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Published in: Breast Cancer 5/2019

01-09-2019 | Breast Cancer | Original Article

Relationships among personality, coping, and concurrent health-related quality of life in women with breast cancer

Authors: Hui-Ling Lai, Chun-I. Chen, Chu-Yun Lu, Yu-Chun Yao, Chiung-Yu Huang

Published in: Breast Cancer | Issue 5/2019

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Abstract

Background

Theory has suggested that personality plays an important role related to health behavior and results in health outcomes, but inconsistent with the findings exist. Moreover, limited research has focused on style of coping with personality traits and health-related quality of life (HRQOL) for patients with breast cancer. We tested how ways of coping and personality traits are associated with HRQOL in patients with breast cancer, after controlling for age, education, disease severity, and sleep disorders.

Methods

In a cross-sectional study of 207 patients with breast cancer, they completed a set of questionnaires at two general hospitals. The measures used were demographic and individual characteristics, personality traits, ways of coping, and health surveys. We used correlations and hierarchical regressions to determine all relationships among factors, sleep disorders, personality, coping, and HRQOL.

Results

Most participants were reported as having stage II (77, 37.2%) breast cancer. About 60% patients with breast cancer have poor sleep and sleep disorders having a negative association with HRQOL. Participants using more active coping, with lower neuroticism, and higher agreeableness traits are more likely to have a better physical quality of life (PQOL). In the PQOL regression model, clinical conditions (duration since cancer diagnosis; sleep disorders) and two personality traits (neuroticism and agreeableness) significantly explained 23% of variance. Moreover, fewer sleep disorders and two personality traits (neuroticism and conscientiousness) significantly explained 31% of variance in the mental quality-of-life (MQOL) regression model.

