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Artopoulou II, Karademas EC, Perisanidis C, Polyzois G. Quality of life in patients with soft palate resection: The relationship between reported functional prosthetic outcomes and the patient's psychological adjustment. J Prosthet Dent 2021; 128:1387-1397. [PMID: 34119321 DOI: 10.1016/j.prosdent.2021.04.009] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/05/2020] [Revised: 04/11/2021] [Accepted: 04/12/2021] [Indexed: 11/19/2022]
Abstract
STATEMENT OF PROBLEM Tumors of the soft palate and the adjacent tissues often create considerable soft palate defects that are challenging for the maxillofacial prosthodontist. Soft palate obturator prostheses can usually address functional and esthetic concerns; however, the effectiveness of the prosthetic rehabilitation in improving the patient's well-being and overall quality of life (QOL) has not been extensively researched. PURPOSE The purpose of the present research was to evaluate the function of the prosthesis, to review the interrelation between sociodemographic, medical, and treatment (SMT) characteristics, QOL, and prosthesis functioning, and to analyze the role of the prosthesis in how the patient represents the illness and the psychological coping response. MATERIAL AND METHODS Thirty-three patients who underwent resection of the soft palate and had been using a technically successful soft palate obturator prosthesis for at least 1 year were interviewed by means of 5 questionnaires: European Organization for Research and Treatment of Cancer (EORTC) Quality of Life Core Questionnaire (QLQ-C30), Head and Neck Cancer Module (QLQ-HN35), Obturator Functioning Scale (OFS), Illness Perceptions Questionnaire (IPQ-R), and Mental Adjustment to Cancer Scale (MAC). Data analysis was performed at α=.01. RESULTS The QOL (r=-0.53, P=.001), personal control (r=-0.53, P=.001), negative adjustment to cancer (r=0.47, P=.005), treatment control (r=-0.55, P=.001), consequences (r=0.62, P<.001), and emotional representations (r=0.30, P=.009) were significantly related to prosthesis functioning. Better QOL was significantly related to prosthesis functioning (P=.006), age (P=.001), sex (P=.011), and type of soft palate defect (P=.009). The most important predictors of favorable soft palate obturator functioning were age (P<.001) and type of soft palate defect (P=.01). CONCLUSIONS A patient-perceived effective soft palate obturator prosthesis was a significant predictor for advanced QOL, better adjustment to illness and illness-related disabilities, as well as the overall coping response to cancer.
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Affiliation(s)
- Ioli Ioanna Artopoulou
- Assistant Professor, Department of Prosthodontics, National and Kapodistrian University of Athens, School of Dentistry, Athens, Greece; Maxillofacial Prosthodontist, Former Fellow, The University of Texas, M.D. Anderson Cancer Center, Houston, Texas.
| | | | - Christos Perisanidis
- Professor and Chief, Department of Oral and Maxillofacial Surgery, National and Kapodistrian University of Athens, "Evaggelismos" General Hospital, Athens, Greece
| | - Gregory Polyzois
- Professor and Chief, Department of Prosthodontics, National and Kapodistrian University of Athens, School of Dentistry, Athens, Greece
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Sato N, Kimura H, Adachi Y, Nishio N, Ando M, Tokura T, Nagashima W, Kishi S, Yamauchi A, Yoshida K, Hiramatsu M, Fujimoto Y, Ozaki N. Exploration of coping styles in male patients with head and neck cancer: a prospective cohort study. NAGOYA JOURNAL OF MEDICAL SCIENCE 2019; 81:249-258. [PMID: 31239594 PMCID: PMC6556458 DOI: 10.18999/nagjms.81.2.249] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Download PDF] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
Abstract
Majority of head and neck cancer (HNC) patients are male, and more than 85% of patients with HNC have the habit of smoking and drinking. Due to the specific demographic characteristics, HNC patients are anticipated to have specific coping styles, affecting psychological distress, survival, and quality of life. We explored the subscales of the Mental Adjustment to Cancer (MAC) Scale in male patients with HNC, and then examined the correlation between revised subscales of the MAC scale and anxiety/depression. Participants were 150 male inpatients with HNC, and their demographic and medical data were obtained. Coping style was assessed by MAC scale. Anxiety and depression were assessed using the Hospital Anxiety and Depression Scale. Out of 40 items in the original MAC scale, 19 items were excluded by factor analysis, and the remaining 21 items were divided into three factors: Negative Adjustment, Positive Adjustment, and Abandonment. Negative and Positive Adjustments were similar to the copings of mixed gender patients with heterogeneous cancers, and Abandonment was a new subscale specific to male patients with HNC. This subscale had a weak positive correlation with anxiety and depression. Male HNC patients revealed a specific coping style of Abandonment, related with psychological distress. We believe that an understanding of the Abandonment coping style revealed in our study will improve the psychological support offered to male patients with HNC.
