Type D personality is associated with increased comorbidity burden and health care utilization among 3080 cancer survivors - 23/06/12
, Simone Oerlemans, M.Sc. a, b, Johan Denollet, Ph.D. a, Jan-Anne Roukema, Ph.D., M.D. a, c, Lonneke V. van de Poll-Franse, Ph.D. a, bAbstract |
Objective |
Cancer survivors often report comorbid diseases, but there are individual differences in risk. Type D personality is a general propensity to psychological distress that is related to poor cardiovascular outcomes. In this study, we examined whether type D was also related to comorbidity burden and health care utilization among cancer survivors.
Methods |
Individuals diagnosed with endometrial cancer or colorectal cancer between 1998 and 2007, or with lymphoma or multiple myeloma between 1999 and 2008 as registered in the Eindhoven Cancer Registry, received the Self-Administered Comorbidity Questionnaire, questions on health care utilization and the Type D personality scale; 69% (n=3080) responded.
Results |
Nineteen percent of survivors had a type D personality. Over a 12-month period, type D survivors significantly more often reported osteoarthritis, back pain, and depression than non–type D survivors. Also, type D survivors more often reported to feel bothered by high blood pressure, osteoarthritis, heart disease, depression, diabetes and lung disease during daily activities. Type D survivors more often visited their general practitioner than non–type D survivors (P<.001), also in relation to cancer (0 visits: 54% vs. 60%; 1–5: 28% vs. 22%; >5: 9% vs. 5%; P<.001), as well as their specialist (0 visits: 6% vs. 7%; 1–5 visits: 59% vs. 64%; >5 visits: 30% vs. 23%; P<.01).
Conclusion |
Type D personality is a vulnerability factor that may help to identify subgroups of cancer survivors who are at an increased risk for comorbidity burden and increased health care utilization.
Le texte complet de cet article est disponible en PDF.Keywords : Cancer, Comorbidity, Health care utilization, Type D personality
Plan
| ☆ | This manuscript has been prepared in accordance with the style of the journal, and all authors have approved of its contents. This manuscript is not being considered for publication elsewhere and the findings of this manuscript have not been previously published or presented. |
| ☆☆ | Financial support: The present research was supported by a VENI grant (#451-10-041) from the Netherlands Organization for Scientific Research (The Hague, The Netherlands) awarded to Floortje Mols. The data collection of this study was funded by an Investment Subsidy (#480-08-009) of the Netherlands Organization for Scientific Research awarded to Lonneke van de Poll-Franse for setting up the PROFILES registry. These funding agencies had no further role in study design; in the collection, analysis and interpretation of data; in the writing of the report; and in the decision to submit the article for publication. |
| ★ | Conflict of interest: The authors have no competing interests to report. |
Vol 34 - N° 4
P. 352-359 - juillet 2012 Retour au numéro
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