Sit, MustafaYılmaz, Edip ErdalCanan, FatihYıldırım, OsmanÇetin, Mehmet Mustafa2021-06-232021-06-2320141895-5770https://doi.org/10.5114/pg.2014.42504https://hdl.handle.net/20.500.12491/4802Introduction: Health-related quality of life (HRQL) is a significant factor in describing the burden of illness and the impact of treatment in patients with gastrointestinal disease. Type D (distressed) personality is defined as the co-occurrence of negative affect and social inhibition. Aim: To assess the prevalence of type D personality in patients with anal fissure and to investigate whether the presence of a type D personality would affect HRQL in patients with anal fissure. Material and methods: One hundred outpatients with anal fissure with no psychiatric comorbidity were consecutively enrolled, along with 100 healthy controls. Type D Scale (DS14) and General Health Survey Short Form-36 (SF-36) were used in the collection of data. Results: Patients with anal fissure scored lower on physical roles and bodily pain dimensions of SF-36 than healthy subjects (p < 0.05). Thirty-three patients with anal fissure (33%) and 16 controls (16%) had scored above the cut-off score of the DS14 (p < 0.05). Patients with a type D personality were found to score lower on bodily pain and social roles domains of HRQL than patients without a type D personality. Conclusions: Type D personality was associated with increased perceived bodily pain and social roles in patients with anal fissure. Type D personality construct may be an important consideration when assessing HRQL outcomes. A multidimensional approach may be valuable in the assessment of patients presenting with anal fissure, because a subgroup with type-D personality might benefit from psychological therapies.eninfo:eu-repo/semantics/openAccessAnal FissureNegative AffectQuality of LifeSocial InhibitionType D PersonalityArticle10.5114/pg.2014.425049293982-s2.0-84901015006Q1WOS:000216151900006N/A