Bahrami Mahnaz, Ahrari Shahnaz, Mirshahi Arvin, Asl Mobin Soleimanian, Esmaeelzadeh Mohammad
Nursing and Midwifery School Birjand University of Medical Sciences Birjand Iran.
Cardiovascular Diseases Research Center Birjand University of Medical Sciences Birjand Iran.
Health Sci Rep. 2025 Jun 11;8(6):e70902. doi: 10.1002/hsr2.70902. eCollection 2025 Jun.
Coronary artery disease is one of the chronic diseases that contribute to a significant number of deaths worldwide. The prevention and management of coronary artery diseases are greatly influenced by the lifestyle of patients suffering from these disorders. On the contrary, as the personality types of individuals have the potential to influence lifestyle modifications, this study was conducted to ascertain the relationship between type D personality characteristics and self-efficacy in patients with coronary artery disease with type A personality.
This Cross-sectional Descriptive Study was conducted among 150 Patients diagnosed with coronary artery disease with type A personality. The data collection tools Included items on demographics, Friedman-Rosenman Personality types questionnaire, Persian version of the type D personality scale and self-efficacy scale. Data were analyzed using descriptive and inferential statistics (multiple linear regression analysis and Spearman Correlational Test). The data analysis was conducted using the 16th edition of the Statistical Product and Service Solutions (SPSS).
Most of participants were male (57.4%), and the average age was 59.12 ± 11.83 years. The analysis showed lower self-efficacy significantly correlates with type D personality characteristics ( < 0.001, = -0.367). According to the linear regression test, if other variables are held constant, for a one-unit increase in the type D personality characteristics score, the self-efficacy score decreases by 0.293 ( = 0.19, < 0.001).
It is crucial to offer training that focuses on boosting self-efficacy in individuals diagnosed with coronary artery disease who exhibit traits of type A and type D personalities.
冠状动脉疾病是导致全球大量死亡的慢性疾病之一。冠状动脉疾病的预防和管理受到患有这些疾病患者生活方式的极大影响。相反，由于个体的性格类型有可能影响生活方式的改变，本研究旨在确定A型人格的冠状动脉疾病患者中D型人格特征与自我效能之间的关系。
本横断面描述性研究在150名被诊断为A型人格的冠状动脉疾病患者中进行。数据收集工具包括人口统计学项目、弗里德曼-罗森曼人格类型问卷、D型人格量表波斯语版和自我效能量表。使用描述性和推断性统计（多元线性回归分析和斯皮尔曼相关性检验）对数据进行分析。数据分析使用第16版统计产品与服务解决方案（SPSS）进行。
大多数参与者为男性（57.4%），平均年龄为59.12±11.83岁。分析表明，较低的自我效能与D型人格特征显著相关（<0.001，=-0.367）。根据线性回归测试，如果其他变量保持不变，D型人格特征得分每增加一个单位，自我效能得分就会降低0.293（=0.19，<0.001）。
对于被诊断为患有冠状动脉疾病且表现出A型和D型人格特征的个体，提供专注于提高自我效能的培训至关重要。
