系统性硬化症患者中D型人格类型及其与心血管风险和疾病相关参数的关联评估。
Evaluation of the type D personality and its association with cardiovascular risk and disease-related parameters in patients with systemic sclerosis.
作者信息
Yetişir Ayşegül, Deniz Volkan, Varkal Gizem, Türk İpek, Sariyildiz Aylin
机构信息
Division of Rheumatology, Department of Physical Medicine and Rehabilitation, Faculty of Medicine, Cukurova University, Adana, Türkiye.
Department of Physiotherapy and Rehabilitation, Faculty of Health Sciences, Tarsus University, Mersin, Türkiye.
出版信息
J Scleroderma Relat Disord. 2025 Aug 8:23971983251362595. doi: 10.1177/23971983251362595.
OBJECTIVE
The objective of the study was to assess the type D personality, social inhibition, and negative affectivity and their association with cardiovascular risk and disease-related parameters in patients with systemic sclerosis.
MATERIALS AND METHODS
This cross-sectional study included patients with systemic sclerosis (n = 84) and controls (n = 74). We recorded the sociodemographic parameters, blood pressure (mmHg), and laboratory parameters (mg/dL) of the study groups, as well as disease-related parameters in patients with systemic sclerosis, along with the modified Rodnan skin score. The type D Scale-14 for type D personality (social inhibition and negative affectivity) and the Framingham risk score for 10-year cardiovascular disease risk to the study groups were administered.
RESULTS
The mean age, type D Scale-14 total score, Framingham risk score, and median total modified Rodnan skin score were 55.7 ± 11.6 years, 28.2 ± 13.6, 9.1± 8.1, and 17.5 (13), respectively, in patients with systemic sclerosis. The frequency of type D personality, social inhibition, and negative affectivity was higher in patients than in controls, at 59.5% vs 14.9%, 65.5% vs 23%, and 78.6% vs 32.4%, respectively (p < 0.001 for all). The median Framingham risk score was statistically similar for patients, controls, and patients with and without type D personality (p > 0.05 for all). Compared to those without social inhibition, patients with social inhibition had higher total modified Rodnan skin scores (p = 0.011). Social inhibition exhibited a weakly positive correlation with the total modified Rodnan skin score (Spearman's ρ = 0.223), yet regression analysis did not achieve significance.
CONCLUSIONS
More than half of patients with systemic sclerosis display type D personality traits. Patients with serious skin fibrosis experience more social inhibition, so it is important to provide psychological and social support to them.
目的
本研究旨在评估系统性硬化症患者的D型人格、社交抑制和消极情感性，以及它们与心血管风险和疾病相关参数之间的关联。
材料与方法
这项横断面研究纳入了系统性硬化症患者（n = 84）和对照组（n = 74）。我们记录了研究组的社会人口学参数、血压（mmHg）和实验室参数（mg/dL），以及系统性硬化症患者的疾病相关参数，同时记录改良Rodnan皮肤评分。对研究组进行了用于评估D型人格（社交抑制和消极情感性）的D型量表-14和10年心血管疾病风险的Framingham风险评分。
结果
系统性硬化症患者的平均年龄、D型量表-14总分、Framingham风险评分和改良Rodnan皮肤评分中位数分别为55.7±11.6岁、28.2±13.6、9.1±8.1和17.5（13）。D型人格、社交抑制和消极情感性在患者中的发生率高于对照组，分别为59.5%对14.9%、65.5%对23%和78.6%对32.4%（所有p值均<0.001）。患者、对照组以及有无D型人格的患者的Framingham风险评分中位数在统计学上相似（所有p值均>0.05）。与无社交抑制的患者相比，有社交抑制的患者改良Rodnan皮肤评分总分更高（p = 0.011）。社交抑制与改良Rodnan皮肤评分总分呈弱正相关（Spearman相关系数ρ = 0.223），但回归分析未达到显著水平。
结论
超过一半的系统性硬化症患者表现出D型人格特质。皮肤纤维化严重的患者社交抑制更明显，因此为他们提供心理和社会支持很重要。
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