{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,8]],"date-time":"2026-09-08T06:07:41Z","timestamp":1788847661558,"version":"build-2803163510"},"reference-count":54,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2026,9,8]],"date-time":"2026-09-08T00:00:00Z","timestamp":1788825600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Psychol."],"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>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.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A cross-sectional survey was conducted among 217 post-tracheostomy patients (January 2023\u2013June 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.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      The mean score for extraversion-introversion personality traits among participants with tracheostomy was 51.798\u202f\u00b1\u202f11.240, for positive coping style was 30.790\u202f\u00b1\u202f7.240, for social support was 40.862\u202f\u00b1\u202f9.024, and for the Speech Handicap Index was 73.230\u202f\u00b1\u202f24.227. Speech handicap exhibited significant negative correlations (\n                      <jats:italic>p<\/jats:italic>\n                      \u202f&amp;lt;\u202f0.01) with extraversion-introversion personality traits (\n                      <jats:italic>r<\/jats:italic>\n                      \u202f=\u202f\u22120.445), coping style (\n                      <jats:italic>r<\/jats:italic>\n                      \u202f=\u202f\u22120.410), and social support (\n                      <jats:italic>r<\/jats:italic>\n                      \u202f=\u202f\u22120.402). Both positive coping style and social support significantly mediated the association between extraversion-introversion personality traits and self-perceived speech handicap in head and neck cancer patients with tracheostomy, with mediation effect values of \u22120.682 and \u22120.425, respectively. Furthermore, a chain mediation effect was observed along the \u201cpositive coping style \u2192 social support\u201d pathway (\u22120.201), accounting for 6.26% of the total effect.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>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\u2019 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.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3389\/fpsyg.2026.1920840","type":"journal-article","created":{"date-parts":[[2026,9,8]],"date-time":"2026-09-08T05:34:32Z","timestamp":1788845672000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["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"],"prefix":"10.3389","volume":"17","author":[{"given":"Yinfeng","family":"Li","sequence":"first","affiliation":[{"name":"Faculty of Nursing, Xi\u2019an Jiaotong University Health Science Center","place":["Xi'an, China"]},{"name":"Department of Head and Neck, Sichuan Clinical Research Center for Cancer, Sichuan Cancer Hospital & Institute, Sichuan Cancer Center, University of Electronic Science and Technology of China","place":["Chengdu, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jie","family":"He","sequence":"additional","affiliation":[{"name":"Department of Head and Neck, Sichuan Clinical Research Center for Cancer, Sichuan Cancer Hospital & Institute, Sichuan Cancer Center, University of Electronic Science and Technology of China","place":["Chengdu, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yan","family":"Zhang","sequence":"additional","affiliation":[{"name":"Department of Head and Neck, Sichuan Clinical Research Center for Cancer, Sichuan Cancer Hospital & Institute, Sichuan Cancer Center, University of Electronic Science and Technology of China","place":["Chengdu, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Qinghua","family":"Jiang","sequence":"additional","affiliation":[{"name":"Department of Head and Neck, Sichuan Clinical Research Center for Cancer, Sichuan Cancer Hospital & Institute, Sichuan Cancer Center, University of Electronic Science and Technology of China","place":["Chengdu, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yin-Ping","family":"Zhang","sequence":"additional","affiliation":[{"name":"Faculty of Nursing, Xi\u2019an Jiaotong University Health Science Center","place":["Xi'an, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2026,9,8]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","first-page":"1091","DOI":"10.1080\/00016480601158757","article-title":"Personality and choice of coping predict quality of life in head and neck cancer patients during follow-up","volume":"127","author":"Aarstad","year":"2007","journal-title":"Acta Otolaryngol."},{"key":"ref2","doi-asserted-by":"publisher","first-page":"2121","DOI":"10.1007\/s00405-011-1884-4","article-title":"Personality, choice of coping and T stage predict level of distress in head and neck cancer patients during follow-up","volume":"269","author":"Aarstad","year":"2012","journal-title":"Eur. 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