|
KMID : 1140920180420050748
|
|
Annals of Rehabilitation Medicine
2018 Volume.42 No. 5 p.748 ~ p.757
|
|
|
Effect of Type D Personality on Short-Term Cardiac Rehabilitation in Patients With Coronary Artery Disease
|
|
Lee Sang-Jae
Koh Sung-Hoon
Kim Byung-Ok
Kim Bong-Seog
Kim Chul
|
|
|
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.
|
|
|
KEYWORD
|
|
|
Cardiac rehabilitation, Coronary artery disease, Exercise test, Type D personality
|
|
|
FullTexts / Linksout information
|
|
|
|
|
|
Listed journal information
|
|
  
|