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Gepubliceerd in: Quality of Life Research 9/2008

01-11-2008

Personality and EQ-5D scores among individuals with chronic conditions

Auteurs: Anthony Jerant, Benjamin P. Chapman, Peter Franks

Gepubliceerd in: Quality of Life Research | Uitgave 9/2008

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Abstract

Background

Personality is associated with self-rated health, but prior studies have not examined associations with preference-based measures. We hypothesized similar associations would exist with preference-based health.

Methods

We analyzed baseline data from chronically ill individuals enrolled in a self-management intervention. We conducted regression analyses with the EQ-5D summary index score and dimension scores (mobility, self-care, usual activities, pain/discomfort, anxiety/depression) as dependent variables, The key independent variables were NEO-Five Factor Inventory (NEO-FFI) personality factors (Neuroticism, Conscientiousness, Extraversion, Openness, Agreeableness), adjusting for age, gender, educational level, minority status, and chronic conditions.

Results

Of 415 participants, 245 (59%) had ≥2 chronic conditions, 384 (94%) completed the NEO-FFI and 397 (96%) the EQ-5D. After adjustment, Neuroticism was associated with EQ-5D summary index scores [−0.04 per 1 SD increase in Neuroticism (95% CI −0.06, −0.01)]. Neuroticism [AOR 2.99 (95% CI 2.06, 4.35; P < 0.001)] and Openness [1.32 (95% CI 1.00, 1.75; P = 0.05)] were associated with worse anxiety/depression scores, while Conscientiousness was associated with better usual activities scores [0.66 (95% CI 0.49, 0.89; P = 0.01)].

