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George T, Shah F, Tiwari A, Gutierrez E, Ji J, Kuchel GA, Cohen HJ, Sedrak MS. Resilience in older adults with cancer: A scoping literature review. J Geriatr Oncol 2023; 14:101349. [PMID: 35970715 PMCID: PMC10089682 DOI: 10.1016/j.jgo.2022.07.009] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/22/2022] [Revised: 07/01/2022] [Accepted: 07/26/2022] [Indexed: 11/21/2022]
Abstract
INTRODUCTION Resilience, the ability to respond to stressors by maintaining or rapidly returning to normal homeostasis, serves as a new paradigm to improve the care of older adults. However, resilience research in oncology is nascent. We aimed to describe the current research landscape on physical, cognitive, and psychosocial resilience in older cancer patients. MATERIALS AND METHODS We searched PubMed/MEDLINE from inception to January 28, 2022 for records with the terms "resilient OR resilience OR resiliency." We included studies that focused on persons over age 65 with cancer and assessed physical, cognitive, or psychological resilience. We excluded studies that did not report original data; did not have the full text available; assessed resilience on fewer than three time points; and published in non-English languages. Definitions and measures of resilience were extracted and categorized using qualitative analysis. RESULTS Of 473 articles screened, we found 29 articles that met criteria for inclusion in our review. There was a high degree of heterogeneity in the definitions and measures of resilience. Resilience was defined as robustness/resistance to decline (n = 11), recovery from trauma/stressor (n = 7), and adaptive and proactive coping behaviors (n = 6). Ten papers did not define resilience. 21 studies utilized longitudinal analysis, five studies used randomized and nonrandomized control trials, and four studies assessed pre-post analysis. Stressors included cancer diagnosis (n = 18), chemotherapy (n = 3), radiation (n = 3), acute illness (n = 3), surgery (n = 2), and hematopoietic cell transplant (n = 1). DISCUSSION Evidence for predictors and determinants of resilience in older adults with cancer is limited by the absence of standardized definitions and measurements. There is a fundamental need for a more precise definition, measures, and understanding of the physiologic mechanisms underlying the response to the physical, cognitive, and psychosocial stressors of cancer and its treatments.
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Affiliation(s)
- Thomas George
- Department of Internal Medicine, NYC Health and Hospitals/Coney Island, Brooklyn, NY, USA
| | - Farah Shah
- Department of Internal Medicine, Harbor-UCLA Medical Center, Los Angeles, CA, USA
| | - Abhay Tiwari
- Department of Medical Oncology and Therapeutics Research, City of Hope, Duarte, CA, USA
| | - Eutiquio Gutierrez
- Department of Internal Medicine, Harbor-UCLA Medical Center, Los Angeles, CA, USA
| | - Jingran Ji
- Department of Medical Oncology and Therapeutics Research, City of Hope, Duarte, CA, USA
| | - George A Kuchel
- Department of Medicine, Division of Geriatric Medicine, University of Connecticut School of Medicine, Farmington, CT, USA; UConn Center for Aging, University of Connecticut Health, Farmington, CT, USA
| | - Harvey J Cohen
- Department of Medicine, Geriatric Medicine Division, Duke University School of Medicine, Durham, NC, USA; Duke Center for the Study of Aging and Human Development Center, Duke University School of Medicine, Durham, NC, USA
| | - Mina S Sedrak
- Department of Medical Oncology and Therapeutics Research, City of Hope, Duarte, CA, USA; Center for Cancer and Aging, City of Hope, Duarte, CA, USA.
