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Péloquin K, Arpin V, Jacmin-Park S, Beaulieu N, Brassard A. A Dyadic Study of Attachment, Coping, and Quality of Life in Couples Seeking Fertility Treatment. JOURNAL OF SEX & MARITAL THERAPY 2024; 50:659-674. [PMID: 38721828 DOI: 10.1080/0092623x.2024.2347422] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/28/2024]
Abstract
This study examined attachment insecurities, infertility-specific coping strategies, and quality of life (QoL) in 87 couples seeking fertility treatment. Partners completed self-report measures. Path analyses showed that women's and men's attachment anxiety were associated with their own lower QoL, whereas attachment avoidance was associated with their own and their partner's lower QoL. Adaptive coping in men and women were associated with women's higher QoL. Non-adaptive coping was associated with men and women's lower QoL. Coping strategies explained the associations between attachment and QoL. This highlights the importance of individual and dyadic factors for understanding QoL in couples seeking fertility treatment.
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Affiliation(s)
- Katherine Péloquin
- Department of Psychology, Université de Montréal, Montreal, Quebec, Canada
| | - Virginie Arpin
- Department of Psychology, Université de Montréal, Montreal, Quebec, Canada
| | - Silke Jacmin-Park
- Department of Psychology, Université de Montréal, Montreal, Quebec, Canada
| | - Noémie Beaulieu
- Department of Psychology, Université de Sherbrooke, Sherbrooke, Quebec, Canada
| | - Audrey Brassard
- Department of Psychology, Université de Sherbrooke, Sherbrooke, Quebec, Canada
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Ştefănuţ AM, Vintilă M, Bădău LM, Grujic D, Oprean CM, Goian C, Sârbescu P. Perception of disease, dyadic coping, and the quality of life of oncology patients in the active treatment phase and their life partners: an approach based on the actor-partner interdependence model. Front Psychol 2023; 14:1069767. [PMID: 37179865 PMCID: PMC10172643 DOI: 10.3389/fpsyg.2023.1069767] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/14/2022] [Accepted: 04/11/2023] [Indexed: 05/15/2023] Open
Abstract
Objective The aim of this study based on the Systemic Transactional Model was to examine the relationship between dyadic coping and (1) disease perception and (2) quality of life of a sample of cancer patients and their life partners. Method This cross-sectional study included 138 oncological dyads. The following questionnaires were used: Stress Appraisal Measure, Dyadic Coping Inventory, and European Organisation for Research and Treatment of Cancer QLQ-C30. Data collected was analysed by applying the actor-partner interdependence model. Results The perception of the disease as a threat as well as its centrality significantly negatively influences the positive forms of dyadic coping whilst the perception of the disease as a challenge has a significant positive influence on them. Dyadic coping does not influence symptoms but has significant influences on global health/quality of life. Conclusion This study has highlighted new information regarding how couples cope with cancer. The results encourage the inclusion of the perception of the disease and dyadic coping in interventions that aim to improve the quality of life of cancer patients and their life partners.
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Affiliation(s)
- Adelina Mihaela Ştefănuţ
- Department of Psychology, Faculty of Sociology and Psychology, West University of Timişoara, Timişoara, Romania
| | - Mona Vintilă
- Department of Psychology, Faculty of Sociology and Psychology, West University of Timişoara, Timişoara, Romania
- *Correspondence: Mona Vintilă,
| | - Larisa Maria Bădău
- Hygiene Department, Victor Babeș University of Medicine and Pharmacy, Timișoara, Romania
| | - Daciana Grujic
- Department of Plastic and Reconstructive Surgery, Victor Babeș University of Medicine and Pharmacy, Timișoara, Romania
| | - Cristina Marinela Oprean
- Morpho-pathology Department, Victor Babeș University of Medicine and Pharmacy, Timișoara, Romania
| | - Cosmin Goian
- Department of Social Assistance, Faculty of Sociology and Psychology, West University of Timişoara, Timişoara, Romania
| | - Paul Sârbescu
- Department of Psychology, Faculty of Sociology and Psychology, West University of Timişoara, Timişoara, Romania
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Wakeel F, Hannah J, Gorfinkel L. Stress, coping, and quality of life in the United States during the COVID-19 pandemic. PLoS One 2023; 18:e0277741. [PMID: 37163470 PMCID: PMC10171688 DOI: 10.1371/journal.pone.0277741] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/01/2022] [Accepted: 04/06/2023] [Indexed: 05/12/2023] Open
Abstract
While research has widely explored stress, coping, and quality of life (QOL) individually and the potential links between them, a critical dearth exists in the literature regarding these constructs in the context of the COVID-19 pandemic. Our study aims to identify the salient stressors experienced, describe the coping strategies used, and examine the relationships between stressors, coping, and QOL among individuals during the pandemic. Data are from a sample of 1,004 respondents who completed an online survey. Key measures included stressful life events (SLEs), coping strategies, and the physical and psychological health domains of QOL. Staged multivariate linear regression analyses examined the relationships between SLEs and the two QOL domains, controlling for sociodemographic and pre-existing health conditions and testing for the effects of coping strategies on these relationships. The most common SLEs experienced during the pandemic were a decrease in financial status, personal injury or illness, and change in living conditions. Problem-focused coping (β = 0.42, σ = 0.13, p < 0.001 for physical QOL; β = 0.57, σ = 0.12, p < 0.001 for psychological QOL) and emotion-focused coping (β = 0.86, σ = 0.13, p < 0.001 for psychological QOL) were significantly related to higher levels of QOL, whereas avoidant coping (β = -0.93, σ = 0.13, p < 0.001 for physical QOL; β = -1.33, σ = 0.12, p < 0.001 for psychological QOL) was associated with lower QOL. Avoidant coping partially mediated the relationships between experiencing SLEs and lower physical and psychological QOL. Our study informs clinical interventions to help individuals adopt healthy behaviors to effectively manage stressors, especially large-scale, stressful events like the pandemic. Our findings also call for public health and clinical interventions to address the long-term impacts of the most prevalent stressors experienced during the pandemic among vulnerable groups.