Conclusions

The associations between personality factors and self-rated health appear to extend to preference-based measures. Future studies should explore whether personality affects preference-based health estimates in cost-effectiveness analyses.
Literatuur
1.
go back to reference Perenboom, R. J., van Herten, L. M., Boshuizen, H. C., & van den Bos, G. A. (2005). Life expectancy without chronic morbidity: Trends in gender and socioeconomic disparities. Public Health Reports, 120, 46–54.PubMed Perenboom, R. J., van Herten, L. M., Boshuizen, H. C., & van den Bos, G. A. (2005). Life expectancy without chronic morbidity: Trends in gender and socioeconomic disparities. Public Health Reports, 120, 46–54.PubMed
3.
go back to reference Benyamini, Y., Idler, E. L., Leventhal, H., & Leventhal, E. A. (2000). Positive affect and function as influences on self-assessments of health: Expanding our view beyond illness and disability. The Journals of Gerontology. Series B, Psychological Sciences and Social Sciences, 55, 107–116. Benyamini, Y., Idler, E. L., Leventhal, H., & Leventhal, E. A. (2000). Positive affect and function as influences on self-assessments of health: Expanding our view beyond illness and disability. The Journals of Gerontology. Series B, Psychological Sciences and Social Sciences, 55, 107–116.
4.
go back to reference Chapman, B. P., Duberstein, P. R., & Lyness, J. M. (2007). The distressed personality type: Replicability and general health associations. European Journal of Personality, 21, 1–19. doi:10.1002/per.645.CrossRef Chapman, B. P., Duberstein, P. R., & Lyness, J. M. (2007). The distressed personality type: Replicability and general health associations. European Journal of Personality, 21, 1–19. doi:10.​1002/​per.​645.CrossRef
5.
go back to reference Chapman, B. P., Duberstein, P. R., Sorensen, S., & Lyness, J. M. (2006). Personality and perceived health in older adults: The five factor model in primary care. The Journals of Gerontology. Series B, Psychological Sciences and Social Sciences, 61, P362–P365.PubMed Chapman, B. P., Duberstein, P. R., Sorensen, S., & Lyness, J. M. (2006). Personality and perceived health in older adults: The five factor model in primary care. The Journals of Gerontology. Series B, Psychological Sciences and Social Sciences, 61, P362–P365.PubMed
6.
go back to reference Duberstein, P. R., Sorensen, S., Lyness, J. M., King, D. A., Yeates, C., Seidlitz, L., et al. (2003). Personality is associated with perceived health and functional status in older primary care patients. Psychology and Aging, 18, 25–37. doi:10.1037/0882-7974.18.1.25.PubMedCrossRef Duberstein, P. R., Sorensen, S., Lyness, J. M., King, D. A., Yeates, C., Seidlitz, L., et al. (2003). Personality is associated with perceived health and functional status in older primary care patients. Psychology and Aging, 18, 25–37. doi:10.​1037/​0882-7974.​18.​1.​25.PubMedCrossRef
7.
go back to reference Gilhooly, M., Hanlon, P., Cullen, B., Macdonald, S., & Whyte, B. (2007). Successful ageing in an area of deprivation: Part 2—a quantitative exploration of the role of personality and beliefs in good health in old age. Public Health, 121, 814–821. doi:10.1016/j.puhe.2007.03.003.PubMedCrossRef Gilhooly, M., Hanlon, P., Cullen, B., Macdonald, S., & Whyte, B. (2007). Successful ageing in an area of deprivation: Part 2—a quantitative exploration of the role of personality and beliefs in good health in old age. Public Health, 121, 814–821. doi:10.​1016/​j.​puhe.​2007.​03.​003.PubMedCrossRef
8.
go back to reference Goodwin, R., & Engstrom, G. (2002). Personality and the perception of health in the general population. Psychological Medicine, 32, 325–332.PubMed Goodwin, R., & Engstrom, G. (2002). Personality and the perception of health in the general population. Psychological Medicine, 32, 325–332.PubMed
10.
go back to reference Hooker, K., Monahan, D. J., Bowman, S. R., Frazier, L. D., & Shifren, K. (1998). Personality counts for a lot: Predictors of mental and physical health of spouse caregivers in two disease groups. The Journals of Gerontology. Series B, Psychological Sciences and Social Sciences, 53, P73–P85.PubMed Hooker, K., Monahan, D. J., Bowman, S. R., Frazier, L. D., & Shifren, K. (1998). Personality counts for a lot: Predictors of mental and physical health of spouse caregivers in two disease groups. The Journals of Gerontology. Series B, Psychological Sciences and Social Sciences, 53, P73–P85.PubMed
