Cited by 29Personality Traits and PsychologyHealth, psychology, and well-beingChronic Disease Management Strategies

Effects of personality on self‐rated health in a 1‐year randomized controlled trial of chronic illness self‐management

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Jerant, Anthony, Chapman, Benjamin, Duberstein, Paul, Franks, Peter·2010·British Journal of Health Psychology

Abstract

Objective. Personality factors moderate self‐efficacy enhancing effects of some illness self‐management interventions, but their influence on self‐rated health is unclear. This study examined whether high neuroticism and low conscientiousness, extraversion, and agreeableness (the distressed personality profile) moderated the effects of the homing in on health (HIOH) illness self‐management intervention on mental and physical health status. Design. Analysis of data from 384 subjects completing a randomized controlled trial of HIOH. Methods. Regression analyses examined effects of NEO‐five factor inventory scores on SF‐36 mental component summary (MCS‐36) and physical component summary (PCS‐36) scores (baseline; 2, 4, and 6 weeks; 6 months; 1 year), adjusting for age, gender, and study group. Results. Baseline MCS‐36 scores were worse in those with the distressed personality profile relative to others: high neuroticism (13.3 points worse, 95% confidence interval (CI)=11.0, 15.7) and low conscientiousness (6.6 points worse, 95% CI=4.1, 9.2), extraversion (10.1 points worse, 95% CI=7.7, 12.5) and agreeableness (4.2 points worse, 95% CI=1.6, 6.8). Intervention subjects had better MCS‐36 scores at 4 and 6 weeks, and benefits were confined to participants with low conscientiousness (4 weeks – 3.7 points better, 95% CI=0.2, 71; 6 weeks – 5.0 points better, 95% CI=1.57, 8.4). There were no intervention or personality effects on PCS‐36 scores. Conclusions. Chronically ill self‐management intervention recipients with the distressed personality profile had worse self‐rated mental health, and conscientiousness moderated the short‐term effects of the intervention on self‐rated mental health. Measuring personality may help identify individuals more likely to benefit from self‐management interventions.

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  1. Costa P. T., 1992, Revised NEO personality inventory and NEO five factor inventory: Professional manual
  2. Issel L. M., 2004, In Health program planning and evaluation: A practical, systematic approach for community health (chap. 8)

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Authors
Jerant, A., Chapman, B., Duberstein, P., & Franks, P.
Affiliations
  • University of California Davis Medical Center (US)
  • University of Rochester Medicine (US)
Corresponding author
Jerant, Anthony
Venue
British Journal of Health Psychology
Publisher
Wiley
Published
2010-05
Volume
15
Issue
2
Pages
321-335
ISSN
  • 1359-107X (ISSN-L)
  • 2044-8287
OpenAlex
W2095360312
Cited by
29
References
50
Citations by year
2025: 1 · 2024: 1 · 2023: 1 · 2022: 1 · 2021: 2 · 2019: 6 · 2018: 1 · 2017: 2 · 2016: 1 · 2015: 1 · 2014: 3 · 2013: 4 · 2012: 2
FWCI
1.41
Type
journal article
Language
en
Open access
Locations
  • British Journal of Health Psychology (publishedVersion)
  • PubMed (publishedVersion)
  • PubMed Central (acceptedVersion)
Funders
  • National Institutes of Health
  • Agency for Healthcare Research and Quality (R01HS013603, R01HS13603)
  • National Institute on Aging (K08AG031328, L30 AG031021)
  • National Institute of Mental Health (K24MH072712, T32MH073452)
Topics
  • Social Sciences › Psychology › Clinical Psychology › Personality Traits and Psychology
  • Health Sciences › Health Professions › General Health Professions › Health, psychology, and well-being
  • Health Sciences › Medicine › Epidemiology › Chronic Disease Management Strategies
Keywords
personality, self-rated health, chronic disease self-management, neuroticism, conscientiousness, extraversion, agreeableness, self-efficacy, mental health, physical health, moderation
MeSH terms
Adult, Aged, Aged, 80 and over, Attitude to Health, Chronic Disease, Extraversion, Psychological, Female, Follow-Up Studies, Humans, Male, Middle Aged, Motivation, Patient Education as Topic, Personality Inventory, Self Care, Social Adjustment, Treatment Outcome, Self Efficacy

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