Coping Strategies in Breast Cancer Patients: Are They Related to Patients’ Concepts About the Etiology?

Author(s):  
A. Riehl-Emde ◽  
C. Buddeberg ◽  
F. A. Muthny ◽  
R. Steiner ◽  
C. Landolt-Ritter ◽  
...  
2020 ◽  
Vol 60 (9) ◽  
pp. 1063-1069
Author(s):  
Lilian Velasco ◽  
Lorena Gutiérrez Hermoso ◽  
Natasha Alcocer Castillejos ◽  
Paulina Quiroz Friedman ◽  
Cecilia Peñacoba ◽  
...  

2022 ◽  
Vol 10 (1) ◽  
Author(s):  
Paolo Taurisano ◽  
Chiara Abbatantuono ◽  
Veronica Verri ◽  
Ilaria Pepe ◽  
Luigia S. Stucci ◽  
...  

Abstract Background Psycho-oncology literature pointed out that individual health outcomes may depend on patients’ propensity to adopt approach or, conversely, avoidant coping strategies. Nevertheless, coping factors associated with postoperative distress remain unclear, unfolding the lack of tailored procedures to help breast cancer patients manage the psychological burden of scheduled surgery. In view of this, the present study aimed at investigating: 1. pre-/post-surgery distress variations occurring among women diagnosed with breast cancer; 2. the predictivity of approach and avoidant coping strategies and factors in affecting post-surgery perceived distress. Methods N = 150 patients (mean age = 59.37; SD =  ± 13.23) scheduled for breast cancer surgery were administered a screening protocol consisting of the Distress Thermometer (DT) and the Brief-COPE. The DT was used to monitor patients’ distress levels before and after surgery (± 7 days), whereas the Brief-COPE was adopted only preoperatively to evaluate patients’ coping responses to the forthcoming surgical intervention. Non-parametric tests allowed for the detection of pre-/post-surgery variations in patients’ perceived distress. Factor analysis involved the extraction and rotation of principal components derived from the Brief-COPE strategies. The predictivity of such coping factors was investigated through multiple regression (Backward Elimination). Results The Wilcoxon Signed-Rank Test yielded a significant variation in DT mean scores (TW = -5,68 < -zα/2 = -1,96; p < .001) indicative of lower perceived distress following surgery. The four coping factors extracted and Varimax-rotated were, respectively: 1. cognitive processing (i.e., planning + acceptance + active coping + positive reframing); 2. support provision (i.e., instrumental + emotional support); 3. emotion-oriented detachment (i.e., self-blame + behavioral disengagement + humor + denial); 4. goal-oriented detachment (i.e., self-distraction). Among these factors, support provision (B = .458; β = − .174; t = − 2.03; p = .045), encompassing two approach coping strategies, and goal-oriented detachment (B = .446; β = − .176; t = − 2.06; p = .042), consisting of one avoidant strategy, were strongly related to post-surgery distress reduction. Conclusion The present investigation revealed that the pre-surgery adoption of supportive and goal-oriented strategies led to postoperative distress reduction among breast cancer patients. These findings highlight the importance of timely psychosocial screening and proactive interventions in order to improve patients’ recovery and prognosis.


2021 ◽  
Vol 10 (19) ◽  
pp. 4469
Author(s):  
Edyta Ośmiałowska ◽  
Weronika Misiąg ◽  
Mariusz Chabowski ◽  
Beata Jankowska-Polańska

Introduction: Each year, around 16,500 women in Poland are diagnosed with breast cancer, the second most common cause of death in women. In Poland, nearly 70,000 women live with breast cancer diagnosed within the last 5 years. Quality of life (QoL) research is particularly important in cancer patients, as it provides knowledge on their psychological and physical health, as well as the environment in which the patients function, all of which is essential to implementing multidisciplinary care involving the best use of the appropriate methods. Carrying the burden of cancer is a major challenge for patients. The strategy that patients use to cope with breast cancer significantly affects their quality of life. The purpose of the study is to assess the impact of coping strategies on the QoL in breast cancer patients. Material and Methods: The prospective study included a group of 202 women who had undergone surgical treatment for breast cancer at the Lower Silesian Cancer Center and who reported for follow-up appointments at the Oncology Clinic and the Surgical Oncology Clinic. For the study, we used the: EORTC QLQ-C30 cancer questionnaire, EORTC QLQ-BR23 module, Mental Adjustment to Cancer (Mini-MAC) scale, visual analog scale (VAS) for pain intensity, as well as the patients’ medical records, hospital records, and our own survey form. Results: The mean patient age was 53 years. Most patients had been diagnosed with cancer between one and two years before. In the women studied, there was a negative association between QoL and the choice of a destructive strategy for coping with cancer, and a positive one between QoL and a constructive coping strategy. Severe pain caused by the disease and its treatment significantly decreased the patients’ QoL in multiple domains. Conclusions: Patients choosing constructive strategies obtained higher QoL scores, while greater reliance on destructive coping strategies was associated with significantly worse QoL. In all functioning domains, higher levels of pain were associated with poorer QoL and more severe symptoms associated with the disease and its treatment.


2020 ◽  
Vol 4 (6) ◽  
Author(s):  
Qin Dai ◽  
Huili Hang ◽  
Chunxiu He ◽  
Yuwen Zhou ◽  
Jing Zhang

Objective: To explore the influence of stress management program based on Neuman theory on the level of benefit finding in postoperative breast cancer patients. Methods: Using convenient sampling method, 60 postoperative breast cancer patients in the tumor ward of a hospital were selected and randomly assigned into observation group (n=30) and control group (n=30). The control group adopts the conventional postoperative psychological nursing program, and the observation group adopts the stress management program based on Neuman theory for psychological nursing. The differences in benefit finding, life quality, and medical coping strategies between the two groups before and after nursing were compared. Results: After the implementation of the two nursing programs, the level of benefit finding, life quality, and medical coping strategies of patients in the observation group were higher than those in the control group (t1=3.996, t2=4.662, t3=4.113, P?0.05); there was a statistically significant difference in the level of benefit finding, life quality, and medical coping strategies of patients before and after the implementation of the two nursing programs(P?0.05). Conclusions: The stress management strategy based on Neuman theory can improve patients’ state of psychological stress coping, play a positive role in guiding the psychology of patients after breast cancer surgery, and can be used as a reference for the psychological nursing program of postoperative patients.


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