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ORIGINAL RESEARCH article

Front. Psychol.
Sec. Health Psychology
Volume 15 - 2024 | doi: 10.3389/fpsyg.2024.1442031

Mediating Effect of Self-Efficacy on the Relationship between Big Five Personality and Medication Adherence in Chinese Hypertensive Patients: A National Cross-Sectional Study

Provisionally accepted
Mingliang Du Mingliang Du 1Boran Wang Boran Wang 2*Miao jiang Miao jiang 1*Jiangyun Chen Jiangyun Chen 3Hui Hui Hui Hui 1*Yibo Wu Yibo Wu 4*
  • 1 Department of Coronary Heart Disease, Central Hospital of Dalian University of Technology, Dalian, China
  • 2 Dalian Municipal Central Hospital, Dalian, China
  • 3 School of Health Management, Southern Medical University, Guangzhou, Guangdong, China
  • 4 School of Public Health, Health Science Centre, Peking University, Beijing, Beijing Municipality, China

The final, formatted version of the article will be published soon.

    The study aims to evaluate personality characteristics, self-efficacy, and medication adherence in Chinese patients with hypertension, while also investigating how self-efficacy mediates the relationship between personality traits and medication adherence. Methods: This investigation included 787 Chinese patients diagnosed with hypertension, as reported in the "2021 China Family Health Index Survey Report." The study employed several assessment tools such as a General Information Questionnaire, the Brief Big Five Inventory (BFI-10), the New General Self-Efficacy Scale (NGSES), and the Medication Adherence Rating Scale (MARS). Statistical analyses encompassed the Mann-Whitney U test, chi-square test, multiple logistic regression, Spearman's rank correlation, standardized regression coefficients, and Bootstrap techniques. Results: 1) Individuals with debt, who also possess high levels of self-efficacy, tend to adhere more consistently to their medication regimens. 2) An analysis of personality traits indicated that Extroversion,Conscientiousness and Openness positively influences self-efficacy,while Agreeableness and Neuroticism negatively impacts it. 3) Self-efficacy plays a mediating role in the indirect relationship between personality traits such as Extroversion and neuroticism and medication adherence.In the context of Chinese adults, both self-efficacy and Extroversion positively influence medication adherence, whereas high levels of neuroticism adversely impact it. Furthermore, self-efficacy serves as a mediating factor in the linkage between personality traits and medication adherence.

    Keywords: Hypertension, Personality, self-efficacy, Medication Adherence, Mediating effect

    Received: 25 Jul 2024; Accepted: 21 Oct 2024.

    Copyright: © 2024 Du, Wang, jiang, Chen, Hui and Wu. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

    * Correspondence:
    Boran Wang, Dalian Municipal Central Hospital, Dalian, China
    Miao jiang, Department of Coronary Heart Disease, Central Hospital of Dalian University of Technology, Dalian, China
    Hui Hui, Department of Coronary Heart Disease, Central Hospital of Dalian University of Technology, Dalian, China
    Yibo Wu, School of Public Health, Health Science Centre, Peking University, Beijing, 100191, Beijing Municipality, China

    Disclaimer: All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.