Associations Between Personality and End-of-Life Care Preferences Among Men With Prostate Cancer: A Clustering Approach

Journal of Pain and Symptom Management
Emily G LattieMichael Hoerger

Abstract

Increased focus on patient-centered care models has contributed to greater emphasis on improving quality of life at the end of life through personalized medicine. However, little is known about individual-level factors impacting end-of-life care preferences. To examine whether the five-factor model of personality explains variation in preferences for end-of-life care in men with prostate cancer. Two hundred twelve men with a prostate cancer diagnosis (mean age = 62 years) completed a measure of the five-factor model of personality--spanning the personality dimensions of neuroticism, agreeableness, extraversion, openness, and conscientiousness--and reported on end-of-life care preferences. Cluster analyses were used to partition the sample into groups with similar care preferences. Analyses of variance and Chi-square tests were used to evaluate differences in care preferences among the groups. Cluster analyses revealed three groups of participants: "comfort-oriented patients," "service-accepting patients," and "service-reluctant patients." Most (67%) were comfort oriented, preferring palliative care and opposing life support services. A subset of patients were service accepting (17%), preferring both palliative care and life sup...Continue Reading

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Citations

Sep 22, 2018·Psycho-oncology·Manuela Polidoro LimaTatiana Quarti Irigaray
Sep 23, 2020·Science and Engineering Ethics·Ryan Hubbard, Jake Greenblum
Apr 11, 2020·International Journal of Palliative Nursing·Wendy Ann WebbBrian Nyatanga
Aug 14, 2019·Journal of Personality Assessment·Laura M PerryPaul R Duberstein
May 21, 2021·Critical Care Medicine·David Wendler
Jun 15, 2021·BMC Health Services Research·Etienne MinvielleMathias Waelli
Jun 10, 2018·Journal of Pain and Symptom Management·James GerhartMichael Hoerger

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