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Affiliation(s)
- Naohiro Sato
- Department of Psychiatry, Nagoya University Graduate School of Medicine, Nagoya, Japan
| | - Hiroyuki Kimura
- Department of Psychiatry, Nagoya University Graduate School of Medicine, Nagoya, Japan
| | - Yasunori Adachi
- Department of Palliative Care, Anjo Kosei Hospital, Anjo, Japan
| | - Naoki Nishio
- Department of Otorhinolaryngology, Nagoya University Graduate School of Medicine, Nagoya, Japan
| | - Masahiko Ando
- Center for Advanced Medicine and Clinical Research, Nagoya University Hospital, Nagoya, Japan
| | - Tatsuya Tokura
- Department of Psychiatry, Nagoya University Graduate School of Medicine, Nagoya, Japan
| | - Wataru Nagashima
- Department of Psychopathology & Psychotherapy / Center for Student Counseling, Nagoya University Graduate School of Medicine, Nagoya, Japan
| | - Shinichi Kishi
- Department of Psychiatry, Nagoya University Graduate School of Medicine, Nagoya, Japan
| | - Aya Yamauchi
- Department of Psychiatry, Nagoya University Graduate School of Medicine, Nagoya, Japan
| | - Keizo Yoshida
- Health Care Promotion Division, DENSO Corporation, Kariya, Japan
| | - Mariko Hiramatsu
- Department of Otorhinolaryngology, Nagoya University Graduate School of Medicine, Nagoya, Japan
| | - Yasushi Fujimoto
- Department of Otorhinolaryngology, Nagoya University Graduate School of Medicine, Nagoya, Japan
| | - Norio Ozaki
- Department of Psychiatry, Nagoya University Graduate School of Medicine, Nagoya, Japan
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Karademas EC, Dimitraki G, Thomadakis C, Giannousi Z. The relation of spouse illness representations to patient representations and coping behavior: A study in couples dealing with a newly diagnosed cancer. J Psychosoc Oncol 2018; 37:145-159. [PMID: 30372380 DOI: 10.1080/07347332.2018.1508534] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/18/2022]
Abstract
The central role of spouses/partners in patients' adaptation to cancer is well-established, but few studies have examined how partners facilitate adaptation. The Common Sense Model posits that a representation of illness as more controllable and less threatening promotes adaptive coping, but this has not been examined in a dyadic context. This cross-sectional study examined the relations of spouse illness representations of personal and treatment control, and emotional representations to recently diagnosed cancer patients' coping behaviors, through patient illness representations. One hundred forty-nine heterosexual couples (39.60% female patients; 77.18% dealing with early stage cancer) participated in the study. Structural Equation Modeling showed that spouse illness representations were related to patient coping directly and indirectly through patient illness representations. Both partners' representations of control were related to greater patient adaptive coping, and both partners' emotional representations were related to greater dysfunctional coping. These findings highlight the importance of partner illness representations in patients' adaptation to cancer. They also suggest that early intervention programs that address both partners' illness representations may enhance patients' adaptation to cancer.
