Do Correlates of Pain-Related Stoicism and Cautiousness Differ in Younger and Older People With Advanced Cancer?

Mah, Kenneth; Tran, Kim; Gauthier, Lynn R.; Rodin, Gary; Zimmermann, Camilla; Warr, David; Librach, S. Lawrence; Moore, Malcolm J.; Shepherd, Frances A.; Gagliese, Lucia

doi:10.1016/j.jpain.2017.11.002

Cited by 10 publications

(9 citation statements)

References 124 publications

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“…Our results are backed by those of a study carried out in 380 oncological patients at hospitals in northwest England where the younger population expressed a greater need for information about their illness, as well as more emotional, identity, and spiritual concerns than the older ones . Conversely, other studies have revealed that the elderly experience less psychological distress after being diagnosed with cancer, enabling them to adapt better to it . One study performed in Newcastle among adults who had survived childhood cancer showed that their experience with the disease had affected their overall perspectives, giving them a greater appreciation for life and other people, since they had realised that life can be both short and uncertain .…”

Section: Discussionsupporting

confidence: 60%

“…15 Conversely, other studies have revealed that the elderly experience less psychological distress after being diagnosed with cancer, enabling them to adapt better to it. 22,23 One study performed in Newcastle among adults who had survived childhood cancer showed that their experience with the disease had affected their overall perspectives, giving them a greater appreciation for life and other people, since they had realised that life can be both short and uncertain. 24 Rosenberg et al concluded that the resilience of young people recently diagnosed with cancer is directly associated with their personal resources and learned abilities: stress management, goal-setting, positive reframing, searching for benefits, social support, and maintaining relationships with relatives and peers.…”

Section: Discussionmentioning

confidence: 99%

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Differences in coping strategies among young adults and the elderly with cancer

et al. 2019

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Background Coping with cancer and the oncologist–patient relationship can vary depending on the patient's age. Our aim is to examine and compare young and elderly adults with non‐metastatic, resected cancer. Methods Two groups of patients were selected, young (< 40 years) and elderly (> 70) with a diagnosis of non‐metastatic, resected cancer requiring adjuvant chemotherapy from a pre‐exiting, national database (NEOCOPING Study). Epidemiological variables were collected and subjects’ emotional responses, perceptions of the physician–patient relationship, support network, fears, and regret about the decision to receive chemotherapy were assessed with questionnaires validated in previous studies: Mini‐Mental Adjustment to Cancer, Brief Summary Inventory (18 items), European Organization for the Research and Treatment of Cancer Quality of Life Questionnaire‐C30, Shared Decision‐Making Questionnaire‐Physician's version, Shared Decision‐Making Questionnaire‐Patient's version, and Informed Risk (physician and patient versions). Results Data from 46 young and 46 elderly participants were collected. The most common neoplasms in both groups were breast (50%) and colorectal (22%). The younger adults had a higher level of education and were actively employed (72% vs. 7%). The leading coping strategy in the younger cohort was hope, and resignation among the elderly. Young adults sought more social support and the impact of diagnosis was more negative for them than for older individuals. No significant differences were detected in quality of life; both age groups demanded more time at their first visit with the doctor, while the older group exhibited greater satisfaction with shared decision‐making. At the end of adjuvant chemotherapy, neither age group regretted their decision to receive said treatment. Conclusion Higher levels of education, greater demands of the labour market, and the advent of the age of information have entailed drastic changes in the physician–patient relationship paradigm. This is especially true in the younger cancer patient population, who require more information and active participation in decision‐making, can display more anxiety about their diagnosis, but also greater capacity to fight.

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Section: Discussionsupporting

confidence: 60%

Section: Discussionmentioning

confidence: 99%

Differences in coping strategies among young adults and the elderly with cancer

et al. 2019

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“…This has been previously reported in other painful conditions, demonstrating differences in pain response, pain-related attitudes and stoicism. 30 This has been attributed to older people under-reporting pain with age-related increases in the degree of reticence to pain and reluctance to label a sensation as painful. 31 Based on this study, and previous literature in other pain-related conditions, targeting interventions to address loneliness among those with musculoskeletal pain may be most effective if messages are tailored to specific age groups.…”

