Field Of Health Psychology Research Articles

Transforming health psychology and behavioral medicine to address the climate crisis: A call for strategic research and advocacy.

The climate crisis poses the largest threat to human health and survival and has been a public health emergency for many years. It is causing harmful consequences for physical and mental health and is amplifying existing health inequities. In this call to action, we highlight the relevance of the health psychology and behavioral medicine communities in addressing the health impacts of climate change. We identify mitigation and adaptation climate health behaviors and social changes needed that underlie the three essential objectives to address climate change and its associated health consequences: (a) rapid decarbonization, (b) drawdown of atmospheric heat-trapping gases (sequestration), and (c) adaptation. To advance the behavioral and systemic changes necessary to protect health, we propose a 1-2-3 Transformational Model in which the larger field of health psychology and behavioral medicine promotes (1) One Health, human and planetary health by (2) targeting climate health behaviors, and (3) social change across major professional areas, including research, interventions, and education/advocacy. We urge the adoption of the social quantum change paradigm, a systems approach to understanding the process of social change, where systemic change is viewed as local to global, and the individual has an influential role. These shifts in views, priorities, and methods will bolster hope, collective efficacy, and action to support the next generation of health psychology and behavioral medicine professionals. With these changes, the health psychology and behavioral medicine communities can have a more immediate and meaningful impact on the climate crisis and its associated health consequences. (PsycInfo Database Record (c) 2025 APA, all rights reserved).

Transforming Health Psychology and Behavioral Medicine to Address the Climate Crisis: A Call for Strategic Research and Advocacy.

The climate crisis poses the largest threat to human health and survival and has been a public health emergency for many years. It is causing harmful consequences for physical and mental health and is amplifying existing health inequities. In this call to action, we highlight the relevance of the health psychology and behavioral medicine communities in addressing the health impacts of climate change. We identify mitigation and adaptation climate health behaviors and social changes needed that underlie the three essential objectives to address climate change and its associated health consequences: (a) rapid decarbonization, (b) drawdown of atmospheric heat-trapping gases (sequestration), and (c) adaptation. To advance the behavioral and systemic changes necessary to protect health, we propose a 1-2-3 Transformational Model in which the larger field of health psychology and behavioral medicine promotes (1) One Health, human and planetary health by (2) targeting climate health behaviors, and (3) social change across major professional areas, including research, interventions, and education/advocacy. We urge the adoption of the social quantum change paradigm, a systems approach to understanding the process of social change, where systemic change is viewed as local to global, and the individual has an influential role. These shifts in views, priorities, and methods will bolster hope, collective efficacy, and action to support the next generation of health psychology and behavioral medicine professionals. With these changes, the health psychology and behavioral medicine communities can have a more immediate and meaningful impact on the climate crisis and its associated health consequences.

The Need for Controllability and Predictability questionnaire (NCP-q): psychometric properties and preliminary findings in a clinical sample.

Given the importance of the need for controllability and predictability in the broad field of health psychology, a high-quality measurement tool for these constructs is required. The objective of our study was to validate the Need for Controllability and Predictability questionnaire (NCP-q), which is a 15-item self-report measure that assesses an individual's need for controllability and predictability. In study 1, an exploratory (n = 464) and confirmatory (n = 304) factor analysis was performed in two student convenience samples. In study 2, NCP-q data of patients with panic disorder (n = 34), stress-related syndromes (overstrain, n = 33; burnout, n = 39), functional somatic syndromes (fibromyalgia and/or chronic fatigue syndrome, n = 34), and healthy controls (n = 30) were compared. The results from study 1 suggest that the NCP-q should be used as a one-dimensional instrument. The NCP-q has excellent internal consistency and an acceptable four-week test-retest reliability. Convergent validity was demonstrated. Study 2 revealed significantly higher NCP-q scores for all patient groups compared to healthy controls, but no differences between patient groups. A higher self-reported need for controllability and predictability can be seen as a transdiagnostic underlying mechanism of different patient groups characterized by experiencing physical symptoms in daily life. The NCP-q can be used as a reliable, concise, and clinically relevant research tool and may contribute to identifying relevant underlying mechanisms in different patient samples.

Transforming Health Psychology and Behavioral Medicine to Address the Climate Crisis: A Call for Strategic Research and Advocacy.

