Defence mechanisms and coping skills in oncology patients

2016 ◽  
Vol 33 (S1) ◽  
pp. S204-S204
Author(s):  
C. Bredicean ◽  
C. Giurgi-Oncu ◽  
I. Papava ◽  
R. Romosan ◽  
A. Jurma ◽  
...  

IntroductionOncology-related illnesses have become quite frequent in our lives. Lately, medical progress in the field of oncology has led to an increase in the survival rates of people diagnosed with cancer. The minimisation of disturbances in the lives of these people is done by each on their own, by using defence mechanisms and coping skills.ObjectivesTo identify the coping and defence mechanisms of subjects diagnosed with cancer compared with non-clinical subjects.AimsTo increase quality of life of subjects diagnosed with cancer through psychotherapy interventions.MethodNineteen subjects diagnosed with cancer who were receiving chemotherapy were recruited to the study. For comparison, a control group of non-clinical participants were also recruited. Participants were included into the study according to particular inclusion/exclusion criteria. The evaluation was conducted during 2014 and consisted of the analysis of the following parameters: socio-demographic data, clinical data, defence mechanisms (DSQ-60) and coping mechanisms (COPE scale).ResultsThe group of subjects diagnosed with cancer demonstrated the presence of defence mechanisms of the following type: passive aggressiveness, projection and coping mechanisms that were characterised by an emphasis on social support. The control group had defence mechanisms of the following types: repression, denial and coping mechanisms that focused on emotions.ConclusionsThere are differences in defence and coping mechanisms between subjects with cancer compared to the non-clinical group. It may be that defence and coping mechanisms can be optimized through psychotherapy interventions to increase quality of life.Disclosure of interestThe authors have not supplied their declaration of competing interest.

2020 ◽  
Vol 22 (Supplement_2) ◽  
pp. ii175-ii175
Author(s):  
Deborah Forst ◽  
Michelle Mesa ◽  
Emilia Kaslow-Zieve ◽  
Areej El-Jawahri ◽  
Joseph Greer ◽  
...  

Abstract BACKGROUND Caregivers of patients with malignant gliomas experience substantial anxiety symptoms while caring for someone with progressive neurological decline. Yet, interventions to reduce psychological distress and improve quality of life (QoL) in this caregiver population are lacking. METHODS We conducted an open pilot study evaluating feasibility and acceptability of a cognitive behavioral therapy-based intervention for caregivers of patients with malignant gliomas with clinically significant anxiety (Generalized Anxiety Disorder [GAD-7] score ≥ 5). Caregivers participated in six videoconference sessions with a mental health provider. We defined the intervention as feasible if ≥ 70% of eligible caregivers enrolled and ≥ 70% of those enrolled completed ≥ 50% of sessions. We evaluated intervention acceptability in semi-structured interviews. Caregivers completed baseline and post-intervention surveys assessing anxiety and depression symptoms (Hospital Anxiety and Depression Scale), QoL (Caregiver Oncology Quality of Life Questionnaire), caregiving burden (Caregiver Reaction Assessment), self-efficacy (Lewis Cancer Self-Efficacy Scale), and perceived coping skills (Measure of Current Status-Part A). We explored post-intervention changes using paired t-tests. RESULTS We obtained consent from 70.0% (21/30) of caregivers approached, of which 66.7% (14/21) had clinically significant anxiety and thus were eligible to participate (mean age=55.7 years, 64.3% female). Among enrolled caregivers, 71.4% (10/14) completed ≥ 50% of sessions. In semi-structured interviews, all participants found the intervention helpful and valued the ability to participate remotely via videoconference. Among caregivers who completed at least one session, 80.0% (8/10) completed all assessments and were included in analyses. Post-intervention, caregivers reported reduced anxiety symptoms (P=.02) and improved QoL (P=.03) and coping skills (P=.001). We found no significant change in depression, caregiving burden, or self-efficacy. CONCLUSION Our videoconference-based intervention is feasible and acceptable to caregivers. Participants reported significant improvements in anxiety symptoms, quality of life, and coping skills post-intervention, supporting further investigation of the intervention in a randomized controlled trial.


2020 ◽  
Vol 23 (2) ◽  
pp. 161-185
Author(s):  
Branko Ristić ◽  
Borjanka Batinić

Introduction: Perception of emotions is an important aspect of social functioning and the quality of life, and its deficit has been consistently found in people with schizophrenia. Aim: To obtain better understanding of the relationship and predictability between the perception of emotions, social functioning and the quality of life in people with schizophrenia. Method: The sample comprised 64 respondents (the clinical and the control group consisting of 32 subjects each, equal in terms of gender, age and education). Perception of emotions was measured using the test of speed and accuracy of perception of facial expression, while social functioning and the quality of life were measured via self-assessment questionnaires. The research was exploratory and non-experimental correlational. Results: In both the clinical and control groups, the perception of emotions is positively correlated with social functioning and the quality of life. Still, the direction of predictivity remains unclear due to the complexity of relationships. Compared to the control group, there was a deficit in the domains of perception of emotional expression, social functioning and the quality of life in the clinical group. The deficit in the perception of emotions in patients with schizophrenia is global and affects all emotions, while it is most pronounced when it comes to the emotions of surprise and anger. Conclusions: The obtained findings indicate that the understanding of the lack of functioning in people with schizophrenia should be sought, among other things, in the relation between the perception of emotions, social functioning and the quality of life in order to gain a better insight into choosing the proper line of treatment with the aim of improving the overall well-being of the patients.


