title: Unmet supportive care needs of patients with colorectal cancer: significant differences by type D personality
abstract: To explore the association between supportive care needs and type D personality, and to identify personality traits, including negative affectivity (NA) and social inhibition (SI), and their influence on the supportive care needs of patients with colorectal cancer (CRC).
  
  
  
  Cross-sectional, correlational survey.
  
  
  
  Oncology and surgical outpatient clinics at a medical center in northern Taiwan.
  
  
  
  277 patients diagnosed with CRC.
  
  
  
  Data were collected using a set of structured questionnaires to measure supportive care needs, symptom distress, anxiety, depression, and personality traits. The associations between type D personality and supportive care needs were verified by the Mann-Whitney U test. The significant roles of personality traits were identified by generalized estimating equations, controlling for biophysical and psychological factors overall, and for the five supportive care domains.
  
  
  
  Supportive care needs, type D personality.
  
  
  
  Patients with CRC reported the most unmet needs in the health system and the information domain. Type D patients had higher needs overall and in most domains, except for sexuality needs. A higher level of NA indicated higher overall and psychological needs. A higher level of SI indicated lower needs in health system and information.
  
  
  
  The level of unmet supportive care needs of patients with CRC is highly associated with type D personality. The trait of NA alters levels of overall supportive care and psychological needs, and the trait of SI influences needs in health system and information.
  
  
  
  Assessing personality traits before providing an education program is highly recommended for patients with cancer. The assessment could improve the quality of personalized education programs and better meet patient needs.
authors.affiliation: Department of Nursing, College of Medicine, National Taiwan University.
authors.forename: Shiow-Ching
authors.identifier: 0000-0002-9883-4446
authors.initials: SC
authors.lastname: Shun
authors.affiliation: National Taiwan University Hospital.
authors.forename: Kun-Huei
authors.initials: KH
authors.lastname: Yeh
authors.affiliation: College of Medicine, National Taiwan University.
authors.forename: Jin-Tung
authors.initials: JT
authors.lastname: Liang
authors.affiliation: Department of Surgery, National Taiwan University Hospital.
authors.forename: John
authors.initials: J
authors.lastname: Huang
authors.affiliation: Department of Nursing, College of Medicine, National Taiwan University, Taiwan.
authors.forename: Shing-Chia
authors.initials: SC
authors.lastname: Chen
authors.affiliation: Department of Surgery, National Taiwan University Hospital, Taiwan.
authors.forename: Been-Ren
authors.initials: BR
authors.lastname: Lin
authors.affiliation: Department of Nursing, National Taiwan University Hospital, Taiwan.
authors.forename: Pei-Hsuan
authors.initials: PH
authors.lastname: Lee
authors.affiliation: Department of Nursing, College of Medicine, National Taiwan University, Taiwan.
authors.forename: Yeur-Hur
authors.initials: YH
authors.lastname: Lai
mesh_terms: D000230:Adenocarcinoma / Q000523:psychology* / Q000601:surgery; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001007:Anxiety / Q000209:etiology; D015179:Colorectal Neoplasms / Q000523:psychology* / Q000601:surgery; D003125:Colostomy / Q000523:psychology; D003430:Cross-Sectional Studies; D003863:Depression / Q000209:etiology; D005239:Fear; D005260:Female; D006301:Health Services Needs and Demand; D006785:Hospitals, University; D006801:Humans; D057226:Information Seeking Behavior; D007297:Inpatients / Q000523:psychology*; D008297:Male; D008875:Middle Aged; D020380:Needs Assessment; D009341:Negativism; D016522:Oncology Service, Hospital; D010353:Patient Education as Topic; D012648:Self Care / Q000523:psychology*; D019529:Sexuality / Q000523:psychology; D013315:Stress, Psychological / Q000209:etiology; D013503:Surgery Department, Hospital; D011795:Surveys and Questionnaires; D013624:Taiwan; D064415:Type D Personality; D055815:Young Adult
keywords: colorectal cancer; personality; supportive care