{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,14]],"date-time":"2026-11-14T10:00:26Z","timestamp":1794650426460,"version":"4.9.1"},"reference-count":31,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2007,11,21]],"date-time":"2007-11-21T00:00:00Z","timestamp":1195603200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Journal of Sleep Research"],"published-print":{"date-parts":[[2007,12]]},"abstract":"<jats:title>Summary<\/jats:title><jats:p>Continuous positive airway pressure (CPAP) is the treatment of choice for obstructive sleep apnoea syndrome (OSAS), but side effects are common and long\u2010term adherence low. The Type D (distressed) personality is defined as a combination of negative affectivity and social inhibition. The association of Type D personality with adherence has not been studied in CPAP\u2010treated patients with OSAS. This study aimed to describe the prevalence of Type D personality in OSAS patients with CPAP treatment longer than 6\u2003months and the association with self\u2010reported side effects and adherence. A cross\u2010sectional descriptive design was used. A total of 247 OSAS patients with a mean use of CPAP treatment for 55\u2003months (6\u2013182\u2003months) were included. Data collection was achieved by two questionnaires; the Type D scale 14 (DS14) (Type D personality), SECI (side effects of CPAP), as well as from medical records (clinical variables and objective adherence to CPAP treatment). Type D personality occurred in 30% of the patients with OSAS and significantly (<jats:italic>P<\/jats:italic>\u2003&lt;\u20030.05\u20130.001) increased the perceived frequency and severity of a broad range of side effects. The objective adherence was significantly lower (<jats:italic>P<\/jats:italic>\u2003&lt;\u20030.001) for OSAS patients with Type D compared to OSAS patients without Type D, both with regard to a mean use of 4\u2003h per night and 85% of the self\u2010rated sleep time per night. The additional effect of a Type D personality on perceived side effects and adherence to CPAP treatment found in this study could be used by healthcare personnel when evaluating patients waiting for treatment.<\/jats:p>","DOI":"10.1111\/j.1365-2869.2007.00620.x","type":"journal-article","created":{"date-parts":[[2007,11,21]],"date-time":"2007-11-21T12:40:19Z","timestamp":1195648819000},"page":"439-447","source":"Crossref","is-referenced-by-count":94,"title":["Association of Type D personality to perceived side effects and adherence in CPAP\u2010treated patients with OSAS"],"prefix":"10.1111","volume":"16","author":[{"given":"ANDERS","family":"BROSTR\u00d6M","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"ANNA","family":"STR\u00d6MBERG","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"JAN","family":"M\u00c5RTENSSON","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"MARTIN","family":"ULANDER","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"LENA","family":"HARDER","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"EVA","family":"SVANBORG","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2007,11,21]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1093\/sleep\/22.5.667"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.JGP.0000192484.12684.cd"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1177\/0193945904273283"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/S1087-0792(97)90004-6"},{"key":"e_1_2_7_6_1","doi-asserted-by":"crossref","first-page":"299","DOI":"10.1111\/j.1467-6494.1987.tb00438.x","article-title":"Neuroticism, somatic complaints and disease: is the bark worse than the bite?","volume":"55","author":"Costa P. 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