Coping strategies and quality of life in women with advanced breast cancer and their family caregivers

Kershaw, Trace; Northouse, Laurel; Kritpracha, Charuwan; Schafenacker, Ann; Mood, Darlene

doi:10.1080/08870440310001652687

Cited by 224 publications

(240 citation statements)

References 30 publications

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“…In the present study, our results showed that breast cancer patients adopting more "active coping style" (a type of problem-focused coping strategy) was negatively associated with anxiety and depression, and using "escaping coping behaviors" and "abreaction coping behaviors" (two kinds of emotionfocused coping strategy) experienced more anxious and depressive symptoms. Our findings were consistent with several previous studies (Carver et al, 1993;Kershaw et al, 2004). These results suggested that women who report more active coping show lower levels of distress regardless of disease status.…”

Section: Discussionsupporting

confidence: 93%

Interaction of Coping Styles and Psychological Stress on Anxious and Depressive Symptoms in Chinese Breast Cancer Patients

Wang

Wang²,

Peng³

et al. 2012

Asian Pacific Journal of Cancer Prevention

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Purpose: This study aimed to assess possible interactive effects of coping styles and psychological stress on depression and anxiety symptoms in Chinese women shortly after diagnosis of breast cancer. Methods: Four hundred and one patients with breast cancer were face-to-face interviewed by trained research staff according to a standardized questionnaire including information on socio-demographic characteristics, psychological stress, coping styles, and anxiety and depressive symptoms. Interactive effects were assessed by hierarchical multiple regression analyses. Results: There were significant associations of the four domains of psychological stress with anxiety and depressive symptoms except for the relationship between "worrying about health being harmed" and depressive symptoms. "Abreaction coping behavior" and "escaping coping behavior" significantly increased the level of both anxiety and depressive symptoms; whereas an "active coping style" reswulted in significant decrease. The interaction of "active coping behavior" with "worrying about health being harmed" significantly increased the risk of the anxiety symptoms, while adopting "self-relaxing coping behavior" was associated with significant decrease. The interaction of "worry about daily life and social relationship being restricted" with "escaping coping behavior" significantly increased the risk of the depressive symptoms. Conclusions: The results of this study suggest that certain coping styles might moderate the association of psychological stress with anxiety and depressive symptoms in Chinese women with breast cancer.

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Section: Discussionsupporting

confidence: 93%

Interaction of Coping Styles and Psychological Stress on Anxious and Depressive Symptoms in Chinese Breast Cancer Patients

Wang

Wang²,

Peng³

et al. 2012

Asian Pacific Journal of Cancer Prevention

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“…This illustrates that the concept of denial is multifaceted. Previous studies have shown that those individuals who do not dwell on their illness and have less intrusive thoughts of cancer tend to achieve better long-term adaptation and better quality of life (Hack and Degner, 2004;Kershaw et al, 2004). Our cross-sectional study supports this association, but also suggests that this process is more likely in Caucasian patients who used denial less often and were less depressed.…”

Section: Discussionsupporting

confidence: 85%

The use of denial in an ethnically diverse British cancer population: a cross-sectional study

et al. 2005

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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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“…Conversely, effectiveness has been assessed in terms of eliminating distress, preserving social functioning, and maintaining the patient's sense of well-being. Significant relationships between coping strategies and quality of life have been found (Kershaw et al, 2004). In addition, an association has been established between incidences of problems threatening oncology patients' quality of life and the venting strategy of coping (Barinková and Mesarosova, 2012).…”

Section: Coping and Quality Of Life In Turkish Women Living With Ovarmentioning

confidence: 90%

Coping and Quality of Life in Turkish Women Living with Ovarian Cancer

Tuncay¹

2014

Asian Pacific Journal of Cancer Prevention

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Background: This study investigated the utilization of both problem and emotion focused coping strategies and their association with aspects of quality of life among Turkish women with ovarian cancer undergoing chemotherapy. Materials and Methods: The convenience sample consisted of 228 patients in all disease stages. The data were collected using the brief COPE, QOL-Cancer patient tool, sociodemographic sheet, and medical variables were gathered from patients' medical charts. Results: Findings reveal that quality of life is moderately high for this group of cancer patients, despite some specific negative facets of the illness and treatment experience. Acceptance, emotional support and religion were the most frequently used problem-focused coping strategies and self-distraction, venting and behavioral disengagement were the most frequently used emotion-focused coping strategies reported by patients. Overall quality of life and, particularly, psychological and spiritual wellbeing scores of younger patients were lower. Patients reported using significantly more problem-focused coping than emotion-focused coping, and more problem-focused and less emotion-focused coping predicted greater quality of life. Problem-focused coping was related to patients' physical and spiritual well-being and emotionfocused coping was related inversely with psychological and social well-being. Conclusions: Coping strategies are influential in patient quality of life and their psychosocial adaptation to ovarian cancer. Psycho-oncology support programs are needed to help patients to frequent use of problem-focused coping and reduce emotionfocused coping strategies to improve overall quality of life.

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Coping strategies and quality of life in women with advanced breast cancer and their family caregivers

Cited by 224 publications

References 30 publications

Interaction of Coping Styles and Psychological Stress on Anxious and Depressive Symptoms in Chinese Breast Cancer Patients

Interaction of Coping Styles and Psychological Stress on Anxious and Depressive Symptoms in Chinese Breast Cancer Patients

The use of denial in an ethnically diverse British cancer population: a cross-sectional study

Coping and Quality of Life in Turkish Women Living with Ovarian Cancer

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