Personality Subtypes and Attachment Styles in Women Survivors of Breast and Gynecologic Cancer
International Journal of Applied Behavioral Sciences,
Vol. 6 No. 3 (2019),
18 September 2019
Introduction: Gynecologic and breast cancers are among the types of cancer that are still highly prevalent with high rates of mortality due to lack of early diagnosis. However, these two types of cancer can be controlled by screening programs and the individual can be survived. Also, both cancers have gained the attention of mental health specialists because of impairing sexual function and issues related to body image, and fertility status among affected individuals in which, have direct effects on their adjustment and quality of life. Consequently, the aim of the current research is identify of personality subtypes and attachment styles in women who have survived from breast and gynecologic cancers.
Methods: The current study is a qualitative. The participants were selected through purposive sampling method, which continued until data saturation from January to March 2018. For the data collection, the Shedler-Western Assessment Procedure (SWAP) and the Adult Attachment Interview (AAI), and for the data analysis Q-Sort scaling and comparative content analysis were used.
Results: The study’s findings showed that high-functioning depressive traits and dissociation were high. However, 9 of the participants had psychological health. Also, secure attachment and preoccupied attachment patterns were the most frequent ones.
Conclusion: These findings can provide clinical implications for mental variables that are involved in the remission process or the advancement of the disease in women with breast and gynecologic cancer.
Declaration of Interest: None
- Breast cancer
- Gynecologic cancer
Berek JS. Berek and Novak’s Gynecology. Fifteenth, North American edition. Philadelphia: LWW; 2011. 1560 p.
Quaresma M, Coleman MP, Rachet B. 40-year trends in an index of survival for all cancers combined and survival adjusted for age and sex for each cancer in England and Wales, 1971-2011: a population-based study. Lancet Lond Engl. 2015;385(9974):1206–18.
Gilbert E, Emilee G, Ussher JM, Perz J. Sexuality after breast cancer: a review. Maturitas. 2010;66(4):397–407.
Akkuzu G, Ayhan A. Sexual functions of Turkish women with gynecologic cancer during the chemotherapy process. Asian Pac J Cancer Prev APJCP. 2013;14(6):3561–4.
Plotti F, Nelaj E, Sansone M, Antonelli E, Altavilla T, Angioli R, et al. Sexual function after modified radical hysterectomy (Piver II/Type B) vs. classic radical hysterectomy (Piver III/Type C2) for early stage cervical cancer. A prospective study. J Sex Med. 2012;9(3):909–17.
Carter J, Huang H, Chase DM, Walker JL, Cella D, Wenzel L. Sexual function of patients with endometrial cancer enrolled in the Gynecologic Oncology Group LAP2 Study. Int J Gynecol Cancer Off J Int Gynecol Cancer Soc. 2012;22(9):1624–33.
Nakaya N, Hansen PE, Schapiro IR, Eplov LF, Saito-Nakaya K, Uchitomi Y, et al. Personality traits and cancer survival: a Danish cohort study. Br J Cancer. 2006;95(2):146–52.
Singh U, Verma N. Psychopathology among Female Breast Cancer Patients. J Indian Acad Appl Psychol. 33(1):61–71.
Husson O, Vissers PAJ, Denollet J, Mols F. The role of personality in the course of health-related quality of life and disease-specific health status among colorectal cancer survivors: A prospective population-based study from the PROFILES registry. Acta Oncol Stockh Swed. 2015 May;54(5):669–77.
Nakaya N, Tsubono Y, Hosokawa T, Nishino Y, Ohkubo T, Hozawa A, et al. Personality and the risk of cancer. J Natl Cancer Inst. 2003;95(11):799–805.
Lattie EG, Asvat Y, Shivpuri S, Gerhart J, O’Mahony S, Duberstein P, et al. Associations Between Personality and End-of-Life Care Preferences Among Men With Prostate Cancer: A Clustering Approach. J Pain Symptom Manage. 2016;51(1):52–9.
Spiegel D, Moore R. Imagery and hypnosis in the treatment of cancer patients. Oncol Williston Park N. 1997;11(8):1179–95.
Garssen B, Goodkin K. On the role of immunological factors as mediators between psychosocial factors and cancer progression. Psychiatry Res. 1999;85(1):51–61.
Mols F, Thong MSY, De LP-F, Roukema JA, Denollet J. Type D (distressed) personality is associated with poor quality of life and mental health among 3080 cancer survivors. J Affect Disord. 2012;136(1–2):26–34.
Mols F, Holterhues C, Nijsten T, van de Poll-Franse LV. Personality is associated with health status and impact of cancer among melanoma survivors. Eur J Cancer Oxf Engl 1990. 2010;46(3):573–80.
Nakaya N, Tsubono Y, Nishino Y, Hosokawa T, Fukudo S, Shibuya D, et al. Personality and cancer survival: the Miyagi cohort study. Br J Cancer. 2005;92(11):2089–94.
Nakaya N. Effect of Psychosocial Factors on Cancer Risk and Survival. J Epidemiol. 2014;24(1).
