ArticleInternational journal of behavioral medicine2014
Type D personality predicts poor medication adherence in patients with heart failure in the USA.
Article in International journal of behavioral medicine, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.
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Who cites it
14 citing papers in PubMed.
- Type D personality, self-efficacy, and medication adherence in patients with heart failure-A mediation analysis.Heart & lung : the journal of critical careTrial
- Type A and Type D Personality in Cardiovascular Health: A Narrative Review.Healthcare (Basel, Switzerland) · 2026Review
- Impact of Patient Personality on Adherence to Oral Anticancer Medications: An Opportunity?JMIR cancer · 2024Article
- The Influence of Personality Type D on Cardiovascular Prognosis in Patients After Coronary Artery Bypass Grafting: Data from a 5-Year-Follow-up Study.International journal of behavioral medicine · 2022Article
- Using Methods From Computational Decision-making to Predict Nonadherence to Fitness Goals: Protocol for an Observational Study.JMIR research protocols · 2021Article
- Psychosocial phenotyping as a personalization strategy for chronic disease self-management interventions.American journal of translational research · 2021Article
- Personality traits and preventive cancer screenings in the Health Retirement Study.Preventive medicine · 2019Article
- Observational
- Type D personality negatively associated with self-care in Chinese heart failure patients.Journal of geriatric cardiology : JGC · 2016Article
- Type D Personality Predicts Poor Medication Adherence in Chinese Patients with Type 2 Diabetes Mellitus: A Six-Month Follow-Up Study.PloS one · 2016Article
- Article
- Type D personality, mental distress, social support and health-related quality of life in coronary artery disease patients with heart failure: a longitudinal observational study.Health and quality of life outcomes · 2015Observational
- Type-d personality can predict suicidality in patients with major depressive disorder.Psychiatry investigation · 2014Article
- Medication Adherence Mediates the Relationship Between Heart Failure Symptoms and Cardiac Event-Free Survival in Patients With Heart Failure.The Journal of cardiovascular nursingArticle
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Authors and funding
2 authors.
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Abstract
backgroundType D (distressed) personality and medication nonadherence have been associated with poor health outcomes. Type D personality is associated with poor medication adherence in patients with coronary artery disease. However, the relationship between type D personality and medication adherence in patients with heart failure (HF) remains unknown. PURPOSE: Therefore, the goal of this study was to examine the association between type D personality and medication adherence in patients with HF.
methodThis was a sub-analysis of baseline data from a randomized controlled trial with 84 patients with HF in the USA. Demographic, clinical, and psychological data were collected at baseline by interview, questionnaires, and medical record review. Type D personality was assessed using the Type D Personality Scale (DS14). Medication adherence was measured using both objective (Medication Event Monitoring System, MEMS) and self-reported (Morisky Medication Adherence Scale, MMAS-4) measures. Patients started medication adherence monitoring with the MEMS bottle at baseline and is used continuously for a month. Multiple regressions were used to explore the relationships between type D personality and medication adherence while adjusting for demographic, clinical, and psychological factors.
resultsPatients with type D personality were more likely to have poor medication adherence. Type D personality was associated with medication adherence before and after adjusting for covariates when it was analyzed as a categorical variable. However, type D personality was not associated with medication adherence when analyzed as a dimensional construct. Negative affectivity, a component of type D personality, was associated with medication adherence.
conclusionAs a dimensional construct, type D personality may not reflect the components of the personality associated with poor outcomes. Negative affectivity was associated with medication adherence in patients with HF. Interventions aiming to improving/enhancing medication adherence need to take into account patients with the negative affectivity component of type D personality who are at higher risk for poor medication adherence, which may lead to adverse health outcomes.
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