Personality Types as Predictors of Breast Cancer Screening Compliance in Korean Patients: A Mixed-Method Approach
1
조회
0
다운로드
0
인용
0
참고문헌
키워드
초록
Objective The purpose of this study is to identify personality types that can influence breast cancer screening (BCS) compliance among Korean women with breast cancer using a mixed-method approach.Methods The participants consisted of 93 women who underwent surgery for breast cancer between July 2010 and March 2012. The demographic and medical characteristics of the participants were evaluated through structured interviews. To identify personality types, in-depth interviews were performed and the transcribed interviews were evaluated using interpretive phenomenological analysis. The participants were categorized into two groups (compliance and non-compliance) based on compliance with the Korean Breast Cancer Society recommendations for BCS.Results Five personality types were identified through phenomenological analysis. There were significant differences in the chi-square test results for the BCS compliance and non-compliance groups according to age (p=0.048), cancer stage (p<0.001), and personality types (p=0.018). Logistic regression showed that the odds ratio for compliance with BCS was 9.35 (p=0.01) for individuals with a cautious-organized personality type, 9.38 (p=0.02) for those with a cautious-dependent personality, and 10.58 (p=0.04) for those with a sensitive-downcast personality compared to those with a cautious personality type.Conclusion Participants with cautious-organized, cautious-dependent, and sensitive-downcast personality types were less likely to follow the BCS recommendations than those with a cautious personality type. This study provides a basis for the future development of an effective questionnaire to investigate the personality types of individuals with breast cancer in order to predict compliance with BCS.
Abstract
Objective The purpose of this study is to identify personality types that can influence breast cancer screening (BCS) compliance among Korean women with breast cancer using a mixed-method approach.Methods The participants consisted of 93 women who underwent surgery for breast cancer between July 2010 and March 2012. The demographic and medical characteristics of the participants were evaluated through structured interviews. To identify personality types, in-depth interviews were performed and the transcribed interviews were evaluated using interpretive phenomenological analysis. The participants were categorized into two groups (compliance and non-compliance) based on compliance with the Korean Breast Cancer Society recommendations for BCS.Results Five personality types were identified through phenomenological analysis. There were significant differences in the chi-square test results for the BCS compliance and non-compliance groups according to age (p=0.048), cancer stage (p<0.001), and personality types (p=0.018). Logistic regression showed that the odds ratio for compliance with BCS was 9.35 (p=0.01) for individuals with a cautious-organized personality type, 9.38 (p=0.02) for those with a cautious-dependent personality, and 10.58 (p=0.04) for those with a sensitive-downcast personality compared to those with a cautious personality type.Conclusion Participants with cautious-organized, cautious-dependent, and sensitive-downcast personality types were less likely to follow the BCS recommendations than those with a cautious personality type. This study provides a basis for the future development of an effective questionnaire to investigate the personality types of individuals with breast cancer in order to predict compliance with BCS.
참고문헌 (50)
- 정규원, "Cancer Statistics in Korea: Incidence, Mortality, Survival, and Prevalence in 2015", Cancer Research and Treatment, 50(2), pp.303~316 (2018), 대한암학회
- Annual Report of Cancer Statistics in Korea in 2016, "Korea Central Cancer Registry, National Cancer Center", Ministry of Health and Welfare, ~ (2018)
- Korean Breast Cancer Society, "Breast Cancer Facts & Figures 2018", Korean Breast Cancer Society, ~ (2018)
- "National Cancer Screening Program"[URL]
- 서민아, "Trends in Cancer Screening Rates among Korean Men and Women: Results of the Korean National Cancer Screening Survey, 2004-2013", Cancer Research and Treatment, 48(1), pp.1~10 (2016), 대한암학회[DOI]
- Champion VL, "Instrument refinement for breast cancer screening behaviors", Nurs Res, 42, pp.139~143 (1993)
- Ersin F, "Effect of health belief model and health promotion model on breast cancer early diagnosis behavior : a systematic review", Asian Pac J Cancer Prev, 12, pp.2555~2562 (2011)
- Phillips KA, "Factors associated with women’s adherence to mammography screening guidelines", Health Serv Res, 33, pp.29~53 (1998)
- Vernon SW, "Risk perception and risk communication for cancer screening behaviors : a review", JNCI Monographs, 1999, pp.101~119 (1999)
- Dolan NC, "Adherence to screening mammography recommendations in a university general medicine clinic", J Gen Intern Med, 10, pp.299~306 (1995)
- Burton M, "Psychological predictors of attendance at annual breast screening examinations", Br J Cancer, 77, pp.2014~2019 (1998)
