How personality influences health outcomes and quality of life in adult patients with cystic fibrosis

Abstract Background The present study evaluates personality traits in adult patients with cystic fibrosis (CF) and correlates these results with health-related quality of life (HRQoL) and other clinical parameters indicative of disease severity. Methods Seventy adults completed the Cystic Fibrosis Q...

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Main Authors: Ute Niehammer, Svenja Straßburg, Sivagurunathan Sutharsan, Christian Taube, Matthias Welsner, Florian Stehling, Raphael Hirtz
Format: Article
Language:English
Published: BMC 2023-06-01
Series:BMC Pulmonary Medicine
Subjects:
Online Access:https://doi.org/10.1186/s12890-023-02463-y
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author Ute Niehammer
Svenja Straßburg
Sivagurunathan Sutharsan
Christian Taube
Matthias Welsner
Florian Stehling
Raphael Hirtz
author_facet Ute Niehammer
Svenja Straßburg
Sivagurunathan Sutharsan
Christian Taube
Matthias Welsner
Florian Stehling
Raphael Hirtz
author_sort Ute Niehammer
collection DOAJ
description Abstract Background The present study evaluates personality traits in adult patients with cystic fibrosis (CF) and correlates these results with health-related quality of life (HRQoL) and other clinical parameters indicative of disease severity. Methods Seventy adults completed the Cystic Fibrosis Questionnaire-Revised (CFQ-R 14+), a CF-specific measure of HRQoL, and a self-administered questionnaire about personality traits and disorders. Mean subscale scores and the prevalence of extreme personality traits on the `Persönlichkeits-Stil- und Störungs-Inventar (PSSI)´ were compared to the norming sample. Moreover, a cluster analysis was conducted to identify personality styles among people with cystic fibrosis (pwCF). The relationship between mean PSSI subscale scores and personality clusters with HRQoL and clinical outcomes, e.g., percent predicted forced expiratory volume in one second (ppFEV1), and body mass index (BMI), was studied by regression analysis considering important confounders. Results On several of the subscales of the personality questionnaire, people with cystic fibrosis (pwCF) showed either significantly higher or lower scores than the norm sample. In further analyses, two personality clusters could be identified. PwCF from the cluster with predominantly low scores on the subscales ‘negativistic’, ‘schizoid’, ‘borderline’, ‘depressed’, and ‘paranoid’ showed better HRQoL than pwCF from the other cluster with mainly high normal or elevated scores. The studied health outcomes proved to be independent of the respective personality clusters. Conclusions In pwCF, HRQoL is mainly determined by psychological factors, including personality. Since more recent personality theories assume that personality is modifiable, our findings imply that patients with accentuated personality traits may benefit from psychosocial support.
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spelling doaj.art-82415a2bfefe476e8eb2da5c605af1902023-06-04T11:05:34ZengBMCBMC Pulmonary Medicine1471-24662023-06-0123111010.1186/s12890-023-02463-yHow personality influences health outcomes and quality of life in adult patients with cystic fibrosisUte Niehammer0Svenja Straßburg1Sivagurunathan Sutharsan2Christian Taube3Matthias Welsner4Florian Stehling5Raphael Hirtz6Department of Pulmonary Medicine, Adult Cystic Fibrosis Center, University Hospital Essen - Ruhrlandklinik, University of Duisburg-EssenDepartment of Pulmonary Medicine, Adult Cystic Fibrosis Center, University Hospital Essen - Ruhrlandklinik, University of Duisburg-EssenDepartment of Pulmonary Medicine, Adult Cystic Fibrosis Center, University Hospital Essen - Ruhrlandklinik, University of Duisburg-EssenDepartment of Pulmonary Medicine, Adult Cystic Fibrosis Center, University Hospital Essen - Ruhrlandklinik, University of Duisburg-EssenDepartment of Pulmonary Medicine, Adult Cystic Fibrosis Center, University Hospital Essen - Ruhrlandklinik, University of Duisburg-EssenDevision of Pediatric Pulmonology and Sleep Medicine, Department of Pediatrics III, University Hospital Essen, University of Duisburg-EssenDepartment of Pediatrics, Division of Rare Diseases and CeSER, St. Josef-Hospital, Ruhr-University BochumAbstract Background The present study evaluates personality traits in adult patients with cystic fibrosis (CF) and correlates these results with health-related quality of life (HRQoL) and other clinical parameters indicative of disease severity. Methods Seventy adults completed the Cystic Fibrosis Questionnaire-Revised (CFQ-R 14+), a CF-specific measure of HRQoL, and a self-administered questionnaire about personality traits and disorders. Mean subscale scores and the prevalence of extreme personality traits on the `Persönlichkeits-Stil- und Störungs-Inventar (PSSI)´ were compared to the norming sample. Moreover, a cluster analysis was conducted to identify personality styles among people with cystic fibrosis (pwCF). The relationship between mean PSSI subscale scores and personality clusters with HRQoL and clinical outcomes, e.g., percent predicted forced expiratory volume in one second (ppFEV1), and body mass index (BMI), was studied by regression analysis considering important confounders. Results On several of the subscales of the personality questionnaire, people with cystic fibrosis (pwCF) showed either significantly higher or lower scores than the norm sample. In further analyses, two personality clusters could be identified. PwCF from the cluster with predominantly low scores on the subscales ‘negativistic’, ‘schizoid’, ‘borderline’, ‘depressed’, and ‘paranoid’ showed better HRQoL than pwCF from the other cluster with mainly high normal or elevated scores. The studied health outcomes proved to be independent of the respective personality clusters. Conclusions In pwCF, HRQoL is mainly determined by psychological factors, including personality. Since more recent personality theories assume that personality is modifiable, our findings imply that patients with accentuated personality traits may benefit from psychosocial support.https://doi.org/10.1186/s12890-023-02463-yCystic fibrosisPersonality traitsHealth-related quality of lifeClinical outcomes
spellingShingle Ute Niehammer
Svenja Straßburg
Sivagurunathan Sutharsan
Christian Taube
Matthias Welsner
Florian Stehling
Raphael Hirtz
How personality influences health outcomes and quality of life in adult patients with cystic fibrosis
BMC Pulmonary Medicine
Cystic fibrosis
Personality traits
Health-related quality of life
Clinical outcomes
title How personality influences health outcomes and quality of life in adult patients with cystic fibrosis
title_full How personality influences health outcomes and quality of life in adult patients with cystic fibrosis
title_fullStr How personality influences health outcomes and quality of life in adult patients with cystic fibrosis
title_full_unstemmed How personality influences health outcomes and quality of life in adult patients with cystic fibrosis
title_short How personality influences health outcomes and quality of life in adult patients with cystic fibrosis
title_sort how personality influences health outcomes and quality of life in adult patients with cystic fibrosis
topic Cystic fibrosis
Personality traits
Health-related quality of life
Clinical outcomes
url https://doi.org/10.1186/s12890-023-02463-y
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