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• W2046934009 abstract "Objective To assess the relationship among Type D personality, self-efficacy, and medication adherence in patients with coronary heart disease. Methods The study design was prospective and observational. Type D personality, self-efficacy for illness management behaviors, and medication adherence were measured 3 weeks after hospitalization for acute coronary syndrome in 165 patients (mean [standard deviation] age = 61.62 [10.61] years, 16% women). Self-reported medication adherence was measured 6 months later in 118 of these patients. Multiple linear regression and mediation analyses were used to address the study research questions. Results Using the original categorical classification, 30% of patients with acute coronary syndrome were classified as having Type D personality. Categorically defined patients with Type D personality had significantly poorer medication adherence at 6 months (r = −0.29, p < .01). Negative affectivity (NA; r = −0.25, p = .01) and social inhibition (r = −0.19, p = .04), the components of Type D personality, were associated with medication adherence 6 months after discharge in bivariate analyses. There was no evidence for the interaction of NA and social inhibition, that is, Type D personality, in the prediction of medication adherence 6 months after discharge in multivariate analysis. The observed association between NA and medication adherence 6 months after discharge could be partly explained by indirect effects through self-efficacy in mediation analysis (coefficient = −0.012; 95% bias-corrected and accelerated confidence interval = −0.036 to −0.001). Conclusions The present data suggest the primacy of NA over the Type D personality construct in predicting medication adherence. Lower levels of self-efficacy may be a mediator between higher levels of NA and poor adherence to medication in patients with coronary heart disease. Abbreviations ACS = acute coronary syndrome; SD = standard deviation" @default.
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• W2046934009 date "2012-01-01" @default.
• W2046934009 modified "2023-10-03" @default.
• W2046934009 title "Type D Personality, Self-Efficacy, and Medication Adherence Following an Acute Coronary Syndrome" @default.
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• W2046934009 doi "https://doi.org/10.1097/psy.0b013e31823a5b2f" @default.
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