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A prospective longitudinal study investigating neuroticism and mastery as predictors of quality of life among Chinese gynecologic cancer survivors

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Abstract

Purpose

The aim of the study was to examine the role of neuroticism and mastery in predicting the quality of life (QOL) among Chinese gynecologic cancer survivors.

Methods

A total of 184 women participated in this prospective longitudinal study. Participants were to rate their quality of life at baseline (T1) and one year later (T2). Neuroticism as a predictor of QOL was examined by controlling for baseline QOL, sociodemographic, and disease variables using hierarchical linear regression modeling. Mastery as a mediator between the relationship of neuroticism and QOL was also examined.

Results

Bivariate correlations showed that the cancer site, time since diagnosis, neuroticism, and mastery at T1 were related to various aspects of QOL at T1 and T2. After controlling for cancer site, time since diagnosis, QOL at T1, high levels of neuroticism at T1 predicted poor physical and emotional QOL at T2, but mastery at T1 did not mediate the relationship between neuroticism at T1 and QOL at T2.

Conclusions

Neuroticism is a salient personality variable that predicts poor emotional and physical well-being over time. Gynecologic cancer survivors high on neuroticism should be the target for intervention to reduce negative effects during the course of recovery.

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Abbreviations

QOL:

Quality of life

FACT-O:

Functional assessment of cancer therapy—ovarian (FACT-O)

References

  1. Kiebert, G. M., & Kaasa, S. (1996). Quality of life in clinical cancer trials: Experience and perspective of the European organization for research and treatment of cancer. Journal of National Cancer Institute Monograms, 20, 91–95.

    Google Scholar 

  2. Padilla, G. V., Ferrell, B., Grant, M. M., et al. (1990). Defining the content domain of quality of life for cancer patients with pain. Cancer Nursing, 13, 108–115.

    Article  CAS  PubMed  Google Scholar 

  3. Vistad, I., Fossa, S. D., & Dahl, A. A. (2006). A critical review of patient-rated quality of life studies of long-term survivors of cervical cancer. Gynecologic Oncology, 102, 563–572.

    Article  PubMed  Google Scholar 

  4. Bradley, S., Rose, S., Lutgendorf, S., Costanzo, E., & Anderson, B. (2006). Quality of life and mental health in cervical and endometrial cancer survivors. Gynecologic Oncology, 100, 479–486.

    Article  PubMed  Google Scholar 

  5. Caplan, K. C. (1987). Definitions and dimensions of quality of life. In N. K. Aaronson & J. Beckmann (Eds.), The quality of life of cancer patients (pp. 1–9). New York: Raven Press.

    Google Scholar 

  6. DeNeve, K. M., & Cooper, H. (1998). The happy personality: A meta-analysis of 137 personality traits and subjective well-being. Psychological Bulletin, 124(2), 197–229.

    Article  CAS  PubMed  Google Scholar 

  7. Steel, P., Schmidt, J., & Shultz, J. (2008). Refining the relationship between personality and subjective well-being. Psychological Bulletin, 134(1), 138–161.

    Article  PubMed  Google Scholar 

  8. Lazarus, R. S., & Folkman, S. (1984). Stress, appraisal, and coping. New York: Springer.

    Google Scholar 

  9. Eysenck, H. J., & Eysenck, M. W. (1985). Personality and individual differences. New York: Plenum Press.

    Google Scholar 

  10. Aarstad, H. J., Aarstad, A. K. H., Birkhaug, E. J., Bru, E., & Olofsson, J. (2003). The personality and quality of life in HNSCC patients following treatment. European Journal of Cancer, 39, 1852–1860.

    Article  CAS  PubMed  Google Scholar 

  11. van der Steeg, A. F. W., De Vries, J., van der Ent, F. W. C., & Roukema, J. A. (2007). Personality predicts quality of life six months after the diagnosis and treatment of breast disease. Annals of Surgical Oncology, 14, 678–685.

    Article  PubMed  Google Scholar 

  12. Ranchor, A. V., Sanderman, R., Steptoe, A., Wardle, J., Miedema, I., & Ormel, J. (2002). Pre-morbid predictors of psychological adjustment to cancer. Quality of Life Research, 11, 101–113.

    Article  CAS  PubMed  Google Scholar 

  13. Yamaoka, K., Shigehisa, T., Ogoshi, K., Haruyama, K., Watanabe, M., Hayashi, F., et al. (1998). Health-related quality of life varies with personality types: A comparison among cancer patients, non-cancer patients and healthy individuals in a Japanese population. Quality of Life Research, 7, 535–544.

