Effect of Type D Personality on Short-Term Cardiac Rehabilitation in Patients With Coronary Artery Disease.
10.5535/arm.2018.42.5.748
- Author:
Sang Jae LEE
1
;
Sunghoon KOH
;
Byung Ok KIM
;
Bongseog KIM
;
Chul KIM
Author Information
1. Department of Rehabilitation Medicine, Inje University Sanggye Paik Hospital, Seoul, Korea. ckim@paik.ac.kr
- Publication Type:Original Article
- Keywords:
Cardiac rehabilitation;
Coronary artery disease;
Exercise test;
Type D personality
- MeSH:
Acute Coronary Syndrome;
Anxiety;
Body Mass Index;
Coronary Artery Disease*;
Coronary Vessels*;
Depression;
Exercise Test;
Humans;
Logistic Models;
Percutaneous Coronary Intervention;
Rehabilitation*;
Type D Personality*
- From:Annals of Rehabilitation Medicine
2018;42(5):748-757
- CountryRepublic of Korea
- Language:English
-
Abstract:
OBJECTIVE: To investigate the effect of type D personality on cardiac rehabilitation (CR) participation rates and the effect of a short-term CR program. METHODS: Study participants included patients diagnosed with acute coronary syndrome who underwent percutaneous coronary intervention. Patients completed the Type D personality Scale (DS-14) and the Hospital Anxiety and Depression Scale (HADS) at program entry. Subjects were recommended participation in 6 weeks of CR exercise training. Cardiopulmonary exercise test (CPET) was conducted before and after completion of the training. CR participation refers to completion of the 6-week CR exercise program and performance of the secondary CPET. Drop-out refers to the subjects who were unable to participate in the 6-week CR exercise program or to perform the secondary CPET. RESULTS: At baseline, type D personality was evident in 21 of 63 patients (33.3%). Type D patients were more often depressed (57.1%) and anxious (38.1%) than non-type D patients (31.0% and 9.5%, respectively). At baseline, participants with type D personality showed a decreased body mass index (24.6 vs. 26.1 kg/m², p=0.025). The type D group displayed a lower CR participation rate (5/21, 23.8%) compared with the non-type D group of (22/42, 52.4%). Logistic regression analysis revealed the association of type D personality with CR drop-out rate (odds ratio=3.87; 95% confidence interval, 1.2–12.5; p < 0.05). CONCLUSION: Type D personality was independently associated with drop-out from CR program and with significantly higher levels of anxiety and depressive mood.
