Social‐cognitive correlates of adjustment to prostate cancer

Roberts, Katherine J.; Lepore, Stephen J.; Helgeson, Vicki S.

doi:10.1002/pon.934

Cited by 119 publications

(95 citation statements)

References 55 publications

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“…Further, the majority of the sample (59.3%) reported depressive symptoms above the clinical cutoff score (≥10). Reported levels of negative cancer-related intrusive thoughts, although low, were consistent with previous research with men with cancer [26].…”

Section: Sociodemographic and Cancer-related Predictors Of Sleep Qualitysupporting

confidence: 78%

Coping Style and Sleep Quality in Men with Cancer

Hoyt

Ph.D.²,

Epstein

et al. 2009

ann. behav. med.

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Background Few studies have characterized the effects of cancer diagnosis and treatment on sleep quality in men with cancer, and even fewer have identified mediators between psychosocial factors and physical symptoms. It has been debated whether active, approach-oriented, coping behaviors or more passive, avoidance-oriented, coping behaviors are more important to the preservation of sleep quality. Purpose This study tested the impact of coping style (i.e., approach vs. avoidance) on sleep quality and depressive symptoms and intrusive thoughts as putative mediators. Methods Utilizing a longitudinal design, men with cancer (N=55) were assessed at study entry (T1) and again 6 months later (T2). Two indicators of sleep quality were assessed: severity of sleep disturbance symptoms and resulting interference with daily functioning from sleep problems. Results Higher use of avoidance coping at T1 was related to greater severity in sleep-related symptoms (p<0.01) and more interference with daily functioning (p<0.001) at T2. Approach coping at T1 was unrelated to indicators of sleep quality. Depressive symptoms and not intrusive thoughts mediated the relationship between avoidance coping and sleep symptom interference and partially mediated the effect on sleep symptom severity based on examination of bootstrapped standard errors for indirect paths. Conclusions Avoidance of cancer-related stressors and circumstances likely contributes to declines in mood states and in turn compromises sleep. An individual's coping style may be an important consideration in the assessment and treatment of sleep problems in men with cancer.

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Section: Sociodemographic and Cancer-related Predictors Of Sleep Qualitysupporting

confidence: 78%

Coping Style and Sleep Quality in Men with Cancer

Hoyt

Ph.D.²,

Epstein

et al. 2009

ann. behav. med.

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“…For these reasons, and for many others, the experience of prostate cancer is uniquely stressful; and social support has been demonstrated to be beneficial in coping with prostate cancer's associated stressors (Roberts et al, 2006). Social support for many individuals is an intuitive term that is used to describe help that is received from others in a difficult situation.…”

Section: Introductionmentioning

confidence: 99%

What is the mechanism effect that links social support to coping and psychological outcome within individuals affected by prostate cancer? Real time data collection using mobile technology

Paterson

Jones

Rattray

et al. 2016

European Journal of Oncology Nursing

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Purpose: Unmet support needs are prevalent in men affected by prostate cancer. Moreover, little is known about the optimal type of social support, or its mechanism effect between coping and emotional outcome in men affected by this disease to identify areas for clinical intervention. This study aimed to empirically test the propositions of social support theory in "real time" within individual men living with and beyond prostate cancer.Methods: Purposeful sub-sample from a larger prospective longitudinal study of prostate cancer survivors, took part in real time data collection using mobile technology. Self-reports were collected for 31 days prompted by an audio alarm 3 times per day (a total of 93 data entries) for each of the 12 case studies. Electronic data were analysed using time series analysis.Results: Majority of response rates were >90%. Men reported a lack of satisfaction with their support over time. Testing the propositions of social support theory "within individuals" over time demonstrated different results for main effect, moderation and mediation pathways that linked coping and social support to emotional outcome. For two men, negative effects of social support were identified. For six men the propositions of social support theory did not hold considering their within-person data. Conclusion:This innovative study is one of the first, to demonstrate the acceptability of e-health technology in an aging population of men affected by prostate cancer. Collectively, the case series provided mixed support for the propositions of social support theory, and demonstrates that "one size does not fit all". IntroductionProstate cancer is a major health burden in Europe (Jemal et al., 2011). The disease and its treatments have the potential to cause substantial short-and long-term problems for men affected by prostate cancer (Davis et al., 2014). The delicate nature of treatments mean that men with prostate cancer often face a host of difficulties which can negatively affect Health-Related Quality of Life (HRQoL) (van Tol-Geerdink et al., 2013), including physical and psychological problems (CockleHearne et al., 2013;Ream et al., 2008). Toxicities associated with prostate cancer treatments include: urinary (urgency, frequency, incontinence) (Zelefsky et al., 2008), bowel (rectal bleeding, urgency in defecation, diarrhoea, and faecal leakage) (Fransson et al., 2006) and sexual dysfunction (impotence, loss of libido) (Shikanov et al., 2008). Other physical symptoms associated with therapies include: fatigue, weight gain, osteopenia, anaemia, muscle atrophy, gynaecomastia, and hot flushes, and psychological problems including anxiety, depression and loss of cognitive function (Carter et al., 2011). Due to increasing survival rates (Jemal et al., 2011) the number of men dealing with the aftermath consequences of prostate cancer are set to rise, currently 250,000 men in the UK alone (Prostate Cancer UK, 2014).For many patients and family members, a diagnosis of prostate cancer can lead to many ambiguities, such as...

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“…Although some studies on cancer patients have found that meaning-focused strategies, such as positive reframing, are related to better subsequent adjustment, such as improved quality of life and psychological wellbeing [35,36], others have reported that searching for meaning is related to poorer adjustment [37,38]. The results of this study show that a brief meaning-focused intervention effectively improves the level of existential wellbeing and quality of life of advanced cancer patients, especially in older people, patients who received inadequate palliative care services and who lack social support, and newly diagnosed patients in the advanced stage of illness.…”

Section: Discussionmentioning

confidence: 99%