2017 ◽  
Vol 41 (S1) ◽  
pp. s786-s786
Author(s):  
L. Fattah Moghaddam ◽  
F. Mollasalehi

IntroductionThe caregivers of the psychic patients experience decreased quality of life (QOL).AimsThe aim of this study is the determination of the effect of coping skills training on improved quality of life of these caregivers compared to traditional treatments.MethodsThe samples consisted of 82 caregivers of psychiatric patients who were admitted in the educational hospital of Tehran for the first time from 2015 to 2016. The caregivers were randomly divided into two groups including Interventional group (n = 41) who received an educational booklet in addition to coping skills training, and control group (n = 41) who received usual care. A two-group randomized controlled trial was conducted, including WHOQOL-BREF questionnaire used to collect the data before and after 90 days.ResultsThe results demonstrated that there were significant changes in the quality of life of family after training (P = 0.05). But this change was not seen in the control group. The comparison of the two groups after intervention indicated, that the scores of the intervention group were higher than the control group in all dimensions. But these scores were significantly different in the psychological health and the environmental health.ConclusionsTo educate the coping skills interventions can have a positive effect on the quality of life of caregivers than usual care.Disclosure of interestThe authors have not supplied their declaration of competing interest.


Author(s):  
Shivam Kamthan ◽  
Bhawna Pant ◽  
Deepak Kumar ◽  
Monika Gupta ◽  
Kaynat Nasser

Background: Nowadays, HIV and AIDS has become an important public health issue across the world. Quality of life (QOL) is an important tool to assess general wellbeing of HIV patients. Coping skills are the psychological skills to face the difficult situations like HIV or AIDS. The workplace plays an important role in determining general wellbeing and the psychological problems in HIV patients. Therefore, it is very important to assess the quality of life and coping skills of HIV patients among different occupations.Methods: A cross-sectional study consisting of conveniently selected 200 HIV patients was conducted at ART center LLRM Medical College, Meerut. The study subjects were interviewed by using questionnaire consisting of WHOQOL HIV BREF (WHO quality of life questionnaire) and Brief-COPE scale questionnaires. Descriptive statistics and ANOVA test were used for analysis of the data.Results: 36% of HIV patients were housewives and 26.5 % of HIV patients were drivers. The quality of life score was higher in HIV patients who were in unemployed (14.98) and farmers (14.49) whereas was lowest in all others category (10.73). The housewives, farmers, government jobs or service, drivers and other had maximum adaptive coping in religion and minimum adaptive coping in humour. There was no uniform pattern of maladaptive coping skills of HIV patients among different occupations.Conclusions: Quality of life score was better in HIV patients who were unemployed and farmers as compared to HIV patients who were drivers, housewives, government jobs or service. Religion was most effective adaptive coping strategy and humour was least effective adaptive coping strategy in HIV patients.


2013 ◽  
Vol 45 ◽  
pp. S147
Author(s):  
E. Geccherle ◽  
M. Fortuna ◽  
R. Montanari ◽  
A. Geccherle ◽  
M. Chiaramonte

2017 ◽  
Vol 4 (1) ◽  
pp. 238 ◽  
Author(s):  
Vivekkumar Ashok Nagarale ◽  
Suyog Vijay Jaiswal ◽  
Archana Prabhu ◽  
Deoraj Sinha ◽  
Chitra S. Nayak

Background: Both psoriasis and neurodermatitis patients report psychological distress and impaired quality of life, but how they cope with it is area of interest. The objective of this study was to study and compare psychopathology, quality of life and coping mechanism in psoriasis and neurodermatitis patients.Methods: 30 cases each of psoriasis and neurodermatitis were assessed at dermatology out-patient department of a tertiary care hospital by using Symptom check list -90-Revised (SCL-90-R), dermatological life quality index (DLQI) and Brief cope scale (BCS).Results: All Patients with neurodermatitis perceived it as a problem and in psoriasis it was 90%.The quality of life (QOL) was affected in both more in neurodermatitis as compared with psoriasis. Neurodermatitis showed significant psychopathology on SCL-90-Rin parameters of interpersonal sensitivity and Psychoticism. Depression, Anxiety, Somatisation, Obsessive-compulsiveness were seen in both groups. Self-blame, religion, positive-reframing were used commonly as coping mechanisms in neurodermatitis while in psoriasis there was acceptance, active coping, planning, and self-distraction, use of emotional and instrumental support, positive-reframing.Conclusions: Quality of life is significantly lower in neurodermatitis. Psychopathologies were significantly high in neurodermatitis. Maladaptive coping styles were used in both groups.


2020 ◽  
Vol 38 (2) ◽  
pp. 153-165
Author(s):  
Flávia Sousa ◽  
Vânia Rocha ◽  
Clara Estima ◽  
São Luís Castro ◽  
Marina Prista Guerra

A stroke is a life-threatening event which has physical, emotional and cognitive consequences. Thisstudy aimed to identify differences between participants who suffered a stroke and healthy controls,concerning cognitive performance, depressive symptoms, social support and quality of life; to examinethe associations between these variables among participants who suffered a stroke; and to identify thevariables that best classify patients and controls. The sample included 30 patients who suffered astroke and 30 healthy participants. Both groups presented similar sociodemographic characteristics.All participants were assessed with The Institute of Cognitive Neurology Frontal Screening, theMontreal Cognitive Assessment, the Hospital Anxiety and Depression Scale, the Instrumental-Expressive Social-Support Scale, and the Short Form Health Survey-36. Post-stroke patients had lowercognitive performance, lower social support, lower quality of life and higher depressive symptomsthan the control group. Social support was positively related to quality of life and negatively relatedto depressive symptoms in the clinical group. Cognitive deficits and depressive symptoms correctlyclassified belonging to the clinical group in 85% of cases, and significantly predicted the stroke. Thisstudy underlines the importance of implementing psychological interventions addressing depressivesymptoms and cognitive rehabilitation for post-stroke patients.


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