Unmet supportive care needs of patients with colorectal cancer: Significant differences by type D personality

Shiow Ching Shun, Kun Huei Yeh, Jin Tung Liang, John Huang, Shing Chia Chen, Been Ren Lin, Pei Hsuan Lee, Yeur Hur Lai

Research output: Contribution to journalArticlepeer-review

18 Scopus citations

Abstract

Purpose/Objectives: To explore the association between supportive care needs and type D personality, and to identify personality traits, including negative affectivity (NA) and social inhibition (SI), and their influence on the supportive care needs of patients with colorectal cancer (CRC). Design: Cross-sectional, correlational survey. Setting: Oncology and surgical outpatient clinics at a medical center in northern Taiwan. Sample: 277 patients diagnosed with CRC. Methods: Data were collected using a set of structured questionnaires to measure supportive care needs, symptom distress, anxiety, depression, and personality traits. The associations between type D personality and supportive care needs were verified by the Mann-Whitney U test. The significant roles of personality traits were identified by generalized estimating equations, controlling for biophysical and psychological factors overall, and for the five supportive care domains. Main Research Variables: Supportive care needs, type D personality. Findings: Patients with CRC reported the most unmet needs in the health system and the information domain. Type D patients had higher needs overall and in most domains, except for sexuality needs. A higher level of NA indicated higher overall and psychological needs. A higher level of SI indicated lower needs in health system and information. Conclusions: The level of unmet supportive care needs of patients with CRC is highly associated with type D personality. The trait of NA alters levels of overall supportive care and psychological needs, and the trait of SI influences needs in health system and information. Implications for Nursing: Assessing personality traits before providing an education program is highly recommended for patients with cancer. The assessment could improve the quality of personalized education programs and better meet patient needs.

Original languageEnglish
Pages (from-to)E3-E11
JournalOncology Nursing Forum
Volume41
Issue number1
DOIs
StatePublished - Jan 2014

Keywords

  • Colorectal cancer
  • Personality
  • Supportive care

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