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Lemos R, Costa B, Frasquilho D, Almeida S, Sousa B, Oliveira-Maia AJ. Cross-Cultural Adaptation and Psychometric Evaluation of the Perceived Ability to Cope With Trauma Scale in Portuguese Patients With Breast Cancer. Front Psychol 2022; 13:800285. [PMID: 35250735 PMCID: PMC8889097 DOI: 10.3389/fpsyg.2022.800285] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/22/2021] [Accepted: 01/13/2022] [Indexed: 11/13/2022] Open
Abstract
Background The impact of a cancer diagnosis may be traumatic, depending on the psychological resources used by patients. Appropriate coping strategies are related to better adaptation to the disease, with coping flexibility, corresponding to the ability to replace ineffective coping strategies, demonstrated to be highly related with self-efficacy to handle trauma. The Perceived Ability to Cope with Trauma (PACT) scale is a self-rated questionnaire that assesses the perceived ability to cope with potentially traumatic events, providing a measure of coping flexibility. The current study aimed at examining the psychometric properties of the PACT Scale in Portuguese patients with breast cancer. Methods The study included 172 patients recently diagnosed with early breast cancer. Participants completed a Portuguese version of the PACT scale, and instruments of self-efficacy for coping with cancer (Cancer Behavior Inventory-Brief Version—CBI-B), of quality of life (European Organization for Research and Treatment of Cancer Quality of Life Questionnaire Core-30—QLQ-C30), and of psychological distress (Hospital Anxiety and Depression Scale—HADS) that were used as convergent and divergent measures, thus assessing construct validity. A confirmatory factor analysis (CFA) was performed to test the factor structure of the Portuguese version of PACT scale and reliabilities were examined. Results Results from the CFA confirmed the two-factor structure, consistent with the original Forward and Trauma focus subscales. The two subscales demonstrated high internal consistencies. Convergent and divergent validities were confirmed: the PACT scale was related to high self-efficacy to cope with cancer (CBI-B), to high perceived quality of life (QLQ-C30), and to low psychological distress (HADS). Discussion Overall, the current results support and replicate the psychometric properties of the PACT scale. The scale was found to be a valid and reliable self-reported measure to assess Portuguese breast cancer patients regarding beliefs about their capabilities in managing the potentially traumatic sequelae of cancer. The PACT is a simple and brief measure of coping flexibility to trauma, with potential relevance for application in clinical and research settings.
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Affiliation(s)
- Raquel Lemos
- Champalimaud Research and Clinical Centre, Champalimaud Foundation, Lisbon, Portugal.,ISPA - Instituto Universitário de Ciências Psicológicas, Sociais e da Vida, Lisbon, Portugal
| | - Beatriz Costa
- Champalimaud Research and Clinical Centre, Champalimaud Foundation, Lisbon, Portugal.,NOVA Medical School, NMS, Universidade Nova de Lisboa, Lisbon, Portugal
| | - Diana Frasquilho
- Breast Unit, Champalimaud Clinical Centre, Champalimaud Foundation, Lisbon, Portugal
| | - Sílvia Almeida
- Champalimaud Research and Clinical Centre, Champalimaud Foundation, Lisbon, Portugal.,Graduate Programme in Clinical Psychology, Faculdade de Psicologia da Universidade de Lisboa, Lisbon, Portugal
| | - Berta Sousa
- Champalimaud Research and Clinical Centre, Champalimaud Foundation, Lisbon, Portugal.,Breast Unit, Champalimaud Clinical Centre, Champalimaud Foundation, Lisbon, Portugal.,Ph.D Programme in Health Data Science, Faculdade de Medicina da Universidade do Porto, Porto, Portugal
| | - Albino J Oliveira-Maia
- Champalimaud Research and Clinical Centre, Champalimaud Foundation, Lisbon, Portugal.,NOVA Medical School, NMS, Universidade Nova de Lisboa, Lisbon, Portugal
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Christiansen N, Walter S, Zomorodbakhsch B, Sartakhti EA, Hübner J. Assessment of Self-Efficacy as a Way to Help Identify Cancer Patients Who Might Benefit from Self-Help Group Attendance? Cancer Invest 2021; 39:133-143. [PMID: 33356618 DOI: 10.1080/07357907.2020.1867996] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
Abstract
Participating in patient self-help groups is highly recommended to patients in cancer care. Yet, engagement is relatively rare. A total of 253 patients participated in our study conducted as a paper-and-pencil questionnaire. A binominal logistic regression, with interest in participation in self-help groups being the dependent variable, was run. General interest in self-help was high among the respondents. Female gender, higher age, higher education and low self-efficacy were found to significantly predict interest in self-help. Patients reported a lack of information provided by medical professionals. Self-efficacy as a predictor might contribute to characterizing patients who might benefit from self-help group participation.
