The mental adjustment to cancer (MAC) scale: French replication and assessment of positive and negative adjustment dimensions

Cayrou, S.; Dickès, Paul; Gauvain-Piquard, A.; Rogé, Bernadette

doi:10.1002/pon.634

Cited by 40 publications

(39 citation statements)

References 29 publications

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“…Although the original version of the MAC scale had only been validated in UK population (Watson et al, 1988), it has undergone assessment and validation among patient populations of other ethnicities and countries (Akechi et al, 2000;Cayrou et al, 2003;Ho et al, 2003;Mystakidou et al, 2004). In each case the internal consistency was found to be similar to that of the original version and concurrent validity and correlation was established with other frequently used tools.…”

Section: Methodsmentioning

confidence: 98%

The use of denial in an ethnically diverse British cancer population: a cross-sectional study

et al. 2005

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A total of 82 Asian and 117 randomly selected white Caucasian patients at the Leicestershire Cancer Centre were assessed using measures of coping and adaption to cancer. On the Mental Adjustment to Cancer (MAC) scale, Asian patients were more fatalistic ( P <0.0001) and had more significant hopeless/helpless scores ( P =0.007). The two ethnic groups answered the three questions thought to assess denial differently. Caucasians were more likely not to dwell on their illness (73 vs 55.5%, P <0.0001) and agree with the statement ‘I have difficulty believing this is happening to me' (73 vs 60.5%, P <0.0001). However, Asian patients were more likely to agree with the statement ‘I don't really believe I have cancer' (48.2 vs 31.3%, P =0.019). Within both groups there was an association with denial and anxious preoccupation ( P <0.001). On the Hospital Anxiety and Depression (HAD) scale, there was no difference in anxiety scores between either sexes or between the Asian and Caucasian groups. However, Asian patients were more depressed ( P =0.001). Although denial was significantly related to the presence of both depression ( P <0.0001) and anxiety ( P =0.001) in the entire patient population, there were different predictors of denial in each subgroup. On multiple regression analysis depression was linked with denial in Caucasians, whereas Fighting Spirit (minus helplessness/hopelessness) was linked with denial in Asian patients. There are definite differences in coping styles in British cancer patients according to ethnicity. While significant numbers in both groups employ denial in some form, Caucasian patients appear to adapt to the psychological pressures of cancer more successfully than Asian patients at a particular point in time. Further work is required to elucidate longitudinal relationships between denial and adaption to cancer.

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Section: Methodsmentioning

confidence: 98%

The use of denial in an ethnically diverse British cancer population: a cross-sectional study

et al. 2005

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“…These findings are coordinate with researches done by Anagnostopoulos et al (23), Grassi et al (29) and Akechi et al (30) that identified helplessness/hopelessness and anxiety preoccupation styles as maladaptive coping styles. Also, it coordinate with Cayrou's study (31) that explains helplessness/hopelessness and anxiety preoccupation as negative coping styles and Kang (9) that suggests the combination of these styles as negative emotion subscales. Given the large role of helplessness/hopelessness coping style in explaining the variance in HRQoL, it can be said that the feeling of helplessness, lack of disease control and knock off the face of the disease play important roles in determining the physical and mental health of patients.…”

Section: Discussionmentioning

confidence: 99%

Studying the Relation between Mental Adjustment to Cancer and Health-Related Quality of Life in Breast Cancer Patients

et al. 2017

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Background: Health-related quality of life in cancer patients has been interested to researchers in the domain of health in recent decades. Mental adjustment to cancer is a concept known as an important indicator of life quality, well-being and health of cancer patients. The aim of this paper is to examine the relation between mental adjustment to cancer and health-related quality of life (HRQoL) among some women with breast cancer. Methods: 100 patients were non-randomly selected from hospitals and oncology clinics in Kermanshah and Shiraz cities, Iran. These patients completed the functional assessment of cancer treatment-breast (FACT-B) in order to measure HRQoL and mini-mental adjustment to cancer questionnaire (Mini-MAC). Data were analyzed by using correlation and regression. Results:The results show that helplessness/hopelessness (58%), fighting spirit (40%), fatalism (33%) and preoccupation anxiety (18%) explain the variance of HRQoL. Conclusions: According to the findings, there is no relation between cognitive avoidance styles and HRQoL, and it can be concluded that coping styles helplessness/hopelessness and fighting spirit are the best predictors of HRQoL in patients with breast cancer. Consequently, the evaluation of the coping styles and emergency interventions in order to enhance coping with illness in cancer patients, decrease the sense of helplessness/hopelessness and anxiety are recommended, which in turn are accompanied by increasing HRQoL.

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“…Moreover, KoreaneAmericans face cultural and language barriers, which further hinder their ability to access health care and social support sources or providers [3]. Nevertheless, it has been reported that KoreaneAmericans seem to turn to religious beliefs as a new support system; and this may be a venue to retrieve and exchange health information [14].…”

Section: Introduction Q1mentioning

confidence: 99%

Exploring health behaviour changes within the support systems of breast cancer survivors: A comparative qualitative study of Korean–Americans and Koreans

Lim

2014

Pacific Science Review

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A better understanding of the health behaviours and their association with support systems can help to promote the health behaviours of breast cancer survivors in different cultural contexts. This study explored health behaviour changes within a familialesocialecultural context among Korean populations diagnosed with breast cancer. A comparative qualitative study was conducted with five focus groups of KoreaneAmericans living in the US and Koreans living in Korea. The common themes among the KoreaneAmericans and Koreans were 1) the impact of family on a healthy life, 2) recommendations concerning health behaviour practices from physicians, and 3) support from the religious community/faith. The findings also provided an insight into different perspectives related to health behaviour changes and support systems under different cultural contexts. This study sheds light on the importance of developing culturally tailored health behaviour interventions with appropriate support systems for Korean breast cancer survivors.

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The mental adjustment to cancer (MAC) scale: French replication and assessment of positive and negative adjustment dimensions

Cited by 40 publications

References 29 publications

The use of denial in an ethnically diverse British cancer population: a cross-sectional study

The use of denial in an ethnically diverse British cancer population: a cross-sectional study

Studying the Relation between Mental Adjustment to Cancer and Health-Related Quality of Life in Breast Cancer Patients

Exploring health behaviour changes within the support systems of breast cancer survivors: A comparative qualitative study of Korean–Americans and Koreans

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