ArticleFrontiers in psychology2026
Coping style and social support as modifiable mediators between personality and self-perceived speech handicap in head and neck cancer patients with tracheostomy: a cross-sectional chain-mediation study.
Article in Frontiers in psychology, 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
Objective: This study sought to elucidate the chain mediation effects of coping style and social support linking extraversion-introversion personality to self-perceived speech handicap in head and neck cancer patients with tracheostomy. Methods: A cross-sectional survey was conducted among 217 post-tracheostomy patients (January 2023-June 2024). Data collection was conducted through questionnaire surveys employing a general information questionnaire, the Eysenck Personality Questionnaire-Revised, Short Scale for Chinese, the Social Support Rating Scale, the Simplified Coping Style Questionnaire, and the Chinese version of the Speech Handicap Index. The outcome was the total SHI score, a patient-reported measure of self-perceived speech handicap; communication ability was not directly measured. Results: The mean score for extraversion-introversion personality traits among participants with tracheostomy was 51.798 ± 11.240, for positive coping style was 30.790 ± 7.240, for social support was 40.862 ± 9.024, and for the Speech Handicap Index was 73.230 ± 24.227. Speech handicap exhibited significant negative correlations ( Conclusion: Path analysis identifies an associative relationship between extraversion-introversion personality traits and self-perceived speech handicap that is potentially explained by the chained mediating roles of coping style and social support. As patients' extraversion-introversion personality traits are difficult to modify, optimization of coping style and enhancement of social support levels in clinical practice may constitute primary intervention strategies for reducing self-perceived speech handicap in these patients.
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