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Affiliation(s)
| | | | | | | | - Jutta Hübner
- Klinik für Innere Medizin, Universitätsklinikum Jena, Jena, Germany
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Marziliano A, Tuman M, Moyer A. The relationship between post-traumatic stress and post-traumatic growth in cancer patients and survivors: A systematic review and meta-analysis. Psychooncology 2020; 29:604-616. [PMID: 31834657 DOI: 10.1002/pon.5314] [Citation(s) in RCA: 68] [Impact Index Per Article: 17.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/22/2019] [Revised: 11/06/2019] [Accepted: 12/08/2019] [Indexed: 12/19/2022]
Abstract
OBJECTIVE Research on the relationship between post-traumatic stress disorder (PTSD)/post-traumatic stress symptoms (PTSS) and post-traumatic growth (PTG) in cancer patients and survivors is increasing. METHODS We conducted a systematic review and meta-analysis of 51 studies that assessed the relationship between PTSD/PTSS and PTG, in cancer patients/survivors. Five databases were searched through 29 April 2019. The purpose of this manuscript is to report a summary of this literature, the aggregate effect size of the relationship between PTSD and PTG, and the examination of potential moderators that may impact the relationship between PTSD and PTG. RESULTS The aggregate weighted effect size for the association between PTSD/PTSS and PTG was small, r = .08, but significantly different from zero. We examined whether time since diagnosis, stage of cancer, type of measure used to assess PTSD/PTSS, or type of measure used to assess PTG explained the significant heterogeneity among the individual effect sizes. The relationship was significantly stronger for the small subset of studies that included only stage 4 patients compared with those that included only non-stage 4 patients. Additionally, the strongest relationship was for those studies that used the Impact of Events Scale-Revised to assess PTSD. CONCLUSIONS The relationship between PTSD/PTSD and PTG is modestly positive and robust. There is evidence that the threat of advanced cancer is more strongly associated with growth, but none supporting that more time since cancer diagnosis allows survivors the opportunity to positively reinterpret and find meaning in the traumatic aspects of the disease resulting in more growth.
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Affiliation(s)
- Allison Marziliano
- Center for Health Innovations and Outcomes Research, Northwell Health, Manhasset, New York
| | - Malwina Tuman
- Department of Psychology, Stony Brook University, Stony Brook, New York
| | - Anne Moyer
- Department of Psychology, Stony Brook University, Stony Brook, New York
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Hamama‐Raz Y, Pat‐Horenczyk R, Roziner I, Perry S, Stemmer SM. Can posttraumatic growth after breast cancer promote positive coping?—A cross‐lagged study. Psychooncology 2019; 28:767-774. [DOI: 10.1002/pon.5017] [Citation(s) in RCA: 18] [Impact Index Per Article: 3.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/22/2018] [Revised: 01/25/2019] [Accepted: 01/28/2019] [Indexed: 01/31/2023]
Affiliation(s)
| | - Ruth Pat‐Horenczyk
- School of Social Work and Social WelfareHebrew University of Jerusalem Jerusalem Israel
| | - Ilan Roziner
- Sackler Faculty of MedicineTel Aviv University Tel Aviv Israel
| | - Shlomit Perry
- Psycho‐Oncology Unit, Institute of OncologyDavidoff Center, Rabin Medical Center Petah Tikva Israel
| | - Salomon M. Stemmer
- Psycho‐Oncology Unit, Institute of OncologyDavidoff Center, Rabin Medical Center Petah Tikva Israel
- Sackler School of MedicineTel Aviv University Tel Aviv Israel
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Santos MAD, Souza CD. Intervenções Grupais para Mulheres com Câncer de Mama: Desafios e Possibilidades. PSICOLOGIA: TEORIA E PESQUISA 2019. [DOI: 10.1590/0102.3772e35410] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
Abstract
Resumo Este estudo teve por objetivo analisar a produção científica nacional e internacional sobre os grupos de reabilitação psicossocial para mulheres com câncer de mama. O levantamento bibliográfico foi realizado a partir das bases indexadoras LILACS, PubMed, PsycINFO e CINAHL. Foram selecionados 28 artigos, publicados no período de 2000 a 2015, que constituíram o corpus do estudo. Os achados foram agrupados por meio de análise de conteúdo. Os resultados evidenciaram que os grupos de apoio podem resultar em benefícios psicossociais, como redução de estresse, incremento da qualidade de vida, melhora do humor e compartilhamento de informações sobre as diversas opções de tratamentos disponíveis. Conclui-se que participar de grupos de apoio está associado a melhores desfechos psicológicos, contudo, não há evidências que comprovem aumento na expectativa de vida das mulheres.
