Personality is associated with health status and impact of cancer among melanoma survivors
Personality is associated with health status and impact of cancer among melanoma survivors
复制标题
DOI：
10.1016/j.ejca.2009.09.016
复制
发表时间：
2010-02-01
影响因子：
8.4
通讯作者：
van de Poll-Franse, Lonneke V.
中科院分区：
文献类型：
--
作者：
Mols, Floortje;Holterhues, Cynthia;van de Poll-Franse, Lonneke V.
目的：我们的目的是调查黑色素瘤幸存者中D型人格（负情感和社会抑制的联合效应）的患病率，并深入了解其对健康状况的影响，癌症和医疗保健utilization.Methods的影响：我们选择了1998年和2007年之间诊断为黑色素瘤的三个大型区域医院在荷兰的所有患者。对2008年1月存活的699例患者进行问卷调查，问卷内容包括D型人格量表（DS 14）、癌症影响问卷（IOC）和SF-36，有80%的患者（n = 562）回答问卷。与非D型患者相比，他们报告了临床和统计学显著更差的一般健康状况（57.8对75.6），社会功能（73.1对88.7），心理健康（61.7对80.6），更多的情感角色限制（67.8对89.4）和更少的活力（54.5对72.8）。此外，他们还报告了癌症对身体变化、消极自我评价、消极人生观、生活干扰和健康担忧的统计学和临床相关影响。而且，他们更担心太阳对技能的影响，所以才会有所行动。没有差异被发现在卫生保健utilization.Conclusions：D型性格有一个明显的负面影响，黑色素瘤幸存者的健康状况，是一个重要的因素，在临床实践中筛选。对这些患者给予特别关注很重要，因为他们更有可能受到癌症的强烈影响，而这种影响无法用社会人口统计学或临床特征来解释。(C)2009爱思唯尔有限公司版权所有。
Objective: We aimed to investigate the prevalence of Type D personality (the conjoint effects of negative affectivity and social inhibition) among melanoma survivors and to obtain insight into its effects on health status, impact of cancer and health care utilisation.Methods: We selected all patients diagnosed with melanoma between 1998 and 2007 from three large regional hospitals in the Netherlands. in total, 699 survivors, alive in January 2008, received a questionnaire including Type D personality scale (DS14), impact of cancer questionnaire (IOC) and SF-36 and 80% responded (n = 562).Results: Twenty-two percent of survivors (n = 125) were classified as Type D. They reported a clinically and statistically significant worse general health (57.8 versus 75.6), social functioning (73.1 versus 88.7), mental health (61.7 versus 80.6), more emotional role limitations (67.8 versus 89.4) and less vitality (54.5 versus 72.8) than non-Type D patients. Additionally, they reported a statistically and clinically relevant higher impact of cancer on body changes, negative self-evaluation, negative outlook on life, life interferences and health worry. Furthermore, they were more worried about the influence of the sun on their skill and acted accordingly. No differences were found in health care utilisation.Conclusions: Type D personality has a distinct negative impact on health status in melanoma survivors and is an important factor to screen for in clinical practice. Giving special attention to these patients is important while they are more likely to experience a strong impact of cancer which cannot be explained by socio-demographical or clinical characteristics. (C) 2009 Elsevier Ltd. All rights reserved.