Effects of personality on self-rated health in a 1-year randomized controlled trial of chronic illness self-management.
Effects of personality on self-rated health in a 1-year randomized controlled trial of chronic illness self-management.
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DOI：
10.1348/135910709x464353
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发表时间：
2010-05
影响因子：
7.9
通讯作者：
Franks P
中科院分区：
文献类型：
--
作者：
Jerant A;Chapman B;Duberstein P;Franks P
人格因素适度自我效能增强的影响，一些疾病自我管理干预措施，但他们对自测健康的影响尚不清楚本研究探讨是否高神经质和低的焦虑，外倾性，和宜人性（苦恼的个性特征）调节归巢健康（HIOH）疾病自我管理干预对精神和身体健康状况的影响。来自完成HIOH随机对照试验的384例受试者的数据分析。回归分析检查了NEO五因素量表评分对SF-36心理健康总评（MCS-36）和身体健康总评（PCS-36）评分（基线; 2周、4周和6周; 6个月; 1年）的影响，调整了年龄、性别和研究组。与其他人相比，抑郁人格特征的基线MCS-36评分更差：高神经质（差13.3分，95%置信区间（CI）= 11.0，15.7）和低风险（差6.6分，95% CI = 4.1，9.2），外倾性（差10.1分，95% CI = 7.7，12.5）和宜人性（差4.2分，95% CI = 1.6，6.8）。干预受试者在第4周和第6周的MCS-36评分更好，受益仅限于低忠诚度的受试者（4周- 3.7分更好，95% CI = 0.2，71; 6周- 5.0分更好，95% CI = 1.57，8.4）。没有干预或个性的PCS-36评分的影响。慢性病自我管理干预收件人与痛苦的个性特征有更差的自我评价的心理健康，和谨慎缓和的短期影响的自我评价的心理健康的干预。测量个性可能有助于识别更有可能从自我管理干预中受益的个人。
Personality factors moderate self-efficacy enhancing effects of some illness self-management interventions, but their influence on self-rated health is unclear This study examined whether high neuroticism and low conscientiousness, extraversion, and agreeableness (the distressed personality profile) moderated the effects of the homing in on health (HIOH) illness self-management intervention on mental and physical health status. Analysis of data from 384 subjects completing a randomized controlled trial of HIOH. Regression analyses examined effects of NEO-five factor inventory scores on SF-36 mental component summary (MCS-36) and physical component summar (PCS-36) scores (baseline; 2, 4, and 6 weeks; 6 months; 1 year), adjusting for age gender, and study group. Baseline MCS-36 scores were worse in those with the distressed personality profile relative to others: high neuroticism (13.3 points worse, 95% confidence interval (CI) = 11.0, 15.7) and low conscientiousness (6.6 points worse, 95% CI = 4.1, 9.2), extraversion (10.1 points worse, 95% CI = 7.7, 12.5) and agreeableness (4.2 points worse, 95% CI = 1.6, 6.8). Intervention subjects had better MCS-36 scores at 4 and 6 weeks, and benefits were confined to participants with low conscientiousness (4 weeks – 3.7 points better, 95% CI = 0.2, 71; 6 weeks – 5.0 points better, 95% CI = 1.57, 8.4). There were no intervention or personality effects on PCS-36 scores. Chronically ill self-management intervention recipients with the distressed personality profile had worse self-rated mental health, and conscientiousness moderated the short-term effects of the intervention on self-rated mental health. Measuring personality may help identify individuals more likely to benefit from self-management interventions.