The patients with CSCR demonstrated less exploratory behaviors, higher risk avoidance, restraint, and low extravagance. They were more quick-tempered, disorganized, and easily frustrated, with a tendency to avoid negative and potentially harmful stimuli, less tolerance to frustration, higher level of insecurity, and higher level of anticipatory anxiety.
253In the recent issue of Folia Parasitologica (59: 93-98), Guenter et al. (2012) published results of a study showing that the effect of latent toxoplasmosis on cognitive function of 70 subjects cannot be proved to exist using a panel of five neuropsychological tests (Guenter et al. 2012). It must be mentioned that the data (mostly ordinal variables without normal distribution) were analysed either with parametric tests (GLM) or with more proper nonparametric tests, but without controlling for age and sex of subjects. It is known for a long time that shifts in personality profile and behaviour associated with latent toxoplasmosis differ very often in their direction between men and women Hrdý 1994, Flegr et al. 1996;Lindová et al. 2006Lindová et al. , 2010. This raises the question whether cognitive functions reveal a similar phenomenon.Therefore, we re-analysed the data on 56 women and 14 men separately. To control for the effect of age, which is known to influence the performance of subjects and also the probability of being Toxoplasma-infected, we analyzed the data with partial Kendall regression, the nonparametric technique that controls for one confounding variable (Kaňková et al. 2011). The results showed that, generally, women scored worse in tests except Digit span-backward test (significantly worse only in the verbal fluency test, p = 0.015), whereas males scored better in all tests except in percentage of correct answers in N-back test (significantly better in digit span-forward, p = 0.008 and in Stroop test I, p = 0.017).Published results of a simple reaction time test show that psychomotor performance of both men and women is lower in subjects with latent toxoplasmosis (Flegr et al. 2008). However, most of personality factors and in some population also intelligence are shifted in an opposite direction in Toxoplasma-infected men and women
Purpose
Prostate cancer (PC) is one of the most common malignancies in men. The population of PC survivors is growing, and understanding the roles of different factors that affect quality of life (QoL) is important. We investigated the effects of affective temperament on the QoL of PC patients.
Patients and Methods
All subjects (n=100) underwent medical evaluation [including demographic data, medical history, physical examination, biochemical tests, and assessment of urinary incontinence (ICIQ-UI SF scale) and erectile dysfunction (ED) (IIEF-5 and subjective ED scale)] and psychological evaluation [including assessment of affective temperament using the TEMPS-A scale, depression and anxiety (using HADS), and QoL (EORTC-QLQ-C30 and EORTC-PR25)]. The relationships between individual variables were examined.
Results
Erection quality after treatment was associated with better QoL in most parameters. Similar strong relationships were observed between the urinary incontinence scale and QoL. Depressive, cyclothymic, irritable, and anxious temperaments were associated with decreased QoL. On the EORTC-PR25 scale, associations were observed between a depressive temperament and worse sexual function and urinary symptoms, between a cyclothymic temperament and worse urinary symptoms, and between an irritable temperament and worse sexual functioning. Multivariate analysis identified the severity of anxiety and depression symptoms measured by HADS as the most important psychological factors affecting QoL.
Conclusion
QoL in PC survivors depends on many factors, including age, interval since diagnosis, tumor stage, treatment, complications, and affective temperament profile. Depressive, cyclothymic, irritable, and anxious temperaments were associated with poorer QoL in selected domains, which was not observed for a hyperthymic temperament. The temperament profile of patients was associated with mood and anxiety level, which were important determinants of a poorer QoL.
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