Type D Personality, Self-Efficacy, and Medication Adherence Following an Acute Coronary Syndrome

• DOI: 10.1097/psy.0b013e31823a5b2f
• Publication Date: 2011-12-08T04:45:27Z
• Authors: Gerard J. Molloy; Gemma Randall; Anna Wikman; Linda Perkins-Porras; Nadine Messerli-B...; Andrew Steptoe
• Keywords: Type D personality; Social inhibition

To assess the relationship among Type D personality, self-efficacy, and medication adherence in patients with coronary heart disease.The study design was prospective observational. self-efficacy for illness management behaviors, were measured 3 weeks after hospitalization acute syndrome 165 (mean [standard deviation] age = 61.62 [10.61] years, 16% women). Self-reported 6 months later 118 of these patients. Multiple linear regression mediation analyses used to address research questions.Using original categorical classification, 30% classified as having personality. Categorically defined personality had significantly poorer at (r -0.29, p < .01). Negative affectivity (NA; r -0.25, .01) social inhibition -0.19, .04), components associated discharge bivariate analyses. There no evidence interaction NA inhibition, that is, prediction multivariate analysis. The observed association between could be partly explained by indirect effects through analysis (coefficient -0.012; 95% bias-corrected accelerated confidence interval -0.036 -0.001).The present data suggest primacy over construct predicting adherence. Lower levels may a mediator higher poor disease.