Mental Health Clinic, Chonnam National University Hwasun Hospital, Hwasun, Korea.
Eur Neurol. 2013;69(3):185-92. doi: 10.1159/000345699. Epub 2013 Jan 10.
To investigate influences of personality traits on quality of life (QOL) over the first 3 months after stroke.
Participants were interviewed 2 weeks after stroke with a follow-up after 3 months, with QOL (WHOQOL-BREF) measured on both occasions. Personality traits were ascertained at the 3-month examination using the Big Five Inventory, quantifying five personality traits: extraversion, agreeableness, conscientiousness, neuroticism and openness. Influences of personality traits on QOL at the 2 examinations were investigated using repeated-measure analysis of variance (ANOVA) with adjustments for age, gender, number of years in education, use of antidepressants, stroke severity and physical disability.
In the 151 patients present at both examinations, neuroticism resulted in lower overall QOL levels on all 4 WHOQOL-BREF domains, and extraversion, agreeableness and conscientiousness influenced some, but not all, QOL domains. The openness trait had no influence on overall QOL levels but showed significant group-by-time interactions on psychological and environment QOL domains.
QOL over the 3-month period after stroke was influenced by several personality traits. The neuroticism trait influenced overall QOL levels but not trajectories, while the opposite was true for the openness trait.
探讨人格特质对中风后 3 个月内生活质量（QOL）的影响。
在中风后 2 周对参与者进行访谈，并在 3 个月后进行随访，在两次评估中均使用世界卫生组织生活质量简表（WHOQOL-BREF）进行 QOL 评估。在 3 个月的检查中使用大五人格量表确定人格特质，该量表量化了五个人格特质：外向性、宜人性、尽责性、神经质和开放性。使用重复测量方差分析（ANOVA），并根据年龄、性别、受教育年限、使用抗抑郁药、中风严重程度和身体残疾等因素进行调整，探讨人格特质对两次评估中 QOL 的影响。
在两次检查均出席的 151 名患者中，神经质与所有 4 个 WHOQOL-BREF 领域的总体 QOL 水平较低有关，而外向性、宜人性和尽责性则影响了一些但不是所有 QOL 领域。开放性特质对总体 QOL 水平没有影响，但在心理和环境 QOL 领域显示出显著的组间时间交互作用。
中风后 3 个月内的 QOL 受到多种人格特质的影响。神经质特质影响总体 QOL 水平，但不影响轨迹，而开放性特质则相反。
