{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,30]],"date-time":"2026-03-30T06:54:58Z","timestamp":1774853698196,"version":"3.50.1"},"reference-count":41,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2026,3,30]],"date-time":"2026-03-30T00:00:00Z","timestamp":1774828800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Public Health"],"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Guideline-based aphasia rehabilitation recommends intensive speech and language therapy, yet people with aphasia in German-speaking countries often receive substantially lower doses. Personality traits predict adherence in chronic disease, but their relevance for aphasia care is unclear. We examined associations between Big Five traits and therapy frequency and explored trait links to reported reasons for non-guideline-based care.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      From January to April 2024 we conducted a cross-sectional survey on patient-reported reasons for insufficient therapy. Overall, 260 individuals with aphasia participated; 243 completed the BFI-10. Median age was 62\u202fyears (range 20\u201388) and median aphasia duration 5.5\u202fyears. Therapy frequency was recorded categorically (none, monthly, weekly, twice weekly, 3\u202ftimes weekly). Associations were tested using Spearman correlations and Mann\u2013Whitney\n                      <jats:italic>U<\/jats:italic>\n                      tests.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Conscientiousness correlated positively with therapy frequency (\n                      <jats:italic>r<\/jats:italic>\n                      \u202f=\u202f0.212,\n                      <jats:italic>p<\/jats:italic>\n                      \u202f&amp;lt;\u202f0.001), whereas neuroticism (\n                      <jats:italic>r<\/jats:italic>\n                      \u202f=\u202f\u22120.115,\n                      <jats:italic>p<\/jats:italic>\n                      \u202f=\u202f0.038) and openness (\n                      <jats:italic>r<\/jats:italic>\n                      \u202f=\u202f\u22120.138,\n                      <jats:italic>p<\/jats:italic>\n                      \u202f=\u202f0.017) correlated negatively. Participants currently in therapy reported higher conscientiousness than those without therapy (\n                      <jats:italic>U<\/jats:italic>\n                      \u202f=\u202f4472.5,\n                      <jats:italic>Z<\/jats:italic>\n                      \u202f=\u202f\u22122.961,\n                      <jats:italic>p<\/jats:italic>\n                      \u202f=\u202f0.003). Agreeableness was higher among those endorsing \u201cmy therapist said I do not need therapy anymore\u201d (\n                      <jats:italic>U<\/jats:italic>\n                      \u202f=\u202f1839.5,\n                      <jats:italic>Z<\/jats:italic>\n                      \u202f=\u202f\u22122.175,\n                      <jats:italic>p<\/jats:italic>\n                      \u202f=\u202f0.030). Neuroticism was higher among those endorsing \u201ctherapy was\/is too exhausting\u201d (\n                      <jats:italic>U<\/jats:italic>\n                      \u202f=\u202f1327.5,\n                      <jats:italic>Z<\/jats:italic>\n                      \u202f=\u202f\u22122.238,\n                      <jats:italic>p<\/jats:italic>\n                      \u202f=\u202f0.025). Conscientiousness correlated with perceived financial situation (\n                      <jats:italic>r<\/jats:italic>\n                      \u202f=\u202f0.143,\n                      <jats:italic>p<\/jats:italic>\n                      \u202f=\u202f0.027). No significant associations emerged for aphasia severity, age, or duration.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Personality shows small but significant associations with therapy frequency and selected perceived barriers in aphasia rehabilitation. Given the cross-sectional, exploratory design, inferences are tentative. These effects were small and should be interpreted with caution. Results support incorporating personality into biopsychosocial models and motivate hypothesis-driven longitudinal studies.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3389\/fpubh.2026.1793090","type":"journal-article","created":{"date-parts":[[2026,3,30]],"date-time":"2026-03-30T05:27:34Z","timestamp":1774848454000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["Influence of the Big Five personality traits on intensive therapy adherence within people with aphasia"],"prefix":"10.3389","volume":"14","author":[{"given":"Robert","family":"Darkow","sequence":"first","affiliation":[{"name":"Institute for Logopedics, JOANNEUM University of Applied Sciences","place":["Graz, Austria"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Laura","family":"Plotho","sequence":"additional","affiliation":[{"name":"Institute for Logopedics, JOANNEUM University of Applied Sciences","place":["Graz, Austria"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Felix","family":"Muehlensiepen","sequence":"additional","affiliation":[{"name":"AGEIS, Universit\u00e9 Grenoble-Alpes","place":["Grenoble, France"]},{"name":"Faculty of Health Sciences, Brandenburg Medical School Theodor Fontane, Center for Health Services Research","place":["R\u00fcdersdorf, Germany"]},{"name":"Department of Cardiology, Angiology and Intensive Care Medicine, German Heart Center of the Charit\u00e9","place":["Berlin, Germany"]},{"name":"Charit\u00e9 - University Medicine Berlin, Corporate Member of Freie Universit\u00e4t Berlin and Humboldt-Universit\u00e4t Berlin","place":["Berlin, Germany"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alexander E.","family":"Heidekum","sequence":"additional","affiliation":[{"name":"Institute for Logopedics, JOANNEUM University of Applied Sciences","place":["Graz, Austria"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Helmut","family":"Ritschl","sequence":"additional","affiliation":[{"name":"Institute for Logopedics, JOANNEUM University of Applied Sciences","place":["Graz, Austria"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Susann","family":"May","sequence":"additional","affiliation":[{"name":"Faculty of Health Sciences, Brandenburg Medical School Theodor Fontane, Center for Health Services Research","place":["R\u00fcdersdorf, Germany"]}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1965","published-online":{"date-parts":[[2026,3,30]]},"reference":[{"key":"ref1","volume-title":"Pers\u00f6nlichkeitstheorien (5. 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