Mental adjustment at different phases in breast cancer trajectory: re‐examination of factor structure of the Mini‐MAC and its correlation with distress

Wang, Wei‐Ting; Tu, Pei Chiung; Liu, Tse Jia; Yeh, Dah Cherng; Hsu, Wen Yau

doi:10.1002/pon.3065

Cited by 29 publications

(34 citation statements)

References 31 publications

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“…Figure 2 illustrates distress levels among patients who received their diagnoses at varying intervals of time. The findings in Figure 2 are consistent with previous research that has demonstrated the fluctuation of distress levels over the course of coping with cancer, which may be due to the uncertainty surrounding cancer treatment (Chambers et al, 2014; Lam, Shing, Bonanno, Mancini, & Fielding, 2012; Nosarti, Roberts, Crayford, McKenzie, & David, 2002; Wang, Tu, Liu, Yeh, & Hsu, 2013; Ziegler et al, 2011). During the first week, patients may be feeling numb or in a state of derealization before they have fully processed the diagnosis (National Cancer Institute, 2013).…”

Section: Discussionsupporting

confidence: 90%

The Distress Thermometer: Cutoff Points and Clinical Use

Cutillo

O’Hea

Person

et al. 2017

ONF

165

124

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Purpose/Objectives The National Comprehensive Cancer Network’s Distress Thermometer (DT) has been adopted as a screening measure to identify and address psychological distress in individuals with cancer. The purpose of the present study was to establish an optimal cut off point in a large heterogeneous sample of cancer patients. A secondary purpose of the study was to examine whether distress as measured by the DT significantly changes across the treatment trajectory (i.e., diagnosis, on treatment, survivorship). Design The present investigation includes secondary analyses of baseline data from a longitudinal parent study examining a computerized psychosocial assessment. Setting Recruitment occurred at three diverse comprehensive cancer centers across the United States. Sample Eight hundred and thirty-six patients at 3 different comprehensive cancer centers with a current or past diagnosis of cancer were enrolled. Main Research Variables The BHS (Behavioral Health Status) index, as well as the DT were administered and compared using ROC analyses. Findings Results support a cutoff score of 3 on the DT to indicate patients with clinically elevated levels of distress. Further, patients who received a diagnosis within the 1-4 weeks prior to the assessment endorsed the highest levels of distress. Conclusions Providers may wish to utilize a cutoff point of 3 to most efficiently identify distress in a large, diverse population of cancer patients. Further, results indicate that patients may experience a heightened state of distress within the 1-4 weeks post-diagnosis as compared to other stages of coping with cancer. Implications for Nursing It is widely understood that nurses carry a heavy burden regarding patient care. It is often a nurse’s responsibility to screen for psychosocial distress, and using a brief technological measure of distress can help streamline this process.

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Section: Discussionsupporting

confidence: 90%

The Distress Thermometer: Cutoff Points and Clinical Use

Cutillo

O’Hea

Person

et al. 2017

ONF

165

124

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“…Scores range from 7 to 28. The Chinese version of the HADS has been widely used, and it has demonstrated good internal consistency and validity among cancer patients . The Cronbach's α coefficients in the present sample for the anxiety and depression subscales were .82, .80, .87, and .89, and .65, .77, .72, .77 at T1–T4, respectively.…”

Section: Methodsmentioning

confidence: 60%

Identification of posttraumatic growth trajectories in the first year after breast cancer surgery

et al. 2014

Self Cite

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“…The short version of the Mental Adjustment to Cancer Scale (Mini-MAC) was administered to measure the following coping strategies: helplessness/hopelessness, anxious preoccupation, fighting spirit, cognitive avoidance, and fatalism (Grassi et al, 2005;Wang, Tu, Liu, Yeh & Hsu, 2013). It is a self-report scale of 29 items, each question rated on a 4-point Likert scale, from 1 ("definitely does not apply to me"), to 4 ("definitely applies to me").…”

Section: Coping Strategiesmentioning

confidence: 99%

Psychological distress and coping in nasopharyngeal cancer: an explorative study in Western Europe

Ghiggia

Castelli

Riva

et al. 2016

Psychology, Health & Medicine

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Nasopharyngeal carcinoma (NPC) is the head and neck cancer with the greatest impact on patients' quality of life. The aim of this explorative study is to investigate the psychological distress, coping strategies and quality of life of NPC patients in the post-treatment observation period.Twenty-one patients disease-free for at least two years were assessed with a medical and a psycho-oncological evaluation. Clinically relevant depressive symptoms (CRD) were present in 23.8% of patients and 33.3% reported clinically relevant anxiety symptoms (CRA).Patients with CRD and CRA showed a significantly higher score in the use of hopelessness/helplessness and anxious preoccupation coping strategies and a worse quality of life. Even in the post-treatment period, about a quarter of patients showed CRD and CRA.Results showed that patients with high anxiety or depressive symptoms seem to use dysfunctional coping strategies, such as hopelessness and anxious preoccupation, more than patients with lower levels of anxiety and depression. The use of these styles of coping thus seems to be associated to a higher presence of CRA or CRD symptomatology and to a worse quality of life.

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Mental adjustment at different phases in breast cancer trajectory: re‐examination of factor structure of the Mini‐MAC and its correlation with distress

Cited by 29 publications

References 31 publications

The Distress Thermometer: Cutoff Points and Clinical Use

The Distress Thermometer: Cutoff Points and Clinical Use

Identification of posttraumatic growth trajectories in the first year after breast cancer surgery

Psychological distress and coping in nasopharyngeal cancer: an explorative study in Western Europe

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