The role of affective temperament and emotional expression in predicting chronic fatigue in patients with cancer hospitalized in Ardabil City, Iran, during the autumn of 2016
DOI:
https://doi.org/10.22122/cdj.v8i4.552Keywords:
Cancer, Affective Temperament, Expressed Emotion, Fatigue Syndrome ChronicAbstract
BACKGROUND: Affective temperament and emotional expression can be important in the mental and physical consequences of patients with cancer. This study aimed to determine the role of affective temperament and emotional expression in predicting chronic fatigue in patients with cancer.
METHODS: 110 patients with cancer, hospitalized in the surgery and hematology wards of Fatemi and Imam Khomeini Hospitals in Ardabil City, Iran, in autumn of 2016, were selected by purposive sampling and participated in this cross-sectional study. The Affective and Emotional Composite Temperament Scale (AFECTS), Berkeley Expressivity Questionnaire (BEQ), and Chalder Fatigue Scale (CFQ) were used to collect data. The collected data were analyzed by correlation coefficient and multiple regression analysis using SPSS software.
RESULTS: Chronic fatigue positively correlated with depressive (r = 0.69, P < 0.01), anxious (r = 0.59, P < 0.01), apathetic (r = 0.64, P < 0.01), dysphoric (r = 0.37, P < 0.01), volatile (r = 0.61, P < 0.01), irritable (r = 0.36,
P < 0.01), disinhibited (r = 0.33, P < 0.01), and obsessive (r = 0.52, P < 0.01) affective temperaments, but it negatively correlated with cyclothymic (r = -0.35, P < 0.01), hyperthymic (r = -0.62, P < 0.01), euphoric (r = -0.69,
P < 0.01), and euthymic (r = -0.21, P < 0.01) affective temperaments. Also, it was found that there was a negative relationship between chronic fatigue and emotional expression (r = -0.27, P < 0.01). Results of regression analysis showed that 79% of the total variance of chronic fatigue was explained by affective temperaments. In addition, 27% of the total variance of the chronic fatigue was explained by emotional expressiveness.
CONCLUSION: These findings suggest that we can consider the affective temperament and emotional expression as psychological factors underlying the chronic fatigue in patients with cancer.
References
Russo MM, Sundaramurthi T. An overview of cancer pain: Epidemiology and pathophysiology. Semin Oncol Nurs 2019; 35(3): 223-8.
Hassanpour A, Azari E. Quality of life and related factors in cancer patients. Proceedings of the National Congress of Care in Special Diseases; 2006 Nov. 9; Ahvaz, Iran. 2006. p. 42. [In Persian].
Ma Y, He B, Jiang M, Yang Y, Wang C, Huang C, et al. Prevalence and risk factors of cancer-related fatigue: A systematic review and meta-analysis. Int J Nurs Stud 2020; 111: 103707.
American Psychiatric Association. Diagnostic and statistical manual of mental disorders (DSM-5®). Washington, DC: American Psychiatric Pub; 2013.
Winningham ML, Nail LM, Burke MB, Brophy L, Cimprich B, Jones LS, et al. Fatigue and the cancer experience: The state of the knowledge. Oncol Nurs Forum 1994; 21(1): 23-36.
So WK, Marsh G, Ling WM, Leung FY, Lo JC, Yeung M, et al. The symptom cluster of fatigue, pain, anxiety, and depression and the effect on the quality of life of women receiving treatment for breast cancer: A multicenter study. Oncol Nurs Forum 2009; 36(4): E205-E214.
Asvadi Kermani I, Ashraphian P, Zeinali S, Imani M, Shabanloei R. A study of cancer patients' personality profile and it's comparison with that of normal persons. Avicenna J Clin Med 2010; 16(4): 26-30. [In Persian].
Fuscaldo LV, Bisol LW, Lara DR. How emotional traits and affective temperaments relate to cocaine experimentation, abuse and dependence in a large sample. Addict Behav 2013; 38(3): 1859-64.
Lara DR, Bisol LW, Brunstein MG, Reppold CT, de Carvalho HW, Ottoni GL. The Affective and Emotional Composite Temperament (AFECT) model and scale: A system-based integrative approach.
J Affect Disord 2012; 140(1): 14-37.
Ozturk FO, Ekinci M, Ozturk O, Canan F. The relationship of affective temperament and emotional-behavioral difficulties to internet addiction in Turkish teenagers. ISRN Psychiatry 2013; 2013: 961734.
Oniszczenko W, Laskowska A. Emotional reactivity, coping style and cancer trauma symptoms. Arch Med Sci 2014; 10(1): 110-6.
Awada N, Bergeron S, Steben M, Hainault VA, McDuff P. To say or not to say: Dyadic ambivalence over emotional expression and its associations with pain, sexuality, and distress in couples coping with provoked vestibulodynia. J Sex Med 2014; 11(5): 1271-82.
Kring AM, Smith DA, Neale JM. Individual differences in dispositional expressiveness: development and validation of the Emotional Expressivity Scale. J Pers Soc Psychol 1994; 66(5): 934-49.
Chapman BP, Fiscella K, Kawachi I, Duberstein P, Muennig P. Emotion suppression and mortality risk over a 12-year follow-up. J Psychosom Res 2013; 75(4): 381-5.
Porter LS, Keefe FJ, Lipkus I, Hurwitz H. Ambivalence over emotional expression in patients with gastrointestinal cancer and their caregivers: associations with patient pain and quality of life. Pain 2005; 117(3): 340-8.
Brandao T, Tavares R, Schulz MS, Matos PM. Measuring emotion regulation and emotional expression in breast cancer patients: A systematic review. Clin Psychol Rev 2016; 43: 114-27.
Lepore SJ, Revenson TA, Roberts KJ, Pranikoff JR, Davey A. Randomised controlled trial of expressive writing and quality of life in men and women treated for colon or rectal cancer. Psychol Health 2015; 30(3): 284-300.
Chalabianloo GH, Abdi R, Rasoulzadeh M, Sheikh S. Psychometric properties of affective & emotional composite temperament scale (AFECT) in students. Journal of Psychology 2016; 11(42): 51-71. [In Persian].
Gross JJ, John OP. Facets of emotional Expressivity: Three self-report factors and their correlates. Pers Individ Dif 1995; 19(4): 555-68.
Basharpoor S, Molavi P, Sheykhi S, Khanjani S, Rajabi M, Mosavi SA. The relationship between emotion regulation and emotion expression styles with bullying behaviors in adolescent students. J Ardabil Univ Med Sci 2013; 13(3): 264-75. [In Persian].
Chalder T, Berelowitz G, Pawlikowska T, Watts L, Wessely S, Wright D, et al. Development of a fatigue scale. J Psychosom Res 1993; 37(2): 147-53.
Kukulj S, Aukst MB, Jakovljevic M, Samarzija M. Temperament and character and quality of life in lung cancer patients. Tumori 2013; 99(6): 708-14.
Del Piccolo L., Mazzi MA, Mascanzoni A, Lonardi M, De Felice M., Danzi OP, et al. Factors related to the expression of emotions by early-stage breast cancer patients. Patient Educ Couns 2019; 102(10): 1767-73.
