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Sociodemographic data, laboratory parameters, and disease-related parameters were recorded. We evaluated the presence of type D personality\u00a0with the total 14 items of\u00a0the type D Personality Scale, the Framingham Risk Score (FRS) indicating 10-year cardiovascular disease risk\u00a0as low, moderate, and high, the presence of MetS, and\u00a0physical activity levels by\u00a0the International Physical Activity Questionnaire-Short Form (IPAQ-SF). <\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Results<\/jats:title>\n            <jats:p>The median age of patients with PsA was 53.5 (17) years, 73.8% were female, and the disease duration was 7 (12) years. Compared to controls,\u00a0patients with PsA exhibited higher FRS and increased frequency of MetS, type D personality, and its domains (social inhibition and negative affectivity)\u00a0(<jats:italic>p<\/jats:italic>\u2009&lt;\u20090.05 for all). Patients with type D personality had\u00a0even\u00a0a higher frequency of MetS and lower\u00a0levels of\u00a0moderate-intensity exercise than those without\u00a0type D personality\u00a0(<jats:italic>p<\/jats:italic>\u2009=\u20090.020 and <jats:italic>p<\/jats:italic>\u2009=\u20090.027).\u00a0Patients with social inhibition had higher FRS, a higher frequency of MetS, and lower\u00a0levels of\u00a0moderate-intensity exercise (<jats:italic>p<\/jats:italic>\u2009&lt;\u20090.05 for all) compared to those without social inhibition. MetS showed a significant positive correlation with social inhibition, waist circumference, and FRS\u00a0(Spearman\u2019s rho were 0.244, 0.444, and 0.555, respectively), and a negative correlation with IPAQ-SF total metabolic equivalent (Spearman\u2019s rho was -0.214).<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Conclusion<\/jats:title>\n            <jats:p>Patients with type D personality and social inhibition had a higher frequency of MetS and low levels of moderate-intensity exercise, whereas patients with social inhibition had a higher FRS. It is essential to assess PsA patients\u2019 cardiac risk factors, type D personality, and social inhibition, as well as provide exercise advice.\n<jats:table-wrap>\n                <jats:table>\n                  <jats:tbody>\n                    <jats:tr>\n                      <jats:td align=\"left\" colspan=\"2\">\n                        <jats:bold>Key Points<\/jats:bold>\u2022<jats:italic>Psoriatic arthritis (PsA) is a prevelant rheumatologic disease that is frequently accompanied by comorbidities such as metabolic syndrome (MetS) and cardiovascular disease (CVD)<\/jats:italic>.\u2022<jats:italic>It is crucial to evaluate patients with PsA for CVD risk factors<\/jats:italic>.\u2022<jats:italic>Patients with type D personality demonstrate lower engagement in moderate-intensity exercise and a higher frequency\u00a0of MetS. Socially inhibited PsA patients showed elevated Framingham Risk Scores and MetS rates, as well as reduced levels of moderate-intensity exercise<\/jats:italic>.\u2022<jats:italic>Beyond assessing cardiac risk factors, it is important to assess personality traits and offer tailored exercise recommendations for comprehensive PsA management<\/jats:italic>.<\/jats:td>\n                    <\/jats:tr>\n                  <\/jats:tbody>\n                <\/jats:table>\n              <\/jats:table-wrap>\n            <\/jats:p>\n          <\/jats:sec>","DOI":"10.1007\/s10067-025-07312-3","type":"journal-article","created":{"date-parts":[[2025,1,30]],"date-time":"2025-01-30T20:00:58Z","timestamp":1738267258000},"page":"1163-1171","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":9,"title":["Type D personality and social inhibition: drivers of cardiovascular risk and reduced physical activity in psoriatic arthritis"],"prefix":"10.1007","volume":"44","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7070-3076","authenticated-orcid":false,"given":"Ay\u015feg\u00fcl","family":"Yeti\u015fir","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Aylin","family":"Sariyildiz","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ilke","family":"Coskun Benlidayi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"S\u00fcleyman","family":"\u00d6zbek","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2025,1,30]]},"reference":[{"issue":"9","key":"7312_CR1","doi-asserted-by":"publisher","first-page":"1611","DOI":"10.55563\/clinexprheumatol\/x3sfxe","volume":"40","author":"C Cigolini","year":"2022","unstructured":"Cigolini C, Fattorini F, Gentileschi S, Terenzi R, Carli L (2022) Psoriatic arthritis: one year in review 2022. 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