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Affiliation(s)
- Fathima Wakeel
- Department of Community and Population Health, College of Health, Lehigh University, Bethlehem, Pennsylvania, United States of America
| | - Jacelyn Hannah
- Department of Community and Population Health, College of Health, Lehigh University, Bethlehem, Pennsylvania, United States of America
| | - Leah Gorfinkel
- Department of Community and Population Health, College of Health, Lehigh University, Bethlehem, Pennsylvania, United States of America
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Pangaribuan SM, Lin YK, Lin MF, Chang HJ. Mediating Effects of Coping Strategies on the Relationship Between Mental Health and Quality of Life Among Indonesian Female Migrant Workers in Taiwan. J Transcult Nurs 2021; 33:178-189. [PMID: 34784809 DOI: 10.1177/10436596211057289] [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: 11/16/2022] Open
Abstract
INTRODUCTION Mental health is a major concern among migrant workers worldwide. More than 200,846 female migrant workers in Taiwan are from Indonesia. The study's purpose was to investigate mediating effects of coping strategies on the relationship between mental health problems and the quality of life (QoL). METHOD This cross-sectional study was conducted in Taiwan. In total, 500 Indonesian female migrant workers completed four questionnaires. A mediation test was conducted to estimate direct and indirect effects. RESULTS Coping strategies, namely substance use, behavioral disengagement, denial, and religious dedication, partially mediated the relationship between mental health problems (depression, anxiety, and stress) and QoL among Indonesian female migrant workers in Taiwan. DISCUSSION Health promotion programs should be developed for Indonesian female migrant workers in Taiwan to help them detect and overcome their mental health problems. Interventions that facilitate effective coping strategies should be administered to improve their QoL.
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Affiliation(s)
| | - Yen-Kuang Lin
- School of Nursing, College of Nursing, Taipei Medical University, Taipei
| | - Mei-Feng Lin
- Department of Nursing, College of Medicine, National Cheng Kung University, Tainan City, Taiwan
| | - Hsiu-Ju Chang
- College of Nursing, Department of Nursing, National Yang Ming Chiao Tung University, Taipei City, Taiwan
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Mohammadipour M, Pidad F. Coping Strategies, Locus of Control, and Quality of Life in Patients with Early-Stage Breast Cancer. THE JOURNAL OF PSYCHOLOGY 2021; 155:375-386. [PMID: 33830891 DOI: 10.1080/00223980.2020.1816873] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022] Open
Abstract
Patients with cancer are included in vulnerable groups with a low quality of life. Accordingly, this study aimed to explore the relationship between coping strategies and locus of control with the quality of life in women with early-stage breast cancer. A total of 224 women with breast cancer (Mage = 36.82; SDage = 11.21) were selected using convenience sampling from general hospitals and cancer treatment centers in Tehran, Iran, and completed measures included Multidimensional Coping Inventory, Locus of Control of Behavior Scale, and World Health Organization Quality of Life. The results of the current study showed significant relationships between coping strategies and locus of control with the quality of life in women suffering from breast cancer. Moreover, the results of hierarchical multiple regression analysis indicated that the locus of control (β = - .47), task-focused coping style (β = .27), and emotion-focused coping strategy (β = - .19) were significant predictors of the patients' quality of life. Quality of life of the women with early-stage breast cancer may be improved by helping them to adopt more task-focused coping strategies and internal locus of control.
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Long NX, Ngoc NB, Phung TT, Linh DTD, Anh TN, Hung NV, Thang NT, Lan NTM, Trang VT, Thuong NH, Van Hieu N, Van Minh H. Coping strategies and social support among caregivers of patients with cancer: a cross-sectional study in Vietnam. AIMS Public Health 2021; 8:1-14. [PMID: 33575403 PMCID: PMC7870390 DOI: 10.3934/publichealth.2021001] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/12/2020] [Accepted: 12/08/2020] [Indexed: 11/19/2022] Open
Abstract
Research on coping strategies and social support among Vietnamese cancer caregivers remains limited. In this study, we aim to examine the relationships between types of coping strategies utilized and social support among cancer caregivers. This was a cross-sectional study conducted in three main cancer hospitals in the Northern, Central and Southern regions of Vietnam. The 28-item Brief COPE Inventory (BCI) Scale and the Multidimensional Scale of Perceived Social Support (MSPSS) were utilized. Descriptive statistics and multivariate linear regression were performed. Active coping, acceptance and positive reframing were the most used coping strategies among participants, while substance use was the least commonly used. Level of social support was positively correlated with the utilization of coping mechanisms. Receiving high social support and utilizing positive coping strategies enables caregivers to mitigate their caregiving burden, control the situation and enhance their own quality of life.
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Affiliation(s)
- Nguyen Xuan Long
- University of Languages and International Studies, Vietnam National University, Hanoi, Vietnam
| | - Nguyen Bao Ngoc
- Center for Population Health Sciences, Hanoi University of Public Health, Hanoi, Vietnam
| | - Tran Thi Phung
- Center for Population Health Sciences, Hanoi University of Public Health, Hanoi, Vietnam
| | - Dao Thi Dieu Linh
- University of Languages and International Studies, Vietnam National University, Hanoi, Vietnam
| | - Ta Nhat Anh
- University of Languages and International Studies, Vietnam National University, Hanoi, Vietnam
| | - Nguyen Viet Hung
- International School, Vietnam National University, Hanoi, Vietnam
| | - Nguyen Thi Thang
- University of Languages and International Studies, Vietnam National University, Hanoi, Vietnam
| | - Nguyen Thi Mai Lan
- Graduate Academy of Social Sciences, Vietnam Academy of Social Sciences, Hanoi, Vietnam
| | - Vu Thu Trang
- Graduate Academy of Social Sciences, Vietnam Academy of Social Sciences, Hanoi, Vietnam
| | | | | | - Hoang Van Minh
- Center for Population Health Sciences, Hanoi University of Public Health, Hanoi, Vietnam
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Frey MK, Chapman-Davis E, Glynn SM, Lin J, Ellis AE, Tomita S, Fowlkes RK, Thomas C, Christos PJ, Cantillo E, Zeligs K, Holcomb K, Blank SV. Adapting and avoiding coping strategies for women with ovarian cancer during the COVID-19 pandemic. Gynecol Oncol 2020; 160:492-498. [PMID: 33308865 PMCID: PMC7676369 DOI: 10.1016/j.ygyno.2020.11.017] [Citation(s) in RCA: 13] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/29/2020] [Accepted: 11/15/2020] [Indexed: 12/12/2022]
Abstract
BACKGROUND The COVID-19 pandemic has resulted in unprecedented challenges for people living with cancer, impacting not only physical health but psychological well-being. The psychological response affects the individual as well as the community and can persist long after the outbreak. We aim to assess coping strategies employed by women with ovarian cancer during the COVID-19 pandemic. METHODS Women with a current or prior diagnosis of ovarian cancer completed an online survey which included a query about coping strategies during the COVID-19 pandemic. The survey was distributed from March 30th through April 13, 2020 through survivor networks and social media. RESULTS Six hundred and three women visited the survey website during the study period and 555 (92.0%) completed the survey. Four hundred and eight (73.5%) provided information on coping strategies utilized during COVID-19. Among those who responded, the median age was 58 years (range 20-85) and 150 participants (40.8%) were undergoing active cancer treatment. Commonly utilized adaptive coping strategies included emotional support (159, 39.0%), self care (148, 36.3%), hobbies (139, 34.1%), planning (87, 21.3%), positive reframing (54, 13.2%), religion (50, 12.3%) and instrumental support (38, 9.3%). Many participants also relied on avoidance coping strategies including self distraction (111, 27.2%) and substance use (19, 4.7%). CONCLUSIONS Most ovarian cancer survivors are using adaptive, problem-focused coping strategies during the COVID-19 pandemic, however many are practicing avoidance strategies as well. As coping mechanisms profoundly impact quality of life, oncology providers must assist patients in identifying coping strategies that optimize physical and psychological well-being.