11.
go back to reference Jerram, K. L., & Coleman, P. G. (1999). The big five personality traits and reporting of health problems and health behaviour in old age. British Journal of Health Psychology, 4(Part 2), 181–192. doi:10.1348/135910799168560.CrossRef Jerram, K. L., & Coleman, P. G. (1999). The big five personality traits and reporting of health problems and health behaviour in old age. British Journal of Health Psychology, 4(Part 2), 181–192. doi:10.​1348/​135910799168560.CrossRef
13.
go back to reference Korotkov, D., & Hannah, T. E. (2004). The Five Factor Model of personality: Strengths and limitations in predicting health status, sick-role, and illness behavior. Personality and Individual Differences, 36, 187–199. doi:10.1016/S0191-8869(03)00078-3.CrossRef Korotkov, D., & Hannah, T. E. (2004). The Five Factor Model of personality: Strengths and limitations in predicting health status, sick-role, and illness behavior. Personality and Individual Differences, 36, 187–199. doi:10.​1016/​S0191-8869(03)00078-3.CrossRef
15.
16.
go back to reference van Straten, A., Cuijpers, P., van Zuuren, F. J., Smits, N., & Donker, M. (2007). Personality traits and health-related quality of life in patients with mood and anxiety disorders. Quality of Life Research, 16, 1–8. doi:10.1007/s11136-006-9124-x.PubMedCrossRef van Straten, A., Cuijpers, P., van Zuuren, F. J., Smits, N., & Donker, M. (2007). Personality traits and health-related quality of life in patients with mood and anxiety disorders. Quality of Life Research, 16, 1–8. doi:10.​1007/​s11136-006-9124-x.PubMedCrossRef
18.
go back to reference 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. doi:10.1023/A:1008830509237.PubMedCrossRef 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. doi:10.​1023/​A:​1008830509237.PubMedCrossRef
21.
go back to reference Chapman, B., Duberstein, P., & Lyness, J. M. (2007). Personality traits, education, and health-related quality of life among older adult primary care patients. The Journals of Gerontology. Series B, Psychological Sciences and Social Sciences, 62, 343–352. Chapman, B., Duberstein, P., & Lyness, J. M. (2007). Personality traits, education, and health-related quality of life among older adult primary care patients. The Journals of Gerontology. Series B, Psychological Sciences and Social Sciences, 62, 343–352.
23.
go back to reference Christensen, A. J., & Smith, T. W. (1995). Personality and patient adherence: Correlates of the five-factor model in renal dialysis. Journal of Behavioral Medicine, 18, 305–313. doi:10.1007/BF01857875.PubMedCrossRef Christensen, A. J., & Smith, T. W. (1995). Personality and patient adherence: Correlates of the five-factor model in renal dialysis. Journal of Behavioral Medicine, 18, 305–313. doi:10.​1007/​BF01857875.PubMedCrossRef
24.
go back to reference Cohen, N. L., Ross, E. C., Bagby, R. M., Farvolden, P., & Kennedy, S. H. (2004). The 5-factor model of personality and antidepressant medication compliance. Canadian Journal of Psychiatry, 49, 106–113. Cohen, N. L., Ross, E. C., Bagby, R. M., Farvolden, P., & Kennedy, S. H. (2004). The 5-factor model of personality and antidepressant medication compliance. Canadian Journal of Psychiatry, 49, 106–113.
25.
go back to reference Hyphantis, T., Kaltsouda, A., Triantafillidis, J., Platis, O., Karadagi, S., Christou, K., et al. (2005). Personality correlates of adherence to type 2 diabetes regimens. International Journal of Psychiatry in Medicine, 35, 103–107. doi:10.2190/NBQA-08A7-6MG9-GC8W.PubMedCrossRef Hyphantis, T., Kaltsouda, A., Triantafillidis, J., Platis, O., Karadagi, S., Christou, K., et al. (2005). Personality correlates of adherence to type 2 diabetes regimens. International Journal of Psychiatry in Medicine, 35, 103–107. doi:10.​2190/​NBQA-08A7-6MG9-GC8W.PubMedCrossRef
27.
