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使用气质和性格维度(TCI)分析在门诊环境中接受治疗的成年癌症患者和老年癌症患者的人格特征。

Using temperament and character dimensions (TCI) to analyze the personality profiles of adults and older adults with cancer managed in outpatient settings.

作者信息

Vespa Anna, Giulietti Maria Velia, Fabbietti Paolo, Di Rosa Mirko, Gattafoni Pisana, Berardi Rossana, Arnaldi Giorgio, Balercia Giancarlo, Spatuzzi Roberta

机构信息

Scientific and Technological Area, INRCA-IRCCS National Institute of Health and Science on Aging, Ancona, Italy.

Biostatistical Center, INRCA-IRCCS National Institute of Science and Health on Aging, Ancona, Italy.

出版信息

Front Psychol. 2024 Jan 15;14:1289093. doi: 10.3389/fpsyg.2023.1289093. eCollection 2023.

Abstract

INTRODUCTION

This study aimed to investigate profiles of personality evaluated by temperament and character dimensions (TCI) in 638 adult and older adult patients (CP) who had recently been diagnosed with breast, colon, lung, and other kinds of cancer (female and male subjects were assessed). Tests: Temperament and Character Inventory (TCI). Statistical analysis: cluster K-means analysis for personality traits.

RESULTS

Two different personality profiles emerged: "Low self-determination and pessimism" (Profile 1) and "Self-determination and self-caring (medium)" (Profile 2). The following significant differences were observed in the TCI dimensions between the two profiles: Temperament-Novelty-Seeking (NS) ( < 0.001); Harm-Avoidance (HA) ( < 0.001); Reward-Dependence (RD) ( < 0.001); Persistence (PS) ( < 0.001); Character-Self-Directness (SD) ( < 0.001); Cooperativeness (C) ( > 0.001); Self-Transcendence (ST) ( < 0.001). No differences in the two profiles were found between adult and elderly patients. Profile 1 - "Low self-determination and pessimism": Patients with this profile present low resistance to frustration, poor search for novelty and solutions (NS), anxiety and pessimism (medium HA), high social attachment and dependence on the approval of others (medium-high RD), and low self-determination (PS) as temperament dimensions; and medium-low self-direction, low autonomy and ability to adapt (SD-medium-low), medium cooperativeness (C), and low self-transcendence (ST) as character dimensions. Profile 2 - "Self-determination and self-caring (medium)": Patients with this profile have resistance to frustration, ability to search for novelty and solutions (medium-NS), low anxiety and pessimism (HA), low social attachment and dependence on approval (medium-low-RD), and determination (medium-high PS) as dimensions of temperament; and autonomy and capacity for adaptation and self-direction (SD), capacity for cooperation (high-CO), and self-transcendence (medium-high-ST) as character dimensions.

CONCLUSION

Personality screening allows a better understanding of the difficulties of the individual patient and the planning of targeted psychotherapeutic interventions that promote quality of life and good adaptation to the disease course.

摘要

引言

本研究旨在调查638名近期被诊断患有乳腺癌、结肠癌、肺癌及其他类型癌症的成年和老年患者(包括女性和男性受试者)通过气质和性格维度(TCI)评估的人格特征。测试:气质与性格量表(TCI)。统计分析:对人格特质进行聚类K均值分析。

结果

出现了两种不同的人格特征:“低自我决断力和悲观主义”(特征1)和“自我决断力和自我关怀(中等)”(特征2)。在这两种特征之间的TCI维度上观察到以下显著差异:气质-寻求新奇性(NS)(<0.001);避免伤害(HA)(<0.001);奖赏依赖(RD)(<0.001);坚持性(PS)(<0.001);性格-自我导向(SD)(<0.001);合作性(C)(>0.001);自我超越(ST)(<0.001)。成年患者和老年患者在这两种特征上未发现差异。特征1 - “低自我决断力和悲观主义”:具有此特征的患者在气质维度上表现出对挫折的抵抗力低、寻求新奇性和解决方案的能力差(NS)、焦虑和悲观(中等HA)、高度的社会依恋和对他人认可的依赖(中高RD)以及低自我决断力(PS);在性格维度上表现出中低自我导向、低自主性和适应能力(SD-中低)、中等合作性(C)以及低自我超越(ST)。特征2 - “自我决断力和自我关怀(中等)”:具有此特征的患者在气质维度上具有对挫折的抵抗力(中等NS)、寻求新奇性和解决方案的能力、低焦虑和悲观(HA)、低社会依恋和对认可的依赖(中低RD)以及决断力(中高PS);在性格维度上具有自主性、适应和自我导向能力(SD)、合作能力(高CO)以及自我超越(中高ST)。

结论

人格筛查有助于更好地了解个体患者的困难,并规划有针对性的心理治疗干预措施,以提高生活质量并促进对病程的良好适应。

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J Affect Disord. 2023 Nov 1;340:80-87. doi: 10.1016/j.jad.2023.08.003. Epub 2023 Aug 4.
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Review of psychological interventions in patients with cancer.癌症患者心理干预的综述。
Support Care Cancer. 2023 Mar 13;31(4):210. doi: 10.1007/s00520-023-07675-w.

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