Abstract
The purpose of this study was to determine the influence of personality disorders on perceived health status, self-efficacy for management of the chronic illness, and physician perception of patient health. A total of 607 patients with self-identified chronicillness(es) volunteered to participate in the study. Out of this sample, 147 had collaborative physician data indicating a chronic illness. The final sample was 143 due to incomplete data. Results suggested that maladaptive personality characteristics, as measured by the Short-Form of the Coolidge Axis II Inventory (SCATI), were related to a number of important factors that influence self-management of chronic illnesses. When the personality constellations were broken into 3 groups (normal, subclinical, and clinical) significant differences were found on the 3 groups of dependent variables (Subjective Health, Self-Efficacy, Physician Appraisal) for the different personality disorders. These data provide useful information on several factors that influence effective disease management. Clinical implications and directions for future research are provided.
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REFERENCES
American Psychiatric Association. (1994). Diagnostic and statistical manual of mental disorders (4th ed.). Washington, DC: Author.
Baum, A., Herberman, H., & Cohen, L. (1995). Managing stress and managing illness: Survival and quality of life in chronic disease. Journal of Clinical Psychology in Medical Settings, 2, 309–333.
Coolidge, F. L. (1993). The Coolidge Axis II Inventory manual. Clermont, FL: Synergistic Office Solutions.
Coolidge, F. L., & Merwin, M. M. (1992). Reliability and validity of the Coolidge Axis II Inventory: A new inventory for the assessment of personality disorders. Journal of Personality Assessment, 59, 223–238
Friedman, M. (1967). Behavior pattern and it's relationship to coronary artery disease. Psychosomatics, 8, 6–7.
Friedman, H. S., & Booth-Kewley, S. (1987). The “disease-prone personality”:Ameta-analytic view of the construct. American Psychologist, 42(6), 539–555.
Geringer, E. S.,& Stern, T. A. (1986). Coping with medical illnesses: The impact of personality types. Psychosomatics, 27, 251–261.
Hahn, S. R., Kroenke, K., Spitzer, R. L., Brody, D., Williams, J. B., Linzer, M., et al. (1996). The difficult patient: Prevalence, psychopathology, and functional impairment. Journal of General Internal Medicine, 11, 1–8.
Levenson, J. L. (1992). Psychosocial interventions in chronic medical illness:Anoverview of outcome research. General Hospital Psychiatry, 14S, 43S–49S.
Schlesinger, H. J., Mumford, E., Glass, G. V., Patrick, C., & Sharfstein, S. (1983). Mental health treatment and medical care utilization in a fee-for-service system: Outpatient mental health treatment following the onset of a chronic disease. American Journal of Public Health, 73, 422–429.
van Eijk, J. T. M., & de Hann, M. (1998). Care for the chronically ill: The future role of health care professionals and their patients. Patient Education and Counseling, 35, 233–240.
Ware, J. E., & Sherbourne, C. D. (1992). The MOS 36-item short form health survey (SF36): Conceptual framework and item selection. Medical Care, 30, 473–483.
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Benight, C.C., Yamazaki, T.G., Gilfillan-Morton, L.A. et al. Personality Dysfunction and the Management of Chronic Medical Illness: A Community Health Sample. Journal of Clinical Psychology in Medical Settings 9, 77–95 (2002). https://doi.org/10.1023/A:1014935908879
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DOI: https://doi.org/10.1023/A:1014935908879