Related Experiment Video
Updated: Mar 23, 2026

Using Continuous Data Tracking Technology to Study Exercise Adherence in Pulmonary Rehabilitation
Published on: November 8, 2013
[TREATMENT COMPLIANCE IN PATIENTS WITH CHRONIC HEART FAILURE AND COMORBIDITIES]
Insights
Patient personality traits significantly impact treatment compliance in chronic heart failure (CHF). Understanding psychological factors is key to improving adherence to CHF therapy and overall treatment effectiveness.
Area of Science:
- Cardiology
- Psychology
- Health Services Research
Context:
- Treatment compliance is crucial for managing chronic heart failure (CHF).
- Individual patient characteristics, including comorbidities and psychological status, are often overlooked in CHF management.
- Understanding these factors is essential for optimizing therapeutic outcomes.
Purpose:
- To investigate the clinical and psychological factors influencing treatment compliance in patients with chronic heart failure.
- To assess the role of comorbidity in relation to treatment adherence.
- To identify specific personality traits associated with poor compliance.
Summary:
- This study analyzed 203 chronic heart failure patients, evaluating comorbidity, psychological status, and treatment compliance.
- Low compliance rates were observed for both non-medicamental (18.2%) and medicamental (30%) therapies.
- Patients with poor compliance exhibited disadaptive responsiveness, emotional lability, and indecisiveness.
Impact:
- Personality traits are significant determinants of treatment compliance in chronic heart failure patients.
- This highlights the need for personalized approaches in CHF management that consider psychological profiles.
- Integrating psychological assessments may improve patient adherence and therapeutic effectiveness in CHF.
Unlabelled:
Treatment compliance determines to a large degree the effectiveness of therapy of chronic heart failure (CHF). However; individual characteristics of a patient, such as comorbidities and personality status are frequently disregarded. This work was aimed to study clinical and psychological peculiarities of patients with CHF determining treatment compliance taking account of comorbidity.
Materials And Methods:
The study included 203 patients (130 men and 73 women) of mean age 61.8 ± 9.6 yr. The following features were evaluated: comorbidity psychological status, compliance with medicamental and non-medicamental treatment of CHF.
Results:
Charlson comorbidity index corrected for age was 5.0 ± 2.1. Compliance with non-medicamental (recommendations on self-control and changes in the lifestyle) and medicamental therapy was documented in 37 (18.2%) and 61 (30%) patients respectively. Patients with poor compliance were characterised by disadaptive type of responsiveness, emotional lability and indecisiveness (p < 0.04).
Conclusion:
Poor treatment compliance is to a large extent determined by peculiarities of the personality status.
Related Concept Videos
Heart Failure VI: Adjunct Therapies
Heart Failure V: Medical Management
Heart Failure VII: Nursing Interventions
Cardiomyopathy V: Interprofessional Care
Cardiomyopathy VI: Nursing Management
Heart Failure IV: Classification and Diagnostic Evaluation