The climate crisis poses the largest threat to human health and survival and has been a public health emergency for many years. It is causing harmful consequences for physical and mental health and is amplifying existing health inequities. In this call to action, we highlight the relevance of the health psychology and behavioral medicine communities in addressing the health impacts of climate change. We identify mitigation and adaptation climate health behaviors and social changes needed that underlie the three essential objectives to address climate change and its associated health consequences: (a) rapid decarbonization, (b) drawdown of atmospheric heat-trapping gases (sequestration), and (c) adap- tation. To advance the behavioral and systemic changes necessary to protect health, we propose a 1-2-3 Transformational Model in which the larger field of health psychology and behavioral medicine promotes (1) One Health, human and planetary health by (2) targeting climate health behaviors, and (3) social change across major professional areas, including research, interventions, and education/advo- cacy. We urge the adoption of the social quantum change paradigm, a systems approach to understanding the process of social change, where systemic change is viewed as local to global, and the individual has an influential role. These shifts in views, priorities, and methods will bolster hope, collective efficacy, and action to support the next generation of health psychology and behavioral medicine profession- als. With these changes, the health psychology and behavioral medicine communities can have a more immediate and meaningful impact on the climate crisis and its associated health consequences.

Výsledky projektu DIPEX zaměřeného na Crohnovu nemoc a uclerózní kolitidu

Summary: Introduction: The paper reports on the project DIPEx, which has created the website www.hovoryozdravi.cz. The concept is based on the stories of patients themselves in different health conditions. The paper reports specifically on the part of the project devoted to IBD patients, the module “Crohn‘s disease and ulcerative colitis, as well as on the scientific results published in the framework of applied qualitative research in health psychology. Patients and methods: 36 patients, 19 with Crohn‘s disease and 17 with ulcerative colitis, were asked to tell their story with IBD and were also asked questions about health care, living with IBD, coping with the disease, etc. The Database of Personal Experiences of Health and Illness (DIPEx) methodology, developed in Oxford and standardized in the Czech Republic as an innovative qualitative research tool, was used. Results: Further elaboration of the participants‘ narratives also led to more in-depth analyses already published, namely: patients‘ expectations in the doctor–patient relationship and issues of intimacy and family planning. Conclusion: The website www.hovoryozdravi.cz is useful for patients, their loved ones, and also for teaching healthcare professionals. Qualitative research on the experiences of IBD patients is unique in its scope in the field of health psychology. Key words: Crohn‘s disease – ulcerative colitis – quality of life – health psychology – qualitative research – patients‘ experience

Enhancing health assessments with large language models: A methodological approach.

Health assessments have long been a significant research topic within the field of health psychology. By analyzing the results of subject scales, these assessments effectively evaluate physical and mental health status. Traditional methods, based on statistical analysis, are limited in accuracy due to their reliance on linear scoring methods. Meanwhile, machine learning approaches, despite their potential, have not been widely adopted due to their poor interpretability and dependence on large amounts of training data. Recently, large language models (LLMs) have gained widespread attention for their powerful natural language understanding capabilities, offering a viable solution to these issues. This study investigates the application of LLMs in enhancing physical and mental health assessments, introducing ScaleLLM. ScaleLLM employs language and knowledge alignment to turn LLMs into expert evaluators for health psychology scales. Experimental results indicate that ScaleLLM can improve the accuracy and interpretability of health assessments.

Nancy Elinor Adler (1946-2024).

Nancy was born in Manhattan in 1946. As a young girl, she was charmed by books about the teenage detective Nancy Drew and felt the books gave her an indelible enthusiasm for solving mysteries. Nancy graduated from Wellesley College (1968) and received her PhD from Harvard (1973) in social psychology. An APA Fellow, Nancy is one of the most cited scientists (top 0.1%) in the world (2022, Clarivate). She was a pioneer who shaped several key movements, including defining the field of Health Psychology, and deepening global recognition of social determinants of health. She won numerous honors and awards, including the David Rall Medal from the National Academy of Medicine. Nancy died at 77 at her home, on January 4, 2024, surrounded by loving family. The UCSF Center for Health and Community is establishing an annual Nancy Elinor Adler Endowed Lectureship Award for scholars who "illuminate the field of social and health disparities and conduct meaningful interventions. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

Family System and Gender as Predictors of Religious Coping in Pakistani Patients with Hepatitis C.