go back to reference Roberts, B. W., Kuncel, N. R., Shiner, R., Caspi, A., & Goldberg, L. R. (2007). The power of personality: The comparative validity of personality traits, socioeconomic status, and cognitive ability for predicting important life outcomes. Perspectives on Psychological Science, 2, 313–345. doi:10.1111/j.1745-6916.2007.00047.x.CrossRef Roberts, B. W., Kuncel, N. R., Shiner, R., Caspi, A., & Goldberg, L. R. (2007). The power of personality: The comparative validity of personality traits, socioeconomic status, and cognitive ability for predicting important life outcomes. Perspectives on Psychological Science, 2, 313–345. doi:10.​1111/​j.​1745-6916.​2007.​00047.​x.CrossRef
28.
go back to reference Lubetkin, E. I., Jia, H., Franks, P., & Gold, M. R. (2005). Relationship among sociodemographic factors, clinical conditions, and health-related quality of life: Examining the EQ-5D in the U.S. general population. Quality of Life Research, 14, 2187–2196. doi:10.1007/s11136-005-8028-5.PubMedCrossRef Lubetkin, E. I., Jia, H., Franks, P., & Gold, M. R. (2005). Relationship among sociodemographic factors, clinical conditions, and health-related quality of life: Examining the EQ-5D in the U.S. general population. Quality of Life Research, 14, 2187–2196. doi:10.​1007/​s11136-005-8028-5.PubMedCrossRef
30.
go back to reference Nyman, J. A., Barleen, N. A., Dowd, B. E., Russell, D. W., Coons, S. J., & Sullivan, P. W. (2007). Quality-of-life weights for the US population: Self-reported health status and priority health conditions, by demographic characteristics. Medical Care, 45, 618–628. doi:10.1097/MLR.0b013e31803dce05.PubMedCrossRef Nyman, J. A., Barleen, N. A., Dowd, B. E., Russell, D. W., Coons, S. J., & Sullivan, P. W. (2007). Quality-of-life weights for the US population: Self-reported health status and priority health conditions, by demographic characteristics. Medical Care, 45, 618–628. doi:10.​1097/​MLR.​0b013e31803dce05​.PubMedCrossRef
31.
go back to reference Saarni, S. I., Suvisaari, J., Sintonen, H., Koskinen, S., Harkanen, T., & Lonnqvist, J. (2007). The health-related quality-of-life impact of chronic conditions varied with age in general population. Journal of Clinical Epidemiology, 60, 1288–1297. doi:10.1016/j.jclinepi.2007.03.004.PubMedCrossRef Saarni, S. I., Suvisaari, J., Sintonen, H., Koskinen, S., Harkanen, T., & Lonnqvist, J. (2007). The health-related quality-of-life impact of chronic conditions varied with age in general population. Journal of Clinical Epidemiology, 60, 1288–1297. doi:10.​1016/​j.​jclinepi.​2007.​03.​004.PubMedCrossRef
32.
go back to reference Jia, H., & Lubetkin, E. I. (2005). The impact of obesity on health-related quality-of-life in the general adult US population. Journal of Public Health (Oxford, England), 27, 156–164. doi:10.1093/pubmed/fdi025.CrossRef Jia, H., & Lubetkin, E. I. (2005). The impact of obesity on health-related quality-of-life in the general adult US population. Journal of Public Health (Oxford, England), 27, 156–164. doi:10.​1093/​pubmed/​fdi025.CrossRef
33.
go back to reference Gunther, O. H., Roick, C., Angermeyer, M. C., & Konig, H. H. (2008). The responsiveness of EQ-5D utility scores in patients with depression: A comparison with instruments measuring quality of life, psychopathology and social functioning. Journal of Affective Disorders, 105, 81–91. doi:10.1016/j.jad.2007.04.018.PubMedCrossRef Gunther, O. H., Roick, C., Angermeyer, M. C., & Konig, H. H. (2008). The responsiveness of EQ-5D utility scores in patients with depression: A comparison with instruments measuring quality of life, psychopathology and social functioning. Journal of Affective Disorders, 105, 81–91. doi:10.​1016/​j.​jad.​2007.​04.​018.PubMedCrossRef
35.
go back to reference Wu, A. W., Jacobson, K. L., Frick, K. D., Clark, R., Revicki, D. A., Freedberg, K. A., et al. (2002). Validity and responsiveness of the euroqol as a measure of health-related quality of life in people enrolled in an AIDS clinical trial. Quality of Life Research, 11, 273–282. doi:10.1023/A:1015240103565.PubMedCrossRef Wu, A. W., Jacobson, K. L., Frick, K. D., Clark, R., Revicki, D. A., Freedberg, K. A., et al. (2002). Validity and responsiveness of the euroqol as a measure of health-related quality of life in people enrolled in an AIDS clinical trial. Quality of Life Research, 11, 273–282. doi:10.​1023/​A:​1015240103565.PubMedCrossRef
