Personality and Health Care Decision-Making Style
Open accessAbstract
Using the Wisconsin Longitudinal Study Graduate Survey (N = 5,830), a population-based cohort of older adults (most aged 63–66 years), we explored relationships between five factors of personality and four preference types that account for multiple components of the health care decision-making process (information exchange, deliberation, and selection of treatment choice). After adjustment for personal, health, social, and economic factors, we found that increased conscientiousness and openness to experience and decreased agreeableness and neuroticism corresponded to preferring the most active decision-making style compared with the least active. A better understanding of how personality traits relate to patient decision-making styles may help clinicians tailor treatment discussions to the needs and preferences of individual patients.
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Psychological processes at the interface of cognition and behavior, such as health decision-making and risk perception, are correlated with personality.
“Psychological processes at the interface of cognition and behavior, such as health decision-making and risk perception, are also correlated with personality [29].”
From Personality and Longevity: Knowns, Unknowns, and Implications for Public Health and Personalized Medicine (2011) · cites this paper as [29]
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“Less obvious factors such as health decisionmaking styles [29] and health risk evaluation [30, 31] have also been linked to personality, as have psychopathology [32, 33] and social relationships [34].”
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- Authors
- Flynn, K. E., & Smith, M. A.
- Affiliations
- Duke Medical Center (US)
- University of Wisconsin–Madison (US)
- Corresponding author
- Flynn, Kathryn E.
- Venue
- The Journals of Gerontology: Series B
- Publisher
- Oxford University Press (OUP)
- Published
- 2007-09-01
- Volume
- 62
- Issue
- 5
- Pages
- P261-P267
- ISSN
- 1079-5014 (ISSN-L)
- 1758-5368
- PMC
- PMC2211430
- OpenAlex
- W2107989841
- Cited by
- 142
- References
- 52
- Citations by year
- 2026: 22 · 2025: 7 · 2024: 3 · 2023: 10 · 2022: 7 · 2021: 6 · 2020: 14 · 2019: 7 · 2018: 7 · 2017: 6 · 2016: 8 · 2015: 5 · 2014: 9 · 2013: 7 · 2012: 10
- FWCI
- 7.24
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- The Journals of Gerontology Series B (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Science Foundation
- National Institutes of Health (5p01ag021079-08)
- Agency for Healthcare Research and Quality (R36 HS015544)
- National Institute on Aging (AG9775, P01-AG021079, R01AG009775, AG21079)
- Topics
- Health Sciences › Health Professions › General Health Professions › Patient-Provider Communication in Healthcare
- Social Sciences › Psychology › Clinical Psychology › Personality Traits and Psychology
- Social Sciences › Decision Sciences › General Decision Sciences › Decision-Making and Behavioral Economics
- Keywords
- personality traits, healthcare decision-making, older adults, conscientiousness, openness to experience, agreeableness, neuroticism, patient preferences, treatment selection, information sharing, deliberation, patient-clinician communication
- MeSH terms
- Aged, Decision Making, Female, Health Status, Humans, Male, Middle Aged, Models, Psychological, Patient Participation, Personality, Professional-Patient Relations, Socioeconomic Factors, Wisconsin, Multivariate Analysis, Logistic Models
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