<原著論文>癌患者のパーソナリティと医療管理システムに関する日本文化的・比較文化的研究

概要

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This study investigated personality relationships, between patients (simulated in a realistic situation) and physicians (actively engaged in clinical practices), linked with preferences for adverse information (truth-telling about cancer diagnosis and prognosis) or positive responses (psychosocial adjustment) to such an information on the one hand, and judgments of giving such an information or expertise of medical decisions on the other. Results supported a hypothesis that patients and physicians strive for situations that are congruent with their personalities, in terms of extraversion, neuroticism, psychoticism and defensiveness. Personality traits, in terms of the EPQ scale scores, linked with patients' preferences or responses and physicians' judgments or expertise were found to be opposite (they did not match with each other), except neuroticism, with regard to information needs or postdiagnosis change (in the quality of life or QOL) and information desirability judgments or expertise (with regard to patients' QOL and survival). Such a contradiction may lead to patients' distrust (non-reliance) of physicians and vice versa, hence deteriorated QOL and poor prognosis. A health-care system which can accommodate this contradiction was suggested.
東京家政学院大学の論文
1997-07-31