- Cockburn J, "Development of a strategy to encourage attendance for screening mammography", Health Educ Res, 6, pp.279~290 (1991)
- Mischel W, "From personality and assessment(1968)to personality science, 2009", J Res Pers, 43, pp.282~290 (2009)
- Kahana R, "Psychiatry and Medical Practice in a General Hospital", pp.108~123 (1964), International Universities Press
- Brain K, "Predictors of breast cancer-related distress following mammography screening in younger women on a family history breast screening programme", Psychooncology, 17, pp.1180~1188 (2008)
- Lahey BB, "Public health significance of neuroticism", Am Psychol, 64, pp.241~256 (2009)
- Matthews G, "Personality Traits" (2003), Cambridge University Press
- Scheier MF, "Distinguishing optimism from neuroticism(and trait anxiety, self-mastery, and self-esteem) : a reevaluation of the Life Orientation Test", J Pers Soc Psychol, 67, pp.1063~1078 (1994)
- Sadock BJ, "Comprehensive Textbook of Psychiatry" (2000), Lippincott Williams & Wilkins
- Tavakol S, "Medical students’ understanding of empathy : a phenomenological study", Med Educ, 46, pp.306~316 (2012)
- Hepper PP, "Research Design in Counselling" (2015), Cengage Learning
- Priest H, "An approach to the phenomenological analysis of data", Nurse Researcher(through 2013), 10, pp.50~63 (2002)
- Zalta EN, "The Stanford Encyclopedia of Philosophy" (2018), Stanford University
- Dahlberg K, "The essence of essences-the search for meaning structures in phenomenological analysis of lifeworld phenomena", Int J Qual Stud Health Well-being, 1, pp.11~19 (2006)
- Langdridge D, "Phenomenological Psychology: Theory, Research and Method" (2007), Pearson Education
- Denzin NK, "The Sage Handbook of Qualitative Research" (2011), Sage
- Frommer J, "Qualitative research in diagnostic processes", Psychopathology, 32, pp.121~126 (1999)
- Frommer J, "Qualitative Psychotherapy Research. Methods and Methodology" (2001), Pabst Science Publishers
- Anderson J, "Van Kaam’s method revisited", Qual Health Res, 8, pp.399~403 (1998)
- Polit DF, "Essentials of Nursing Research: Appraising Evidence for Nursing Practice" (2009), Lippincott Williams & Wilkins
- Puttonen S, "Cloninger’s temperament dimensions and affective responses to different challenges", Compr Psychiatry, 46, pp.128~134 (2005)
- Svrakic DM, "Differential diagnosis of personality disorders by the seven-factor model of temperament and character", Arch Gen Psychiatry, 50, pp.991~999 (1993)
- Cloninger CR, "A systematic method for clinical description and classification of personality variants : a proposal", Arch Gen Psychiatry, 44, pp.573~588 (1987)
- Farmer RF, "A psychometric evaluation of the revised Temperament and Character Inventory(TCI-R)and the TCI-140", Psychol Assess, 20, pp.281~291 (2008)
- Cloninger CR, "Personality Dimensions as a Conceptual Framework for Explaining Variations in Normal Neurotic, and Personality Disordered Behavior. (vol. 5)", pp.79~104 (1992), Elsevier Science Publishers
- Cloninger CR, "A psychobiological model of temperament and character", Arch Gen Psychiatry, 50, pp.975~990 (1993)
- Stoltzfus JC, "Logistic regression : a brief primer", Acad Emerg Med, 18, pp.1099~1104 (2011)
- Mulder RT, "The relationship among three models of personality psychopathology : DSM-III-R personality disorder, TCI scores and DSQ defences", Psychol Med, 29, pp.943~951 (1999)
- Tabar L, "Reduction in mortality from breast cancer after mass screening with mammography : randomised trial from the Breast Cancer Screening Working Group of the Swedish National Board of Health and Welfare", Lancet, 325, pp.829~832 (1985)
- World Health Organization, "Guide to Cancer Early Diagnosis", World Health Organization, ~ (2017)
- Consedine NS, "Fear, anxiety, worry, and breast cancer screening behavior : a critical review", Cancer Epidemiol Biomarkers Prev, 13, pp.501~510 (2004)
- Cloninger CR, "The Temperament and Character Inventory (TCI): A Guide to Its Development and Use", Center for Psychobiology of Personality Washington University, ~ (1994)
- Švrakić NM, "A general quantitative theory of personality development : fundamentals of a self-organizing psychobiological complex", Dev Psychopathol, 8, pp.247~272 (1996)
- Thompson SC, "Avoidance denial versus optimistic denial in reaction to the threat of future cardiovascular disease", Health Educ Behav, 39, pp.620~629 (2012)
- De Fruyt F, "Cloninger’s psychobiological model of temperament and character and the five-factor model of personality", Pers Individ Diff, 29, pp.441~452 (2000)
- Costa Jr PT, "The Revised NEO Personality Inventory (NEO-PI-R)" (2008), Sage Publications, Inc
- Siegler IC, "Personality and breast cancer screening behaviors", Ann Behav Med, 16, pp.347~351 (1994)
- Siegler IC, "Predictors of adoption of mammography in women under age 50", Health Psychol, 14, pp.274~278 (1995)
- Griva F, "Mammography screening within the context of the theory of planned behavior : the role of personality traits and personal factors", Int J Psychol Stud, 5, pp.98~107 (2013)
- Lemogne C, "Personality and breast cancer screening in women of the GAZEL cohort study", Cancer Med, 7, pp.515~524 (2018)