Conclusions

A high prevalence of sleep disorders for patients with breast cancer has occurred and sleep disorders were negatively associated with PQOL and MQOL. In addition, neuroticism was positively related to sleep disorders and could be relevant to psycho-educational interventions.
Literature
3.
go back to reference Budhrani PH, Lengacher CA, Kip KE, Tofthagen C, Jim H. Minority breast cancer survivors: the association between race/ethnicity, objective sleep disturbances, and physical and psychological symptoms. Nurs Res Pract. 2014;2014:11. Budhrani PH, Lengacher CA, Kip KE, Tofthagen C, Jim H. Minority breast cancer survivors: the association between race/ethnicity, objective sleep disturbances, and physical and psychological symptoms. Nurs Res Pract. 2014;2014:11.
4.
go back to reference Liao PY. A study on the personality traits, self-efficiency and the quality of life among the breast cancer patients—an example of a regional hospital in Southern Taiwan. Taiwan: National Yunlin University of Science and Technology; 2011. Liao PY. A study on the personality traits, self-efficiency and the quality of life among the breast cancer patients—an example of a regional hospital in Southern Taiwan. Taiwan: National Yunlin University of Science and Technology; 2011.
5.
go back to reference Chang MY, Hsu WY, Hsu CY, Lin LY. Quality of life and related factors in patients with newly diagnosed cancer. VGH Nurs. 2016;33(3):293–302. Chang MY, Hsu WY, Hsu CY, Lin LY. Quality of life and related factors in patients with newly diagnosed cancer. VGH Nurs. 2016;33(3):293–302.
6.
go back to reference Jokela M, Batty GD, Hintsa T, Elovainio M, Hakulinen C, Kivimaki M. Is personality associated with cancer incidence and mortality? An individual-participant meta-analysis of 2156 incident cancer cases among 42,843 men and women. Br J Cancer. 2014;110(7):1820–4.CrossRefPubMedPubMedCentral Jokela M, Batty GD, Hintsa T, Elovainio M, Hakulinen C, Kivimaki M. Is personality associated with cancer incidence and mortality? An individual-participant meta-analysis of 2156 incident cancer cases among 42,843 men and women. Br J Cancer. 2014;110(7):1820–4.CrossRefPubMedPubMedCentral
8.
go back to reference Yang SW, Wang YH. A preliminary investigation of the associations among personality traits, emotional states, and Ryodoraku in healthy women. Evid Based Nat Med. 2015;1(2):3–16. Yang SW, Wang YH. A preliminary investigation of the associations among personality traits, emotional states, and Ryodoraku in healthy women. Evid Based Nat Med. 2015;1(2):3–16.
9.
go back to reference Huang IC, Lee JL, Ketheeswaran P, Jones CM, Revicki DA, Wu AW. Does personality affect health-related quality of life? A systematic review. PloS One. 2017;12(3):e0173806.CrossRefPubMedPubMedCentral Huang IC, Lee JL, Ketheeswaran P, Jones CM, Revicki DA, Wu AW. Does personality affect health-related quality of life? A systematic review. PloS One. 2017;12(3):e0173806.CrossRefPubMedPubMedCentral
10.
go back to reference Juhel J, Brunot S, Zapata G. Response distortion on the NEO PI-R among candidates taking the entrance examination to the national school of civil aviation (ENAC-France). Psychology. 2012;3(5,6):6. Juhel J, Brunot S, Zapata G. Response distortion on the NEO PI-R among candidates taking the entrance examination to the national school of civil aviation (ENAC-France). Psychology. 2012;3(5,6):6.
11.
go back to reference Hsu Y, Ting WT. A Study of Applying LISREL on the relationship among personality traits between innovativeness. J Data Anal. 2009;4(2):123–40. Hsu Y, Ting WT. A Study of Applying LISREL on the relationship among personality traits between innovativeness. J Data Anal. 2009;4(2):123–40.
12.
go back to reference Lazarus RS, Folkman S. Stress, appraisal and coping. New York: Spring Publishing Company; 1984. Lazarus RS, Folkman S. Stress, appraisal and coping. New York: Spring Publishing Company; 1984.
13.
go back to reference Huang CY, Guo SE, Hung CM, Shih SL, Lee LC, Hung GC, Huang SM. Learned resourcefulness, quality of life, and depressive symptoms for patients with breast cancer. Oncol Nurs Forum. 2010;37(4):E280–7.CrossRefPubMed Huang CY, Guo SE, Hung CM, Shih SL, Lee LC, Hung GC, Huang SM. Learned resourcefulness, quality of life, and depressive symptoms for patients with breast cancer. Oncol Nurs Forum. 2010;37(4):E280–7.CrossRefPubMed
14.
go back to reference Huang CY, Hsu MC. Social support as a moderator between depressive symptoms and quality of life outcomes of breast cancer survivors. Eur J Oncol Nurs. 2013;17(6):767–74.CrossRefPubMed Huang CY, Hsu MC. Social support as a moderator between depressive symptoms and quality of life outcomes of breast cancer survivors. Eur J Oncol Nurs. 2013;17(6):767–74.CrossRefPubMed
15.
go back to reference Ho SY, Rohan KJ, Parent J, Tager FA, McKinley PS. A longitudinal study of depression, fatigue, and sleep disturbances as a symptom cluster in women with breast cancer. J Pain Symptom Manag. 2015;49(4):707–15.CrossRef Ho SY, Rohan KJ, Parent J, Tager FA, McKinley PS. A longitudinal study of depression, fatigue, and sleep disturbances as a symptom cluster in women with breast cancer. J Pain Symptom Manag. 2015;49(4):707–15.CrossRef
16.
go back to reference Howell D, Oliver TK, Keller-Olaman S, Davidson JR, Garland S, Samuels C, Savard J, et al. Sleep disturbance in adults with cancer: a systematic review of evidence for best practices in assessment and management for clinical practice. Ann Oncol. 2014;25(4):791–800.CrossRefPubMed Howell D, Oliver TK, Keller-Olaman S, Davidson JR, Garland S, Samuels C, Savard J, et al. Sleep disturbance in adults with cancer: a systematic review of evidence for best practices in assessment and management for clinical practice. Ann Oncol. 2014;25(4):791–800.CrossRefPubMed
17.
