Personality and health behavior changes after pulmonary rehabilitation: A longitudinal observational study.

IF 1.9 4区医学 Q3 PSYCHOLOGY, CLINICAL Rehabilitation Psychology Pub Date : 2024-09-30 DOI:10.1037/rep0000584

Pauline Caille, Yannick Stephan, François Alexandre, Virginie Molinier, Nelly Héraud

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Abstract

Objective: Pulmonary rehabilitation (PR) is the gold standard treatment for improving the health status of individuals with chronic respiratory diseases (CRD). However, to achieve lasting results, the adoption and maintenance of a physically active lifestyle are necessary. Unfortunately, the trajectories of change in physical activity (PA) and sedentary behavior (SB) following PR are marked by a high degree of heterogeneity between patients. This study aimed to better understand the factors underlying this variability by investigating the role played by the personality as defined by the five-factor model.

Design: Eighty eight CRD patients were assessed on personality upon PR admission (Time 1). PA and SB were assessed at Time 1 and 6 months post-PR (Time 2) using questionnaires.

Results: Multiple regression analyses revealed that "healthy neuroticism" is associated with an increase in PA 6 months after PR (β = .20, p < .05) independently of the PA at Time 1. A high level of neuroticism, when it is paired with a low level of conscientiousness, is related to an increase in SB 6 months after PR (β = -.20, p < .01), when the SB and exercise tolerance at Time 1 were controlled for.

Conclusion: These findings highlight that investigating the interaction between personality traits is relevant to a better understanding of the interindividual differences in changes in PA and SB after PR in patients with CRD. The behavioral effects of PR could be improved if patients' personality traits were taken into account in the design of behavior-change interventions. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

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肺康复后的人格和健康行为变化：纵向观察研究。

目的：肺康复（PR）是改善慢性呼吸系统疾病（CRD）患者健康状况的金标准疗法。然而，要取得持久的疗效，必须采用并保持积极的体育锻炼生活方式。遗憾的是，PR 治疗后体力活动（PA）和久坐行为（SB）的变化轨迹在患者之间存在很大的异质性。本研究旨在通过研究五因素模型所定义的人格所起的作用，更好地了解造成这种差异的因素：设计：88 名 CRD 患者在入院时（时间 1）接受人格评估。结果：多元回归分析表明，CRD 患者的神经系统和精神系统在其人格中占有重要地位：多元回归分析显示，"健康的神经质 "与 PR 后 6 个月 PA 的增加相关（β = .20，p < .05），与时间 1 时的 PA 无关。高水平的神经质与低水平的自觉性配对时，与 PR 6 个月后 SB 的增加有关（β = -.20，p <.01），如果控制了时间 1 的 SB 和运动耐受性的话：这些研究结果强调，研究人格特质之间的相互作用有助于更好地理解 CRD 患者 PR 后 PA 和 SB 变化的个体差异。如果在设计行为改变干预措施时考虑到患者的人格特质，就能提高 PR 的行为效果。(PsycInfo Database Record (c) 2024 APA，保留所有权利）。

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来源期刊

Rehabilitation Psychology Multiple-

CiteScore

4.80

自引率

7.40%

发文量

期刊介绍： Rehabilitation Psychology is a quarterly peer-reviewed journal that publishes articles in furtherance of the mission of Division 22 (Rehabilitation Psychology) of the American Psychological Association and to advance the science and practice of rehabilitation psychology. Rehabilitation psychologists consider the entire network of biological, psychological, social, environmental, and political factors that affect the functioning of persons with disabilities or chronic illness. Given the breadth of rehabilitation psychology, the journal"s scope is broadly defined.