Skip to main content
Key Specialties
Cardiology Diabetology Endocrinology Gastroenterology Geriatrics and Gerontology Gynecology and Obstetrics Hematology Infectious Disease Internal Medicine Nephrology Neurology Oncology Pediatrics Respiratory Medicine Rheumatology Surgery
Congress Coverage
2024 ACC Congress 2023 ESMO Congress 2023 EASD Congress 2023 ERS Congress 2023 ESC Congress
Clinical Collections
Advances in Alzheimer’s

At a glance: The STEP trials

A round-up of the STEP phase 3 clinical trials evaluating semaglutide for weight loss in people with overweight or obesity.
ADVANCED SEARCH
Log in
Top
Breast Cancer
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

Login to get access

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
1.
2.
3.
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.
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.
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.
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
7.
8.
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.
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.
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.
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.
Lazarus RS, Folkman S. Stress, appraisal and coping. New York: Spring Publishing Company; 1984.
13.
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.
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.
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.
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.
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.
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.
Cohen J, Cohen P. Applied multiple regression correlation analysis for the behavioral sciences, 2nd ed. Hillsdale: Lawrence Erlbaum Association; 1983.
20.
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.
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.
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.
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.
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.
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.
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.
Hoerger M, Chapman B, Duberstein P. Realistic affective forecasting: the role of personality. Cogn Emot. 2016;30(7):1304–16.CrossRefPubMed
28.
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.
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.
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

Other articles of this Issue 5/2019

Breast Cancer 5/2019 Go to the issue

Original Article

Pharmacogenomic–pharmacokinetic study of selective estrogen-receptor modulators with intra-patient dose escalation in breast cancer

Original Article

Oncologic outcomes and radiation safety of nipple-sparing mastectomy with intraoperative radiotherapy for breast cancer

Original Article

PIM1 is responsible for IL-6-induced breast cancer cell EMT and stemness via c-myc activation

Original Article

Lateral thoracoaxillar dermal-fat flap for breast conserving surgery: the changes of the indication and long-term results

Correction

Correction to: Neutropenia management with palbociclib in Japanese patients with advanced breast cancer

Original Article

Breast cancer cell motility is promoted by 14-3-3γ
Webinar | 19-02-2024 | 17:30 (CET)

Keynote webinar | Spotlight on antibody–drug conjugates in cancer

Watch now

Antibody–drug conjugates (ADCs) are novel agents that have shown promise across multiple tumor types. Explore the current landscape of ADCs in breast and lung cancer with our experts, and gain insights into the mechanism of action, key clinical trials data, existing challenges, and future directions.

Dr. Véronique Diéras
Prof. Fabrice Barlesi
Developed by: Springer Medicine
Image Credits