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首页> 外文期刊>Journal of affective disorders >Type D (distressed) personality is associated with poor quality of life and mental health among 3080 cancer survivors
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Type D (distressed) personality is associated with poor quality of life and mental health among 3080 cancer survivors

机译：3080名癌症幸存者中的D型（受苦）性格与生活质量和心理健康状况不佳相关

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Background: This study assessed the association between Type D personality (the conjoint effect of negative affectivity and social inhibition) and quality of life (QoL) and mental health of cancer survivors up to 10 years post-diagnosis. Methods: All currently alive individuals diagnosed with endometrial or colorectal cancer between 1998 and 2007, or with lymphoma or multiple myeloma between 1999 and 2008 as registered in the Eindhoven Cancer Registry received a questionnaire on Type D personality (DS14), QoL (SF-36 or EORTC-QLQ-C30) and mental health (HADS). Results: Of the 3080 survivors who responded (69%), 572 (19%) had a Type D personality. Type D survivors had clinically meaningful lower levels of general health, social functioning, role-function emotional, mental health and vitality compared to non-Type D's (SF-36: all P's < 0.001). They also reported clinically meaningful worse emotional and social functioning, global health status/QoL, and more fatigue (EORTC-QLQ-C30: all P's < 0.001). This was also confirmed by multivariate logistic regression analyses showing that cancer survivors with a Type D personality were more likely to experience a decreased QoL on all SF-36 and EORTC-QLQ-C30 scales (all ORs ranging between 1.88 and 5.56). The proportion of survivors reporting an impaired QoL was higher among Type D (35-64%) than non-Type D's (20-36%). Finally, Type D's were more likely to be depressed (44% vs. 13%; P < 0.0001) or anxious (51% vs. 14%; P < 0.0001). Conclusions: Cancer survivors with a Type D personality are at increased risk of impaired QoL and mental health problems that cannot be explained by socio-demographic or clinical characteristics.
机译：背景：本研究评估了诊断后长达10年的D型人格（负面情感和社会抑制的共同作用）与癌症幸存者的生活质量（QoL）和心理健康之间的关联。方法：1998年至2007年之间在埃因霍温癌症登记处注册的所有目前被诊断患有子宫内膜癌或大肠癌，或1999年至2008年之间被诊断患有淋巴瘤或多发性骨髓瘤的人均接受了有关D型人格（DS14），QoL（SF-36或EORTC-QLQ-C30）和心理健康（HADS）。结果：在3080名做出回应的幸存者中（69％），其中572名（19％）具有D型性格。与非D型幸存者相比，D型幸存者的一般健康状况，社会功能，情感情感，心理健康和活力水平较低（SF-36：所有P均<0.001）。他们还报告了具有临床意义的情绪和社交功能较差，总体健康状况/ QoL和更多的疲劳（EORTC-QLQ-C30：所有P <0.001）。多因素逻辑回归分析也证实了这一点，表明在所有SF-36和EORTC-QLQ-C30量表（所有OR均在1.88至5.56之间）中，具有D型性格的癌症幸存者更有可能经历QoL降低。在D型患者中，生存质量受损的幸存者比例（35-64％）高于非D型患者（20-36％）。最后，D型患者更可能感到沮丧（44％对13％; P <0.0001）或焦虑（51％对14％; P <0.0001）。结论：具有D型性格的癌症幸存者患QoL和精神健康问题的风险增加，而社会人口统计学或临床特征无法解释这一风险。

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