Abstract
Pulmonary rehabilitation (PR) generates bio-psycho-social benefits. However, a significant heterogeneity in the PR response has been reported. To date, our understanding of this phenomenon is incomplete because the majority of studies did not consider the influence of extrinsic factors such as the characteristics of the PR environment (eg. ome distance, community life). Depending on their psychological pre-dispositions to act, think, feel (i.e.personality traits), patients could adapt differently to this environment and thereby benefit differently from the PR.
The aim was to evaluate the links between personality, defined by the Five-Factor Model, and PR response.
76 COPD patients were included. Personality was assessed at the start of the PR (T1). Exercise capacity, quality of life (Q), sensory (S) and affective dyspnea dimensions were evaluated at T1 and at the end of PR(T2). Delta score between T2 and T1 was used to investigate parameters evolution during PR. Response was defined using the MCIDs for each indicator.
Multiple regressions revealed that high neuroticism is associated with a less improvement on S after PR (β=-.34; p<.01). Logistic regressions showed that high openness [OR=0.38; p<.01] is related with a less likelihood of responding on Q.
This study highlights that investigation of personality is a promising perspective to distinguish different profiles of PR response. Specifically, our results suggest that high neuroticism and openness could interfere with PR effectiveness. Additional researches are necessary in order to be able to apply these results clinically (eg.early screening) and thus to offer specific support to vulnerable patients (eg.adapted therapeutic education program).
Footnotes
Cite this article as: European Respiratory Journal 2021; 58: Suppl. 65, PA3906.
This abstract was presented at the 2021 ERS International Congress, in session “Prediction of exacerbations in patients with COPD”.
This is an ERS International Congress abstract. No full-text version is available. Further material to accompany this abstract may be available at www.ers-education.org (ERS member access only).
- Copyright ©the authors 2021