ArticleRheumatology (Oxford, England)2025
Association of physicians' Big Five personality traits with shared decision-making in patients with SLE.
Article in Rheumatology (Oxford, England), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.
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2 citing papers in PubMed.
- The impact of shared decision-making on quality of life in systemic lupus erythematosus practice: findings from the TRUMPFrontiers in immunology · 2026Observational
- Treatment Preferences of Neurologists in Generalized Myasthenia Gravis: A Conjoint Analysis Study.Neurology and therapy · 2025Article
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19 authors.
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Abstract
objectivesRecent European League Against Rheumatism guidelines highlight the importance of shared decision-making (SDM) in SLE treatment. This study investigated the relationship between physicians' personality traits and patient-rated SDM.
methodsUsing baseline data from the Trust Measurements for Physicians and Patients with SLE (TRUM2-SLE) study, physicians' personality traits were assessed by the Japanese version of the 10-Item Personality Inventory (TIPI-J) scale (scores of 1-7 points each), while SDM was evaluated using the patient-reported nine-item SDM Questionnaire (SDM-Q-9) scale (total 0-100 points). Linear mixed-effects models with cluster-robust variance estimation analysed the association between TIPI-J scores and SDM-Q-9 scores. A cluster analysis was also performed to group physicians based on personality patterns, and the association between these clusters and SDM-Q-9 was evaluated.
resultsAmong 493 patients, the median SDM-Q-9 score was 75.6. Among 43 physicians, the median TIPI-J scores were as follows: extraversion, 4.0; agreeableness, 5.0; conscientiousness, 3.0; neuroticism, 3.5 and openness, 4.0. Conscientiousness (β = -1.67; 95% CI, -3.02 to -0.33) and neuroticism (β = -2.06; 95% CI -4.08 to -0.04) correlated negatively with SDM-Q-9 scores. A clustering analysis identified three physician groups; those in Cluster 2, characterized by low conscientiousness and neuroticism and labelled 'lower perfectionism', had significantly higher SDM-Q-9 scores than those in Clusters 1 and 3.
conclusionA physician's perfectionist tendencies may be a barrier to the SDM process with patients.
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