Openness Personality Trait Associated With Benefit From a Nonpharmacological Breathlessness Intervention in People With Intrathoracic Cancer: An Exploratory Analysis
| Autor: | Sara Booth, Samantha Nabb, Mona Kanaan, Miriam J. Johnson |
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| Rok vydání: | 2019 |
| Předmět: |
Male
medicine.medical_specialty Coping (psychology) Lung Neoplasms media_common.quotation_subject Psychological intervention Odds 03 medical and health sciences 0302 clinical medicine Rating scale Surveys and Questionnaires Medicine Personality Humans 030212 general & internal medicine Lung cancer General Nursing media_common Aged business.industry Odds ratio medicine.disease Distress Anesthesiology and Pain Medicine Dyspnea 030220 oncology & carcinogenesis Physical therapy Female Neurology (clinical) business |
| Zdroj: | Journal of pain and symptom management. 59(5) |
| ISSN: | 1873-6513 |
| Popis: | Context Breathlessness is common in people with lung cancer. Nonpharmacological breathlessness interventions reduce distress because of and increase mastery over breathlessness. Objectives Identify patient characteristics associated with response to breathlessness interventions. Methods Exploratory secondary trial data analysis. Response defined as a one-point improvement in 0–10 Numerical Rating Scale of worst breathlessness/last 24 hours (response—worst) or a 0.5-point improvement in the Chronic Respiratory Questionnaire (CRQ) mastery (response—mastery) at four weeks. Univariable regression explored relationships with plausible demographic, clinical, and psychological variables followed by multivariable regression for associated (P Results About 158 participants with intrathoracic cancer (mean age 69.4 [SD 9.35] years; 40% women) were randomized to one or three breathlessness training sessions. About 91 participants had evaluable data for response—worst and 107 for response—mastery. In the univariable analyses, the personality trait openness was associated with response—worst (odds ratio [OR] 1.99 [95% CI 1.08–3.67]; P = 0.028) and response—mastery (OR 1.84 [95% CI 1.04–3.23]; P = 0.035). Higher CRQ—fatigue (OR 0.61 [95% CI 0.41–0.91]; P = 0.015), CRQ—emotion (OR 0.68 [95% CI 0.47–0.96]; P = 0.030), and worse CRQ—mastery (OR 0.61 [95% CI 0.42–0.88]; P = 0.008), and the presence of metastases and fatigue were associated with reduced odds of response—mastery. In the adjusted response—mastery model, only openness remained (OR 1.73 [95% CI 0.95–3.15]; P = 0.072). Conclusion Worse baseline health, worse breathlessness mastery, but not severity, and openness were associated with a better odds of response. Breathlessness services must be easy to access, and patients should be encouraged and supported to attend. |
| Databáze: | OpenAIRE |
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