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Affiliation(s)
| | - Georgia Dimitraki
- a Department of Psychology , University of Crete , Rethymno , Crete , Greece
| | | | - Zoe Giannousi
- b Bank of Cyprus Oncology Center , Limassol , Cyprus
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Patel-Kerai G, Harcourt D, Rumsey N, Naqvi H, White P. The psychosocial experiences of breast cancer amongst Black, South Asian and White survivors: do differences exist between ethnic groups? Psychooncology 2016; 26:515-522. [PMID: 27252032 DOI: 10.1002/pon.4187] [Citation(s) in RCA: 17] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/29/2015] [Revised: 03/20/2016] [Accepted: 05/27/2016] [Indexed: 11/05/2022]
Affiliation(s)
- Geeta Patel-Kerai
- Centre for Appearance Research; University of the West of England; Bristol UK
| | - Diana Harcourt
- Centre for Appearance Research; University of the West of England; Bristol UK
| | - Nichola Rumsey
- Centre for Appearance Research; University of the West of England; Bristol UK
| | | | - Paul White
- Department of Engineering Design and Mathematics; University of the West of England; Bristol UK
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Paschali AA, Hadjulis M, Papadimitriou A, Karademas EC. Patient and physician reports of the information provided about illness and treatment: what matters for patients' adaptation to cancer during treatment? Psychooncology 2015; 24:901-9. [PMID: 25640412 DOI: 10.1002/pon.3741] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/28/2014] [Revised: 11/26/2014] [Accepted: 11/27/2014] [Indexed: 02/06/2023]
Abstract
OBJECTIVE The aim of this study was to examine (a) whether illness representations mediate the relation of the amount of information provided by physicians to patients' adaptation to illness; (b) whether patient-physician agreement on the information provided impacts the aforementioned relationship. The study focused on information that, according to the Common Sense Self-Regulation Model, is essential for adaptation to illness. METHODS The sample consisted of 93 patients undergoing chemotherapy and their physicians. Indirect (mediation) effects and conditional (moderated) indirect effects were examined using bootstrapping. RESULTS The more illness and treatment-related information was provided by physicians, the more positive illness representations (specifically, illness consequences, emotional representations, and personal control) were reported by patients. In turn, these illness representations were related to better physical functioning and better adjustment to cancer. The degree of the patient-physician agreement on the information provided did not affect this relationship. CONCLUSIONS What seems to be more crucial for patients' adaptation to cancer during treatment is the amount of information provided by physicians rather than their agreement with patients on the information provided. Also, there is a need to thoroughly examine the pathways through which information provision impacts adaptation to illness.
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Affiliation(s)
- Antonia A Paschali
- Department of Mental Health and Behavioral Sciences, Faculty of Nursing, National & Kapodistrian University of Athens, Athens, Attica, Greece
| | - Michael Hadjulis
- Department of Mental Health and Behavioral Sciences, Faculty of Nursing, National & Kapodistrian University of Athens, Athens, Attica, Greece
| | - Angela Papadimitriou
- Department of Mental Health and Behavioral Sciences, Faculty of Nursing, National & Kapodistrian University of Athens, Athens, Attica, Greece
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Watson M, Homewood J, Haviland J. Coping response and survival in breast cancer patients: a new analysis. Stress Health 2012; 28:376-80. [PMID: 23129557 DOI: 10.1002/smi.2459] [Citation(s) in RCA: 23] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/06/2023]
Abstract
PURPOSE The purpose of this study was to analyse the impact of coping response on survival of breast cancer by using a new method of assessing coping. METHOD Adjustment to cancer was assessed using a revised measure in a large cohort of breast cancer patients (N = 578) followed up over a period of 10 years. Impact of coping response measured early in the disease process (<4 months from primary diagnosis of early-stage breast cancer) was assessed, and survival analyses were undertaken including known clinical staging data and cancer treatment details. RESULTS After 5 years of follow-up from primary diagnosis, the effect of prior 'negative adjustment' was statistically significantly linked to increased risk of death and relapse of breast cancer, and for the 10-year analysis, this result remained for both risk of death and relapse. There was no statistically significant effect on survival of the novel 'positive adjustment' response. CONCLUSIONS Coping with cancer was assessed using a new methodology and is linked to an adverse impact of negative adjustment on overall survival. Positive adjustment was unrelated to survival. The current study strengthens previous evidence that there is a link between survival and coping response. The question remains of how coping response might affect physical outcome. It is considered that coping response likely impacts survival through the mediating effects on lifestyle and health behaviour that may contribute to an adverse prognosis.
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Affiliation(s)
- M Watson
- Royal Marsden NHS Foundation Trust, Sutton, UK.