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Affiliation(s)
- Melissa K Frey
- Weill Cornell Medicine, 525 East 68ths Street, 10065 New York, NY, United States.
| | - Eloise Chapman-Davis
- Weill Cornell Medicine, 525 East 68ths Street, 10065 New York, NY, United States
| | - Shannon M Glynn
- Weill Cornell Medicine, 525 East 68ths Street, 10065 New York, NY, United States
| | - Jenny Lin
- Weill Cornell Medicine, 525 East 68ths Street, 10065 New York, NY, United States
| | - Annie E Ellis
- Ovarian Cancer Research Alliance (OCRA), SHARE, 165 West 46th Street, Suite 712, 10036 New York, NY, United States
| | - Shannon Tomita
- Icahn School of Medicine at Mount Sinai, Blavatnik Family Women's Health Research Institute, 325 West 15th Street, 1st Floor, 10011 New York, NY, United States
| | - Rana Khan Fowlkes
- Weill Cornell Medicine, 525 East 68ths Street, 10065 New York, NY, United States
| | - Charlene Thomas
- Weill Cornell Medicine, 525 East 68ths Street, 10065 New York, NY, United States
| | - Paul J Christos
- Weill Cornell Medicine, 525 East 68ths Street, 10065 New York, NY, United States
| | - Evelyn Cantillo
- Weill Cornell Medicine, 525 East 68ths Street, 10065 New York, NY, United States
| | - Kristen Zeligs
- Icahn School of Medicine at Mount Sinai, Blavatnik Family Women's Health Research Institute, 325 West 15th Street, 1st Floor, 10011 New York, NY, United States
| | - Kevin Holcomb
- Weill Cornell Medicine, 525 East 68ths Street, 10065 New York, NY, United States
| | - Stephanie V Blank
- Icahn School of Medicine at Mount Sinai, Blavatnik Family Women's Health Research Institute, 325 West 15th Street, 1st Floor, 10011 New York, NY, United States
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Ştefănuţ AM, Vintilă M, Sârbescu P. Perception of disease, dyadic coping and the quality of life of oncology patients in the active treatment phase and their life partners: Study protocol of an approach based on the actor-partner interdependence model. Eur J Cancer Care (Engl) 2020; 30:e13374. [PMID: 33191625 DOI: 10.1111/ecc.13374] [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] [Received: 03/06/2020] [Revised: 10/13/2020] [Accepted: 10/21/2020] [Indexed: 01/22/2023]
Abstract
OBJECTIVES Coping with cancer is a challenge for both patients and their life partners. Although there is evidence in the literature that supports the patient/partner mutual influence at the level of various psychological variables, it is still limited. This study, based on the Systemic Transactional Model, aims to investigate: 1) how the perception of disease of patients and their life partners influences their own dyadic coping and that of the other member of the couple; 2) the influence of the dyadic coping of patients and their partners on the quality of their own life and that of the other member of the couple. METHODOLOGY This cross-sectional study aims to recruit 131 dyads consisting of oncology patients in the active treatment phase and their life partners. Perception of disease, dyadic coping and quality of life will be evaluated for each participant. The collected data will be analysed by applying the actor-partner interdependence model (APIM). CONCLUSION The results highlighted in this study have the potential to help define future couple interventions that aim to improve quality of life of those facing cancer.
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Affiliation(s)
| | - Mona Vintilă
- Department of Psychology, West University of Timişoara, Timişoara, Romania
| | - Paul Sârbescu
- Department of Psychology, West University of Timişoara, Timişoara, Romania
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Lee YK, Praveena KA, Woo YL, Ng CJ. Coping Strategies among Malaysian Women with Recurrent Ovarian Cancer: A Qualitative Study. Asia Pac J Oncol Nurs 2020; 8:40-45. [PMID: 33426188 PMCID: PMC7785070 DOI: 10.4103/apjon.apjon_38_20] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/07/2020] [Accepted: 06/27/2020] [Indexed: 11/08/2022] Open
Abstract
Objective: Ovarian cancer is one of the most common cancers among Malaysian women with high recurrence. Patients with recurrence are prone to emotional distress and are forced to cope with poor prognosis. This study aimed to explore the coping strategies employed by women with recurrent ovarian cancer in Malaysia, a developing multicultural country in Asia. Methods: This was a qualitative study with patients diagnosed with recurrent ovarian cancer and receiving chemotherapy at a hospital gynecologic day-care unit. In-depth individual interviews were conducted with patients to explore how they coped with recurrence of ovarian cancer. Interviews were audio-recorded, transcribed verbatim, and analyzed thematically. Results: The participants' (n = 10) age range was 52–84 years, the three most common ethnic backgrounds were represented (Malay, Chinese, and Indian), and most of the patients were well educated. All patients were on chemotherapy. Six coping strategies were identified: (1) maintaining a mindset of hopefulness, (2) avoidance of information, (3) accepting their condition, (4) seeking spiritual help, (5) relying on family for support, and (6) coping with financial costs. Conclusions: Coping strategies employed during ovarian cancer recurrence in this setting were rarely based on the accurate information appraisal, but rather on the individual emotion and personal beliefs.
