Universität zu Köln

Haller, Karl ORCID: 0000-0002-7194-1153, Fritzsche, Stefan, Kruse, Irina, O'Malley, Grace, Ehrenthal, Johannes C. ORCID: 0000-0002-9428-3763 and Stamm, Thomas (2022). Associations Between Personality Functioning, Childhood Trauma and Non-adherence in Cardiovascular Disease: A Psychodynamically-Informed Cross-Sectional Study. Front. Psychol., 13. LAUSANNE: FRONTIERS MEDIA SA. ISSN 1664-1078

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Abstract

ObjectiveAlthough treatment adherence and lifestyle changes significantly improve the prognosis of cardiovascular disease, many patients do not comply with clinician recommendations. Personality functioning appears to be of importance and is hypothesized to be superior to symptom-based measures in explaining individual differences in non-adherence. Methods194 cardiology inpatients (mean age = 70.6 years, 60% male) were assessed using self-report measures in a cross-sectional design. Patients were assessed using the short version of the Operationalized Psychodynamic Diagnosis Structure Questionnaire (OPD-SQS) to measure personality functioning, as well as the Childhood Trauma Screener (CTS), the Patient Health Questionnaire (PHQ-9) for symptoms of depression, and the Generalized Anxiety Disorder Scale-7 (GAD-7). To assess non-adherence we introduced a brief, novel scale. ResultsNon-adherence correlated significant with personality functioning (r = 0.325), childhood trauma (r = 0.204) and depressiveness (r = 0.225). In a stepwise multiple regression analysis with socio-demographic variables inputted into the model, higher deficits in personality functioning, higher levels of childhood trauma, and male gender were associated with non-adherence (adjusted R-2 = 0.149, F-(3,F-190) = 12.225, p < 0.01). Level of depressive symptoms, anxiety, age, education, and income showed no significant additional predictive value and were excluded from the model. ConclusionIn cardiovascular disease, personality functioning, childhood trauma and male gender are associated with non-adherence and appear to be more important than symptom reports of depression and anxiety. This highlights the relevance of basic impairments in intra- and interpersonal functioning in chronic disease, where the patient's adherence is central.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Haller, Karl UNSPECIFIED orcid.org/0000-0002-7194-1153 UNSPECIFIED Fritzsche, Stefan UNSPECIFIED UNSPECIFIED UNSPECIFIED Kruse, Irina UNSPECIFIED UNSPECIFIED UNSPECIFIED O'Malley, Grace UNSPECIFIED UNSPECIFIED UNSPECIFIED Ehrenthal, Johannes C. UNSPECIFIED orcid.org/0000-0002-9428-3763 UNSPECIFIED Stamm, Thomas UNSPECIFIED UNSPECIFIED UNSPECIFIED
URN:	urn:nbn:de:hbz:38-682239
DOI:	10.3389/fpsyg.2022.913081
Journal or Publication Title:	Front. Psychol.
Volume:	13
Date:	2022
Publisher:	FRONTIERS MEDIA SA
Place of Publication:	LAUSANNE
ISSN:	1664-1078
Language:	English
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language GENERALIZED ANXIETY DISORDER; SELF-REPORTED ADHERENCE; MEDICATION ADHERENCE; DEPRESSIVE SYMPTOMS; ANTIHYPERTENSIVE MEDICATION; SECONDARY PREVENTION; PHYSICAL HEALTH; RISK-FACTORS; QUESTIONNAIRE; CARE Multiple languages Psychology, Multidisciplinary Multiple languages
URI:	http://kups.ub.uni-koeln.de/id/eprint/68223