Pakistan has the second-largest number of HCV infections in the world with homogeneity across provinces and no evidence of decline over the past 30years (Mahmud et al. in BMC Infect Dis 19(1):1-11, 2019). Currently, one in every 20 Pakistanis is suffering from HCV (Haqqi et al. in Viral Immunol 32(9):402-413, 2019). The disease significantly interferes with the everyday life of the patient (Silberbogen et al. in Psychosomatics 50(2):114-122, 2009;Foster in Viral Hepat 16(9):605-611, 2009).The present research aimed to find the role of gender, family system, and social support in predicting coping in patients with hepatitis C (HCV). A sample of 100 HCV patients was taken using purposive sampling from different public and private hospitals in Lahore, Pakistan. For assessment, the Multidimensional Scale of Perceived Social Support and Brief Cope Inventory were used. Results showed that male hepatitis C patients used a higher level of religious coping. Hepatitis C patients living in a joint family system used a higher level of religious coping. It also showed that there was no significant relationship between social support and coping. Patients suffering from hepatitis C for 2years or more adopted avoidant coping strategies as compared to the patients diagnosed for 1year or more. This research has important implications for psychologists, paramedical staff, doctors, social workers, caregivers, peers, and families of patients suffering from HCV. It would help in formulating effective therapeutic interventions. It would also add to the literature in the field of health psychology.

Relationship of Sense of Coherence to Healthy Behavior in Taekwon-Do Athletes

This study aimed to examine the relationship between sense of coherence and the level of health behavior among men and women who train Taekwon-Do. The research encompassed 121 (69 men and 53 women) Taekwon-Do athletes. The gauging was conducted by means of standardized tools in the field of health psychology: the Questionnaire of Life Orientation, the Pain Strategies Questionnaire and the Health Behavior Inventory. The registered variables were subjected to typical descriptive analysis. Multiple regression analysis was performed. The adjustment of the regression model was checked by ANOVA. The co-dependency between the variables was defined as Pearson’s correlation coefficient. The level of statistical significance was established at p < 0.05. The results of the sense of coherence are higher for men (36.83 ± 12.45) than women (33.17 ± 10.60). Diverting attention away from feelings and thoughts of pain is strongly correlated with reinterpreting pain sensations (r = 0.75) and is moderately correlated with the behavioral strategy as well as increased behavioral activity (r = 0.46). Constructive mobilization under pressure shows compatibility with resourcefulness (r = 0.44), comprehensibility (r = 0.39) and meaningfulness (r = 0.46). Sex differentiates the intensity of constructive mobilization to act under the impact of stress according to the subjective evaluation of both male and female Taekwon-Do fighters. The intensity of healthy behavior amongst women and men who practice Taekwon-Do differs. In the case of women, the value of the global indicator of healthy behavior was higher than in the case of men. This strategy defined as catastrophizing turned out to be commensurate in a negative way with all the three elements of the sense of coherence. Catastrophizing correlates negatively with the intensity of constructive mobilization for action under stress.

The Yale Roadmap for Health Psychology and Integrated Cardiovascular Care.

Cardiovascular disease remains the leading cause of morbidity and mortality in industrialized nations. Many patients living with chronic cardiovascular disease suffer from complex multimorbidities requiring high-intensity care and behavioral risk factor management, and about a third copresent with a mental health disorder. These comanifestations are extremely taxing for patients and our health care system, complicate treatment, and increase the risk of adverse health outcomes. Health psychology emerged in response to a need for specialists who could design, deliver, and test evidence-based approaches to manage behavioral risk factors and the mental health burden of chronic diseases. We aimed to conduct a state-of-the-art review as to how health psychology emerged as a key specialty in delivering integrated care for cardiovascular populations, and to review challenges and opportunities that lie ahead of further integration of the specialty for integrated cardiovascular care. As our health care system embraces more patient-centered care and big data science to detect at-risk patients and predict outcomes, health psychologists should be at the forefront to apply their expertise and demonstrate their value in designing and applying intervention models to improve outcomes. We first review challenges, then illustrate this framework using the Wagner chronic care model, present business case considerations, and conclude with an action agenda to promote the integration of health psychology as a cotreating specialty into cardiovascular care. To provide direction for this undertaking, we present a roadmap for the field of health psychology to sustainably extend existing holistic, integrated approaches in cardiovascular care. To lessen the burden and improve outcomes in cardiovascular disease, care must shift away from siloed delivery models that are focused on traditional atherosclerotic risk factors to holistic, integrated approaches that address biological, psychological, social, and behavioral factors relevant to cardiovascular disease. Using the presented roadmap, health psychology can play a major role to address these needs of integrated cardiovascular care. (PsycInfo Database Record (c) 2022 APA, all rights reserved).