    Article  CAS  PubMed  Google Scholar 

  14. Lynn, R., & Martin, T. (1997). Gender differences in extraversion, neuroticism, and psychoticism in 37 nations. The Journal of Social Psychology, 137, 369–373.

    Article  CAS  PubMed  Google Scholar 

  15. Folkman, S., Lazarus, R. S., Gruen, R. J., & DeLongis, A. (1986). Appraisal, coping, health status, & psychological symptoms. Journal of Personality and Social Psychology, 50, 571–579.

    Article  CAS  PubMed  Google Scholar 

  16. Pearlin, L. I., & Schooler, C. (1978). The structure of coping. Journal of Health and Social Behavior, 19, 2–21.

    Article  CAS  PubMed  Google Scholar 

  17. Costa, P. T., Jr., & McCrae, R. R. (1985). Hypochondrias, neuroticism, and aging: When are somatic complaints unfounded? American Psychologist, 40, 19–28.

    Article  PubMed  Google Scholar 

  18. Andrews, G., Steward, G., Morris-Yates, A., Holt, P., & Henderson, S. (1990). Evidence of a general neurotic syndrome. British Journal of Psychiatry, 157, 6–12.

    Article  CAS  PubMed  Google Scholar 

  19. Darvill, T. J., & Johnson, R. C. (1991). Optimism and perceived control of life events as related to personality. Personality and Individual Differences, 12, 951–954.

    Article  Google Scholar 

  20. Burgess, C., Morris, T., & Pettingale, K. W. (1988). Psychological response to cancer diagnosis-II. Evidence for coping styles (coping styles and cancer diagnosis). Journal of Psychosomatic Research, 32, 263–272.

    Article  CAS  PubMed  Google Scholar 

  21. Servaes, P., Gielissen, M. F., Verhagen, S., & Bleijenberg, G. (2007). The course of severe fatigue in disease-free breast cancer patients: A longitudinal study. Psycho-Oncology, 16, 787–795.

    Article  CAS  PubMed  Google Scholar 

  22. Stanton, A. L., & Snider, P. R. (1993). Coping with a breast cancer diagnosis: A prospective study. Health Psychology, 12, 16–23.

    Article  CAS  PubMed  Google Scholar 

  23. Watson, M., Greer, S., Rowden, L., Gorman, C., Robertson, B., Bliss, J. M., et al. (1991). Relationships between emotional control, adjustment to cancer and depression and anxiety in breast cancer patients. Psychological Medicine, 21, 51–57.

    Article  CAS  PubMed  Google Scholar 

  24. Miller, B. E., Pittman, B., & Strong, C. (2003). Gynecologic cancer patients’ psychological needs and their views on the physician’s role in meeting those needs. International Journal of Gynecological Cancer, 13(2), 111–119.

    Article  CAS  PubMed  Google Scholar 

  25. Karvonen-Gutierrez, C. A., Ronis, D. L., Fowler, K. E., Terrell, J. E., Gruber, S. B., & Duffy, S. A. (2008). Quality of life scores predict survival among patients with head and neck cancer. Journal of Clinical Oncology, 26, 2754–2760.

    Article  PubMed  Google Scholar 

  26. Costa, P. T., Jr., & McCrae, R. R. (1987). Neuroticism, somatic complaints, and disease: is the bark worse than the bite? Journal of Personality, 55, 299–316.

    Article  PubMed  Google Scholar 

  27. Jorm, A. F., Christensen, H., Henderson, S., & Korton, A. E. (1993). Neuroticism and self-reported health in an elderly community sample. Personality and Individual Differences, 15, 515–521.

    Article  Google Scholar 

  28. Watson, D. (1988). Intraindividual and interindividual analyses of positive and negative affect: Their relation to health complaints, perceived stress, and daily activities. Journal of Personality and Social Psychology, 54, 1020–1030.

    Article  CAS  PubMed  Google Scholar 

  29. Watson, D., & Pennebaker, J. W. (1989). Health complaints, stress, and distress: Exploring the central role of negative affectivity. Psychological Review, 96, 234–254.

    Article  CAS  PubMed  Google Scholar 

  30. Cella, D. F., Tulsky, D. S., Gray, G., et al. (1993). The functional assessment of cancer therapy scale: Development and validation of the general measure. Journal of Clinical Oncology, 11, 570–579.

    CAS  PubMed  Google Scholar 

  31. Yu, C. L., Fielding, R., Chan, C. L., et al. (2000). Measuring quality of life of Chinese cancer patients. A validation of the Chinese version of the functional assessment of cancer therapy-general (FACT-G) scale. Cancer, 88, 1715–1727.