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Mystakidou K, Tsilika E, Parpa E, Panagiotou I, Galanos A, Gouliamos A, Watson M. A test of the psychometric properties of the cancer locus of control scale in Greek patients with advanced cancer. Psychooncology 2011; 21:1215-21. [DOI: 10.1002/pon.2014] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/25/2011] [Revised: 05/17/2011] [Accepted: 05/17/2011] [Indexed: 11/12/2022]
Affiliation(s)
- Kyriaki Mystakidou
- Pain Relief and Palliative Care Unit, Department of Radiology, Areteion Hospital; School of Medicine; University of Athens; Athens Greece
| | - Eleni Tsilika
- Pain Relief and Palliative Care Unit, Department of Radiology, Areteion Hospital; School of Medicine; University of Athens; Athens Greece
| | - Efi Parpa
- Pain Relief and Palliative Care Unit, Department of Radiology, Areteion Hospital; School of Medicine; University of Athens; Athens Greece
| | - Irene Panagiotou
- Pain Relief and Palliative Care Unit, Department of Radiology, Areteion Hospital; School of Medicine; University of Athens; Athens Greece
| | - Antonis Galanos
- Pain Relief and Palliative Care Unit, Department of Radiology, Areteion Hospital; School of Medicine; University of Athens; Athens Greece
| | - Athanasios Gouliamos
- Department of Radiology, Areteion Hospital; School of Medicine; University of Athens; Athens Greece
| | - Maggie Watson
- Psychological Medicine Service; The Royal Marsden Hospital; Sutton Surrey UK
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Braeken APBM, Kempen GIJM, Watson M, Houben RMA, Gils FCJMV, Lechner L. Psychometric properties of the Dutch version of the Mental Adjustment to Cancer scale in Dutch cancer patients. Psychooncology 2010; 19:742-9. [PMID: 19824025 DOI: 10.1002/pon.1628] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/06/2022]
Abstract
OBJECTIVES The measurement of adjustment to cancer is relevant for research purposes and daily practice. In this study, the psychometric properties of the original five subscales and the two recently proposed summary scales of the Mental Adjustment to Cancer (MAC) scale were examined in Dutch cancer patients. METHODS Data from 289 cancer patients were assessed with the Dutch version of the MAC scale and the Hospital and Anxiety Depression scale (HADS); 259 patients completed the MAC scale for a second time. RESULTS In total, 85.5% of the participants completed the full MAC scale. The internal consistency of the five subscales and the summary scales were mostly similar to the original versions. The test-retest reliability of the Fighting Spirit, Helplessness/Hopelessness, Anxious Preoccupation, Summary Positive Adjustment and Summary Negative Adjustment subscales were moderate and the test-retest reliability of the Fatalism and Avoidance subscales were low. Correlations between the original and the two summary scales of the MAC scale and the depression and anxiety subscales of the HADS indicated good convergent validity. The structure of the five original subscales as well as the structure of the two proposed summary scales was adequate as shown by construct validity using confirmatory factor analyses. CONCLUSION The Dutch version of the MAC scale is a feasible questionnaire and appeared to have comparable psychometric properties as demonstrated by studies in the UK. The psychometric properties of the summary scales and Fighting Spirit and Helplessness/Hopelessness subscales seem to be acceptable. This supports the cross-national usefulness of the MAC scale.
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Affiliation(s)
- Anna P B M Braeken
- Faculty of Health Medicine and Life Sciences, Department of Health Care and Nursing Science, School for Public Health and Primary Care (CAPHRI), Maastricht University, Maastricht, The Netherlands.
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Hasson-Ohayon I, Braun M, Galinsky D, Baider L. Religiosity and Hope: A Path for Women Coping With a Diagnosis of Breast Cancer. PSYCHOSOMATICS 2009. [DOI: 10.1016/s0033-3182(09)70846-1] [Citation(s) in RCA: 20] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 10/14/2022]
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Costa-Requena G, Gil F. The mental adjustment to cancer scale: a psychometric analysis in Spanish cancer patients. Psychooncology 2009; 18:984-91. [DOI: 10.1002/pon.1466] [Citation(s) in RCA: 16] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
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Watson M, Homewood J. Mental Adjustment to Cancer Scale©: psychometric properties in a large cancer cohort. Psychooncology 2008; 17:1146-51. [PMID: 18626853 DOI: 10.1002/pon.1345] [Citation(s) in RCA: 61] [Impact Index Per Article: 3.8] [Reference Citation Analysis] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/10/2022]
Affiliation(s)
- M Watson
- The Royal Marsden NHS Foundation Trust, Sutton, Surrey, UK.
