Rheumatology (Oxford, England) · 2025
Association of physicians' Big Five personality traits with shared decision-making in patients with SLE.
СтатьяПоддержка исследования: вне правительства СШАНазвание и аннотация: Перевод в очереди
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Morishita Shigemi, Sada Ken-Ei, Kudo Masataka, Dobashi Naofumi, Sasaki Sho, Yoshimi Ryusuke, Sakurai Natsuki, Hidekawa Chiharu, Shimojima Yasuhiro, Kishida Dai, Ichikawa Takanori, Miyawaki Yoshia, Hayashi Keigo, Shidahara Kenta, Ishikawa Yuichi, Oguro Nao, Yajima Nobuyuki, Kurita Noriaki, Suganuma Narufumi
Аннотация
OBJECTIVES: Recent European League Against Rheumatism guidelines highlight the importance of shared decision-making (SDM) in SLE treatment. This study investigated the relationship between physicians' personality traits and patient-rated SDM.
METHODS: Using baseline data from the Trust Measurements for Physicians and Patients with SLE (TRUM2-SLE) study, physicians' personality traits were assessed by the Japanese version of the 10-Item Personality Inventory (TIPI-J) scale (scores of 1-7 points each), while SDM was evaluated using the patient-reported nine-item SDM Questionnaire (SDM-Q-9) scale (total 0-100 points). Linear mixed-effects models with cluster-robust variance estimation analysed the association between TIPI-J scores and SDM-Q-9 scores. A cluster analysis was also performed to group physicians based on personality patterns, and the association between these clusters and SDM-Q-9 was evaluated.
RESULTS: Among 493 patients, the median SDM-Q-9 score was 75.6. Among 43 physicians, the median TIPI-J scores were as follows: extraversion, 4.0; agreeableness, 5.0; conscientiousness, 3.0; neuroticism, 3.5 and openness, 4.0. Conscientiousness (β = -1.67; 95% CI, -3.02 to -0.33) and neuroticism (β = -2.06; 95% CI -4.08 to -0.04) correlated negatively with SDM-Q-9 scores. A clustering analysis identified three physician groups; those in Cluster 2, characterized by low conscientiousness and neuroticism and labelled 'lower perfectionism', had significantly higher SDM-Q-9 scores than those in Clusters 1 and 3.
CONCLUSION: A physician's perfectionist tendencies may be a barrier to the SDM process with patients.
METHODS: Using baseline data from the Trust Measurements for Physicians and Patients with SLE (TRUM2-SLE) study, physicians' personality traits were assessed by the Japanese version of the 10-Item Personality Inventory (TIPI-J) scale (scores of 1-7 points each), while SDM was evaluated using the patient-reported nine-item SDM Questionnaire (SDM-Q-9) scale (total 0-100 points). Linear mixed-effects models with cluster-robust variance estimation analysed the association between TIPI-J scores and SDM-Q-9 scores. A cluster analysis was also performed to group physicians based on personality patterns, and the association between these clusters and SDM-Q-9 was evaluated.
RESULTS: Among 493 patients, the median SDM-Q-9 score was 75.6. Among 43 physicians, the median TIPI-J scores were as follows: extraversion, 4.0; agreeableness, 5.0; conscientiousness, 3.0; neuroticism, 3.5 and openness, 4.0. Conscientiousness (β = -1.67; 95% CI, -3.02 to -0.33) and neuroticism (β = -2.06; 95% CI -4.08 to -0.04) correlated negatively with SDM-Q-9 scores. A clustering analysis identified three physician groups; those in Cluster 2, characterized by low conscientiousness and neuroticism and labelled 'lower perfectionism', had significantly higher SDM-Q-9 scores than those in Clusters 1 and 3.
CONCLUSION: A physician's perfectionist tendencies may be a barrier to the SDM process with patients.