    Article  CAS  PubMed  Google Scholar 

  32. Eysenck, H. J., & Eysenck, S. B. J. (1975). Manual of the eysenck personality inventory. London: Hodder & Stoughton.

    Google Scholar 

  33. Eysenck, S. B. G., & Chan, J. (1982). A comparative study of personality in adults and children: Hong Kong vs. England. Personality and Individual Differences, 3, 153–160.

    Article  Google Scholar 

  34. Cheng, P., & Tang, C. S. K. (1995). Coping and psychological distress of Chinese parents of children with Down syndrome. Mental Retardation, 33, 10–20.

    CAS  PubMed  Google Scholar 

  35. Shek, D. T. L. (2002). The relation of parental qualities to psychological well-being, school adjustment, and problem behavior in Chinese adolescents with economic disadvantage. The American Journal of Family Therapy, 30, 215–230.

    Article  Google Scholar 

  36. Baron, M. R., & Kenny, D. A. (1986). The moderator-mediator variable distinction in social psychological research: conceptual, strategic, and statistical considerations. Journal of Personality and Social Psychology, 51, 1173–1182.

    Article  CAS  PubMed  Google Scholar 

  37. Sobel, M. E. (1990). Effect analysis and causation in linear structural equation models. Psychometrika, 55, 495–515.

    Article  Google Scholar 

  38. MacKinnon, D. P., Lockwood, C. M., Hoffman, J. M., West, S. G., & Sheets, V. (2002). A comparison of methods to test the significance of the mediated effect. Psychological Methods, 7, 83–104.

    Article  PubMed  Google Scholar 

  39. Clark, L. A., Watson, D., & Minneka, S. (1994). Temperament, personality, and the mood and anxiety disorders. Journal of Abnormal Psychology, 103, 103–116.

    Article  CAS  PubMed  Google Scholar 

  40. Tellegen, A. (1985). Structures of mood and personality and their relevance to assessing anxiety, with an emphasis on self-report. In A. H. Tuma & J. D. Maser (Eds.), Anxiety and the anxiety disorders (pp. 681–706). Hillsdale, NJ: Lawrence Erlbaum.

    Google Scholar 

  41. Watson, D., & Clark, L. A. (1984). Negative affectivity: The disposition to experience aversive emotional states. Psychological Bulletin, 96, 465–490.

    Article  CAS  PubMed  Google Scholar 

  42. Carver, C. S., Smith, R. G., Petronis, V. M., & Antoni, M. H. (2006). Quality of life among long-term survivors of breast cancer: Different types of antecedents predict different classes of outcomes. Psycho-Oncology, 15, 749–758.

    Article  PubMed  Google Scholar 

  43. Garssen, B. (2004). Psychological factors and cancer development: evidence after 30 years of research. Clinical Psychology Review, 24, 315–338.

    Article  PubMed  Google Scholar 

  44. Hansen, P. E., Floderus, B., Frederiksen, K., & Johansen, C. (2005). Personality, health behavior and risk for cancer: A prospective study of a Swedish twin cohort. Cancer, 103, 1082–1091.

    Article  PubMed  Google Scholar 

  45. Molassiotis, A., Chan, C. W. H., Yam, B. M. C., & Chan, S. J. (2000). Quality of life in Chinese women with gynaecological cancers. Supportive Care in Cancer, 8, 414–422.

    Article  CAS  PubMed  Google Scholar 

  46. Larsen, R. J. (1992). Neuroticism and selective encoding and recall of symptoms: Evidence from a combined concurrent-retrospective study. Journal of Personality and Social Psychology, 62, 480–488.

    Article  CAS  PubMed  Google Scholar 

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Author information

Authors and Affiliations

  1. Department of Obstetrics and Gynaecology, The Chinese University of Hong Kong, Hong Kong, China

    Beatrice P. Y. Lai, Catherine S. K. Tang & Tony K. H. Chung

  2. Department of Psychology, National University of Singapore, Singapore, Singapore

    Catherine S. K. Tang

  3. Division of Social Science, Hong Kong University of Science and Technology, Hong Kong, China

    Beatrice P. Y. Lai

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  1. Beatrice P. Y. Lai
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  2. Catherine S. K. Tang
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  3. Tony K. H. Chung
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Correspondence to Beatrice P. Y. Lai.

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Lai, B.P.Y., Tang, C.S.K. & Chung, T.K.H. A prospective longitudinal study investigating neuroticism and mastery as predictors of quality of life among Chinese gynecologic cancer survivors. Qual Life Res 19, 931–941 (2010). https://doi.org/10.1007/s11136-010-9657-x

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