Yetişir Ayşegül, Sariyildiz Aylin, Coskun Benlidayi Ilke, Özbek Süleyman
Division of Rheumatology, Department of Physical Medicine and Rehabilitation, Faculty of Medicine, Cukurova University, Adana, Turkey.
Department of Physical Medicine and Rehabilitation, Faculty of Medicine, Cukurova University, Adana, Turkey.
Clin Rheumatol. 2025 Mar;44(3):1163-1171. doi: 10.1007/s10067-025-07312-3. Epub 2025 Jan 30.
To evaluate the presence of type D personality and its association with metabolic syndrome (MetS), cardiovascular disease risk, and level of exercise in patients with psoriatic arthritis (PsA).
This cross-sectional study included patients with PsA (n = 84) and healthy controls (n = 74). Sociodemographic data, laboratory parameters, and disease-related parameters were recorded. We evaluated the presence of type D personality with the total 14 items of the type D Personality Scale, the Framingham Risk Score (FRS) indicating 10-year cardiovascular disease risk as low, moderate, and high, the presence of MetS, and physical activity levels by the International Physical Activity Questionnaire-Short Form (IPAQ-SF).
The median age of patients with PsA was 53.5 (17) years, 73.8% were female, and the disease duration was 7 (12) years. Compared to controls, patients with PsA exhibited higher FRS and increased frequency of MetS, type D personality, and its domains (social inhibition and negative affectivity) (p < 0.05 for all). Patients with type D personality had even a higher frequency of MetS and lower levels of moderate-intensity exercise than those without type D personality (p = 0.020 and p = 0.027). Patients with social inhibition had higher FRS, a higher frequency of MetS, and lower levels of moderate-intensity exercise (p < 0.05 for all) compared to those without social inhibition. MetS showed a significant positive correlation with social inhibition, waist circumference, and FRS (Spearman's rho were 0.244, 0.444, and 0.555, respectively), and a negative correlation with IPAQ-SF total metabolic equivalent (Spearman's rho was -0.214).
Patients with type D personality and social inhibition had a higher frequency of MetS and low levels of moderate-intensity exercise, whereas patients with social inhibition had a higher FRS. It is essential to assess PsA patients' cardiac risk factors, type D personality, and social inhibition, as well as provide exercise advice. Key Points •Psoriatic arthritis (PsA) is a prevelant rheumatologic disease that is frequently accompanied by comorbidities such as metabolic syndrome (MetS) and cardiovascular disease (CVD). •It is crucial to evaluate patients with PsA for CVD risk factors. •Patients with type D personality demonstrate lower engagement in moderate-intensity exercise and a higher frequency of MetS. Socially inhibited PsA patients showed elevated Framingham Risk Scores and MetS rates, as well as reduced levels of moderate-intensity exercise. •Beyond assessing cardiac risk factors, it is important to assess personality traits and offer tailored exercise recommendations for comprehensive PsA management.
评估银屑病关节炎（PsA）患者中D型人格的存在情况及其与代谢综合征（MetS）、心血管疾病风险和运动水平的关联。
这项横断面研究纳入了PsA患者（n = 84）和健康对照者（n = 74）。记录了社会人口统计学数据、实验室参数和疾病相关参数。我们使用D型人格量表的全部14项评估D型人格的存在情况，用弗明汉风险评分（FRS）表明10年心血管疾病风险为低、中、高，评估MetS的存在情况，并通过国际体力活动问卷简表（IPAQ-SF）评估身体活动水平。
PsA患者的中位年龄为53.5（17）岁，73.8%为女性，病程为7（12）年。与对照组相比，PsA患者表现出更高的FRS以及MetS、D型人格及其维度（社交抑制和消极情感）的频率增加（所有p < 0.05）。与没有D型人格的患者相比，D型人格患者的MetS频率更高，中等强度运动水平更低（p = 0.020和p = 0.027）。与没有社交抑制的患者相比，有社交抑制的患者FRS更高，MetS频率更高，中等强度运动水平更低（所有p < 0.05）。MetS与社交抑制、腰围和FRS呈显著正相关（斯皮尔曼相关系数分别为0.244、0.444和0.555），与IPAQ-SF总代谢当量呈负相关（斯皮尔曼相关系数为 -0.214）。
有D型人格和社交抑制的患者MetS频率更高，中等强度运动水平低，而有社交抑制的患者FRS更高。评估PsA患者的心脏危险因素、D型人格和社交抑制，并提供运动建议至关重要。要点•银屑病关节炎（PsA）是一种常见的风湿性疾病，常伴有代谢综合征（MetS）和心血管疾病（CVD）等合并症。•评估PsA患者的CVD危险因素至关重要。•D型人格患者进行中等强度运动的参与度较低，MetS频率较高。有社交抑制的PsA患者的弗明汉风险评分和MetS发生率升高，中等强度运动水平降低。•除了评估心脏危险因素外，评估人格特质并提供量身定制的运动建议对于PsA的全面管理也很重要。