From psychosomatic medicine to medical psychology: the theoretical and institutional trajectory of Julio de Mello Filho

Studies on the causality of pathologies and the doctor/patient relationship based on psychoanalytic formulations received two denominations in Brazil: psychosomatic medicine and medical psychology. The physician and psychoanalyst Julio de Mello Filho took a leading role in this movement after the psychiatrist and psychoanalyst Danillo Perestrello was incapacitated by illness. This study investigates how the theoretical concepts of the psychosomatic movement were structured and the institutional strategies used to establish this discipline in Brazil. From an epistemological and historical point of view, the initial notion of transforming the hegemonic medical model was seen to lose force, followed by a shift in medical psychology as a field of health psychology.

Health Psychology's 40th anniversary.

This special issue of Health Psychology marks the conclusion of the journal's 40th volume. George C. Stone founded Health Psychology in 1982 and served as our first Editor-in-Chief. He was also an accomplished behavioral scientist and the founder in 1975 of America's first academic department of health psychology at the University of California at San Francisco. Many of us believe that health psychology is fundamentally an applied science, that the principal value of basic biopsychosocial research resides in its translational potential, and that we have to be a "solution-oriented" branch of science (Watts, 2017) in order to meet critical societal needs. By extension, we believe that health psychology and health psychologists have vital roles to play in the promotion of physical health, the prevention of medical illness, and the care of medically ill patients. Accordingly, we hope that rigorous research on prevention and intervention will comprise a substantially larger percentage of the next 40 volumes of Health Psychology. May George Stone's activism and vision continue to inspire us in our efforts to move from ideas to efficacy and to advance both the field of health psychology and its flagship journal. (PsycInfo Database Record (c) 2022 APA, all rights reserved).

Impact of preoperative surgical anxiety on postoperative surgical recovery among surgical patients: role of surgical coping

Objective: The present study examined the moderating impact of surgical coping in the relationship between pre-operative surgical anxiety and post-operative surgical recovery in surgical patients. Methods: The study was carried out in surgical departments of various hospitals situated in different areas of Province of the Punjab including Allied Hospital Faisalabad, DHQ Teaching Hospital Sargodha, Jinnah Hospital Lahore and Margalla Institute of Health Sciences Rawalpindi over the period of one-year May 1, 2018 to May 1, 2019. It was a descriptive research based on survey research design A purposive sample of pre-operative and post-operative surgical patients (N = 200) from Amsterdam Pre-operative Anxiety and Information Scale1, Surgical Recovery Scale2, and Coping with Surgical Stress Scale3 were used to collect information on study variables. Moderation analysis applied through PROCESS Marco 3.2. Results: Findings revealed that only two coping strategies including threat avoidance (p<.001) and information seeking (p<.001) moderated the relationship between surgical anxiety and surgical recovery of surgical patients. Conclusion: The study shed light on the importance of educating surgical patients regarding the use of appropriate coping strategies for their prompt recovery from surgery. The study has applied significance in the field of health psychology in general and for surgical patients in particular. Keywords: Surgical anxiety, surgical recovery, coping, threat avoidance, information seeking. Continuous...

The sense of coherence and sense of satisfaction with life in patients hospitalized in Polish and Irish surgical departments.

The concept of the sense of coherence (SOC) - the global orientation of life, created by Aaron Antonovsky - is increasingly popular. This study within the field of health psychology examines the situation of patients awaiting surgery in Poland and Ireland. To investigate the relationship between the strength of the SOC and its components (comprehensibility, manageability and meaningfulness) and the level of satisfaction with life (SWL) of patients hospitalized in surgical departments in hospitals in Poland and Ireland. The research was conducted in a group of 60 surgical patients, including 30 hospitalized in Poland and 30 in Ireland. The tools utilized were the Sense of Coherence Questionnaire for Adults SOC-29 and the Satisfaction with Life Scale (SWLS). Polish versions of both questionnaires were also used. We obtained the following results:- for comprehensibility: in patients undergoing surgery in hospitals in Poland, the mean (M) = 46.3, standard deviation (SD) = 9.8, minimum value (Min) = 28, and maximum value (Max) = 63; in Irish patients, M = 50.8, SD = 9.2,Min = 33, and Max = 71;- for manageability: in patients undergoing surgery in hospitals in Poland, the M = 49.7, SD = 5.07, Min = 37, and Max = 58; in Irish patients, M = 49.3 SD = 6.39, Min = 38, and Max = 63;- for meaningfulness: in patients undergoing surgery in hospitals in Poland, M = 45.5, SD = 4.24, Min = 37, and Max = 54; in Irish patients, M = 44.9 SD = 5.74, Min = 34, and Max = 56. The results of the study confirmed the assumption that a general SOC correlates with SWL. However, they did not confirm the hypothesis that differences in the strength of patients' SOC, its components and their level of SWL depend on the country of hospitalization.

