Psychosocial pathways linking type D personality traits to quality of life in patients with permanent intestinal stomas: a cross-sectional structural equation modeling study - Report - MDSpire

Psychosocial pathways linking type D personality traits to quality of life in patients with permanent intestinal stomas: a cross-sectional structural equation modeling study

  • By

  • Chen Tan

  • Hongyu Zhang

  • Yueyang Jiang

  • Yanyan Zhang

  • Meiqi Yu

  • June 3, 2026

  • 0 min

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Psychosocial Mechanisms Connecting Type D Personality to Quality of Life

Overview

This study investigates the relationship between Type D personality traits and quality of life in patients with permanent intestinal stomas. It finds that higher Type D scores correlate with lower social support, self-efficacy, and quality of life, with self-efficacy mediating this relationship.

Background

Patients with permanent intestinal stomas face significant physical and psychosocial challenges that can diminish their quality of life. This study aims to clarify the pathways linking Type D personality traits to quality of life outcomes in this population.

Data Highlights

VariableAssociation
Type D PersonalityNegatively associated with social support, self-efficacy, stoma self-care ability, and quality of life
Structural Equation Model Fitχ2/df = 2.63, CFI = 0.92, TLI = 0.90, RMSEA = 0.071, SRMR = 0.061

Key Findings

  • Higher Type D personality trait scores correlate with lower quality of life.
  • Self-efficacy mediates the relationship between Type D traits and quality of life.
  • Social support and self-efficacy together significantly impact quality of life.
  • Indirect pathways through social support alone did not reach statistical significance.
  • Type D personality traits are linked to poorer psychosocial adjustment in patients with stomas.

Clinical Implications

The findings suggest that addressing self-efficacy and enhancing social support may be beneficial for improving quality of life in patients with permanent intestinal stomas. Future interventions could focus on these psychosocial factors to aid adaptation.

Conclusion

Stronger Type D personality traits are associated with lower quality of life in patients with permanent intestinal stomas.

Related Resources & Content

  1. Evaluation of Quality of Life in Rectal Cancer Patients: A Comparative Study of Sphincter-Sparing Surgery Versus Permanent Colostomy, International Journal of Colorectal Disease, 2018
  2. Social and psychological effects of a stoma on the sexuality and self-image of patients, International Journal of Colorectal Disease, 2026
  3. Patient-Reported Quality of Life and Body Image Following Abdominoperineal Excision for Rectal Cancer, Diseases of the Colon & Rectum, 2016
  4. Personality Characteristics, Self-Criticism, and Negative Emotions as Predictors of Clinical Relapse, Depression, and Reduced Quality of Life in Patients with Inflammatory Bowel Disease, Journal of Gastroenterology, 2022
  5. The American Society of Colon and Rectal Surgeons Clinical Practice Guideline for Ostomy Surgery, Diseases of the Colon & Rectum, 2022
  6. Self-Care and Quality of Life of Ostomy Patients: A Structural Equation Modeling Analysis, MDPI, 2024
  7. Type D Personality as a Marker of Poorer Quality of Life and Mood Status Disturbances in Patients with Skin Diseases: A Systematic Review, PMC, 2023
  8. Diseases of the Colon & Rectum
  9. Self-Care and Quality of Life of Ostomy Patients: A Structural Equation Modeling Analysis | MDPI
  10. Type D Personality as a Marker of Poorer Quality of Life and Mood Status Disturbances in Patients with Skin Diseases: A Systematic Review - PMC

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