Illness perceptions and coping in physical health conditions: A meta-analysis

Dempster, Martin; Howell, Doris; McCorry, Noleen

doi:10.1016/j.jpsychores.2015.10.006

Cited by 209 publications

(178 citation statements)

References 53 publications

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“…Our higher rates for 12-month mood disorders seem to be a more appropriate indication of the true morbidity rate than the 4-week diagnoses, because they describe the psychopathology and course of affective syndromes more appropriately and take into account that many subjects with threshold diagnoses in the past 12 months are likely to be only partially remitted. Further the 12-month time frame takes better into account the middle- and long-term consequences of the cancer and cancer treatments such as fatigue, pain, lower quality of life, illness perceptions and maladaptive coping strategies [33,34]. …”

Section: Discussionmentioning

confidence: 99%

Twelve-Month and Lifetime Prevalence of Mental Disorders in Cancer Patients

Kuhnt

Brähler

Faller

et al. 2016

Psychother Psychosom

118

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Background: Psychological problems are common in cancer patients. For the purpose of planning psycho-oncological interventions and services tailored to the specific needs of different cancer patient populations, it is necessary to know to what extent psychological problems meet the criteria of mental disorders. The purpose of this study was to estimate the 12-month and lifetime prevalence rates of mental disorders in cancer patients. Methods: A representative sample of patients with different tumour entities and tumour stages (n = 2,141) in outpatient, inpatient and rehabilitation settings underwent the standardized computer-assisted Composite International Diagnostic Interview for mental disorders adapted for cancer patients (CIDI-O). Results: The overall 12-month prevalence for any mental disorder was 39.4% (95% CI: 37.3-41.5), that for anxiety disorders was 15.8% (95% CI: 14.4-17.4), 12.5% (95% CI: 11.3-14.0) for mood disorders, 9.5% (95% CI: 8.3-10.9) for somatoform disorders, 7.3% (95% CI: 6.2-8.5) for nicotine dependence, 3.7% (95% CI: 3.0-4.6) for disorders due to general medical condition, and 1.1% (95% CI: 0.7-1.6) for alcohol abuse or dependence. Lifetime prevalence for any mental disorder was 56.3% (95% CI 54.1-58.6), that for anxiety disorders was 24.1% (95% CI: 22.3-25.9), 20.5% (95% CI: 18.9-22.3) for mood disorders, 19.9% (95% CI: 18.3-21.7) for somatoform disorders, 18.2% (95% CI: 16.6-20.0) for nicotine dependence, 6.4% (95% CI: 5.4-7.6) for alcohol abuse or dependence, 4.6% (95% CI: 3.8-5.6) for disorders due to general medical condition, and 0.2% (95% CI: 0.1-0.6) for eating disorders. Conclusions: Mental disorders are highly prevalent in cancer patients, indicating the need for provision of continuous psycho-oncological support from inpatient to outpatient care, leading to an appropriate allocation of direct personnel and other resources.

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Section: Discussionmentioning

confidence: 99%

Twelve-Month and Lifetime Prevalence of Mental Disorders in Cancer Patients

Kuhnt

Brähler

Faller

et al. 2016

Psychother Psychosom

118

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“…It seems to be well established in the literature that avoidance strategies are good predictors of psychological distress (Dempster et al, 2015), and that direct action coping strategies focused on problem solving lead to emotional benefits and better adaptation to medical situations (Stanton et al, 2000;Stanton & Low, 2012). It has been found that in breast cancer, which represents the majority of cases in our sample, stress avoidance strategies are prejudicial depending on other variables, such as the stage of the illness or whether it is being treated (Asuzu & Elumelu, 2013;Costanzo, Lutgendorf, Rothrock, & Anderson, 2006;Kraemer et al, 2011;Kvillemo & Bränström, 2014;Moskowitz, Hult, Bussolari, & Acree, 2009).…”

Section: Discussionmentioning

confidence: 70%

“…The relationship of coping styles to wellbeing during the course of the illness as a source of stress has been widely studied, and how individuals confront the disease has been revealed as important to the health outcome and managing consequences (Livneh & Antonak, 2005;Dempster, Howell, & McCorry, 2015). Acceptance and positive reevaluation as styles of approaching the problem have been related to more well-being, and disengagement and avoidance to less.…”

mentioning

confidence: 99%

Coordinación emocional en el afrontamiento del cáncer: alexitimia, apego y estrategias de afrontamiento como predictores de bienestar emocional en mujeres sometidas a radioterapia

Alonso¹,

Ezama²,

Gómez³

2017

Rev. iberoam. psicol. salud

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ABSTRACT. The purpose of this study was to deepen our understanding of how to support the emotional well-being of patients subjected to cancer treatment. It was based on the idea that cancer and its treatment make vital demand on the patient and that successful adjustment to their new situation requires good emotional coordination with those closest to them. In a cross-sectional study, 54 women with cancer (breast and lymphoma) about to begin radiotherapy reported on questionnaires on symptom severity, coping strategies, alexithymia, attachment, affect, and emotional well-being. Predictive value of the rest of the variables on affect and well-being was analyzed by multiple linear regression. Perceived severity of symptoms was relevant for predicting affect and emotional well-being. Strong Fear of rejection and abandonment was the best predictor of negative affect, while the alexithymia component Difficulty identifying feelings was the best predictor of positive affect. A problem-solving coping style was also relevant for positive and negative affect. The interpersonal nature of the variables studied is discussed, along with the need to include them to prevent risk of worse adjustment to the consequences of the illness. KEYWORDS: Alexithymia, Attachment, Coping with cancer, Psychological well-being.Coordinación emocional en el afrontamiento del cáncer: alexitimia, apego y estrategias de afrontamiento como predictores de bienestar emocional en mujeres sometidas a radioterapia RESUMEN. El objetivo del estudio es aportar conocimientos sobre cómo favorecer el bienestar emocional de pacientes en tratamiento por cáncer. Se parte de que el cáncer exige enfrentarse a tareas vitales para cuya resolución exitosa se requiere una buena coordinación emocional con las personas cercanas. En un estudio transversal, 54 mujeres con cáncer (mama y linfoma) a punto de comenzar radioterapia informaron a través de cuestionarios sobre: gravedad de los síntomas, modos de afrontamiento de la enfermedad, alexitimia, vínculo de apego, afectos positivos y negativos y bienestar emocional. Se analizó mediante regresión lineal múltiple el valor predictivo sobre los afectos y el bienestar del resto de variables. La gravedad percibida de los síntomas resulta relevante para predecir los afectos y el bienestar emocional. Un alto Temor al rechazo y al abandono es el mejor predictor de los afectos negativos, mientas el componente de la alexitimia Dificultad para identificar emociones lo es de los positivos. El estilo de afrontamiento orientado a la solución también resulta relevante para los afectos positivos y negativos. Se discute sobre el carácter interpersonal de las variables estudiadas y sobre la necesidad de incluirlas en la prevención del riesgo de peor ajuste a las consecuencias de la enfermedad.

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“…How patients perceive their illness can predict how they manage the illness and what their health outcome will be [14][15][16]. Other studies [10,17] have reported that how patients with schizophrenia perceive their illness affects their adherence to their medication regimen.…”

Section: Illness Perception Defined As What Patients Believementioning

confidence: 99%