The effect of personality traits on quality of life in patients with atrial fibrillation

doi:10.3877/cma.j.issn.2095-6568.2022.04.007

Abstract

Abstract:

Objective

To investigate the influence of personality traits on quality of life (QOL) in patients with atrial fibrillation (AF).

Methods

This was a cross-sectional study. Newly diagnosed AF patients in the Department of Cardiovascular Medicine of the Second Affiliated Hospital of Xi 'an Jiaotong University from October 2020 to March 2022 were selected, and sex, age, alcohol history and so on were documented. Atrial Fibrillation Effect on Quality of Life (AFEQT) was used to assess their QOL. Subjects were divided into high quality of life group (AFEQT≥80) and low quality of life group (AFEQT<80) according to AFEQT overall score. The Eysenck personality Questionnaire (EPQ) test was used to evaluate the patients' personality traits, the risk factors affecting the QOL of AF patients were analyzed by Logistic regression, and the predictive values of scores on different EPQ subscales [internal and external extroversion (E), psychoticism (P) and neuroticism (N) scales] were evaluated by Receiver Operating Characteristic (ROC) curves.

Results

A total of 124 AF patients were included, including 62 males aged (67.48±11.59) years. There were 27 cases in the high quality of life group and 97 cases in the low quality of life group. There was no significant difference in demographic factors between the two groups. Multivariate Logistic regression showed that alcoholism (OR=1.328, 95%CI 1.016-1.877, P=0.033) and personality traits (P=0.016) were independent risk factors for QOL in AF patients. The independent E, P or N scales had limited effect on the prediction of subjects' QOL (P>0.05). The combination of E and N scales significantly improved the ability to predict the QOL (AUC=0.751, P=0.001).

Conclusion

Personality traits have an important impact on the QOL for AF patients. Early evaluation of personality traits is beneficial to improve the QOL for AF patients.

Key words: Atrial fibrillation, Eysenck personality test, Personality traits, Quality of life, Value of prediction

Qing Yan, Yuan Li, Jiaqi Liang, Yide Yuan, Jiali Fan, Juanli Zhang, Jiahong Xue. The effect of personality traits on quality of life in patients with atrial fibrillation[J]. Chinese Journal of Heart and Heart Rhythm(Electronic Edition), 2022, 10(04): 225-230.

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Figures/Tables 5

变量	高生活质量组	低生活质量组	t/χ² 值	P 值
例数［例（%）］	27（21.77）	97（78.23）
性别［例（%）］			0.426	0.514
男	15（55.55）	47（48.45）
女	12（44.45）	50（51.55）
年龄（岁， $x ¯ ± s$ ）	66.41±12.83	67.77±11.27	0.540	0.590
BMI（kg/m²， $x ¯ ± s$ ）	23.68±3.28	23.67±3.39	0.016	0.987
吸烟史［例（%）］			1.756	0.185
有	3（11.11）	22（22.68）
无	24（88.89）	75（77.32）
酗酒史［例（%）］
有	2（7.41）	17（17.53）	1.667	0.197
无	25（92.59）	80（82.47）
冠心病史［例（%）］			2.967	0.085
有	12（44.45）	61（62.89）
无	15（55.55）	36（37.11）
高血压［例（%）］			0.208	0.901
有	14（51.85）	55（56.70）
无	13（48.15）	42（43.30）
糖尿病［例（%）］			0.036	0.85
有	4（14.81）	13（13.40）
无	23（85.19）	84（86.60）
高脂血症［例（%）］			0.606	0.436
有	5（18.52）	25（25.77）
无	22（81.48）	72（74.23）
文化程度［例（%）］			2.736	0.255
小学及以下	10（37.04）	22（22.68）
初中-高中	10（37.04）	51（52.58）
专科及以上	7（25.92）	24（24.74）
心房颤动类型［例（%）］			3.102	0.376
阵发性	15（55.55）	54（55.67）
持续性	12（44.45）	43（44.33）
射频消融术［例（%）］			0.395	0.53
是	8（29.63）	23（23.71）
否	19（70.37）	74（76.29）
性格特征［例（%）］			13.562	0.004
多血质人格	8（29.63）	5（5.15）
胆汁质人格	6（22.22）	31（31.96）
抑郁质人格	4（14.81）	21（21.65）
黏液质人格	9（33.34）	40（41.24）