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Affiliation(s)
- Yew Kong Lee
- Department of Primary Care Medicine, Faculty of Medicine, University of Malaya, Kuala Lumpur, Malaysia
| | - K Asokan Praveena
- Department of Primary Care Medicine, Faculty of Medicine, University of Malaya, Kuala Lumpur, Malaysia
| | - Yin Ling Woo
- Department of Obstetrics and Gynaecology, Faculty of Medicine, University of Malaya, Kuala Lumpur, Malaysia
| | - Chirk Jenn Ng
- Department of Primary Care Medicine, Faculty of Medicine, University of Malaya, Kuala Lumpur, Malaysia
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Thein K, Erim Y, Morawa E. Comparison of Illness Concepts and Coping Strategies among Cancer Patients of Turkish and German Origin. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2020; 17:E5580. [PMID: 32748869 PMCID: PMC7432793 DOI: 10.3390/ijerph17155580] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 05/13/2020] [Revised: 07/22/2020] [Accepted: 07/29/2020] [Indexed: 11/17/2022]
Abstract
BACKGROUND The aim of this study was to compare illness concepts and coping strategies among native German cancer patients and those with a Turkish migration background. METHODS Guideline-based, semi-structured interviews were conducted with 11 German (♂: 8, ♀: 3) and 11 Turkish (♂: 2, ♀: 9) cancer patients. The transcripts were evaluated using a qualitative content analysis in accordance with Mayring. RESULTS We identified eight categories of illness concepts: stressful life events, environmental influences, the will of God, medical factors, fate, trauma, health behaviour, and psychological causes. German patients frequently attributed their illness to environmental influences, persistent stress, or medical factors, whereas Turkish patients blamed persistent stress, the will of God, or trauma. The last two categories are not found among German patients. We classified the coping strategies into 11 main categories: social support, activity, patient competence, fighting spirit/positive thinking, use of health services/alternative healing methods, lifestyle, emotional coping, cognitive coping, religious coping, spiritual coping, and culture-specific methods for patients of Turkish origin. For German patients, activities as well as social support played primary roles in coping. Turkish patients also often used social support. However, in contrast to the German patients, they are less active and use much more religious coping and culture-specific means. In addition, negative emotions occur more often when processing the illness than in the German patients. CONCLUSION Common illness representations and coping strategies could be found for Turkish and German patients, but also specific ones for the respective group. It is particularly noticeable that German patients attach more importance to medical factors and try more actively to cope with the illness. For Turkish patients, cultural and religious factors play an important role, which should also be considered in treatment.
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Affiliation(s)
| | | | - Eva Morawa
- Department of Psychosomatic Medicine and Psychotherapy, University Hospital of Erlangen, Friedrich-Alexander University Erlangen-Nürnberg (FAU), 91054 Erlangen, Germany; (K.T.); (Y.E.)
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A Comparative Survey Study on Meaning-Making Coping among Cancer Patients in Turkey. RELIGIONS 2020. [DOI: 10.3390/rel11060284] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
(1) Background: The role of culture in secular, spiritual, and religious coping methods is important, but needs more attention in research. The aim has been to (1) investigate the meaning-making coping methods among cancer patients in Turkey and (2) whether there were differences in two separate samples (compared to Study 2, Study 1 had a younger age group, was more educated, and grew up in a big city), (3) paying specific attention to gender, age, education, and area of residence. (2) Methods: Quantitative study using a convenience sampling in two time periods, Study 1 (n = 94) and Study 2 (n = 57). (3) Results: In Study 2, there is a significant increase in several religious and spiritual coping strategies. Additionally, there is a positive correlation between being a woman and using more religious or spiritual coping strategies. Secular meaning-making coping strategies also increase significantly in Study 2. The results confirmed the hypotheses for gender, educational, and age differences in seeking support from religious leaders. The results also confirmed the hypotheses for gender and educational level in a punishing God reappraisal and demonic reappraisal. (4) Conclusions: As Turkey is a country at the junction of strong religiosity and deep-rooted secularism, dividing up the meaning-making coping methods into the religious and spiritual, on one hand, and the secular, on the other, reveals interesting results.
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Chabowski M, Jankowska-Polańska B, Lomper K, Janczak D. The effect of coping strategy on quality of life in patients with NSCLC. Cancer Manag Res 2018; 10:4085-4093. [PMID: 30323664 PMCID: PMC6173489 DOI: 10.2147/cmar.s175210] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/13/2022] Open
Abstract
Background A cancer diagnosis is a source of emotional distress. The aim of the study was to evaluate coping strategies in patients with non-small-cell lung carcinoma and to assess how coping strategies along with other factors affect their quality of life. Patients and methods A total of 185 patients with non-small-cell lung carcinoma were enrolled in this observational, cross-sectional study. Demographic and clinical data were collected. Strategies for coping with cancer were assessed using a shortened version of the Mental Adjustment to Cancer (MiniMAC) scale. Health-related quality of life was assessed using the Short Form-8 Health Survey. Results Respondents (mean age: 62.84±9.6 years) most often emerged as using a fighting strategy, whereas a sense of helplessness was the strategy used least often. Overall, 65% of the respondents were revealed to have a medium level of constructive style of coping, whereas 62% had a medium level of destructive style. The coping style of nearly 50% of the respondents was predominantly constructive. Patients whose coping style was predominantly constructive had a significantly higher level of quality of life than patients whose coping style was predominantly destructive or whose results showed a balance between the two coping styles. Lung cancer patients had higher scores on the mental functioning scale (mental component summary = 50.20±39.26) than on the physical functioning scale (physical component summary = 40.07±28.58). Conclusion The majority of lung cancer patients use effective strategies for coping with the disease, which correlates with a better quality of life; a compromised quality of life is associated with a destructive coping style. Physicians should endeavor to promote positive, constructive, problem-oriented strategies of coping, especially in patients with a compromised quality of life, where the disease is advanced and when there are comorbidities.