36.
go back to reference Shikiar, R., Willian, M. K., Okun, M. M., Thompson, C. S., & Revicki, D. A. (2006). The validity and responsiveness of three quality of life measures in the assessment of psoriasis patients: Results of a phase II study. Health and Quality of Life Outcomes, 4, 71. doi:10.1186/1477-7525-4-71.PubMedCrossRef Shikiar, R., Willian, M. K., Okun, M. M., Thompson, C. S., & Revicki, D. A. (2006). The validity and responsiveness of three quality of life measures in the assessment of psoriasis patients: Results of a phase II study. Health and Quality of Life Outcomes, 4, 71. doi:10.​1186/​1477-7525-4-71.PubMedCrossRef
37.
go back to reference Luce, B. R., Manning, W. G., Siegel, J. E., & Lipscomb, J. (1996). Estimating costs in cost-effectiveness analysis. In M. R. Gold, J. E. Siegel, L. B. Russell & M. C. Weinstein (Eds.), Cost-effectiveness in health and medicine (pp. 176–213). New York: Oxford University Press. Luce, B. R., Manning, W. G., Siegel, J. E., & Lipscomb, J. (1996). Estimating costs in cost-effectiveness analysis. In M. R. Gold, J. E. Siegel, L. B. Russell & M. C. Weinstein (Eds.), Cost-effectiveness in health and medicine (pp. 176–213). New York: Oxford University Press.
38.
go back to reference Grilo, C. M., Money, R., Barlow, D. H., Goddard, A. W., Gorman, J. M., Hofmann, S. G., et al. (1998). Pretreatment patient factors predicting attrition from a multicenter randomized controlled treatment study for panic disorder. Comprehensive Psychiatry, 39, 323–332. doi:10.1016/S0010-440X(98)90043-8.PubMedCrossRef Grilo, C. M., Money, R., Barlow, D. H., Goddard, A. W., Gorman, J. M., Hofmann, S. G., et al. (1998). Pretreatment patient factors predicting attrition from a multicenter randomized controlled treatment study for panic disorder. Comprehensive Psychiatry, 39, 323–332. doi:10.​1016/​S0010-440X(98)90043-8.PubMedCrossRef
42.
go back to reference Jerant, A. F., Chapman, B., Duberstein, P., & Franks, P. (2008). Is personality a key predictor of missing study data? An analysis from a randomized controlled trial. Annals of Family Medicine (in press). Jerant, A. F., Chapman, B., Duberstein, P., & Franks, P. (2008). Is personality a key predictor of missing study data? An analysis from a randomized controlled trial. Annals of Family Medicine (in press).
43.
go back to reference Lorig, K. R., Sobel, D. S., Stewart, A. L., Brown, B. W., Jr., Bandura, A., Ritter, P., et al. (1999). Evidence suggesting that a chronic disease self-management program can improve health status while reducing hospitalization: A randomized trial. Medical Care, 37, 5–14. doi:10.1097/00005650-199901000-00003.PubMedCrossRef Lorig, K. R., Sobel, D. S., Stewart, A. L., Brown, B. W., Jr., Bandura, A., Ritter, P., et al. (1999). Evidence suggesting that a chronic disease self-management program can improve health status while reducing hospitalization: A randomized trial. Medical Care, 37, 5–14. doi:10.​1097/​00005650-199901000-00003.PubMedCrossRef
44.
go back to reference Costa, P. T., & McCrae, R. R. (1992). Revised NEO personality inventory and NEO five factor inventory: Professional manual. Odessa, FL: Psychological Assessment. Costa, P. T., & McCrae, R. R. (1992). Revised NEO personality inventory and NEO five factor inventory: Professional manual. Odessa, FL: Psychological Assessment.
47.
54.
go back to reference Huang, I. C., Frangakis, C., Atkinson, M. J., Willke, R. J., Leite, W. L., Vogel, W. B., et al. (2008). Addressing ceiling effects in health status measures: A comparison of techniques applied to measures for people with HIV disease. Health Services Research, 43, 327–339.PubMedCrossRef Huang, I. C., Frangakis, C., Atkinson, M. J., Willke, R. J., Leite, W. L., Vogel, W. B., et al. (2008). Addressing ceiling effects in health status measures: A comparison of techniques applied to measures for people with HIV disease. Health Services Research, 43, 327–339.PubMedCrossRef
56.
