Lee Sang Jae, Koh Sunghoon, Kim Byung Ok, Kim Bongseog, Kim Chul
Department of Rehabilitation Medicine, Inje University Sanggye Paik Hospital, Seoul, Korea.
Department of Internal Medicine, Inje University Sanggye Paik Hospital, Seoul, Korea.
Ann Rehabil Med. 2018 Oct;42(5):748-757. doi: 10.5535/arm.2018.42.5.748. Epub 2018 Oct 31.
To investigate the effect of type D personality on cardiac rehabilitation (CR) participation rates and the effect of a short-term CR program.
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.
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).
Type D personality was independently associated with drop-out from CR program and with significantly higher levels of anxiety and depressive mood.
探讨D型人格对心脏康复（CR）参与率的影响以及短期CR计划的效果。
研究参与者包括接受经皮冠状动脉介入治疗的急性冠状动脉综合征患者。患者在项目开始时完成D型人格量表（DS-14）和医院焦虑抑郁量表（HADS）。建议受试者参加为期6周的CR运动训练。在训练前后进行心肺运动试验（CPET）。CR参与是指完成6周的CR运动计划并进行二次CPET。退出是指无法参加6周CR运动计划或无法进行二次CPET的受试者。
基线时，63例患者中有21例（33.3%）表现为D型人格。与非D型患者（分别为31.0%和9.5%）相比，D型患者更常出现抑郁（57.1%）和焦虑（38.1%）。基线时，D型人格参与者的体重指数降低（24.6 vs. 26.1 kg/m²，p=0.025）。与非D型组（22/42，52.4%）相比，D型组的CR参与率较低（5/21，23.8%）。逻辑回归分析显示D型人格与CR退出率相关（比值比=3.87；95%置信区间，1.2 - 12.5；p<0.05）。
D型人格与CR计划退出独立相关，且焦虑和抑郁情绪水平显著更高。
