Association between Big Five Personality Traits and Participation in Cardiac Rehabilitation in Japanese Patients with Cardiovascular Disease: A Retrospective Cohort Study

Takuji Adachi, Yuki Tsunekawa, Akihito Matsuoka and Daisuke Tanimura
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Takuji Adachi: Department of Integrated Health Sciences, Nagoya University Graduate School of Medicine, Nagoya 461-8673, Japan
Yuki Tsunekawa: Department of Rehabilitation, Nagoya Ekisaikai Hospital, Nagoya 454-8502, Japan
Akihito Matsuoka: Department of Rehabilitation, Nagoya Ekisaikai Hospital, Nagoya 454-8502, Japan
Daisuke Tanimura: Department of Cardiology, Nagoya Ekisaikai Hospital, Nagoya 454-8502, Japan

IJERPH, 2021, vol. 18, issue 16, 1-12

Abstract: Cardiac rehabilitation (CR) remains underutilised, despite its established clinical benefit. A personality traits assessment may help promote CR implementation, as they are determinants of health-related behaviour. This study aimed to examine the association between the Big Five personality traits and outpatient CR participation in patients with cardiovascular disease (CVD) after discharge. This retrospective cohort study included 163 patients aged <80 years, who underwent inpatient CR when hospitalised for CVD. The Big Five personality traits (conscientiousness, neuroticism, openness, extraversion, and agreeableness) of each patient were evaluated at discharge, using the Japanese version of the Ten-Item Personality Inventory. We examined the relationship of each personality trait with non-participation in outpatient CR and dropout within three months, using logistic regression analysis. Out of 61 patients who initiated the outpatient CR, 29 patients dropped out, leaving us with 32 subjects. The logistic regression analysis results showed that high conscientiousness was associated with non-participation in CR. The primary reason for this was a lack of motivation. Conversely, low conscientiousness and high openness were predictors of dropout. This study suggests that the assessment of the Big Five personality traits, especially conscientiousness and openness, can help improve health communication with patients to promote outpatient CR participation after discharge.

Keywords: personality traits; cardiac rehabilitation; cardiovascular disease; health-related behaviour (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2021
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