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Affiliation(s)
- Mariusz Chabowski
- Division of Surgical Procedures, Department of Clinical Nursing, Faculty of Health Science, Wroclaw Medical University, Wroclaw, Poland, .,Department of Surgery, 4th Military Teaching Hospital, Wroclaw, Poland,
| | - Beata Jankowska-Polańska
- Division of Nursing in Internal Diseases, Department of Clinical Nursing, Faculty of Health Science, Wroclaw Medical University, Wroclaw, Poland
| | - Katarzyna Lomper
- Division of Nursing in Internal Diseases, Department of Clinical Nursing, Faculty of Health Science, Wroclaw Medical University, Wroclaw, Poland
| | - Dariusz Janczak
- Division of Surgical Procedures, Department of Clinical Nursing, Faculty of Health Science, Wroclaw Medical University, Wroclaw, Poland, .,Department of Surgery, 4th Military Teaching Hospital, Wroclaw, Poland,
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13
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Beesley VL, Smith DD, Nagle CM, Friedlander M, Grant P, DeFazio A, Webb PM. Coping strategies, trajectories, and their associations with patient-reported outcomes among women with ovarian cancer. Support Care Cancer 2018; 26:4133-4142. [PMID: 29948398 DOI: 10.1007/s00520-018-4284-0] [Citation(s) in RCA: 27] [Impact Index Per Article: 4.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/23/2017] [Accepted: 05/21/2018] [Indexed: 01/12/2023]
Abstract
OBJECTIVE Most women with ovarian cancer present with advanced stage disease and face aggressive treatments, recurrence, and possible death, yet little is known about how they cope. Our objective was to identify coping strategies used by women with ovarian cancer and their trajectories of use after diagnosis and to assess if coping trajectories are associated with subsequent anxiety, depression, or quality of life. METHODS Women with ovarian cancer completed questionnaires including the Brief-COPE, HADS, and FACT at 3, 6, and 9 months after diagnosis and the HADS and FACT at 12 months. Using data from 634 women who completed the 3-month questionnaire, factor analysis was conducted to identify coping strategy clusters. Trajectory modeling was used to assess patterns of coping over time. Associations between coping trajectory from 3 to 9 months and patient-reported outcomes at 12 months were investigated using general linear models. RESULTS Three coping strategy clusters were identified. Use of "taking action/positive framing" followed four distinct trajectories over time: low-stable (44%), medium-stable (32%), medium-decreasing (11%), high-stable (12%). Use of "social/emotional support" had four trajectories: low-increasing (7%), low-decreasing (44%), medium-decreasing (40%), and high-stable (8%). Women either "accepted their reality" (26%) or "used some denial" (74%). Women who accepted reality reported significantly less anxiety and depression and better quality of life at 12 months. Women with high-stable use of taking action/positive framing reported less depression. Women with high-stable use of social/emotional support reported better quality of life. CONCLUSIONS Strategies to assist women with acceptance, action-planning, positive-framing, and maintaining psychosocial support should be considered.
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Affiliation(s)
- Vanessa L Beesley
- Gynaecological Cancers Group, QIMR Berghofer Medical Research Institute, Locked Bag 2000, Royal Brisbane Hospital, Brisbane, QLD, 4029, Australia.
| | - David D Smith
- Statistics Unit, QIMR Berghofer Medical Research Institute, Brisbane, Australia
| | - Christina M Nagle
- Gynaecological Cancers Group, QIMR Berghofer Medical Research Institute, Locked Bag 2000, Royal Brisbane Hospital, Brisbane, QLD, 4029, Australia.,School of Public Health, The University of Queensland, Brisbane, Australia
| | | | - Peter Grant
- Gynaecological Oncology Unit, Mercy Hospital for Women, Melbourne, Australia
| | - Anna DeFazio
- The Westmead Institute for Medical Research, The University of Sydney, Sydney, Australia.,Department of Gynaecological Oncology, Westmead Hospital, Sydney, Australia
| | - Penelope M Webb
- Gynaecological Cancers Group, QIMR Berghofer Medical Research Institute, Locked Bag 2000, Royal Brisbane Hospital, Brisbane, QLD, 4029, Australia
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Faronbi JO. Correlate of burden and coping ability of caregivers of older adults with chronic illness in Nigeria. Scand J Caring Sci 2018; 32:1288-1296. [DOI: 10.1111/scs.12572] [Citation(s) in RCA: 12] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/09/2017] [Accepted: 02/22/2018] [Indexed: 01/13/2023]
Affiliation(s)
- Joel Olayiwola Faronbi
- Department of Nursing Science; College of Health Science; Obafemi Awolowo University; Ile-Ife Nigeria
- Frail Elderly Research Support Group (FRESH); Institute of Neuroscience and Physiology; Sahlgrenska Academy, Gothenburg University; Gothenburg Sweden
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Pan CJ, Liu HC, Liang SY, Liu CY, Wu WW, Cheng SF. Resilience and Coping Strategies Influencing the Quality of Life in Patients With Brain Tumor. Clin Nurs Res 2017; 28:107-124. [PMID: 28658969 DOI: 10.1177/1054773817714562] [Citation(s) in RCA: 25] [Impact Index Per Article: 3.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/01/2023]
Abstract
The study purpose was to evaluate how much of the variance in quality of life (QOL) among Taiwanese patients with brain tumor could be accounted for by resilience and coping strategy. This cross-sectional study included 95 patients who had undergone a treatment of operations or chemotherapy or radiotherapy relevant to brain tumor after at least 1 month and completed the European Organization for Research and Treatment of Cancer QOL Questionnaire-Brain Cancer Module (EORTC QLQ-BN20), Resilience Scale (RS), and Ways of Coping Checklist-Revised (WCC-R). There was a significant negative correlation between resilience and future uncertainty QOL and motor dysfunction QOL. In addition, there was a significant positive correlation between the emotion-focused coping and future uncertainty QOL, as well as a significant negative correlation between problem-focused coping and motor dysfunction QOL. Resilience accounted for 4.8% and the emotion-focused coping accounted for 10.20% of the variance in separately predicting the future uncertainty QOL. This study highlights the potential importance of resilience and coping strategies in patients' QOL, which is relevant to brain tumor treatment.
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Affiliation(s)
- Chiu-Ju Pan
- 1 Cardinal Tien Hospital, New Taipei City, Taiwan
| | - Hui-Chun Liu
- 2 Taipei Veterans General Hospital, Taipei, Taiwan
| | - Shu-Yuan Liang
- 3 National Taipei University of Nursing and Health Sciences, Taipei, Taiwan
| | - Chieh-Yu Liu
- 3 National Taipei University of Nursing and Health Sciences, Taipei, Taiwan
| | - Wei-Wen Wu
- 4 National Taiwan University, Taipei, Taiwan
| | - Su-Fen Cheng
- 3 National Taipei University of Nursing and Health Sciences, Taipei, Taiwan
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Tsai TJ, Chung UL, Chang CJ, Wang HH. Influence of Religious Beliefs on the Health of Cancer Patients. Asian Pac J Cancer Prev 2017; 17:2315-20. [PMID: 27221937 DOI: 10.7314/apjcp.2016.17.4.2315] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND This study investigated the influence of religious beliefs on the health of cancer patients and identified the factors contributing to the influence. MATERIALS AND METHODS A questionnaire survey was conducted using a convenient sampling method. A structured questionnaire was used to the samplings, and the data of 200 cancer patients were collected. RESULTS The effects of religion on the health of cancer patients achieved an average score of 3.58. The top five effects are presented as follows: (a) Religion provides me with mental support and strength, (b) religion enables me to gain confidence in health recovery, (c) religion motivates me to cope with disease-related stress positively and optimistically, (d) religion helps me reduce anxiety, and (e) religion gives me courage to face uncertainties regarding disease progression. Moreover, among the demographic variables, gender, type of religion, and experience of religious miracles contributed to the significantly different effects of religion on patients. Specifically, the effect of religion on the health of patients who were female and Christian and had miracle experiences was significantly (< .01) higher than that on other patients. CONCLUSIONS These results are helpful in understanding the influence of religious beliefs on the health of cancer patients and identified the factors contributing to the influence. The result can serve as a reference for nursing education and clinical nursing practice.
