. Structural alterations of the pyramidal pathway in schizoid and schizotypal cluster A personality disorders. Int J Psychophysiol 2016; 110: 163-70.
  27. AbdolKhodaee MS, Mahram B, Izanloo Z. [Study the relationship between perfectionism dimensions and covert anxiety in students]. Journal of clinical psychology and consultation researches 2011; 1(1): 48-58. (Persian)
  28. Barnicot KR, Gonzalez R, McCabe Priebe S. Skills use and common treatment processes in dialectical behavior therapy for borderline personality disorder. J Behav Ther Experim Psychiatry 2017; 52: 147-56.