Predictors of psychosocial adjustment during the post-radiation treatment transition

Abstract

The aim of this study was to examine the role of cognitive appraisal in predicting psychosocial adjustment during the post-radiation treatment transition. A predictive correlational design was used in a convenience sample of 80 patients with breast, lung, and prostate cancer who were receiving radiation therapy. Two weeks prior to completion of treatment, subjects completed instruments to measure symptom distress, uncertainty, cognitive appraisal, social support and selfefficacy for coping. The Psychosocial Adjustment to Illness Scale was administered one month after therapy. Adjustment was significantly correlated with all independent variables, age, and comorbidity. Young age and high amounts of threat appraisal, harm/loss appraisal, uncertainty, and symptom distress were significantly associated with poor adjustment. The model predicted 52% of the variability in adjustment. Cognitive appraisal was not a significant explanatory variable for adjustment when controlling for uncertainty, cancer stage, age, and symptom distress. Symptom distress was the only significant predictor of adjustment.

The Evaluation of a New Supportive Care Screening Tool for Radiation Therapy Patients

“…The patients' needs change over time [22] and vary by disease site and stage [23] as well as treatment modality [24,25]. As the evidence grows supporting the multidimensional impact of cancer on supportive care needs [25,26], there is a growing appreciation of the importance of understanding the patterns and magnitude of unmet needs for different patient populations. Understanding the demand for service is an important basis for program planning and human resource allocation.…”

Factors that Influence Korean Breast Cancer Patients to Undergo Cancer Rehabilitation Therapy

“…Further, the degree of physical symptoms affected the patients' intentions to undergo cancer rehabilitation therapy, probably because greater physical symptoms and more pain are associated with decreased quality of life 24) and greater difficulty with psychosocial adaptation. 25) Cheville et al 26) conducted a survey of outpatient cancer patients and reported that 71.8% of cases experienced at least one physical symptom related to their cancer. To improve the quality of life of breast cancer patients, it is necessary to predict which patient will require rehabilitation, and administer therapy to those patients in a timely fashion.…”

Μετατραυματική Ανάπτυξη, Μετατραυματικό Στρες Και Ψυχοκοινωνική Προσαρμογή Στην Ασθένεια, Σε Γυναίκες Με Καρκίνο Του Μαστού

“…Αυτή η σταδιακή διαδικασία μπορεί να οδηγήσει σε προσαρμογή, δηλαδή μια φάση κατά την οποία ένα άτομο καταφέρνει να διατηρήσει την επιθυμητή ψυχοκοινωνική ισορροπία (Galica, 2008). Το φαινόμενο της ψυχοκοινωνικής προσαρμογής έχει μελετηθεί σε διαφορετικές μορφές οργανικής ασθένειας, όπως απώλεια όρασης (Jangra et al, 2007), η σκλήρυνση κατά πλάκας (Mazzarella, 2006;McNulty, Livneh, & Wilson, 2004), σωματική αναπηρία (Kocaman et al, 2007) και τον καρκίνο (Gumus, Cam, & Malak, 2011;Mazanec et al, 2011;Rizalar et al, 2014;Westbrook, 2005 (Bishop, 2005;Derogatis & Fleming, 1996;Linveh & Antonak, 1997 Lenz et al, 1997). Κάθε σύμπτωμα είναι πολυπαραγοντικό, ποικίλει σε ένταση, συχνότητα ή διάρκεια, στη δυσφορία που προκαλεί και τον τρόπο που περιγράφεται υποκειμενικά (Lenz et al, 1997).…”