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Bartholomew TT, Badura-Brack AS, Leak GK, Hearley AR, McDermott TJ. Perceived Ability to Cope With Trauma Among U.S. Combat Veterans. MILITARY PSYCHOLOGY 2017. [DOI: 10.1037/mil0000150] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/31/2022]
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Brandão T, Tavares R, Schulz MS, Matos PM. Measuring emotion regulation and emotional expression in breast cancer patients: A systematic review. Clin Psychol Rev 2016; 43:114-27. [DOI: 10.1016/j.cpr.2015.10.002] [Citation(s) in RCA: 48] [Impact Index Per Article: 6.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/18/2015] [Revised: 08/25/2015] [Accepted: 10/16/2015] [Indexed: 01/17/2023]
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Pat-Horenczyk R, Perry S, Hamama-Raz Y, Ziv Y, Schramm-Yavin S, Stemmer SM. Posttraumatic Growth in Breast Cancer Survivors: Constructive and Illusory Aspects. J Trauma Stress 2015; 28:214-22. [PMID: 26013468 DOI: 10.1002/jts.22014] [Citation(s) in RCA: 35] [Impact Index Per Article: 3.9] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/07/2022]
Abstract
This study investigated the impact of a building-resilience intervention on coping and posttraumatic growth (PTG) in a convenience sample of 94 breast cancer survivors. PTG was divided into constructive and illusory components, based on the two-sided Janus face model (Maercker & Zoellner, 2004). We operationalized constructive PTG as an improvement in both PTG and coping, and illusory PTG as an improvement in PTG only. An 8-session group intervention was delivered to 49 women (mean age = 51.5 years, SD = 10.7) who completed self-report questionnaires at baseline and at 6 months follow-up; a control group of 45 women only completed questionnaires. More than half the participants (n = 53; 56.38%) reported increased PTG at 6 months (mean change = 0.56, SD = 0.48, η(2) = .58). The increase in both PTG and positive coping was significantly greater in the intervention group than the control group (B = 0.23 for PTG, and B = 0.35 for positive coping). Further, a higher proportion of constructive PTG (vs. illusory PTG) was reported by the participants in the intervention group (89.3%), as compared to the control group (56.3%; z = 2.57). The distinction between constructive and illusory PTG has clinical implications for interventions promoting coping and growth among cancer survivors.
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Affiliation(s)
- Ruth Pat-Horenczyk
- Israel Center for the Treatment of Psychotrauma, Herzog Hospital, Jerusalem, Israel.,School of Social Work and Social Welfare, Hebrew University of Jerusalem, Israel
| | - Shlomit Perry
- Psycho-Oncology Unit, Institute of Oncology, Davidoff Center, Rabin Medical Center, Petach Tikva and Sackler School of Medicine, Tel Aviv University, Tel Aviv, Israel
| | | | - Yuval Ziv
- Israel Center for the Treatment of Psychotrauma, Herzog Hospital, Jerusalem, Israel
| | - Sarit Schramm-Yavin
- Israel Center for the Treatment of Psychotrauma, Herzog Hospital, Jerusalem, Israel
| | - Salomon M Stemmer
- Psycho-Oncology Unit, Institute of Oncology, Davidoff Center, Rabin Medical Center, Petach Tikva and Sackler School of Medicine, Tel Aviv University, Tel Aviv, Israel
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Hamama-Raz Y, Hamama L. Quality of life among parents of children with epilepsy: A preliminary research study. Epilepsy Behav 2015; 45:271-6. [PMID: 25817928 DOI: 10.1016/j.yebeh.2014.12.003] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/15/2014] [Revised: 12/02/2014] [Accepted: 12/04/2014] [Indexed: 11/29/2022]
Abstract
PURPOSE The current preliminary study was based on the principles of positive psychology orientation when examining the multidimensional construct of quality of life (QOL): the physical functioning, psychological functioning, functional state, and social functioning among parents of children with epilepsy. We assessed the contribution of loneliness and personal resources, namely optimism and flexibility, to parents' QOL. METHOD The study was conducted at a multidisciplinary center for epilepsy in a central hospital in Israel. Forty-eight parents agreed to participate in a preliminary research study and completed a battery of self-report questionnaires. RESULTS Significant negative correlations were found between flexibility and the scores on the four components of QOL (higher scores on the QOL scales indicated lower QOL). Optimism was not found to be associated with the scores on QOL. High levels of loneliness were found to be associated with higher scores on the four components of parents' QOL. Among sociodemographic variables, only the economic situation (due to illness) was linked negatively to the scores on QOL components. Flexibility and economic situation were the significant variables that accounted for the explained variance of total QOL. CONCLUSION The results of this study highlight the importance of flexibility in effectively managing the stressors that might be associated with childhood epilepsy. These results suggest that psychosocial intervention providing coping strategies for the family might improve QOL. Moreover, a parent's economic situation seems to be an essential part of the psychosocial assessment, and assurance of the optimal utilization of financial rights and facilities may improve their QOL.
