Patients with Type D personality-marked by chronic negative emotion and social inhibition-are significantly less likely to adhere to bilevel positive airway pressure therapy for sleep apnea, new research shows.
In a study of 365 adults with obstructive or central sleep apnea, one-third exhibited Type D traits. These patients used their devices fewer hours per night than others, reducing therapy effectiveness.
They also reported six significantly more common treatment-related side-effects, with additional symptoms trending upward. Psychological factors appear to shape both adherence and perceived discomfort.
Clinicians may need to screen for Type D personality to tailor support, mitigate barriers, and improve long-term outcomes in sleep apnea management.