Fewer Type A personality traits in type 2 diabetes patients with diabetic foot ulcer

Vergès, Bruno; Brands, Roxane; Fourmont, C.; Petit, Jean‐Michel; Simoneau, Isabelle; Rouland, Alexia; Legris, Pauline; Bouillet, Benjamin; Chauvet-Gélinier, Jean-Christophe

doi:10.1016/j.diabet.2021.101245

Cited by 5 publications

(12 citation statements)

References 25 publications

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“…For both RCTs ( 38 , 39 ), between-groups differences at follow-up were analysed. Studies were conducted across eleven countries, with three studies each in Australia ( 33 , 37 , 45 ), China ( 35 , 38 , 44 ), and the USA ( 34 , 39 , 43 ), and one study each per other country ( 31 , 32 , 36 , 40 , 41 , 42 , 46 , 48 ). The total combined sample size of included studies was N=6,672, and the sample size of individual studies ranged from N=30 to N=1,553.…”

Section: Resultsmentioning

confidence: 99%

“…Where reported (k=9), average diabetes duration (7.8 years) varied widely across studies, from recently diagnosed (3 ± 2 months [ 32 )] to long-standing diabetes [14 ± 10 years ( 31 )]. Current diabetes treatment was reported in seven studies ( 32 , 34 , 36 , 39 , 41 , 42 , 45 ), and included oral glucose-lowering medications (range: 28-76%) and insulin injections (range: 0.9% to 18%).…”

Section: Resultsmentioning

confidence: 99%

“…Most (15/17; 88%) of the included studies were published since 2010. Included studies comprised nine cross-sectional studies (31,(40)(41)(42)(43)(44)(45)(46)48), six prospective cohort studies (32)(33)(34)(35)(36)(37) and two randomised controlled trials (RCTs) (38,39). Study duration for cohort and RCTs ranged between two weeks and 12 months.…”

Section: Study and Sample Characteristicsmentioning

confidence: 99%

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Personality and weight management in adults with type 2 diabetes: A systematic review

Geerling

Kothe

Anglim

et al. 2022

Front. Clin. Diabetes Healthc.

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AimsManaging weight in the context of type 2 diabetes presents unique hormonal, medicinal, behavioural and psychological challenges. The relationship between weight management and personality has previously been reviewed for general and cardiovascular disease populations but is less well understood in diabetes. This systematic review investigated the relationship between personality constructs and weight management outcomes and behaviours among adults with type 2 diabetes.MethodsMedline, PubMed, Embase, PsycINFO and SPORTDiscus databases were searched to July 2021. Eligibility: empirical quantitative studies; English language; adults with type 2 diabetes; investigation of personality-weight management association. Search terms included variants of: diabetes, physical activity, diet, body mass index (BMI), adiposity, personality constructs and validated scales. A narrative synthesis, with quality assessment, was conducted.ResultsSeventeen studies were identified: nine cross-sectional, six cohort and two randomised controlled trials (N=6,672 participants, range: 30-1,553). Three studies had a low risk of bias. Personality measurement varied. The Big Five and Type D personality constructs were the most common measures. Higher emotional instability (neuroticism, negative affect, anxiety, unmitigated communion and external locus of control) was negatively associated with healthy diet and physical activity, and positively associated with BMI. Conscientiousness had positive associations with healthy diet and physical activity and negative associations with BMI and anthropometric indices.ConclusionsAmong adults with type 2 diabetes, evidence exists of a relationship between weight management and personality, specifically, negative emotionality and conscientiousness. Consideration of personality may be important for optimising weight management and further research is warranted.Systematic review registrationwww.crd.york.ac.uk/prospero/, identifier CRD42019111002.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Study and Sample Characteristicsmentioning

confidence: 99%

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Personality and weight management in adults with type 2 diabetes: A systematic review

Geerling

Kothe

Anglim

et al. 2022

Front. Clin. Diabetes Healthc.

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“…A study in Iran reported that patients with neuroticism applied emotion-oriented strategies to solve their problems [25]. In a study conducted in France by Verges et al, researchers found that type A personality, characterized by competition and the need for success, was significantly less common in type 2 diabetics with diabetic foot ulcers [26].…”

Section: Discussionmentioning

confidence: 99%

The Role of Personality Factors in Predicting Resilience and Coping Styles of Patients with Type 2 Diabetes: A Cross-sectional Study