Levy KN, Johnson BN, Clouthier TL, Scala JW, Temes CM. An attachment theoretical framework for personality disorders. Can Psychol Can. 2015;56(2):197–207.
Blatt SJ, Levy KN. Attachment Theory, Psychoanalysis, Personality Development, and Psychopathology. Psychoanal Inq. 2003;23(1):102–50.
Hooper LM, Tomek S, Newman CR. Using attachment theory in medical settings: implications for primary care physicians. J Ment Health Abingdon Engl. 2012;21(1):23–37.
Loetz C, Müller J, Frick E, Petersen Y, Hvidt NC, Mauer C. Attachment Theory and Spirituality: Two Threads Converging in Palliative Care? Evid Based Complement Alternat Med. 2013;2013:1–14.
Meredith P, Ownsworth T, Strong J. A review of the evidence linking adult attachment theory and chronic pain: presenting a conceptual model. Clin Psychol Rev. 2008;28(3):407–29.
Romeo A, Tesio V, Castelnuovo G, Castelli L. Attachment Style and Chronic Pain: Toward an Interpersonal Model of Pain. Front Psychol. 2017;8.
Jaremka LM, Glaser R, Loving TJ, Malarkey WB, Stowell JR, Kiecolt-Glaser JK. Attachment anxiety is linked to alterations in cortisol production and cellular immunity. Psychol Sci. 2013;24(3):272–9.
Fagundes CP, Jaremka LM, Glaser R, Alfano CM, Povoski SP, Lipari AM, et al. Attachment anxiety is related to Epstein-Barr virus latency. Brain Behav Immun. 2014;41:232–8.
Andersen CM. The association between attachment and delay in the diagnosis of cancer in primary care [PhD thesis]. [Aarhus]: Faculty of Health, Aarhus, University; 2015.
Augustine AA, Larsen RJ, Walker MS, Fisher EB. Personality Predictors of the Time Course for Lung Cancer Onset. J Res Personal. 2008;42(6):1448–55.
Tabaei SMY, Sohrabi R. Comparing the Personality Profile of Patients Suffering from Cancer Disease. Procedia - Soc Behav Sci. 2013;84:1801–3.
Alex RA. Personality pattern of female cardiovascular patients and cancer patients: An analytical study. IMPACT Int J Res Appli. 2014;2(3):61–72.
Crowell JA, Fraley RC, Shaver PR. Measurement of individual differences in adolescent and adult attachment. In: Handbook of attachment: Theory, research, and clinical applications. New York, NY, US: The Guilford Press; 1999. p. 434–65.
Bradley R, Hilsenroth M, Guarnaccia C, Westen D. Relationship between clinician assessment and self-assessment of personality disorders using the SWAP-200 and PAI. Psychol Assess. 2007;19(2):225–9.
Westen D, Muderrisoglu S. Assessing personality disorders using a systematic clinical interview: evaluation of an alternative to structured interviews. J Personal Disord. 2003;17(4):351–69.
Westen D, Shedler J. Personality diagnosis with the Shedler-Westen Assessment Procedure (SWAP): integrating clinical and statistical measurement and prediction. J Abnorm Psychol. 2007;116(4):810–22.
Shedler J, Westen D. The Shedler-Westen Assessment Procedure (SWAP): making personality diagnosis clinically meaningful. J Pers Assess. 2007;89(1):41–55.
Main, M., Goldwyn, R., & Hesse E. Adult attachment scoring and classification systems. Berkeley; 2003.
George, C., Kaplan, N., & Main M. Adult Attachment Interview Protocol. Berkeley; 1985.
Benoit D, Parker KC. Stability and transmission of attachment across three generations. Child Dev. 1994;65(5):1444–56.
van IJzendoorn MH. Adult attachment representations, parental responsiveness, and infant attachment: a meta-analysis on the predictive validity of the Adult Attachment Interview. Psychol Bull. 1995;117(3):387–403.
Cassidy J, Shaver PR. Handbook of attachment : theory, research, and clinical applications. 1068 p.
Lorito L, Scrima F. The content validity of the adult attachment interview: An empirical investigation using text analysis. TPM - Test Psychom Methodol Appl Psychol. 2011;18(4):243–55.
Brandchaft B. Systems of pathological accommodation and change in analysis. Psychoanal Psychol. 2007;24(4):667–87.
Cohen LM, McChargue DE, Collins FL, editors. The Health Psychology Handbook: Practical Issues for the Behavioral Medicine Specialist. 1 edition. Thousand Oaks, Calif: SAGE Publications, Inc; 2003. 608 p.
Porter LS, Keefe FJ, Davis D, Rumble M, Scipio C, Garst J. Attachment styles in patients with lung cancer and their spouses: associations with patient and spouse adjustment. Support Care Cancer Off J Multinatl Assoc Support Care Cancer. 2012;20(10):2459–66.
Holmes J. Exploring in Security: Towards an Attachment-Informed Psychoanalytic Psychotherapy. 1 edition. Hove, East Sussex ; New York, NY: Routledge; 2009. 216 p.
Stolorow RD. Trauma and Human Existence. 1 edition. New York: Routledge; 2007. 74 p.
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