Section: Discussionmentioning

confidence: 99%

Association between musculoskeletal pain with social isolation and loneliness: analysis of the English Longitudinal Study of Ageing

Smith

Dainty

Williamson

et al. 2018

British Journal of Pain

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Introduction: Musculoskeletal pain is a prevalent health challenge for all age groups worldwide, but most notably in older adults. Social isolation is the consequence of a decrease in social network size with a reduction in the number of social contacts. Loneliness is the psychological embodiment of social isolation and represents an individual's perception of dissatisfaction in the quality or quantity of their social contacts. This study aims to determine whether a relationship exists between musculoskeletal pain and social isolation and loneliness. Methods: A cross-sectional analysis of the English Longitudinal Study of Ageing (ELSA) cohort was undertaken. ELSA is a nationally representative sample of the non-institutionalised population of individuals aged 50 years and over based in England. Data were gathered on social isolation through the ELSA Social Isolation Index, loneliness through the University of California, Los Angeles (UCLA) Loneliness Scale and musculoskeletal pain. Data for covariates included physical activity, depression score, socioeconomic status, access to transport and demographic characteristics. Logistic regression analyses were undertaken to determine the relationship between social isolation and loneliness with pain and the additional covariates. Results: A total of 9299 participants were included in the analysis. This included 4125 (44.4%) males, with a mean age of 65.8 years. There was a significant association where social isolation was lower for those in pain (odd ratio (OR): 0.87; 95% confidence intervals (CI): 0.75 to 0.99), whereas the converse occurred for loneliness where this was higher for those in pain (OR: 1.15; 95% CI: 1.01 to 1.31). Age, occupation, physical activity and depression were all associated with increased social isolation and loneliness. Conclusion: People who experience chronic musculoskeletal pain are at greater risk of being lonely, but at less risk of being socially isolated. Health professionals should consider the wider implications of musculoskeletal pain on individuals, to reduce the risk of negative health implications associated with loneliness from impacting on individual's health and well-being.

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“…Despite advances treatment of breast cancer, cancer pain remains an under assessed and undertreated as this group exhibit more tolerance to pain. Many reports have shown that younger patients react differently in the form of different avoidance-related and relational challenges [8] Anatomic site characterization of pain is not well delineated in most women.…”

Section: Discussionmentioning

confidence: 99%

Phantom Breast Syndrome: Experience from a University Hospital in a Developing Country

Qatari

Herz

Hadi

2019

SCSOAJ

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Mastectomy remains the treatment of choice in many developing countries due factors influencing the early detection strategies. Post mastectomy pains is often masked by the feeling of inadequacy and shame of the mutilated body image. Phantom pain is the pain that represent the feeling of the pain of an amputated body part. With Phantom Breast Syndrome" (PBS) patients may suffer the sensation which varies from mild discomfort itching, tingling, pressure, burning, and throbbing at the target site. The timing of the symptoms is variable ranging from few months to years [1]. In addition to the mutilated body image, it is estimated that over 50% of women suffer chronic pain following treatment for breast cancer surgery. " [2] It can seriously affect quality of life through the combined impact of physical disability and emotional distress. [3] Some reports have shown that genetic variations in the catecholaminergic and serotonergic pathways may contribute to the development and severity of persistent breast pain [4]. The severity and impact of PBS varies among individuals, it may be affected by age, education, axillary dissection, reconstruction, and psychosocial stress [5]. In our communities, pain may not be the major concern, women present late due to the fear of mutilating mastectomy and the social stigma it accompanies. Another entity is Alexithymia, or the inability to express emotions maybe involved in mechanisms of comprehending pain chronicity [6]. Materials & MethodsThis study was conducted at the breast oncology clinics between Jan 2017-December 2018. Direct interview using a prepared pilot tested structured questionnaire directed towards patients who underwent mastectomy between the periods of January

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Do Correlates of Pain-Related Stoicism and Cautiousness Differ in Younger and Older People With Advanced Cancer?

Cited by 10 publications

References 124 publications

Differences in coping strategies among young adults and the elderly with cancer

Differences in coping strategies among young adults and the elderly with cancer

Association between musculoskeletal pain with social isolation and loneliness: analysis of the English Longitudinal Study of Ageing

Phantom Breast Syndrome: Experience from a University Hospital in a Developing Country

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