Pain-related and psychological factors mediate the effect of personality on health-related quality of life. A study in breast cancer survivors with persistent pain
IntroductionPersonality characteristics affect the long-term well-being and health-related quality of life (HrQoL) of breast cancer (BC) survivors. Persistent pain significantly affects psychosocial well-being and HrQoL in this patient group. We studied the effects of temperament and character via p...
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2023-07-01
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| Series: | Frontiers in Psychology |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fpsyg.2023.1063920/full |
| _version_ | 1797785252943364096 |
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| author | Tommi Aho Hanna Harno Hanna Harno Hanna Harno Jari Lipsanen Eija Kalso Eija Kalso Eija Kalso Reetta Sipilä Reetta Sipilä |
| author_facet | Tommi Aho Hanna Harno Hanna Harno Hanna Harno Jari Lipsanen Eija Kalso Eija Kalso Eija Kalso Reetta Sipilä Reetta Sipilä |
| author_sort | Tommi Aho |
| collection | DOAJ |
| description | IntroductionPersonality characteristics affect the long-term well-being and health-related quality of life (HrQoL) of breast cancer (BC) survivors. Persistent pain significantly affects psychosocial well-being and HrQoL in this patient group. We studied the effects of temperament and character via pain-related and psychological factors on dimensions of HrQoL in BC survivors.MethodsWe studied 273 patients who had been treated for BC and who reported persistent pain at any site of the body in Brief Pain Inventory. The patients were recruited from a longitudinal cohort of patients 4–9 years after surgery for BC. Short-Form-36 inventory was used to assess physical and mental dimensions of HrQoL and Temperament and Character Inventory to assess dimensions of temperament and character. We used parallel mediation modeling for studying effects of temperament and character on physical and mental HrQoL.ResultsA significant total effect was found for harm avoidance (HA) temperament (βtotal = −0.665, p < 0.001) and character dimensions self-directedness (SD) (βtotal = 0.609, p = 0.001) and cooperativeness (CO) (βtotal = 0.584, p = 0.028) on physical and mental HrQoL. Additionally, different combinations of pain-related and psychological variables fully mediated the indirect effects of HA, SD, and CO on physical and mental HrQoL.DiscussionHA temperament is a potential emotional vulnerability factor for psychological burden and impaired HrQoL in BC survivors. Character dimensions SD and CO may protect from the negative effect of mood on HrQoL. The results provide new insights about the risk-and target-factors for clinical interventions and effective pain management to improve psychosocial well-being and HrQoL in BC survivors. |
| first_indexed | 2024-03-13T00:51:29Z |
| format | Article |
| id | doaj.art-9bfb8d2abe7d48f1a9a17c28c8ffa3ce |
| institution | Directory Open Access Journal |
| issn | 1664-1078 |
| language | English |
| last_indexed | 2024-03-13T00:51:29Z |
| publishDate | 2023-07-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Psychology |
| spelling | doaj.art-9bfb8d2abe7d48f1a9a17c28c8ffa3ce2023-07-07T13:30:54ZengFrontiers Media S.A.Frontiers in Psychology1664-10782023-07-011410.3389/fpsyg.2023.10639201063920Pain-related and psychological factors mediate the effect of personality on health-related quality of life. A study in breast cancer survivors with persistent painTommi Aho0Hanna Harno1Hanna Harno2Hanna Harno3Jari Lipsanen4Eija Kalso5Eija Kalso6Eija Kalso7Reetta Sipilä8Reetta Sipilä9Department of Anaesthesiology, Intensive Care and Pain Medicine, University of Helsinki and Helsinki University Hospital, Helsinki, FinlandDepartment of Anaesthesiology, Intensive Care and Pain Medicine, University of Helsinki and Helsinki University Hospital, Helsinki, FinlandSleep Well Research Programme, University of Helsinki, Helsinki, FinlandClinical Neurosciences, Neurology, University of Helsinki and Helsinki University Hospital, Helsinki, FinlandDepartment of Psychology and Logopedics, Faculty of Medicine, University of Helsinki, Helsinki, FinlandDepartment of Anaesthesiology, Intensive Care and Pain Medicine, University of Helsinki and Helsinki University Hospital, Helsinki, FinlandSleep Well Research Programme, University of Helsinki, Helsinki, FinlandDepartment of Pharmacology, University of Helsinki, Helsinki, FinlandDepartment of Anaesthesiology, Intensive Care and Pain Medicine, University of Helsinki and Helsinki University Hospital, Helsinki, FinlandSleep Well Research Programme, University of Helsinki, Helsinki, FinlandIntroductionPersonality characteristics affect the long-term well-being and health-related quality of life (HrQoL) of breast cancer (BC) survivors. Persistent pain significantly affects psychosocial well-being and HrQoL in this patient group. We studied the effects of temperament and character via pain-related and psychological factors on dimensions of HrQoL in BC survivors.MethodsWe studied 273 patients who had been treated for BC and who reported persistent pain at any site of the body in Brief Pain Inventory. The patients were recruited from a longitudinal cohort of patients 4–9 years after surgery for BC. Short-Form-36 inventory was used to assess physical and mental dimensions of HrQoL and Temperament and Character Inventory to assess dimensions of temperament and character. We used parallel mediation modeling for studying effects of temperament and character on physical and mental HrQoL.ResultsA significant total effect was found for harm avoidance (HA) temperament (βtotal = −0.665, p < 0.001) and character dimensions self-directedness (SD) (βtotal = 0.609, p = 0.001) and cooperativeness (CO) (βtotal = 0.584, p = 0.028) on physical and mental HrQoL. Additionally, different combinations of pain-related and psychological variables fully mediated the indirect effects of HA, SD, and CO on physical and mental HrQoL.DiscussionHA temperament is a potential emotional vulnerability factor for psychological burden and impaired HrQoL in BC survivors. Character dimensions SD and CO may protect from the negative effect of mood on HrQoL. The results provide new insights about the risk-and target-factors for clinical interventions and effective pain management to improve psychosocial well-being and HrQoL in BC survivors.https://www.frontiersin.org/articles/10.3389/fpsyg.2023.1063920/fullpersistent painpersonalitybreast cancerhealth-related quality of lifetemperament and character |
| spellingShingle | Tommi Aho Hanna Harno Hanna Harno Hanna Harno Jari Lipsanen Eija Kalso Eija Kalso Eija Kalso Reetta Sipilä Reetta Sipilä Pain-related and psychological factors mediate the effect of personality on health-related quality of life. A study in breast cancer survivors with persistent pain Frontiers in Psychology persistent pain personality breast cancer health-related quality of life temperament and character |
| title | Pain-related and psychological factors mediate the effect of personality on health-related quality of life. A study in breast cancer survivors with persistent pain |
| title_full | Pain-related and psychological factors mediate the effect of personality on health-related quality of life. A study in breast cancer survivors with persistent pain |
| title_fullStr | Pain-related and psychological factors mediate the effect of personality on health-related quality of life. A study in breast cancer survivors with persistent pain |
| title_full_unstemmed | Pain-related and psychological factors mediate the effect of personality on health-related quality of life. A study in breast cancer survivors with persistent pain |
| title_short | Pain-related and psychological factors mediate the effect of personality on health-related quality of life. A study in breast cancer survivors with persistent pain |
| title_sort | pain related and psychological factors mediate the effect of personality on health related quality of life a study in breast cancer survivors with persistent pain |
| topic | persistent pain personality breast cancer health-related quality of life temperament and character |
| url | https://www.frontiersin.org/articles/10.3389/fpsyg.2023.1063920/full |
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