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Kang JI, Chung HC, Kim SJ, Choi HJ, Ahn JB, Jeung HC, Namkoong K. Standardization of the Korean version of Mini-Mental Adjustment to Cancer (K-Mini-MAC) scale: factor structure, reliability and validity. Psychooncology 2008; 17:592-7. [DOI: 10.1002/pon.1277] [Citation(s) in RCA: 49] [Impact Index Per Article: 3.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/09/2023]
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Mularski RA, Dy SM, Shugarman LR, Wilkinson AM, Lynn J, Shekelle PG, Morton SC, Sun VC, Hughes RG, Hilton LK, Maglione M, Rhodes SL, Rolon C, Lorenz KA. A systematic review of measures of end-of-life care and its outcomes. Health Serv Res 2007; 42:1848-70. [PMID: 17850523 PMCID: PMC2254566 DOI: 10.1111/j.1475-6773.2007.00721.x] [Citation(s) in RCA: 143] [Impact Index Per Article: 8.4] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022] Open
Abstract
OBJECTIVE To identify psychometrically sound measures of outcomes in end-of-life care and to characterize their use in intervention studies. DATA SOURCES English language articles from 1990 to November 2005 describing measures with published psychometric data and intervention studies of end-of-life care. STUDY DESIGN Systematic review of end-of-life care literature. EXTRACTION METHODS Two reviewers organized identified measures into 10 major domains. Eight reviewers extracted and characterized measures from intervention studies. PRINCIPAL FINDINGS Of 24,423 citations, we extracted 200 articles that described 261 measures, accepting 99 measures. In addition to 35 measures recommended in a prior systematic review, we identified an additional 64 measures of the end-of-life experience. The most robust measures were in the areas of symptoms, quality of life, and satisfaction; significant gaps existed in continuity of care, advance care planning, spirituality, and caregiver well-being. We also reviewed 84 intervention studies in which 135 patient-centered outcomes were assessed by 97 separate measures. Of these, 80 were used only once and only eight measures were used in more than two studies. CONCLUSIONS In general, most measures have not undergone rigorous development and testing. Measure development in end-of-life care should focus on areas with identified gaps, and testing should be done to facilitate comparability across the care settings, populations, and clinical conditions. Intervention research should use robust measures that adhere to these standards.
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Affiliation(s)
- Richard A Mularski
- Center for Health Research, Kaiser Permanente Northwest, Oregon Health & Science University, 3800 N. Interstate, WIN 1060, Portland, OR 97227, USA
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Roy R, Symonds RP, Kumar DM, Ibrahim K, Mitchell A, Fallowfield L. The use of denial in an ethnically diverse British cancer population: a cross-sectional study. Br J Cancer 2005; 92:1393-7. [PMID: 15812548 PMCID: PMC2362002 DOI: 10.1038/sj.bjc.6602523] [Citation(s) in RCA: 29] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022] Open
Abstract
A total of 82 Asian and 117 randomly selected white Caucasian patients at the Leicestershire Cancer Centre were assessed using measures of coping and adaption to cancer. On the Mental Adjustment to Cancer (MAC) scale, Asian patients were more fatalistic (P<0.0001) and had more significant hopeless/helpless scores (P=0.007). The two ethnic groups answered the three questions thought to assess denial differently. Caucasians were more likely not to dwell on their illness (73 vs 55.5%, P<0.0001) and agree with the statement ‘I have difficulty believing this is happening to me’ (73 vs 60.5%, P<0.0001). However, Asian patients were more likely to agree with the statement ‘I don't really believe I have cancer’ (48.2 vs 31.3%, P=0.019). Within both groups there was an association with denial and anxious preoccupation (P<0.001). On the Hospital Anxiety and Depression (HAD) scale, there was no difference in anxiety scores between either sexes or between the Asian and Caucasian groups. However, Asian patients were more depressed (P=0.001). Although denial was significantly related to the presence of both depression (P<0.0001) and anxiety (P=0.001) in the entire patient population, there were different predictors of denial in each subgroup. On multiple regression analysis depression was linked with denial in Caucasians, whereas Fighting Spirit (minus helplessness/hopelessness) was linked with denial in Asian patients. There are definite differences in coping styles in British cancer patients according to ethnicity. While significant numbers in both groups employ denial in some form, Caucasian patients appear to adapt to the psychological pressures of cancer more successfully than Asian patients at a particular point in time. Further work is required to elucidate longitudinal relationships between denial and adaption to cancer.
