Mental adjustment to cancer and quality of life in breast cancer patients: An exploratory study

Ferrero, Javier; Barreto, Ma Pilar; Toledo, Mercedes

doi:10.1002/pon.2960030309

Cited by 88 publications

(74 citation statements)

References 12 publications

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“…Mental adjustment to cancer may be defined as the cognitive and behavioural responses made by an individual to the diagnosis of cancer (Greer and Watson, 1987). Many studies have suggested that cancer patients' mental adjustment is one of the important factors correlating with quality of life and degree of psychological distress (Watson et al, 1984(Watson et al, , 1991Dunkel-Shetter et al, 1992;Evans et al, 1993;Grassi et al, 1993;Stanton and Snider, 1993;Ferrero et al, 1994;Lampic et al, 1994;Thomas and Marks, 1995;Wagner et al, 1995). Furthermore, some studies have revealed that mental adjustment to cancer may even affect patient's physical outcome.…”

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confidence: 99%

“…The objective of this study was to investigate whether cancer patients' characteristics and social support are predictive of the two types of mental adjustment (fighting spirit and helplessness/ hopelessness) that have consistently been considered to be the most beneficial and most deleterious, respectively, in previous studies (Watson et al, 1984;Greer et al, 1990;Schwartz et al, 1992;Evans et al, 1993;Grassi et al, 1993;Ferrero et al, 1994;Lampic et al, 1994;Schnoll et al, 1995).…”

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confidence: 99%

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Predictors of patients' mental adjustment to cancer: patient characteristics and social support

Akechi

Okamura²,

Yamawaki³

et al. 1998

Br J Cancer

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Because being diagnosed with cancer is considered to be extremely stressful, cancer patients' mental adjustment has been widely studied. Previous studies have revealed that cancer patients' mental adjustment is correlated with the quality of life and the degree of psychological distress and have suggested that one of the most adaptive adjustments is 'fighting spirit' whereas one of the most maladaptive is 'helplessness/hopelessness'. However, little is known about the association between patients' mental adjustment to cancer and their spouses characteristics or social support network. This paper describes a study of cancer patients' characteristics and social support factors as predictors of the patients' responses to having cancer. A total of 455 ambulatory cancer patients completed the Mental Adjustment to Cancer (MAC) scale and participated in a structured interview about their characteristics and social support. The results of multiple regression analysis suggested that size of household, performance status, support from physicians and satisfaction with support were predictive of patients' fighting spirit, whereas age, education, size of household, performance status and satisfaction with support were predictive of helplessness/hopelessness.

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confidence: 99%

mentioning

confidence: 99%

Predictors of patients' mental adjustment to cancer: patient characteristics and social support

Akechi

Okamura²,

Yamawaki³

et al. 1998

Br J Cancer

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“…Esto se puede considerar en el diseño de futuros trabajos de investigación en línea. Los estudios que citamos miden a los pacientes sin indicar el tiempo transcurrido desde el diagnóstico (30) . Pero el hecho de que esta variable en nuestro estudio no provoque diferencias significativas en la medida de repercusiones psicológicas es suficientemente importante como para analizarlo con cuidado.…”

Section: Discussionunclassified

“…Desde 2004 se incluyeron tanto en la web de cáncer de mama como en la de próstata, no solo información sino la oportunidad de auto-evaluación de aspectos psicológicos para los visitantes. Esta medición incluye un breve formulario en datos socio-demográficos y de la enfermedad y los pacientes registrados pueden rellenar las escalas HAD (27,28) y Mini-MAC en versión española (29,30) . La razón para elegir Mini-MAC en lugar de la escala completa MAC es para evitar que la gente se canse y deja cuestionarios incompletos, que es uno de los riesgos de mediciones virtuales.…”

Section: Web De Cáncer De Mamaunclassified

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Uso de internet para evaluar el distrés psicológico en pacientes con cáncer de mama