Nemati

Vahedparast²,

Rashedi³

et al. 2023

JHNM

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Introduction: Diabetes is a serious, progressive, and costly disease that creates many limitations for its patient. Diabetes disrupts a person’s psychological and social adjustment and coping strategies, resulting in psychological complications for the patients. Objective: This study aims to determine the role of personality traits in predicting resilience and coping strategies of patients with type 2 diabetes living in Bushehr City, Iran. Materials and Methods: This cross-sectional study was performed on 120 patients with diabetes who were referred to healthcare centers in Bushehr. They were selected through the convenience sampling method. The study data were collected using the Connor-Davidson Resilience Scale, 60-item Neuroticism-Extraversion-Openness Personality Inventory, and Coping Strategies Questionnaire. In addition, descriptive statistics and linear regression tests were employed to interpret the data. Results: About 60.8% of the participants were female, and more than 90% were married and lived in urban areas. Based on the study’s results, there is a significant positive association between neuroticism and emotion-oriented (B=2.68, 95% CI; -0.666 to 4.701, P=0.01) and avoidance (B=2.60, 95% CI; -0.961 to 4.248, P=0.002) coping strategies. The results illustrated that neuroticism predicted resilience in patients with type 2 diabetes (B=-6.186, 95% CI; -11.632 to -0.741, P=0.026;), and the model predicted 9% of resilience (Adjusted R2=0.096). Conclusion: According to the results of the present study, most patients with type 2 diabetes had neuroticism, which could decrease their resilience. Therefore, due to the increasing trend of diabetic patients in Iran, and considering the etiological factors, it is necessary to pay attention to the psychological and personality components of these patients to know and adapt more to their physical and mental conditions.

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“…The PSS score ranges from 0 to 56. The Type A Personality Test (TAPT) classifies personalities according to their response to stress (Vergès et al, 2021). A score between 85 and 154 indicates Type A behavior pattern.…”

Section: Questionnairesmentioning

confidence: 99%

Evaluation of psychological stress, cortisol awakening response, and heart rate variability in patients with chronic prostatitis/chronic pelvic pain syndrome complicated by lower urinary tract symptoms and erectile dysfunction

Bai

Chen

et al. 2022

Front. Psychol.

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BackgroundMental stress and imbalance of its two neural stress systems, the autonomic nervous system (ANS) and the hypothalamic–pituitary–adrenal (HPA) axis, are associated with chronic prostatitis/chronic pelvic pain syndrome (CP/CPPS) and erectile dysfunction (ED). However, the comprehensive analyses of psychological stress and stress systems are under-investigated, particularly in CP/CPPS patients complicated by lower urinary tract symptoms (LUTS) and ED.Materials and methodsParticipants were 95 patients in CP/CPPS+ED group, 290 patients in CP/CPPS group, 124 patients in ED group and 52 healthy men in control group. The National Institutes of Health Chronic Prostatitis Symptom Index (NIH-CPSI), the International Index of Erectile Function-5 (IIEF-5) and the International Prostate Symptom Score (IPSS) were used for assessing the disease severity of CP/CPPS, LUTS and ED. Psychometric self-report questionnaires including the Beck Anxiety Inventory (BAI), Perceived Stress Scale (PSS), Type A Personality Test (TAPT) and Symptom Checklist 90 (SCL-90) were completed for distress from physical symptoms. Twenty-five subjects per group were randomly selected for further investigating the changes of the HPA axis and ANS. Saliva samples were taken on 3 consecutive days at 8 specific times with strict reference to time of morning awakening for evaluation of free cortisol. Heart rate variability (HRV) as marker of the ANS was measured using 24 h electrocardiography, and time-and frequency-domain variables were analyzed.ResultsThe BAI and SCL-90 scores were significantly higher in the CP/CPPS+ED, CP/CPPS and ED groups compared with the control group (p < 0.01). The PSS scores of both groups with ED were significantly higher than the control group (p < 0.01). Compared with the CP/CPPS group, the differences of PSS, SCL-90 and TAPT scores were statistically significant in CP/CPPS+ED patients (p < 0.01). The IPSS scores were shown to have significantly positive correlations with BAI (r = 0.32, p < 0.0001), PSS (r = 0.18, p < 0.01) and SCL-90 (r = 0.19, p < 0.01) in the CP/CPPS patients. However, in all subjects, the IIEF-5 scores were shown to have significantly negative correlations with BAI (r = −0.17，p < 0.001), PSS (r = −0.25，p < 0.0001), SCL-90 (r = −0.20，p < 0.001) and quality of life score in NIH-CPSI (r = −0.14，p = 0.0075). Cortisol awakening response (CAR) parameters and diurnal cortisol levels did not significantly vary between the four groups. Time-dependent parameters of HRV also did not differ significantly across groups. In the frequency domain analysis, low frequency (LF) was significantly lower in ED patients when compared with CP/CPPS+ED patients (p = 0.044) and healthy controls (p = 0.005), high frequency (HF) power was significantly higher in healthy controls compared to patients with ED (p < 0.001), CP/CPPS (p < 0.001) and CP/CPPS+ED (p < 0.001), and the CP/CPPS+ED group had significantly higher LF/HF ratio than the control group (p = 0.001).ConclusionCP/CPPS and ED patients score exceedingly high on most psychosocial variables. The symptom scores of LUTS and ED positively correlate with the severity of psychological stress. Our findings also suggest that the ANS sympathovagal imbalance is associated with ED and LUTS in CP/CPPS, whereas HPA axis activity is not.

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Fewer Type A personality traits in type 2 diabetes patients with diabetic foot ulcer

Cited by 5 publications

References 25 publications

Personality and weight management in adults with type 2 diabetes: A systematic review

Personality and weight management in adults with type 2 diabetes: A systematic review

The Role of Personality Factors in Predicting Resilience and Coping Styles of Patients with Type 2 Diabetes: A Cross-sectional Study

Evaluation of psychological stress, cortisol awakening response, and heart rate variability in patients with chronic prostatitis/chronic pelvic pain syndrome complicated by lower urinary tract symptoms and erectile dysfunction

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