Whitworth, SR and Loftus, AM and Skinner, TC and Gasson, N and Barker, RA and Bucks, RS and Thomas, MG, Personality affects aspects of health-related quality of life in Parkinson's disease via psychological coping strategies, Journal of Parkinson's Disease, 3, (1) pp. 45-53. ISSN 1877-7171 (2013) [Refereed Article]
Copyright 2013 – IOS Press and the authors
Background: Personality traits influence health-related quality of life (HRQoL) in Parkinson's disease (PD). Further, an individual's personality traits can influence the strategies they use to cope with a particular stressful situation. However, in PD, the interplay between personality traits, choice of coping strategy, and their subsequent effect on HRQoL remains unclear.
Objective: The objective of this study was to examine whether personality (neuroticism and extraversion) indirectly affects HRQoL through the use of specific psychological coping strategies.
Methods: One hundred and forty-six patients with PD completed questionnaires on personality (Big Five Aspects Scale; BFAS), coping (Ways of Coping Questionnaire; WCQ), and mood-specific (Depression, Anxiety and Stress Scale; DASS-21) and disease-specific HRQoL (Parkinson's Disease Questionnaire; PDQ-39).
Results: After controlling for gender, age at diagnosis, and age at testing, the emotion-focused coping strategy of escape-avoidance was significantly correlated with neuroticism and certain aspects of HRQoL (cognitive impairment and social support). This suggests that neurotic personality traits may negatively impact on some aspects of HRQoL due to an increased use of escape-avoidance coping strategies. By contrast, planned problem-solving and escape-avoidance coping strategies were both significantly linked to extraversion and interpersonal and mood-related domains of HRQoL. This suggests that extraversion may positively impact on some aspects of HRQoL due to patients adopting greater planned, problem-solving coping strategies, and using fewer escape-avoidance coping mechanisms.
Conclusions: Psychological interventions aimed at targeting maladaptive coping strategies, such as the use of escape-avoidance coping, may be effective in minimising the negative impact of neuroticism on HRQoL in PD.
|Item Type:||Refereed Article|
|Keywords:||Parkinson disease, coping skills, personality, extraversion (psychology), quality of life|
|Research Group:||Clinical and health psychology|
|Research Field:||Health psychology|
|Objective Group:||Evaluation of health and support services|
|Objective Field:||Evaluation of health outcomes|
|UTAS Author:||Skinner, TC (Professor Timothy Skinner)|
|Web of Science® Times Cited:||25|
|Deposited By:||Rural Clinical School|
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