A cross-sectional study investigated changes in patients’ value systems following a diagnosis of cancer. Fifty patients at 1 to 6 months following cancer diagnosis, were asked to compare their current values with their recollection of past values. Using the Rokeach Value Survey we obtained statistically significant results showing that twenty-seven out of thirty-six values changed their importance from the patients’ perspective: 16 values significantly increased, while 11 values significantly decreased in importance. Changes with respect to nine values were insignificant. We indentified clusters of values increasing in importance the most: Religious morality (Salvation, Forgiving, Helpful, Clean), Personal orientation (Self-Respect, True Friendship, Happiness), Self-constriction (Self-Controlled, Obedient, Honest), Family security (Family Security, Responsible), and Delayed gratification (Wisdom, Inner Harmony). We also observed that the following value clusters decreased in importance: Immediate gratification (An Exciting Life, Pleasure, A Comfortable Life); Self-expansion (Capable, Ambitious, Broadminded), Competence (A Sense of Accomplishment, Imaginative, Intellectual). The remaining values belonged to clusters that as a group changed slightly or not at all. Practical implications of the study are discussed.
Original Papers
Polish version of FACES-III was applied to map families as balanced (20%), mid-range (52%) or unbalanced (28%).Results of the study underline the importance of illness duration for functioning of the family. Cancer persisted for the shortest time in balanced families (4.3 years), slightly longer in mid-range (4.5) and the longest in unbalanced families (6.9). The difference between balanced and unbalanced families was significant (u=1.9615, p<0.05).
Artykuł zawiera opis przypadku pacjenta z nowotworem prostaty od momentu diagnozy do czasu kolejnego rzutu choroby. Celem pracy jest przedstawienie pozytywnych zmian zachodzących w człowieku w sytuacjach kryzysowych, jakimi są choroby nowotworowe. Autorki wskazują szeroki zakres pozytywnych zmian, które zaszły w osobowości i w życiu pacjenta po traumie wynikającej z konfrontacji z chorobą nowotworową. Opis ukazuje dynamikę zmian w przebiegu choroby nowotworowej i tłumaczy poszczególne zjawiska. Zwrócono także uwagę na trudności związane z nazewnictwem i rozumieniem mechanizmów tych zmian. Przeprowadzono krótką analizę obserwowanego zjawiska, traktowanego zarówno jako wynik wzrostu potraumatycznego, jak i jako efekt strategii radzenia sobie ze stresem lub poznawczej adaptacji do choroby. Do badań psychologicznych zastosowano kwestionariusze KOS, PTGI, Mini-MAC, AIS, STAI, BDI, IZZ, SWLS.
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