Evaluation of Kyphosis in Mazandaran University of Science and Technology students and its relation to psychological factors

Nowadays a large and growing field of health psychology, researchers do point out, any logical reason for the establishment of a psychosomatic patient. This study examined the Evaluation of Kyphosis in Mazandaran University of Science and Technology students and its relation to psychological factors. The method used in this research is descriptive correlation method is implemented. Population study of boys and girls were 56 (31 boys and 25 girls) and who had kyphosis has voluntarily participated in this study. The spinal mouse was used to measure the kyphosis angle and for its assessment of the patient's spine-concept, depression and anxiety are better examples of MMPI-2RF questionnaire (Reconstruction form of Minnesota Multidimensional Personality Questionnaire) (α=0.84), test Beck Depression Inventory (α=0.85), and test anxiety or Spielberger's (α=0.87), were used. The results showed that using the Pearson correlation coefficient between self-concept (r=0.52; P=0.13), depression (r=0.54; P=0.41), and anxiety (r=0.34; P=0.28), and no significant correlation with kyphosis (p<0.05). The results showed that the student alone kyphosis indicative of anxiety, depression and self-concept is not sick but creates kyphosis is related to other social and environmental factor. The results showed that in patients with kyphosis alone is not an indication of mental disorders but should be considered in the treatment of patients with these abnormalities to psychological factors.

SOCIAL-COGNITIVE FACTORS OF HEALTH CARE: INTENTION TO EXERCISE AS A START TO A HEALTHY LIFESTYLE / ԱՌՈՂՋՈՒԹՅԱՆ ՊԱՀՊԱՆՄԱՆ ՍՈՑԻԱԼ-ԿՈԳՆԻՏԻՎ ԳՈՐԾՈՆՆԵՐԸ. ՄԱՐԶՎԵԼՈՒ ՄՏԱԴՐՈՒԹՅՈՒՆԸ՝ ՈՐՊԵՍ ԱՌՈՂՋ ԱՊՐԵԼԱԿԵՐՊԻ ՄԵԿՆԱՐԿ

The article presents research data from the study of the regulation of healthbehaviors. The aim is to show how self-regulation, social-cognitive factors, in particular, how the intentions to healthy eating, quit smoking and exercise are interconnected and how it is possible to form a healthy lifestyle, taking into account that interconnection. The article discusses the health behavior studied in the field of health psychology - one of the modern fields of psychology, and within the framework of the presented study, the health significance and analysis of three behaviors: healthy eating, smoking cessation, and exercise. The research was conducted by questionnaire-testing methods, an authorial questionnaire was developed and used to study the intentions of the mentioned behaviors and social-cognitive factors. According to the results, exercise intentions are correlated with healthy eating and smoking cessation intentions, which are revealed by correlation analysis. The results of the study suggest that the formation of exercise intentions, respectively, the regulation of exercise behavior through the internal, cognitive factors of a person can play a significant role in the development of a healthy lifestyle.