go back to reference Cappuccio FP, Cooper D, D’Elia L, Strazzullo P, Miller MA. Sleep duration predicts cardiovascular outcomes: a systematic review and meta-analysis of prospective studies. Eur Heart J. 2011;32(12):1484–92.CrossRefPubMed Cappuccio FP, Cooper D, D’Elia L, Strazzullo P, Miller MA. Sleep duration predicts cardiovascular outcomes: a systematic review and meta-analysis of prospective studies. Eur Heart J. 2011;32(12):1484–92.CrossRefPubMed
18.
go back to reference Fleming L, Gillespie S, Espie CA. The development and impact of insomnia on cancer survivors: a qualitative analysis. Psychooncology. 2010;19(9):991–6.CrossRefPubMed Fleming L, Gillespie S, Espie CA. The development and impact of insomnia on cancer survivors: a qualitative analysis. Psychooncology. 2010;19(9):991–6.CrossRefPubMed
19.
go back to reference Cohen J, Cohen P. Applied multiple regression correlation analysis for the behavioral sciences, 2nd ed. Hillsdale: Lawrence Erlbaum Association; 1983. Cohen J, Cohen P. Applied multiple regression correlation analysis for the behavioral sciences, 2nd ed. Hillsdale: Lawrence Erlbaum Association; 1983.
20.
go back to reference Costa PT, McCrae RR. Revised NEO personality inventory (NEO PI-R) and NEP five-factor inventory (NEO-FFI): professional manual. Odessa, Fla: Psychological Assessment Resources; 1992. Costa PT, McCrae RR. Revised NEO personality inventory (NEO PI-R) and NEP five-factor inventory (NEO-FFI): professional manual. Odessa, Fla: Psychological Assessment Resources; 1992.
21.
go back to reference Smyth K, Yarandi HN. Factor analysis of the Ways of Coping Questionnaire for African American women. Nurs Res. 1996;45(1):25–9.CrossRefPubMed Smyth K, Yarandi HN. Factor analysis of the Ways of Coping Questionnaire for African American women. Nurs Res. 1996;45(1):25–9.CrossRefPubMed
22.
go back to reference Huang CY, Lai HL, Lu YC, Chen WK, Chi SC, Lu CY, Chen CI. Risk factors and coping style affect health outcomes in adults with type 2 diabetes. Biol Res Nurs. 2016;18(1):82–9.CrossRefPubMed Huang CY, Lai HL, Lu YC, Chen WK, Chi SC, Lu CY, Chen CI. Risk factors and coping style affect health outcomes in adults with type 2 diabetes. Biol Res Nurs. 2016;18(1):82–9.CrossRefPubMed
23.
go back to reference McHorney CA, Ware JE Jr, Raczek AE. The MOS 36-Item Short-Form Health Survey (SF-36): II. Psychometric and clinical tests of validity in measuring physical and mental health constructs. Med Care. 1993;31(3):247–63.CrossRefPubMed McHorney CA, Ware JE Jr, Raczek AE. The MOS 36-Item Short-Form Health Survey (SF-36): II. Psychometric and clinical tests of validity in measuring physical and mental health constructs. Med Care. 1993;31(3):247–63.CrossRefPubMed
24.
go back to reference Huang CY, Lai HL, Chen CI, Lu YC, Li SC, Wang LW, Su Y. Effects of motivational enhancement therapy plus cognitive behaviour therapy on depressive symptoms and health-related quality of life in adults with type II diabetes mellitus: a randomised controlled trial. Qual Life Res. 2016;25(5):1275–83.CrossRefPubMed Huang CY, Lai HL, Chen CI, Lu YC, Li SC, Wang LW, Su Y. Effects of motivational enhancement therapy plus cognitive behaviour therapy on depressive symptoms and health-related quality of life in adults with type II diabetes mellitus: a randomised controlled trial. Qual Life Res. 2016;25(5):1275–83.CrossRefPubMed
25.
go back to reference Buysse DJ, Reynolds CF III, Monk TH, Berman SR, Kupfer DJ. The Pittsburgh Sleep Quality Index: a new instrument for psychiatric practice and research. Psychiatry Res. 1989;28(2):193–213.CrossRefPubMed Buysse DJ, Reynolds CF III, Monk TH, Berman SR, Kupfer DJ. The Pittsburgh Sleep Quality Index: a new instrument for psychiatric practice and research. Psychiatry Res. 1989;28(2):193–213.CrossRefPubMed
26.
go back to reference Tzeng JI, Fu YW, Lin CC. Validity and reliability of the Taiwanese version of the Pittsburgh Sleep Quality Index in cancer patients. Int J Nurs Stud. 2012;49(1):102–8.CrossRefPubMed Tzeng JI, Fu YW, Lin CC. Validity and reliability of the Taiwanese version of the Pittsburgh Sleep Quality Index in cancer patients. Int J Nurs Stud. 2012;49(1):102–8.CrossRefPubMed
27.
go back to reference Hoerger M, Chapman B, Duberstein P. Realistic affective forecasting: the role of personality. Cogn Emot. 2016;30(7):1304–16.CrossRefPubMed Hoerger M, Chapman B, Duberstein P. Realistic affective forecasting: the role of personality. Cogn Emot. 2016;30(7):1304–16.CrossRefPubMed
28.
go back to reference Löckenhoff CE, Sutin AR, Ferrucci L, Costa PT. Personality traits and subjective health in the later years: the association between NEO-PI-R and SF-36 in advanced age is influenced by health status. J Res Pers. 2008;42(5):1334–46.CrossRef Löckenhoff CE, Sutin AR, Ferrucci L, Costa PT. Personality traits and subjective health in the later years: the association between NEO-PI-R and SF-36 in advanced age is influenced by health status. J Res Pers. 2008;42(5):1334–46.CrossRef
29.
go back to reference Wrosch C, Scheier MF. Personality and quality of life: the importance of optimism and goal adjustment. Qual Life Res. 2003;12(Suppl 1):59–72.CrossRefPubMed Wrosch C, Scheier MF. Personality and quality of life: the importance of optimism and goal adjustment. Qual Life Res. 2003;12(Suppl 1):59–72.CrossRefPubMed
30.
go back to reference Chen MB, Hsieh LF, Lin HL, Lee SH, Lin CR, Tsai SL. Predicting factors on quality of life in canacer patients. VGH Nurs. 2004;21(4):352–62. Chen MB, Hsieh LF, Lin HL, Lee SH, Lin CR, Tsai SL. Predicting factors on quality of life in canacer patients. VGH Nurs. 2004;21(4):352–62.
Metadata
Title
Relationships among personality, coping, and concurrent health-related quality of life in women with breast cancer
Authors
Hui-Ling Lai
Chun-I. Chen
Chu-Yun Lu
Yu-Chun Yao
Chiung-Yu Huang
Publication date
01-09-2019
Publisher
Springer Japan
Published in
Breast Cancer / Issue 5/2019
Print ISSN: 1340-6868
Electronic ISSN: 1880-4233
DOI
https://doi.org/10.1007/s12282-019-00954-7

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