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Article Dans Une Revue Respiratory Medicine Année : 2021

The role of personality traits in inpatient pulmonary rehabilitation response in patients with chronic obstructive pulmonary disease

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François Alexandre
  • Fonction : Auteur
  • PersonId : 778346
  • IdRef : 192549979
Virginie Molinier
Nelly Heraud
  • Fonction : Auteur

Résumé

Background The effectiveness of pulmonary rehabilitation (PR) is a critical issue for chronic obstructive pulmonary disease (COPD) patients. However, PR response is marked by a strong heterogeneity, partially unexplained to date. We hypothesized that personality traits defined by the Five-Factor Model could modulate the effect of inpatient-PR. Objective The aim was to assess the associations between these five personality traits and PR outcomes. Methods 74 persons with COPD admitted for a 5-week inpatient PR program had a personality assessment at the start of the program (T1). Exercise capacity, quality of life, sensory and affective dyspnea dimensions were assessed at T1 and at the end of the program (T2). Their evolution was evaluated using the delta score between T2 and T1. PR response was defined using the minimal clinically important change score for each of them. A composite response was established distinguishing the poor responders' group, made of patients who responded to 0, 1 or 2 parameters and the good responders’ group, with patients who responded on 3 or 4 indicators. Results Logistic regressions analyses highlighted that those with a high level of openness [OR = 0.36, 95% CI = 0.15–0.74, p < 0.01] were less likely to respond on quality of life, controlling for socio-demographic factors and the severity of the disease. Conclusion This study shows that the investigation of the personality constitutes an interesting perspective for better understanding the interindividual differences observed between patients in the PR response. Tailoring clinical intervention to the patient's personality could be a promising prospect for optimizing PR effectiveness.
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Dates et versions

hal-03583755 , version 1 (22-02-2022)

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Pauline Caille, François Alexandre, Virginie Molinier, Nelly Heraud. The role of personality traits in inpatient pulmonary rehabilitation response in patients with chronic obstructive pulmonary disease. Respiratory Medicine, 2021, 190, pp.106680. ⟨10.1016/j.rmed.2021.106680⟩. ⟨hal-03583755⟩
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