ArticleFrontiers in medicine2026
Psychosocial pathways linking type D personality traits to quality of life in patients with permanent intestinal stomas: a cross-sectional structural equation modeling study.
Article in Frontiers in medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Background: Patients with permanent intestinal stomas often experience long-term physical and psychosocial challenges, including lifelong appliance management, altered body image, social embarrassment, and self-care burden, which can adversely affect their quality of life. Because Type D personality traits are characterized by negative affectivity and social inhibition, they may be particularly relevant to psychosocial adaptation in this population. However, the potential psychosocial and behavioral pathways linking Type D personality traits to quality of life in patients with permanent intestinal stomas remain unclear. Methods: This cross-sectional study included 200 patients with permanent intestinal stomas recruited from a tertiary hospital. All major variables were assessed using self-report questionnaires, including the 14-item Type D Scale (DS14), the Social Support Rating Scale (SSRS), the General Self-Efficacy Scale (GSES), the Ostomy Self-Care Index (OSCI), and the Stoma Quality of Life Scale (Stoma-QOL). Pearson correlation analysis, structural equation modeling, and bootstrap analysis with 5,000 resamples were performed to examine associations and indirect effects. Results: Higher Type D personality trait scores were negatively associated with social support, self-efficacy, stoma self-care ability, and quality of life. The structural equation model showed an acceptable fit to the data (χ Conclusion: Stronger Type D personality traits were associated with lower quality of life in patients with permanent intestinal stomas. These findings suggest partial statistical mediation within a cross-sectional SEM framework, particularly through self-efficacy, rather than confirmed causal mechanisms. Self-efficacy and supportive resources may be useful targets for future longitudinal and intervention studies aimed at improving quality of life in this population.
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