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从临床认知到隐性偏见:了解淋巴瘤患者的人格特质

From Clinical Perception to Implicit Bias: Understanding Personality Traits in Lymphoma Patients.

作者信息

Roso-Bas Fátima, Alonso-Llobregat María Dolores, Bento Leyre, Sánchez-González Blanca, Lebrahimi Layla Aoukhiyad, Balanzat Inés Herráez, García-Dilla Pilar, García-Pallarols Francesc, Gil Sara Nistal, Romero Samuel, Vidal María-Jesús, Bonis-Braun Carolina De, León Yapci Ramos de, Infante María Stefania, Domingo-Domenech Eva, Ramírez Susana, Bargay Joan, Sampol Antonia, Salar Antonio, Gutiérrez Antonio

机构信息

Clinical Practice and Biology of the Hematological Malignancies Research Group, IdISBa, Son Espases University Hospital, 07120 Palma de Mallorca, Spain.

General Directorate for Mental Health of the Ministry of Health of the Balearic Islands, 07010 Palma de Mallorca, Spain.

出版信息

Cancers (Basel). 2025 May 22;17(11):1743. doi: 10.3390/cancers17111743.

Abstract

: Some haematologists share the perception that patients with Hodgkin's lymphoma (HL) behave and manifest emotional expressions in a characteristic way. Previous research suggested a unique personality profile in HL patients compared to the general population. This study aimed to analyse and compare the personality traits of HL and NHL patients to identify potential differences. In this cross-sectional, descriptive, multicentre and replicative study, we included patients with HL and NHL from the Spanish Group of Lymphoma (GELTAMO). Personality traits and other psychosocial variables were compared between these two groups and the reference population. We used a semi-structured interview to collect demographic and psychosocial variables, and the NEO Five-Factor Inventory to assess personality traits. Our findings indicate that HL and NHL patients share similar personality profiles, suggesting that the perceived differences do not stem from personality factors. Significant differences were only observed in age (HL > NHL; age: = 0.003). These results led us to propose a new explanatory hypothesis centred on ageism. Our results confirm that the personality profiles of patients with any type of lymphoma are consistent with each other and with those found in the broader cancer patient population, indicating that differences observed by clinicians might be due to perceptual biases. Age, as a differentiating factor between these patient groups, suggests ageism as a potential underlying cause of these biases. Further research is required to explore the clinical implications of such stereotypical perceptions among patients that could ultimately lead to issues with patient-provider relationships and patient safety.

摘要

一些血液学家认为,霍奇金淋巴瘤(HL)患者的行为和情感表达具有特征性。先前的研究表明,与普通人群相比,HL患者具有独特的人格特征。本研究旨在分析和比较HL和非霍奇金淋巴瘤(NHL)患者的人格特质,以确定潜在差异。在这项横断面、描述性、多中心和重复性研究中,我们纳入了来自西班牙淋巴瘤研究组(GELTAMO)的HL和NHL患者。比较了这两组患者与参考人群的人格特质和其他社会心理变量。我们采用半结构化访谈收集人口统计学和社会心理变量,并使用NEO五因素问卷评估人格特质。我们的研究结果表明,HL和NHL患者具有相似的人格特征,这表明所察觉到的差异并非源于人格因素。仅在年龄方面观察到显著差异(HL>NHL;年龄:P = 0.003)。这些结果促使我们提出一个以年龄歧视为中心的新解释性假设。我们的结果证实,任何类型淋巴瘤患者的人格特征彼此一致,且与更广泛癌症患者群体中的人格特征一致,这表明临床医生观察到的差异可能是由于认知偏差。年龄作为这些患者群体之间的区分因素,表明年龄歧视可能是这些偏差的潜在根本原因。需要进一步研究来探讨患者中此类刻板印象认知的临床意义,这些认知最终可能导致医患关系和患者安全方面的问题。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/708a/12153871/b4d41aa7abec/cancers-17-01743-g001.jpg

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