Key result
Type D personality linked to ~287% higher odds of cardiac rehabilitation drop-out.
Why the study?
Does Type D personality increase the drop-out rate from short-term cardiac rehabilitation in patients with coronary artery disease?
Cohort (n=63)
No
Does Type D personality increase the drop-out rate from short-term cardiac rehabilitation in patients with coronary artery disease?
Odds Ratio: 3.87 (95% CI 1.2–12.53)
Absolute Event Rate: 76.2% vs 47.6%
p-value: p=0.024
Type D personality is an independent predictor of drop-out from short-term cardiac rehabilitation programs and is associated with higher anxiety and depression in patients with acute coronary syndrome.
May warrant screening for Type D personality to improve cardiac rehab completion; hypothesis-generating observational association requiring prospective confirmation.
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.
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Lee et al. (2018) conducted a cohort in Coronary artery disease (n=63). Type D personality vs. Non-type D personality was evaluated on Cardiac rehabilitation drop-out rate (OR 3.87, 95% CI 1.20-12.53, p=0.024). Type D personality was independently associated with a significantly higher drop-out rate from a 6-week cardiac rehabilitation program compared to non-type D personality (OR 3.87).
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