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Affiliation(s)
- Tai-Jung Tsai
- Department of Nursing, Chang Gung Memorial Hospital, Taoyuan, Taiwan E-mail : ,
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Hajian S, Mehrabi E, Simbar M, Houshyari M. Coping Strategies and Experiences in Women with a Primary Breast Cancer Diagnosis. Asian Pac J Cancer Prev 2017; 18:215-224. [PMID: 28240522 PMCID: PMC5563103 DOI: 10.22034/apjcp.2017.18.1.215] [Citation(s) in RCA: 27] [Impact Index Per Article: 3.9] [Reference Citation Analysis] [Abstract] [Key Words] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/05/2022] Open
Abstract
Background: Women with breast cancer experience problems in multiple aspects of their lives, but applying effective strategies can result in enhancing their quality of life and their psychosocial adaptation to the disease. However, there is little information about the strategies that women use to cope with complications associated with their experiences following a breast cancer diagnosis. Objectives: The aim of this study was to explore the experience of coping behavior and the main strategies that women use in dealing with a breast cancer diagnosis. Methods: This study was conducted according to a qualitative phenomenological design to investigate women’s experiences in living with breast cancer and the related complications and how they cope with these issues. Purposive sampling was used for recruiting participants with breast cancer, and data collection was conducted by semi-structured, in-depth interviews with 22 patients. The transcribed interviews were analyzed using Van Manen’s thematic approach. Results: The age range of the women was 32-68. Most were married and received adjuvant therapy (i.e., mastectomy surgery and chemo-radiation). Three dominant themes that emerged from the interviews were emotional turmoil, avoidance, and logical efforts. Conclusion: The findings highlight the importance of addressing psycho-oncology intervention programs to address the unmet pyscho-social and palliative care needs of patients suffering from breast cancer.
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Affiliation(s)
- Sepideh Hajian
- Department of midwifery and reproductive health, Faculty of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran,
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Hajian S, Mehrabi E, Simbar M, Houshyari M, Zayeri F, Hajian P. Designing and Psychometric Evaluation of Adjustment to Illness Measurement Inventory for Iranian Women With Breast Cancer. IRANIAN JOURNAL OF CANCER PREVENTION 2016; 9:e5461. [PMID: 27761211 PMCID: PMC5056016 DOI: 10.17795/ijcp-5461] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 01/23/2016] [Revised: 04/09/2016] [Accepted: 08/06/2016] [Indexed: 11/25/2022]
Abstract
Background Cancer diagnosis for everybody may be perceived as crisis and breast cancer, as the most common malignancy in women, can influence their well-being and multiple aspects of their health. So understanding that how women in various contexts and communities adjust to the illness is necessary to facilitate this adjustment and improve their quality of life. Objectives The aim of this study was to: 1) identify the core components of coping strategies to adjust to the illness in Iranian women with breast cancer perspective, 2) to develop and determine psychometric properties of a native self-report instrument to assess coping behaviors and measure the degree of adjustment with the breast cancer. Methods The present exploratory mixed method study was conducted in two consecutive stages: 1) the hermeneutic phenomenological study was done to explore the life experiences of coping styles to adjust with the breast cancer using in-depth interviews with patients that lead to item generation; 2) psychometric properties (validity and reliability) of the instrument were evaluated recruiting 340 eligible women. The item pool was reduced systematically and resulted in a 49-item instrument. Results From the qualitative stage, item pool containing 78 items related to coping strategies to adjust with the breast cancer. After eliminating unwanted statements from the results, qualitative and quantitative face and content validity, the 10 factors extracted employing construct validity were: feeling of guilt, abstention-diversion, role preservation and seeking support, efforts for threat control, confronting, fear and anxiety, role wasting, maturation and growth, isolation, and fatalism. These factors accounted for the 59.1% of variance observed. The Cronbach reliability test was carried out and alpha value of 10 factors was calculated from 0.78 to 0.87 confirming all factors were internally consistent. The scale’s stability was tested using the test-retest method. Conclusions The 49-item AIMI-IBC revealed acceptable psychometric properties. This instrument provides healthcare professionals to systematically assess the coping strategies of Iranian women with breast cancer and measure the degree of adjustment with illness.
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Affiliation(s)
- Sepideh Hajian
- Department of Midwifery and Reproductive Health, Faculty of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, IR Iran
| | - Esmat Mehrabi
- Student's Research Office, Faculty of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, IR Iran
| | - Masoumeh Simbar
- Department of Midwifery and Reproductive Health, Faculty of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, IR Iran
| | - Mohammad Houshyari
- Department of Radiation-Oncology, Faculty of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, IR Iran
| | - Farid Zayeri
- Department of Biostatistics, Faculty of Paramedical Sciences, Shahid Beheshti University of Medical Sciences, Tehran, IR Iran
| | - Parastoo Hajian
- Department of Radiation-Oncology, Faculty of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, IR Iran
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Mehrabi E, Hajian S, Simbar M, Hoshyari M, Zayeri F. The Lived Experience of Iranian Women Confronting Breast Cancer Diagnosis. J Caring Sci 2016; 5:43-55. [PMID: 26989665 PMCID: PMC4794544 DOI: 10.15171/jcs.2016.005] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/29/2015] [Accepted: 09/17/2015] [Indexed: 02/01/2023] Open
Abstract
Introduction: The populations who survive from
breast cancer are growing; nevertheless, they mostly encounter with many cancer
related problems in their life, especially after early diagnosis and have to
deal with these problems. Except for the disease entity, several socio-cultural
factors may affect confronting this challenge among patients and the way they
deal with. Present study was carried out to prepare clear understanding of
Iranian women's lived experiences confronting breast cancer diagnosis and coping
ways they applied to deal with it. Methods: This study was carried out by using
qualitative phenomenological design. Data gathering was done through purposive
sampling using semi-structured, in-depth interviews with 18 women who survived
from breast cancer. The transcribed interviews were analyzed using Van Manen’s
thematic analysis approach. Results: Two main themes were emerged from the
interviews including "emotional turbulence" and "threat control". The first,
comprised three sub themes including uncertainty, perceived worries, and living
with fears. The second included risk control, recurrence control, immediate
seeking help, seeking support and resource to spirituality. Conclusion: Emotional response was the immediate
reflection to cancer diagnosis. However, during post-treatment period a variety
of emotions were not uncommon findings, patients' perceptions have been changing
along the time and problem-focused coping strategies have replaced. Although
women may experience a degree of improvement and adjustment with illness, the
emotional problems are not necessarily resolved, they may continue and gradually
engender positive outcomes.