Psihološke grupe podrške za pacijente na hospitalnom tretmanu na Odeljenju za radioterapiju

Introduction/Aim: Research has shown that psychosocial support activates patients' resources and provides a better quality of life to oncology patients who struggle with the disease and side-effects of the therapy. The aim of this study was to examine whether connecting hospitalized patients based on a similar emotional experience during treatment could help them in coping and accepting the treatment. Methods: In September 2019, we began the program of psychological support groups with patients at the Department of Radiotherapy of the Institute of Oncology, Clinical Center of Montenegro. While designing the content of the workshops, we used our own knowledge in the field of health psychology, applied psychological techniques and psychotherapy, and placed special emphasis on mindfulness or full awareness. Our sample consisted of 58 workshop participants, 36 were women and 22 were men. The workshops consisted of 7 segments and they were organized once in a month during six months and lasted 1 hour and 30 minutes. Results: Qualitative analysis of the content of the workshops and subsequent monitoring of patients who went through them shows that organizing support groups has its meaning and purpose and many benefits, primarily in the field of accepting the illness, overcoming emotional blockages, strengthening self-capacity and focusing on other life circumstances, besides their disease. Conclusion: It is necessary to organize this type of workshops for patients who are treated on an outpatient basis, as well as to introduce new segments in the content of the workshops.

Big Five Personality Traits, Coping Strategies and Compulsive Buying in Spanish University Students.

Personality traits and coping strategies have historically been two key elements in the field of health psychology. It is, therefore, striking that there is no study in the field of compulsive buying that integrates the most generic, decontextualized and stable aspects (traits) with those having a more marked processual and dynamic nature, which are closer to goal-based views of human nature (coping strategies). Another weakness of the compulsive buying field is that, despite the confirmed growing increase in compulsive buying in the younger age groups, most studies have been conducted with adult samples. Hence, this study seeks to clarify the role of the Big Five domains and different coping strategies in university students’ compulsive buying. The sample consisted of 1093 participants who were classified as either compulsive buyers or non-compulsive buyers. Both groups were compared regarding sociodemographic variables (gender, age), the Big Five personality traits, and coping strategies through chi-square tests or Student’s t-tests. Besides, a multivariate logistic regression analysis was conducted to determine which of these determinants might play a part in the construction of a risk profile for compulsive buying. The results showed that other than gender (specifically being female), Neuroticism and the use of such coping strategies as problem avoidance and wishful thinking are risk factors that increase the propensity for compulsive buying. The use of active coping strategies such as problem solving, cognitive restructuring and social support, as well as the Conscientiousness dimension are protection factors that decrease the likelihood of becoming a compulsive buyer. Finally, and on the basis of the findings obtained, possible guidelines are given, which, hopefully, may effectively contribute to the prevention of and/or intervention in compulsive buying among young adults.

A Conceptual Model of Long-Term Weight Loss Maintenance: The Importance of Cognitive, Empirical and Computational Approaches

Living with obesity is related to numerous negative health outcomes, including various cancers, type II diabetes, and cardiovascular disease. Although much is known about the factors associated with obesity, and a range of weight loss interventions have been established, changing health-related behaviours to positively affect obesity outcomes has proven difficult. In this paper, we first draw together major factors that have emerged within the literature on weight loss to describe a new conceptual framework of long-term weight loss maintenance. Key to this framework is the suggestion that increased positive social support influences a reduction in psychosocial stress, and that this has the effect of promoting better executive functioning which in turn facilitates the development of healthy habits and the breaking of unhealthy habits, leading to improved ongoing maintenance of weight loss. We then outline how the use of computational approaches are an essential next step, to more rigorously test conceptual frameworks, such as the one we propose, and the benefits that a mixture of conceptual, empirical and computational approaches offer to the field of health psychology.

Type D Personality and Its Relationship with Perceived Stress Among Women with Breast Cancer Attending a Referral Center in Northern Iran in 2017

Background: The impact of personality traits such as type D personality on the development of psychosomatic illnesses such as cancer has been found by many researchers in the field of health psychology. Objectives: The purpose of this study was to investigate the status of the type D personality trait and its relationship with perceived stress among women with breast cancer. Methods: This cross-sectional study enrolled 120 cancer patients during 2017. After applying the inclusion and exclusion criteria and obtaining informed consent, the patients were selected using the convenience sampling method and evaluated by the Type D Personality Scale (DS14) and Perceived Stress Scale (PSS). Results: In this study, 69.2% of the patients obtained a score of ≥ 29 in the DS14 questionnaire. Correlation analysis between the components of DS14 and the final score of PSS showed that both social inhibition and negative affectivity had direct correlations with perceived stress (r = 0.35 and r = 0.6, respectively; P < 0.001). Conclusions: One of the most important results of this study was a relatively high score of type D personality among patients with breast cancer and the high contribution of negative affectivity to the perceived stress by patients with this type of personality. The particular status of type D personality traits among cancer patients can be used to design psychotherapy programs for them to prevent disease progression.