变量	高生活质量组	低生活质量组	t/χ² 值	P 值
例数［例（%）］	27（21.77）	97（78.23）
性别［例（%）］			0.426	0.514
男	15（55.55）	47（48.45）
女	12（44.45）	50（51.55）
年龄（岁， $x ¯ ± s$ ）	66.41±12.83	67.77±11.27	0.540	0.590
BMI（kg/m²， $x ¯ ± s$ ）	23.68±3.28	23.67±3.39	0.016	0.987
吸烟史［例（%）］			1.756	0.185
有	3（11.11）	22（22.68）
无	24（88.89）	75（77.32）
酗酒史［例（%）］
有	2（7.41）	17（17.53）	1.667	0.197
无	25（92.59）	80（82.47）
冠心病史［例（%）］			2.967	0.085
有	12（44.45）	61（62.89）
无	15（55.55）	36（37.11）
高血压［例（%）］			0.208	0.901
有	14（51.85）	55（56.70）
无	13（48.15）	42（43.30）
糖尿病［例（%）］			0.036	0.85
有	4（14.81）	13（13.40）
无	23（85.19）	84（86.60）
高脂血症［例（%）］			0.606	0.436
有	5（18.52）	25（25.77）
无	22（81.48）	72（74.23）
文化程度［例（%）］			2.736	0.255
小学及以下	10（37.04）	22（22.68）
初中-高中	10（37.04）	51（52.58）
专科及以上	7（25.92）	24（24.74）
心房颤动类型［例（%）］			3.102	0.376
阵发性	15（55.55）	54（55.67）
持续性	12（44.45）	43（44.33）
射频消融术［例（%）］			0.395	0.53
是	8（29.63）	23（23.71）
否	19（70.37）	74（76.29）
性格特征［例（%）］			13.562	0.004
多血质人格	8（29.63）	5（5.15）
胆汁质人格	6（22.22）	31（31.96）
抑郁质人格	4（14.81）	21（21.65）
黏液质人格	9（33.34）	40（41.24）

临床特征	OR	95%CI	P值
性别	0.752	0.319~1.772	0.515
年龄（岁）	0.990	0.954~1.027	0.587
BMI（kg/m²）	1.001	0.881~1.138	0.987
吸烟	1.347	0.645~2.532	0.195
酗酒	2.656	0.574~4.297	0.211
冠心病	2.118	0.893~5.024	0.089
高血压	0.971	0.414~2.281	0.947
糖尿病	0.890	0.265~2.990	0.850
高脂血症	1.528	0.523~4.464	0.439
文化程度			0.263
小学及以下	-	-	-
初中-高中	0.672	0.228~1.981	0.471
专科及以上	1.558	0.506~4.805	0.440
阵发性房颤	1.005	0.426~2.370	0.992
射频消融术	0.738	0.286~1.907	0.531
性格特征			0.012
多血质人格	-	-	-
胆汁质人格	8.267	2.001~34.115	0.004
抑郁质人格	8.400	1.789~39.439	0.007
黏液质人格	7.111	1.879~26.912	0.004

临床特征	OR	95%CI	P值
性别	1.592	0.515~4.919	0.418
年龄（岁）	0.993	0.943~1.046	0.795
BMI（kg/m²）	1.029	0.885~1.197	0.704
吸烟	0.536	0.097~2.934	0.471
酗酒	1.328	1.016~1.877	0.033
冠心病	0.407	0.131~1.263	0.119
射频消融术	1.223	0.379~3.949	0.735
性格特征			0.016
多血质人格	-	-	-
胆汁质人格	8.247	2.377~23.712	0.004
抑郁质人格	8.019	3.262~30.327	0.002
黏液质人格	6.111	2.769~17.019	0.002

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