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Affiliation(s)
- Esmat Mehrabi
- Department of Midwifery, Faculty of Nursing & Midwifery, Tabriz University of Medical Sciences, Tabriz, Iran
| | - Sepideh Hajian
- Department of Nursing, Department of Midwifery And Reproductive Health, Faculty of Nursing & Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran
| | - Masoomeh Simbar
- Department of Nursing, Department of Midwifery And Reproductive Health, Faculty of Nursing & Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran
| | - Mohammad Hoshyari
- Department of Radiation Oncology, Faculty of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran
| | - Farid Zayeri
- Department of Biostatistics, Shahid Beheshti University of Medical Sciences, Tehran, Iran
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Yahaya NA, Subramanian P, Bustam AZ, Taib NA. Symptom experiences and coping strategies among multi- ethnic solid tumor patients undergoing chemotherapy in Malaysia. Asian Pac J Cancer Prev 2015; 16:723-30. [PMID: 25684515 DOI: 10.7314/apjcp.2015.16.2.723] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND This study was performed to assess patient symptoms prevalence, frequency and severity, as well as distress and coping strategies used, and to identify the relationships between coping strategies and psychological and physical symptoms distress and demographic data of cancer patients. This cross-sectional descriptive study involved a total of 268 cancer patients with various types of cancer and chemotherapy identified in the oncology unit of an urban tertiary hospital. MATERIALS AND METHODS Data were collected using questionnaires (demographic questionnaire, Medical characteristics, Memorial Symptom Assessment Scale (MSAS) and Brief COPE scales and analyzed for demographic, and disease-related variable effects on symptom prevalence, severity, distress and coping strategies. RESULTS Symptom prevalence was relatively high and ranged from 14.9% for swelling of arms and legs to 88.1% for lack of energy. This latter was the highest rated symptom in the study. The level of distress was found to be low in three domains. Problem-focused coping strategies were found to be more commonly employed compared to emotion-focused strategies, demonstrating significant associations with sex, age group, educational levels and race. However, there was a positive correlation between emotion-focused strategies and physical and psychological distress, indicating that patients would choose emotion-focused strategies when symptom distress increased. CONCLUSIONS These findings demonstrate that high symptom prevalence rates and coping strategies used render an improvement in current nursing management. Therefore development of symptoms management groups, encouraging the use of self-care diaries and enhancing the quality of psycho- oncology services provided are to be recommended.
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Affiliation(s)
- Nor Aziyan Yahaya
- Department of Nursing Science, Faculty of Medicine, University Malaya Medical Centre, University of Malaya, Kuala Lumpur, Malaysia E-mail :
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Hill EM. Quality of life and mental health among women with ovarian cancer: examining the role of emotional and instrumental social support seeking. PSYCHOL HEALTH MED 2015; 21:551-61. [PMID: 26549407 DOI: 10.1080/13548506.2015.1109674] [Citation(s) in RCA: 35] [Impact Index Per Article: 3.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
Abstract
The purpose of the present study was to examine the role of emotional and instrumental social support seeking in the quality of life (QOL) and mental health of women with ovarian cancer. Participants were recruited through the Pennsylvania Cancer Registry, and one hundred women took part in a mail questionnaire that collected information on their demographics, medical status, social support seeking, QOL and mental health including anxiety, depression and stress. Hierarchical linear regression analyses were conducted to assess the influence of emotional and instrumental social support seeking on QOL and mental health. After controlling for remission status, greater emotional social support seeking was predictive of higher overall QOL, social/family QOL, functional QOL and lower depression scores. Instrumental social support seeking was not significant in the models. The results illustrate that social support seeking as a coping mechanism is an important consideration in the QOL and mental health of women with ovarian cancer. Future studies should examine the psychological and behavioral mediators of the relationship to further understand the QOL and mental health of women with ovarian cancer.
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Affiliation(s)
- Erin M Hill
- a Department of Psychology , West Chester University , West Chester , PA , USA
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Mehrabi E, Hajian S, Simbar M, Houshyari M, Zayeri F. Post-traumatic growth: a qualitative analysis of experiences regarding positive psychological changes among Iranian women with breast cancer. Electron Physician 2015; 7:1239-46. [PMID: 26435823 PMCID: PMC4590559 DOI: 10.14661/1239] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Key Words] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/18/2015] [Accepted: 08/10/2015] [Indexed: 11/06/2022] Open
Abstract
INTRODUCTION Cancer diagnosis is an extremely stressful experience that has a profound impact on a patient's life. Cancer related perceived stress and complications may lead to the experience of positive psychological changes and post-traumatic growth (PTG). Since there is lack of qualitative research assessing the experience of PTG in Iranian women with breast cancer, this study aims to investigate experiences relating to PTG of Iranian women. METHODS A qualitative phenomenological approach was selected to explore the experiences of Iranian women with PTG. Data were gathered using semi-structured, in-depth interviews with 18 eligible patients, which were then transcribed and analyzed using Van Manen's thematic analysis approach. Data gathering and analyses were conducted simultaneously. In addition, MAXQDA software was used for data management. RESULTS In this study, the participants were 18 Iranian women between the ages of 31 and 65 years. Four prominent themes were extracted from the participant's statements that demonstrated the Iranian women's experiences with breast cancer-induced psychological growth and maturity: 1) appreciate of life, 2) stability, 3) spiritual prosperity, and 4) effective interaction. CONCLUSION Health care professionals are strongly recommended to design robust and timely intervention programs to improving PTG among breast cancer survivors and reduce their perceived distress resulting from cancer diagnosis.
