Jeff Baker, Ph.D. -
Chief Psychologist - Anesthesiology Pain
Clinic
Type D - Affect
Rating for Adjustment, Rehabilitation & Pain
Control
Read each statement and select
the appropriate number that generally fits a
personal style.
There are no right or wrong answers: Initial
personal
impression is the only thing that matters.
I.
Questions -
Select or Record the Patient's Answers
False
Less False
Neutral
Less True
True
1. I
make contact easily when I meet people
4
3
2
1
0
2. I
often make a fuss about unimportant things
0
1
2
3
4
3. I often talk to strangers
4
3
2
1
0
4. I often feel unhappy
0
1
2
3
4
5. I am often irritated
0
1
2
3
4
6. I often feel inhibited in social
interactions
0
1
2
3
4
7. I take a gloomy view of things
0
1
2
3
4
8. I find it hard to start a conversation
0
1
2
3
4
9. I am often in a bad mood
0
1
2
3
4
10. I am a closed kind of person
0
1
2
3
4
11. I would rather keep people at a distance
0
1
2
3
4
12. I often find myself worrying about
something
0
1
2
3
4
13. I am often down in the dumps
0
1
2
3
4
14. When socializing, I don't find the right
things to talk about
0
1
2
3
4
Add Your Answers
Negative Affectivity:
Add scores for questions 2, 4, 5, 7, 9, 12 and 13
Total Negative:
Social Inhibition:
Add scores for questions 1, 3, 6, 8, 10, 11, and 14
Social Inhibition:
SCORE THE RESULTS
You qualify as a TYPE D personality if your
Negative Affectivity is 10 or higher and
your Social Inhibition is 10 or higher
The social and emotional problems associated
with Type D personality can increase your
chances of chronic disease and
possibly poor adaptation to Chronic Pain.
SOURCE: Adapted from
"DS14: Standard Assessment of NEGATIVE
AFFECTIVITY. SOCIAL INHIBITION AND TYPE D
PERSONALITY by Johann Denollet, Ph.D.,
Psychosomatic Medicine, 2005. For more
information go to: LWW.COM