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Affiliation(s)
| | - Liat Hamama
- School of Social Work, Tel Aviv University, Tel Aviv, Israel
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Zhang H, Zhou Y, Cui Y, Yang J. The effectiveness of a rehabilitation programme for Chinese cancer survivors: A pilot study. Int J Nurs Pract 2014; 22:79-88. [DOI: 10.1111/ijn.12370] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/28/2022]
Affiliation(s)
- Hui Zhang
- School of Nursing; Harbin Medical University (Daqing); Daqing Heilong Jiang Province China
| | - Yuqiu Zhou
- School of Nursing; Harbin Medical University (Daqing); Daqing Heilong Jiang Province China
| | - Yuxia Cui
- School of Nursing; Harbin Medical University (Daqing); Daqing Heilong Jiang Province China
| | - Jinwei Yang
- School of Nursing; Harbin Medical University (Daqing); Daqing Heilong Jiang Province China
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Sautier L, Mehnert A, Höcker A, Schilling G. Participation in patient support groups among cancer survivors: do psychosocial and medical factors have an impact? Eur J Cancer Care (Engl) 2013; 23:140-8. [DOI: 10.1111/ecc.12122] [Citation(s) in RCA: 18] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 08/15/2013] [Indexed: 11/29/2022]
Affiliation(s)
- L. Sautier
- Department and Outpatient Clinic of Medical Psychology; University Medical Center Hamburg-Eppendorf; Hamburg Germany
| | - A. Mehnert
- Department and Outpatient Clinic of Medical Psychology; University Medical Center Hamburg-Eppendorf; Hamburg Germany
- Division of Psychosocial Oncology; Department of Medical Psychology and Medical Sociology; University Medical Center Leipzig; Leipzig Germany
| | - A. Höcker
- Center for Interdisciplinary Addiction Research; University of Hamburg; Hamburg Germany
- c/o Department of Psychiatry and Psychotherapy; University Medical Center Hamburg-Eppendorf; Hamburg Germany
| | - G. Schilling
- Department of Hematology and Oncology, University Cancer Center Hamburg; University Medical Center Hamburg-Eppendorf; Hamburg Germany
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Lamers J, Hartmann M, Goldschmidt H, Brechtel A, Hillengass J, Herzog W. Psychosocial support in patients with multiple myeloma at time of diagnosis: who wants what? Psychooncology 2013; 22:2313-20. [DOI: 10.1002/pon.3284] [Citation(s) in RCA: 30] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/26/2012] [Revised: 02/18/2013] [Accepted: 02/23/2013] [Indexed: 11/10/2022]
Affiliation(s)
- Jette Lamers
- Department of General Internal Medicine and Psychosomatics; University of Heidelberg; Heidelberg Germany
| | - Mechthild Hartmann
- Department of General Internal Medicine and Psychosomatics; University of Heidelberg; Heidelberg Germany
| | - Hartmut Goldschmidt
- Department of Internal Medicine V; University of Heidelberg; Heidelberg Germany
- National Centre for Tumor Diseases; Heidelberg Germany
| | - Anette Brechtel
- Department of General Internal Medicine and Psychosomatics; University of Heidelberg; Heidelberg Germany
| | - Jens Hillengass
- Department of Internal Medicine V; University of Heidelberg; Heidelberg Germany
| | - Wolfgang Herzog
- Department of General Internal Medicine and Psychosomatics; University of Heidelberg; Heidelberg Germany
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