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Personality and patient adherence: Correlates of the five-factor model in renal dialysis

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Abstract

The five-factor taxonomy of personality traits has received increasing attention in the literature regarding personality correlates of health outcomes and behaviors. We examined the association of the five NEO Five-Factor Inventory dimensions to medical regimen adherence in a sample of 72 renal dialysis patients. Results indicated that Conscientiousness (Dimension III) is a five-factor trait significantly associated with adherence to the medication regimen. No other NEO-FFI dimension was significantly associated with patient adherence.

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References

  • Christensen, A. J., Smith, T. W., Turner, T. W., Holman, J. M., and Gregory, M. C. (1990). Type of hemodialysis and preference for behavioral involvement: Interactive effects on adherence in end-stage renal disease.Health Psychol. 9: 225–236.

    PubMed  Google Scholar 

  • Costa, P. T., Jr., and McCrae, R. R. (1987). Neuroticism, somatic complaints, and disease: Is the bark worse than the bite?J. Personal. 55: 299–316.

    Google Scholar 

  • Costa, P. T., Jr., and McCrae, R. R. (1992).The NEO Personality Inventory-R; Professional Manual, Psychological Assessment Resources, Odessa, FL.

    Google Scholar 

  • Costa, P. T., Jr., McCrae, R. R., and Dembroski, T. M. (1989). Agreeableness vs. antagonism: Explication of a potential risk factor for CHD. In Siegman, A. W., and Dembroski, T. M. (eds.),In Search of Coronary-Prone Behavior, Lawrence Erlbaum, Hillsdale, NJ, pp. 41–63.

    Google Scholar 

  • Dembroski, T. M., and Costa, P. T., Jr. (1987). Coronary-prone behavior: Components of the Type A pattern and hostility.J. Personal 55: 211–235.

    Google Scholar 

  • Digman, J. M. (1990). Personality structure: Emergence of the five-factor model.Annu. Rev. Psychol. 41: 417–440.

    Google Scholar 

  • Friedman, H. S., Tucker, J. S., Tomlinson-Keasey, C., Schwartz, J. E., Wingard, D. L., and Criqui, M. H. (1993). Does childhood personality predict longevity?J. Personal. Soc. Psychol. 65: 176–185.

    Google Scholar 

  • Goldberg, L. R. (1993). The structure of phenotypic personality traits.Am. Psychol. 48: 26–34.

    PubMed  Google Scholar 

  • Haynes, R. B., Taylor, D. W., and Sackett, D. L. (1979).Compliance in Health Care, Johns Hopkins University Press, Baltimore.

    Google Scholar 

  • Kanfer, F. H. (1975). Self-management methods. In Kanfer, F. H., and Goldstein, A. P. (eds.),Helping People Change, Pergamon Press, New York, pp. 309–355.

    Google Scholar 

  • Kaplan, R. M., and Simon, H. J. (1990). Compliance in medical care: Reconsideration of self-predictions.Ann. Behav. Med. 12: 66–71.

    Google Scholar 

  • Leventhal, H., Zimmerman, R., and Gutmann, M. (1984). Adherence: A self-regulation perspective. In Gentry, W. D. (ed.),Handbook of Behavioral Medicine, Guilford, New York, pp. 369–436.

    Google Scholar 

  • McCrae, R. R., and Costa, P. T., Jr. (1987). Validation of the five-factor model of personality across instruments and observers.J. Personal. Soc. Psychol. 52: 81–90.

    Google Scholar 

  • McCrae, R. R., and John, O. P. (1992). An introduction to the Five-Factor Model and its applications.J. Personal. 60: 175–215.

    Google Scholar 

  • Meichenbaum, D. H., and Turk, D. C. (1987).Facilitating Treatment Adherence: A Practitioner's Guidebook, Plenum Press, New York.

    Google Scholar 

  • Rosenbaum, M., and Ben-Ari Smira, K. (1986). Cognitive and personality factors in the delay of gratification of hemodialysis patients.J. Personal. Soc. Psychol. 51: 357–364.

    Google Scholar 

  • Sherbourne, C. D., Hays, R. D., Ordway, L., DiMatteo, M. R., and Kravitz, R. L. (1992). Antecedents of adherence to medical recommendations: Results from the Medical Outcomes Study.J. Behav. Med. 15: 447–468.

    PubMed  Google Scholar 

  • Smith, T. W., and Williams, P. G. (1992). Personality and health: Advantages and limitations of the five-factor model.J. Personal. 60: 395–423.

    Google Scholar 

  • Stanton, A. L. (1987). Determinants of adherence to medical regimes by hypertensive patients.J. Behav. Med. 10: 377–394.

    PubMed  Google Scholar 

  • Turk, D. C., and Meichenbaum, D. (1989). Adherence to self-care regimens: The patient's perspective. In Sweet, J., Rozensky, R., and Tovian, S. M. (eds.),Handbook of Clinical Psychology in Medical Settings, Plenum, New York, pp. 249–266.

    Google Scholar 

  • Watson, D., and Pennebaker, J. W. (1989). Health complaints, stress, and distress: Exploring the central role of negative affectivity.Psychol. Rev. 96: 234–254.

    PubMed  Google Scholar 

  • Wolcott, D. W., Maida, C. A., Diamond, R., and Nissenson, A. R. (1986). Treatment compliance in end-stage renal disease patients on dialysis.Am. J. Nephrol. 6: 329–338.

    PubMed  Google Scholar 

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Christensen, A.J., Smith, T.W. Personality and patient adherence: Correlates of the five-factor model in renal dialysis. J Behav Med 18, 305–313 (1995). https://doi.org/10.1007/BF01857875

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