Self-care confidence mediates the relationship between type D personality and self-care adherence in chinese heart failure patients

Heart Lung. 2018 May-Jun;47(3):216-221. doi: 10.1016/j.hrtlng.2018.03.006. Epub 2018 Mar 30.

Abstract

Background: Existing theory and evidence suggest that self-care confidence may mediate the relationship between Type D personality and self-care adherence.

Objectives: To assess the mediating role of self-care confidence between Type D personality and self-care adherence in Chinese HF patients.

Methods: This is a secondary analysis of a cross-sectional study. Self-care confidence and self-care adherence (maintenance) were measured by the subscales of the Self-Care of Heart Failure Index (v6). The Type D Scale-14 was administered to assess negative affect (NA), social inhibition (SI), and Type D personality. Mediation analysis based on Baron and Kenny was performed.

Results: A total of 127 HF patients were included. Self-care confidence partially mediated the relationship between Type D personality and self-care adherence but completely mediated the relationship between NA/SI and self-care adherence.

Conclusions: Clinicians may effectively improve self-care adherence by enhancing self-care confidence in HF patients with Type D personality.

Keywords: HF; Self-care adherence; Self-care confidence; Type D personality.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • China / epidemiology
  • Cross-Sectional Studies
  • Heart Failure* / epidemiology
  • Heart Failure* / psychology
  • Humans
  • Self Care / psychology*
  • Self Concept
  • Treatment Adherence and Compliance* / psychology
  • Treatment Adherence and Compliance* / statistics & numerical data
  • Type D Personality*