Personality Dysfunction and the Management of Chronic Medical Illness: A Community Health Sample |
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| Authors: | Charles C Benight Tomoko G Yamazaki Lynn A Gilfillan-Morton Diane M Kawasaki Ligia Martinez Wendy L Lynch Max L Morton Frederick L Coolidge Michael D Welch |
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| Institution: | (1) Department of Psychology, University of Colorado at Colorado Springs, Colorado Springs, Colorado;(2) Centura-Penrose St. Francis Health Systems, Colorado Springs, Colorado;(3) Community Health Center, Inc., Colorado Springs, Colorado |
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| Abstract: | The purpose of this study was to determine the influence of personality disorders on perceived health status, self-efficacy for management of the chronic illness, and physician perception of patient health. A total of 607 patients with self-identified chronicillness(es) volunteered to participate in the study. Out of this sample, 147 had collaborative physician data indicating a chronic illness. The final sample was 143 due to incomplete data. Results suggested that maladaptive personality characteristics, as measured by the Short-Form of the Coolidge Axis II Inventory (SCATI), were related to a number of important factors that influence self-management of chronic illnesses. When the personality constellations were broken into 3 groups (normal, subclinical, and clinical) significant differences were found on the 3 groups of dependent variables (Subjective Health, Self-Efficacy, Physician Appraisal) for the different personality disorders. These data provide useful information on several factors that influence effective disease management. Clinical implications and directions for future research are provided. |
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| Keywords: | personality disorder chronic illness self-efficacy psychological adjustment physical health |
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