Key result
Type D personality is linked to higher preoperative distress, mediated ~46% by illness perception.
Why the study?
To investigate the prevalence and influencing factors of psychological distress in preoperative gynecologic cancer patients, and examine whether illness perception mediates the relationship between Type D personality and psychological distress.
Cross-Sectional (n=218)
No
Effect estimate: indirect effect 0.089 (95% CI 0.062-0.118)
Preoperative psychological distress is prevalent in patients with gynecologic cancers and is strongly associated with Type D personality, a relationship partially mediated by how patients perceive their illness.
Type D screening may flag preoperative distress risk in gynecologic cancer; leaves open whether illness perception interventions improve outcomes in prospective trials.
Objective: To investigate the prevalence and influencing factors of psychological distress in preoperative gynecologic cancer patients, and to examine the mediating role of illness perception between Type D personality and psychological distress. Methods: ) with 95% confidence intervals (CIs). Results: = 0.089, 95% CI: 0.062-0.118), accounting for 45.6% of the total effect. Conclusions: Preoperative psychological distress was prevalent among gynecologic cancer patients. Both Type D personality and illness perception were significantly associated with psychological distress. The study indicated that Type D personality is associated with preoperative psychological distress, and this association may be partially explained by illness perception. Routine screening for Type D personality and targeted cognitive interventions addressing illness perception during the perioperative period may help reduce psychological distress in gynecologic cancer patients.
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Ding et al. (2026) conducted a cross-sectional in Preoperative gynecologic cancer (n=218). Type D personality vs. Patients without Type D personality was evaluated on Mediating role of illness perception in the relationship between Type D personality and psychological distress (indirect effect 0.089, 95% CI 0.062-0.118). Type D personality was positively associated with preoperative psychological distress in gynecologic cancer patients, with illness perception mediating 45.6% of this total effect.
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