Type D personality, medication adherence and peritonitis in continuous ambulatory peritoneal dialysis patients
- PMID: 31434511
- DOI: 10.1080/13548506.2019.1653478
Type D personality, medication adherence and peritonitis in continuous ambulatory peritoneal dialysis patients
Abstract
The present study attempted to investigate the association among Type D, medication adherence and peritonitis in continuous ambulatory peritoneal dialysis (CAPD) patients. Type D personality was assessed by the Chinese 14-item Type D Personality Scale (DS14) in CAPD patients. Patients' medication adherence was assessed by the Medication Adherence Report Scale, retrospectively. Of the 385 CAPD patients who were investigated, 137 (35.6%) patients had a Type D personality. The medication adherence was significantly poorer in the Type Ds compared with that of the non-Type Ds (21.5 ± 2.8 vs. 22.5 ± 2.5 score, p = 0.002). Using multiple linear regression analysis, we found that Type D personality was independently associated with medication adherence (β = 0.56, p < 0.05). Furthermore, the overall peritonitis-free survival rate of non-Type Ds was significantly higher than that of Type Ds (X2 = 4.41, p = 0.025). Using Cox regression, Type D personality (HR 1.67; 95% confidence interval [CI] 1.07-2.59; p = 0.022) and adherence to bag exchange procedure (HR 1.54; 95% CI 1.11-2.14; p = 0.009) predicted the development of the first peritonitis, even after adjustment for confounders. The current study is the first to identify a strong association among Type D, medication adherence and peritonitis in CAPD patients.
Keywords: Peritoneal dialysis; Type D personality; medication adherence; peritonitis.
Similar articles
-
Type D personality, illness perception, social support and quality of life in continuous ambulatory peritoneal dialysis patients.Psychol Health Med. 2017 Feb;22(2):196-204. doi: 10.1080/13548506.2016.1224371. Epub 2016 Aug 23. Psychol Health Med. 2017. PMID: 27550710
-
Non-compliance to the continuous ambulatory peritoneal dialysis procedure increases the risk of peritonitis.Int Urol Nephrol. 2012 Aug;44(4):1243-9. doi: 10.1007/s11255-011-0079-7. Epub 2011 Nov 20. Int Urol Nephrol. 2012. PMID: 22102137
-
Peritonitis outcomes in patients with HIV and end-stage renal failure on peritoneal dialysis: a prospective cohort study.BMC Nephrol. 2017 Feb 3;18(1):48. doi: 10.1186/s12882-017-0466-0. BMC Nephrol. 2017. PMID: 28158991 Free PMC article.
-
Double bag or Y-set versus standard transfer systems for continuous ambulatory peritoneal dialysis in end-stage renal disease.Cochrane Database Syst Rev. 2001;(2):CD003078. doi: 10.1002/14651858.CD003078. Cochrane Database Syst Rev. 2001. Update in: Cochrane Database Syst Rev. 2014 Aug 13;(8):CD003078. doi: 10.1002/14651858.CD003078.pub2. PMID: 11406068 Updated. Review.
-
Sclerosing peritonitis in continuous ambulatory peritoneal dialysis patients: one center's experience and review of the literature.Adv Ren Replace Ther. 1998 Jul;5(3):157-67. doi: 10.1016/s1073-4449(98)70028-7. Adv Ren Replace Ther. 1998. PMID: 9686626 Review.
Cited by
-
Association of Type D personality and mild cognitive impairment in patients with hypertension.Front Psychol. 2022 Nov 16;13:974430. doi: 10.3389/fpsyg.2022.974430. eCollection 2022. Front Psychol. 2022. PMID: 36467148 Free PMC article.
Publication types
MeSH terms
LinkOut - more resources
Full Text Sources