Rana Madiha, Gellrich Nils-Claudius, Czens Franziska, Kanatas Anastasios, Rana Majeed
Department of Personality Psychology and Psychological Assessment, Helmut-Schmidt-University/University of the German Federal Armed Forces Hamburg, Holstenhofweg 85, 22043, Hamburg, Germany.
Support Care Cancer. 2014 Nov;22(11):2981-6. doi: 10.1007/s00520-014-2300-6. Epub 2014 Jun 5.
Oral tumours lead to critical reductions in quality of life and well being. Coping with illness is a multidimensional construct that is affected by various factors, including social structure, social support, locus of control and religious considerations. However, the effect of personality on coping with illness has hardly been studied. In this context, just one personality model has been developed, but this defines personality in very wide dimensions. Therefore, this study considered the personality factors related to health and disease and aimed to identify potential clinical applications in patients with oral cancer.
We enrolled 104 patients suffering from oral cancer. Participants were asked about their personality and illness coping styles using the Freiburg Personality Inventory and the Freiburg Questionnaire of Coping with Illness, respectively.
Regression analyses revealed that specific personality structures of the patients determine their way of coping. Patients primarily used active and problem-oriented coping styles; spirituality, depressive coping and minimization were used less frequently.
The results demonstrate that personality affects coping behaviour. When treating patients, both situational factors and personality traits affect how patients cope with their disease. We note that it is important to give particular attention to patients who use depressive coping styles, as these patients are often incapable of coping with their diseases without external support.
口腔肿瘤会导致生活质量和幸福感严重下降。应对疾病是一个多维度的概念，受到多种因素的影响，包括社会结构、社会支持、控制点和宗教因素。然而，人格对疾病应对的影响几乎未被研究。在此背景下，仅开发了一种人格模型，但该模型对人格的定义非常宽泛。因此，本研究考虑了与健康和疾病相关的人格因素，旨在确定口腔癌患者潜在的临床应用。
我们招募了104名口腔癌患者。分别使用弗莱堡人格量表和弗莱堡疾病应对问卷询问参与者的人格和疾病应对方式。
回归分析显示，患者的特定人格结构决定了他们的应对方式。患者主要采用积极的、以问题为导向的应对方式；精神性、抑郁应对和淡化应对方式的使用频率较低。
结果表明人格会影响应对行为。在治疗患者时，情境因素和人格特质都会影响患者应对疾病的方式。我们注意到，特别关注使用抑郁应对方式的患者很重要，因为这些患者如果没有外部支持，往往无法应对自己的疾病。