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Affiliation(s)
- Esmat Mehrabi
- Ph.D. Candidate of Reproductive Health, Department of Midwifery & Reproductive Health, Faculty of Nursing & Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran
| | - Sepideh Hajian
- Ph.D. of Reproductive Health, Assistant Professor, Department of Midwifery & Reproductive Health, Faculty of Nursing & Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran
| | - Masoomeh Simbar
- Ph.D. of Reproductive Health, Associate Professor, Department of Midwifery & Reproductive Health, Faculty of Nursing & Midwifery, Shahid Beheshti University of Medical Sciences, Tehran Iran
| | - Mohammad Houshyari
- Oncologist, Assistant Professor, Shohada-e-Tajrish Hospital, Department of Radiation Oncology, Faculty of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran
| | - Farid Zayeri
- Ph.D. of Statistics, Associate Professor, Department of Biostatistics. Shahid Beheshti University of Medical Sciences, Tehran Iran
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Tuncay T, Yildirim B. Factors affecting the psychological distress among unemployed and re-employed individuals. CAREER DEVELOPMENT INTERNATIONAL 2015. [DOI: 10.1108/cdi-02-2015-0018] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
Purpose
– The purpose of this paper is to examine coping strategies, social support, and psychological distress for comparable samples of unemployed (n=389) and re-employed (n=270) individuals. The authors hypothesized that problem-focused coping and higher levels of social support would be associated with lower levels of psychological distress for unemployed vs re-employed participants.
Design/methodology/approach
– The cross-sectional design and the convenience sampling method were used in the study.
Findings
– Although unemployed participants reported poorer coping, higher levels of psychological distress, and lower levels of social support compared to re-employed participants; social support and coping strategies predicted psychological distress. Multiple regression analyses suggest that emotion-focused coping strategies were related to higher levels of psychological distress, whereas social support and problem-focused coping strategies were related to lower levels of psychological distress. Social support accounted for more variance in participants’ psychological distress above and beyond all other variables. Single and unemployed participants of the study used less problem-focused, more emotion-focused coping, and perceived lower social support than married unemployed. Gender and marital status of the unemployed were also significantly associated with psychological distress. In addition, older and less educated unemployed participants perceived less social support and used emotion-focused coping more frequently.
Practical implications
– The findings indicated that being female, single, older, and low educated are the potential sociodemographic risk factors for the psychosocial well-being of unemployed people.
Originality/value
– The favourable effects of certain coping strategies suggest the potential benefits of interventions to reduce reliance on emotion-focused coping and stimulate more problem-focused strategies in order to enhance psychological well-being.
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Ghasempour M, Rahmani A, Davoodi A, Sheikhalipour Z, Ziaeei JE, Abri F. Return to work and its relation to financial distress among Iranian cancer survivors. Asian Pac J Cancer Prev 2015; 16:2257-61. [PMID: 25824747 DOI: 10.7314/apjcp.2015.16.6.2257] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND Return to work after treatment completion is important for both cancer survivors and society. Financial distress is one of the factors that may influence the return to work in cancer survivors. However, this relationship has not been well investigated. This study aimed to determine the rate of return to work and its relation to financial distress among Iranian cancer survivors. MATERIALS AND METHODS This descriptive-correlational study was undertaken among 165 cancer survivors who completed their initial treatments and had no signs of active cancer. The Return to Work questionnaire and Financial Distress/Financial Well-Being Scale were used for data collection. Data were analyzed using SPSS statistical software. RESULTS After initial treatments, 120 cancer survivors (72%) had returned to work, of which 50 patients (42%) had returned to full-time work and 70 (58%) reduced their work hours and returned to part-time work. Cancer survivors also reported high levels of financial distress. In addition, the financial distress was lower among patients who had returned completely to work, in comparison to patients who had quit working for cancer-related reasons (p=0.001) or returned to work as part-time workers (p=0.001). CONCLUSIONS The findings showed that a high percent of Iranian cancer survivors had not returned to their jobs or considerably reduced working hours after treatment completion. Accordingly, due to high levels of financial distress experienced by participants and its relation to return to work, designing rehabilitation programs to facilitate cancer survivor return to work should be considered.
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Affiliation(s)
- Mostafa Ghasempour
- Medical Surgical Department, Nursing and Midwifery Faculty, Tabriz University of Medical Sciences, Tabriz, Iran E-mail :
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Jerachotechueantaveechai T, Charoenkwan K, Wongpakaran N. Prevalence and predicting factors for anxiety in thai women with abnormal cervical cytology undergoing colposcopy. Asian Pac J Cancer Prev 2015; 16:1427-30. [PMID: 25743810 DOI: 10.7314/apjcp.2015.16.4.1427] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/10/2022] Open
Abstract
AIM To compare prevalence of anxiety in women with abnormal cervical cytology (Pap) undergoing colposcopy to that of women attending the outpatient clinic for check-up and to examine predicting factors. MATERIALS AND METHODS In this cross-sectional analytical study, 100 women with abnormal cervical cytology (abnormal Pap group) and 100 women who attended our outpatient clinic for check-up (control group) were recruited from June 2013 to January 2014. The Hospital Anxiety and Depression Scale (HADS) was employed to determine anxiety in the participants with the score of ≥ 11 suggestive of clinically significant anxiety. The prevalence of anxiety and the mean HADS scores for anxiety were compared between the groups. For those with abnormal Pap, association between clinical factors and anxiety was assessed. A p-value of < 0.05 was considered significant. RESULTS Median age was different between the groups, 44.0 years in the abnormal Pap group and 50.0 years in the control group (p=0.01). The proportion of participants who had more than one sexual partner was higher in the abnormal Pap group, 39.2% vs. 24.7% (p=0.03) and the prevalence of anxiety was significantly higher 14/100 (14.0%) vs. 3/100 (3.0%) (p < 0.01). The prevalence of depression was comparable between the groups. The mean HADS scores for anxiety and depression subscales were significantly higher in the abnormal Pap group, 6.6 vs. 4.8 (P < 0.01) and 3.9 vs. 3.1 (p=0.05), respectively. For the abnormal Pap group, no definite association between clinical factors and anxiety was demonstrated. CONCLUSIONS The prevalence of anxiety in women with abnormal Pap awaiting colposcopy was significantly higher than that of normal controls. Special attention including thorough counselling, with use of information leaflets and psychological support, should be directed to these women.
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Chittrakul S, Charoenkwan K, Wongpakaran N. Prevalence of Anxiety May Not be Elevated in Thai Ovarian Cancer Patients Following Treatment. Asian Pac J Cancer Prev 2015; 16:1251-4. [DOI: 10.7314/apjcp.2015.16.3.1251] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/10/2022] Open
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Song HY, Kwon JA, Choi JW, Kim SJ, Park EC. Gender Differences in Marital Disruption among Patients with Cancer: Results from the Korean National Health and Nutrition Examination Survey (KNHANES). Asian Pac J Cancer Prev 2014; 15:6547-52. [DOI: 10.7314/apjcp.2014.15.16.6547] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/10/2022] Open
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