go back to reference Nowakowska, C., Strong, C. M., Santosa, C. M., Wang, P. W., & Ketter, T. A. (2005). Temperamental commonalities and differences in euthymic mood disorder patients, creative controls, and healthy controls. Journal of Affective Disorders, 85, 207–215. doi:10.1016/j.jad.2003.11.012.PubMedCrossRef Nowakowska, C., Strong, C. M., Santosa, C. M., Wang, P. W., & Ketter, T. A. (2005). Temperamental commonalities and differences in euthymic mood disorder patients, creative controls, and healthy controls. Journal of Affective Disorders, 85, 207–215. doi:10.​1016/​j.​jad.​2003.​11.​012.PubMedCrossRef
58.
59.
go back to reference Tidermark, J., Bergstrom, G., Svensson, O., Tornkvist, H., & Ponzer, S. (2003). Responsiveness of the EuroQol (EQ 5-D) and the SF-36 in elderly patients with displaced femoral neck fractures. Quality of Life Research, 12, 1069–1079. doi:10.1023/A:1026193812514.PubMedCrossRef Tidermark, J., Bergstrom, G., Svensson, O., Tornkvist, H., & Ponzer, S. (2003). Responsiveness of the EuroQol (EQ 5-D) and the SF-36 in elderly patients with displaced femoral neck fractures. Quality of Life Research, 12, 1069–1079. doi:10.​1023/​A:​1026193812514.PubMedCrossRef
60.
go back to reference Grutters, J. P., Joore, M. A., van der Horst, F., Verschuure, H., Dreschler, W. A., & Anteunis, L. J. (2007). Choosing between measures: Comparison of EQ-5D, HUI2 and HUI3 in persons with hearing complaints. Quality of Life Research, 16, 1439–1449. doi:10.1007/s11136-007-9237-x.PubMedCrossRef Grutters, J. P., Joore, M. A., van der Horst, F., Verschuure, H., Dreschler, W. A., & Anteunis, L. J. (2007). Choosing between measures: Comparison of EQ-5D, HUI2 and HUI3 in persons with hearing complaints. Quality of Life Research, 16, 1439–1449. doi:10.​1007/​s11136-007-9237-x.PubMedCrossRef
61.
go back to reference Tidermark, J., & Bergstrom, G. (2007). Responsiveness of the EuroQol (EQ-5D) and the Nottingham health profile (NHP) in elderly patients with femoral neck fractures. Quality of Life Research, 16, 321–330. doi:10.1007/s11136-006-9004-4.PubMedCrossRef Tidermark, J., & Bergstrom, G. (2007). Responsiveness of the EuroQol (EQ-5D) and the Nottingham health profile (NHP) in elderly patients with femoral neck fractures. Quality of Life Research, 16, 321–330. doi:10.​1007/​s11136-006-9004-4.PubMedCrossRef
62.
63.
go back to reference Pickard, A. S., Wilke, C., Jung, E., Patel, S., Stavem, K., & Lee, T. A. (2008). Use of a preference-based measure of health (EQ-5D) in COPD and asthma. Respiratory Medicine, 102(4):519–536.PubMedCrossRef Pickard, A. S., Wilke, C., Jung, E., Patel, S., Stavem, K., & Lee, T. A. (2008). Use of a preference-based measure of health (EQ-5D) in COPD and asthma. Respiratory Medicine, 102(4):519–536.PubMedCrossRef
64.
go back to reference Haywood, K. L., Garratt, A. M., Dziedzic, K., & Dawes, P. T. (2002). Generic measures of health-related quality of life in ankylosing spondylitis: Reliability, validity and responsiveness. Rheumatology (Oxford, England), 41, 1380–1387. doi:10.1093/rheumatology/41.12.1380.CrossRef Haywood, K. L., Garratt, A. M., Dziedzic, K., & Dawes, P. T. (2002). Generic measures of health-related quality of life in ankylosing spondylitis: Reliability, validity and responsiveness. Rheumatology (Oxford, England), 41, 1380–1387. doi:10.​1093/​rheumatology/​41.​12.​1380.CrossRef
66.
go back to reference Franks, P., Chapman, B., Duberstein, P., & Jerant, A. (2008). Five factor model personality factors moderated the effects of an intervention to enhance chronic disease management self-efficacy. British Journal of Health Psychology (in press). Franks, P., Chapman, B., Duberstein, P., & Jerant, A. (2008). Five factor model personality factors moderated the effects of an intervention to enhance chronic disease management self-efficacy. British Journal of Health Psychology (in press).
Metagegevens
Titel
Personality and EQ-5D scores among individuals with chronic conditions
Auteurs
Anthony Jerant
Benjamin P. Chapman
Peter Franks
Publicatiedatum
01-11-2008
Uitgeverij
Springer Netherlands
Gepubliceerd in
Quality of Life Research / Uitgave 9/2008
Print ISSN: 0962-9343
Elektronisch ISSN: 1573-2649
DOI
https://doi.org/10.1007/s11136-008-9401-y

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