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Affiliation(s)
- R Roy
- Department of Oncology, Leicester Royal Infirmary, Leicester LE1 5WW, UK
| | - R P Symonds
- Department of Cancer Studies & Molecular Medicine, University of Leicester, Osborne Building, Leicester Royal Infirmary, Leicester LE1 5WW, UK
- Department of Cancer Studies & Molecular Medicine, University of Leicester, Osborne Building, Leicester Royal Infirmary, Leicester LE1 5WW, UK. E-mail: ,
| | - D M Kumar
- Department of Oncology, Leicester Royal Infirmary, Leicester LE1 5WW, UK
| | - K Ibrahim
- Department of Oncology, Leicester Royal Infirmary, Leicester LE1 5WW, UK
| | - A Mitchell
- Brandon Mental Health Unit, Leicester General Hospital, Leicester LE5 4PW, UK
| | - L Fallowfield
- CRUK Psychosocial Oncology Group, University of Sussex, Sussex BN1 9QG, UK
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Anagnostopoulos F, Kolokotroni P, Spanea E, Chryssochoou M. The Mini-Mental Adjustment to Cancer (Mini-MAC) scale: construct validation with a Greek sample of breast cancer patients. Psychooncology 2005; 15:79-89. [PMID: 15880660 DOI: 10.1002/pon.924] [Citation(s) in RCA: 46] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/06/2023]
Abstract
This investigation is a Greek validation of the Mini-Mental Adjustment to Cancer (Mini-MAC) scale, an instrument derived from the MAC and designed to measure styles of coping with cancer. A sample of 225 women diagnosed with breast cancer completed this questionnaire. Statistical analyses using structural equation modeling (SEM) confirmed Watson's original five first-order factors underlying Mini-MAC items: Helplessness/Hopelessness (HH), Anxious Preoccupation (AP), Fighting Spirit (FS), Avoidance (AV) and Fatalism (F). On a higher-order level, SEM and Multidimensional Scaling revealed two second-order factors: adaptive coping (being measured by FS, AV, and F) and maladaptive coping (being measured by HH and AP). Results are discussed in terms of the theoretical framework needed to account for the relationships among Mini-MAC factors and the refinement of the applications of SEM in the study of the mental adjustment to cancer construct.
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Affiliation(s)
- Fotios Anagnostopoulos
- Psycho-Oncology Service, Department of Psychology, Metaxa Cancer Hospital and Panteion University, 136 Syngrou Avenue, 176-71 Athens, Greece.
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Galindo Vázquez O. Escala de Afrontamiento al Cáncer en pacientes oncológicos en población mexicana. PSICOONCOLOGIA 1970. [DOI: 10.5209/psic.63648] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022] Open
Abstract
Introducción: Los estilos de afrontamiento son variables psicológicas que pueden predecir la adaptación psicológica y en sentido contrario una mayor disfunción psicosocial en pacientes con cáncer. Se han descrito dos dimensiones: centrados en el problema o activos positivos, caracterizados por la búsqueda de información, planificación y resolución de problemas; y los dirigidos a la emoción o evitativos caracterizados por el escape, distanciamiento o desesperanza. Objetivo: Determinar las propiedades psicométricas de la Escala de Afrontamiento del Cáncer en una muestra de pacientes con cáncer de la población mexicana. Método: Participaron 317 pacientes del Instituto Nacional del Cáncer, de los cuales 148 eran mujeres (46,7%) y 169 hombres (53,4%), con una edad media de 46,2 años. Los participantes completaron al mismo tiempo el Mental Adjustment to Cancer (MAC), el HADS y el Termometro del Distress. Resultados: Mediante el análisis factorial se identificaron cinco factores que explicaron el 53,32% de la varianza, con 22 reactivos. La consistencia interna de la escala global fue satisfactoria (0,81). La validez concurrente mostró asociaciones significativas (Pearson r = - 0,120 – 0,586, p <0,05). Discusión y conclusión: La Escala de Afrontamiento del Cáncer derivada del Mental Adjustment to Cancer tiene propiedades psicométricas adecuadas. Es una herramienta útil para fines de investigación y atención en salud mental durante el tratamiento oncológico.
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