{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,5]],"date-time":"2026-05-05T18:11:09Z","timestamp":1778004669101,"version":"3.51.4"},"reference-count":40,"publisher":"European Respiratory Society (ERS)","issue":"2","license":[{"start":{"date-parts":[[2025,10,16]],"date-time":"2025-10-16T00:00:00Z","timestamp":1760572800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["publications.ersnet.org"],"crossmark-restriction":true},"short-container-title":["ERJ Open Res"],"accepted":{"date-parts":[[2025,8,29]]},"published-print":{"date-parts":[[2026,3]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Type D personality, characterised by social inhibition and negative affectivity, has been linked to lower compliance with continuous positive airway pressure (CPAP) and mandibular advancement device treatment, and increased side-effects in obstructive sleep apnoea (OSA) patients. Bilevel positive airway pressure (BiPAP) is often prescribed as an alternative when CPAP is poorly tolerated. However, the influence of type D personality on BiPAP compliance and related side-effects has not been studied. Regarding overall treatment success, mean disease alleviation (MDA) must also be considered.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      An observational cohort study was conducted in 365 adult patients with OSA or central sleep apnoea who received BiPAP therapy. Type D personality was assessed using the 14-item Type D Scale questionnaire. Data were collected from medical patient records. Compliant users were defined as patients using the device for \u22654\u2005h\u00b7night\n                      <jats:sup>\u22121<\/jats:sup>\n                      . MDA was calculated by multiplying therapeutic efficacy and adjusted compliance. Side-effects were assessed through patient-reported questionnaires.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      The cohort included 291 men and 74 women (mean\u00b1\n                      <jats:sc>sd<\/jats:sc>\n                      age 56\u00b112\u2005years, median body mass index 32.0 (interquartile range (IQR) 28.7\u201336.7)\u2005kg\u00b7m\n                      <jats:sup>\u22122<\/jats:sup>\n                      , median baseline apnoea\u2013hypopnoea index 44.7 (IQR 28.1\u201366.7)\u2005events\u00b7h\n                      <jats:sup>\u22121<\/jats:sup>\n                      ). Type D personality was present in 33% of the cohort. BiPAP compliance was significantly lower in the type D group (median 5.94, IQR 3.29\u20137.22\u2005h\u00b7night\n                      <jats:sup>\u22121<\/jats:sup>\n                      ) compared to the non-type D group (6.27, 4.53\u20137.63\u2005h\u00b7night\n                      <jats:sup>\u22121<\/jats:sup>\n                      ; p=0.023). Six out of 19 studied side-effects were significantly more common in type D patients, with another 12 side-effects showing a trend to higher prevalence.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>In conclusion, type D personality significantly lowers BiPAP compliance and increases occurrence of side-effects.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1183\/23120541.00714-2025","type":"journal-article","created":{"date-parts":[[2025,10,16]],"date-time":"2025-10-16T15:50:22Z","timestamp":1760629822000},"page":"00714-2025","update-policy":"https:\/\/doi.org\/10.1183\/ers-crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["Impact of type D personality on bilevel positive airway pressure compliance and side-effects in sleep apnoea patients"],"prefix":"10.1183","volume":"12","author":[{"ORCID":"https:\/\/orcid.org\/0009-0001-7869-7296","authenticated-orcid":false,"given":"Frederik","family":"Veys","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6030-475X","authenticated-orcid":false,"given":"An-Marie","family":"Schyvens","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3262-0031","authenticated-orcid":false,"given":"Ilse","family":"De Volder","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ann","family":"Van Gastel","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5822-1960","authenticated-orcid":false,"given":"Marijke","family":"Dieltjens","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7538-2021","authenticated-orcid":false,"given":"Anneclaire V.","family":"Vroegop","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4088-4213","authenticated-orcid":false,"given":"Olivier M.","family":"Vanderveken","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6087-678X","authenticated-orcid":false,"given":"Johan","family":"Verbraecken","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"81","published-online":{"date-parts":[[2025,10,16]]},"reference":[{"key":"2026050510154666000_12.2.00714-2025.1","unstructured":"American Academy of Sleep Medicine (AASM) . 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