Prospective analysis of psychological differences between adult and elderly cancer patients during postoperative adjuvant chemotherapy

Muñoz-Sanchez, M.; Calderón, Caterina; Jiménez-Fonseca, Paula; Soriano-Rodríguez, M. C.; Jara, Carlos; García-García, Teresa; Beato, Carmen; Rogado, Jacobo; Castelo, Beatriz; Hernández, R; Mangas-Izquierdo, Montserrat; Carmona-Bayonas, Alberto

doi:10.1007/s12094-018-1901-9

Cited by 9 publications

(16 citation statements)

References 30 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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“…We purposefully applied maximum variation sampling within this panel to provide an overview of needs that arise at any moment in the disease trajectory. This variation is important because previous research demonstrated that people in different age groups, different stages in the disease trajectory, and with different types of cancer differed in coping styles and psychological distress (Calderón, Jiménez‐Fonseca, Carmona‐Bayonas, & Jara, ; Muñoz‐Sánchez et al, ). Future quantitative research is required to systematically assess whether these differences affect the needs for support that were identified in the present focus group study.…”

Section: Discussionmentioning

confidence: 99%

Cancer patients' needs for support in expressing instrumental concerns and emotions

et al. 2019

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Introduction The aim of our study was to provide an overview of intervention guidelines on how to address patients' practical needs for support in expressing instrumental concerns and emotions regarding medical, psychosocial and practical topics. Methods Six focus groups of cancer patients and survivors (N = 39) were organised. An interview guide was created that consisted of three topics: (a) concerns, (b) needs for support, and (c) a Concern Prompt List. Using the framework method, the transcripts were coded and analysed in Atlas T.I. Results Patients prefer to receive practical and emotional support, help with preparation, prompts/cues, instructions on how to perform the behaviour (i.e., express their concerns or emotions), feedback, a different structure for the consultation and tailoring. Most of these techniques should preferably be delivered via interpersonal communication. Needs sometimes differ for instrumental concerns and emotions. Only some needs for support were exclusively related to instrumental concerns or emotions. The typical needs for support were not solely linked to the medical, psychosocial and practical topics. Conclusion Different needs to express instrumental concerns and emotions throughout the disease trajectory are categorised. These needs provide input for developing interventions to support concern expression.

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“…This is also illustrated in an exploratory study by Sodergren et al where young adults with cancer aged 18-25 reported di culties with concentrating when engaging in daily activities because they worried too much about being sick and how it would interfere with their future life plans [6]. Generally, older people with cancer experience less psychological distress after diagnosis, enabling them to better adapt to their activity limitations compared with young adults with cancer [17]. It is somewhat surprising that no differences were found in participation restrictions regarding social functioning between the three age groups, especially as previous research shows that young adults with cancer have di culties with social relations after receiving invasive and long-term cancer treatment [12,34].…”

Section: Results Of Activity and Participationmentioning

confidence: 94%

“…This may cause long-term side effects that in turn, affect the young adults in re-establishing their everyday life [12]. In addition, a number of studies show that people in older age groups with cancer are often more settled in their everyday lives and retain better coping strategies than younger people [15][16][17]. Young adults with cancer may therefore be in a particularly exposed position because they are diagnosed during a period of their life in which they may be establishing relationships and a family, nishing their education or in the early stages of gaining employment [7,12,18,19].…”

Section: Introductionmentioning

confidence: 99%

Differences in activity limitations and participation restrictions between young adults with cancer and older age groups: A cross-sectional study

Andersen

Christiansen

Cour

et al. 2021

Preprint

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Purpose: To explore whether young adults with cancer have different activity limitations and participation restrictions compared to older age groups with cancer. Methods: A cross-sectional study including 654 people with cancer participating in a rehabilitation stay. Participants were in the age groups: 1) Young adults (n=121) = 18-39 years; 2) Middle-aged (n=406) = 40-64 years; and 3) older people (n=127) = ≥65 years. Outcomes were activity limitations and participation restrictions encompassing physical, role, social, and cognitive functioning, measured using the European Organization for Research and Treatment of Cancer Quality-of-Life Questionnaire Core 30. Mean differences between age groups were calculated using linear regression analyses. Results: Young adults had a mean age of 32.1 years (SD = 5.1); middle-aged adults 53.4 years (SD = 6.8); and the older people 71.1 years (SD = 4.8). The majority of the participants were women (81.9%) with breast cancer (42.9%). Young adults had a statistically significant higher physical functioning compared to those middle-aged (-3.90: (95% CI: -6.84; -0.95)) and the older age group (-7.63: (95% CI: -11.29; -3.96)). Young adults had statistically significant lower role functioning (7.11: (95% CI: 1.13; 13.08)) and cognitive functioning (13.82: (95% CI: 7.35; 20.29)) compared to older people. There was no statistically significant difference in social functioning between the age groups. Conclusion: Young adults had different activity limitations and participation restrictions compared with higher age groups. Our findings suggest the need for further research and an increased clinical rehabilitation focus on different activity and participation challenges across age groups.

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Prospective analysis of psychological differences between adult and elderly cancer patients during postoperative adjuvant chemotherapy

Cited by 9 publications

References 30 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

Cancer patients' needs for support in expressing instrumental concerns and emotions

Differences in activity limitations and participation restrictions between young adults with cancer and older age groups: A cross-sectional study

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