ArticleERJ open research2026
Impact of type D personality on bilevel positive airway pressure compliance and side-effects in sleep apnoea patients.
Article in ERJ open research, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Background: Type D personality, characterised by social inhibition and negative affectivity, has been linked to lower compliance with continuous positive airway pressure (CPAP) and mandibular advancement device treatment, and increased side-effects in obstructive sleep apnoea (OSA) patients. Bilevel positive airway pressure (BiPAP) is often prescribed as an alternative when CPAP is poorly tolerated. However, the influence of type D personality on BiPAP compliance and related side-effects has not been studied. Regarding overall treatment success, mean disease alleviation (MDA) must also be considered. Methods: An observational cohort study was conducted in 365 adult patients with OSA or central sleep apnoea who received BiPAP therapy. Type D personality was assessed using the 14-item Type D Scale questionnaire. Data were collected from medical patient records. Compliant users were defined as patients using the device for ≥4 h·night Results: The cohort included 291 men and 74 women (mean±sd age 56±12 years, median body mass index 32.0 (interquartile range (IQR) 28.7-36.7) kg·m Conclusion: In conclusion, type D personality significantly lowers BiPAP compliance and increases occurrence of side-effects.
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