Estapé¹,

Vila²,

Soria-Pastor³

et al. 2014

Psicooncología

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ResumenObjetivo: El objetivo de este estudio es determinar la prevalencia de síntomas de distrés y la estrategia de adaptación entre una amplia muestra de pacientes de habla hispana con cáncer de mama mediante el uso de internet.Métodos: Se diseñó un estudio transversal con pacientes con cáncer de mama (n = 434) reclutadas a través de Internet (http://www. cancermama.org). Las participantes completaron un cuestionario demográfico y médico, y también se usaron cuestionarios de evaluación psicológica ampliamente utilizados en Psicooncología, la HADs (Escala de Ansiedad y Depresión Hospitalaria) y la escala MAC (La Escala de Ajuste Mental al Cáncer), en su versión reducida de 29 ítems (Mini-MAC).Resultados: En nuestro estudio el resultado global de la HADs como medida de distrés en línea es confiable en nuestro estudio. La tasa de prevalencia general de distrés para nuestra muestra fue del 50%, sin diferencias según nivel socio-demográfico o variables médicas. En cuanto a puntuación de ansiedad 66,2% y 34% alcanzaron nivel clínico de ansiedad y depresión, respectivamente. Estos resultados se relacionaron con los de la Mini-MAC según lo esperado.Conclusiones: Estos resultados dan apoyo al uso de Internet como herramienta válida para la evaluación de los trastornos psicoló-gicos en pacientes con cáncer de mama. Internet nos brinda la posibilidad de identificar Abstract Objective: The object of this study is to determine the prevalence of distress symptoms and coping strategy among a large sample of Spanish-speaking breast cancer patients recruited on-line.Methods: We designed a cross-sectional study with breast cancer survivors (n=434) that were accrued via Internet (http://www. cancermama.org). Participants completed a demographic and medical questionnaire, and they were also evaluated using self-reporting measures of psychological distress and adjustment to cancer; the 14-item Hospital Anxiety and Depression Scale (HADS) and the 29-item version of the Mental Adjustment to Cancer Scale (Mini-MAC), respectively.Results: Global HAD as a measure of distress on-line is reliable in our study. The overall prevalence rate of distress for our sample was 50%, with no differences for sociodemographics or medical status variables. Concerning to anxiety punctuation 66.2% were clinical cases and 34.5% reached the clinical level for depression. These results were associated with Mini-MAC scales as expected.Conclusions: These results offer support for the use of Internet as valid tool for the psychological distress assessment in patients with breast cancer Spanish-speaking patients. Internet brings us the possibility to identify highrisk patients through psychological screening in order to provide early interventions, and

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A structural model of the relationships among stage of disease, age, coping, and psychological adjustment in women with breast cancer

et al. 1998

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The present study used structural equation modeling to examine the relationships among disease stage (i.e. Stage II versus Stage IV), age, coping style, and psychological adjustment in 100 women diagnosed with breast cancer. Five separate models were examined: a full model, a mediational model, a demographic‐disease model, a coping style model, and a regression model The analyses revealed that the present data best fit the mediational model in which age and stage of disease were not directly associated with psychological adjustment but, instead, were mediated by coping style (χ2(25)=45.776, AASR=0.05, CFI=0.94). The mediational model accounted for 56% of the variance in psychological adjustment. In particular, the model showed that younger women and women with an earlier disease stage used greater levels of the coping strategy characterized as a fighting spirit and lower levels of the coping strategies characterized as hopelessness/helplessness, anxious preoccupation, and fatalism which, in turn, were related to better psychological adjustment. Overall, these findings may offer an explanation for the conflicting findings regarding the relationship between age, stage of disease, and psychological adjustment to breast cancer by illustrating that coping strategies may be an essential mediating factor; in turn, a mediating model of psychological adaptation may offer useful information for clinicians as they implement interventions designed to improve patients coping efforts. © 1998 John Wiley & Sons, Ltd.

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Mental adjustment to cancer and quality of life in breast cancer patients: An exploratory study

Cited by 88 publications

References 12 publications

Predictors of patients' mental adjustment to cancer: patient characteristics and social support

Predictors of patients' mental adjustment to cancer: patient characteristics and social support

Uso de internet para evaluar el distrés psicológico en pacientes con cáncer de mama

A structural model of the relationships among stage of disease, age, coping, and psychological adjustment in women with breast cancer

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