Adjustment to cancer—coping or personal transition?

Brennan, James M.

doi:10.1002/1099-1611(200101/02)10:1<1::aid-pon484>3.3.co;2-k

Cited by 103 publications

(171 citation statements)

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“…The influence of coping responses on the degree of emotional distress of cancer patients is well recognised (Fawzy & Fawzy 1994;Brennan 2001;Holland 2002;Moorey & Greer 2002). Therefore, we would expect that other coping strategies examined would have been significant determinants of emotional adjustment.…”

Section: Discussionmentioning

confidence: 99%

A longitudinal study on emotional adjustment of sarcoma patients: the determinant role of demographic, clinical and coping variables

Paredes

Pereira

Simões

et al. 2011

European Journal of Cancer Care

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The present study examined change on emotional distress of sarcoma patients from the diagnostic to treatment phases, the distinct trajectories of adjustment and the influence of demographic, clinical and coping variables on anxiety and depression. Thirty-six sarcoma patients completed questionnaires on emotional distress (Hospital Anxiety and Depression Scale) and coping strategies (Brief Cope) at time of diagnosis, and again during treatment. No significant change in emotional distress levels was found from diagnostic to treatment phase, with mean anxiety and depression scores remaining below the clinical range. Over time, 52.8% and 66.7% of patients maintained non-clinical anxious and depressive symptoms respectively, and 25% and 11.1% remained with clinical anxiety and depression. Living with partner, less use of humour and more denial were associated with high emotional distress at time of diagnosis and during treatments, and high levels of distress at baseline were predictive of poorer emotional adjustment during treatments. Although sarcoma patients, in general, seem to exhibit good psychological adjustment, there is a significant minority that requires mental health services in order to help decrease their emotional distress following the diagnosis, and prevent psychological difficulties during treatments. Our findings are an important contribution to understanding the psychological adjustment of patients with a specific and rare type of cancer.

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Section: Discussionmentioning

confidence: 99%

A longitudinal study on emotional adjustment of sarcoma patients: the determinant role of demographic, clinical and coping variables

Paredes

Pereira

Simões

et al. 2011

European Journal of Cancer Care

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“…The term 'adjustment to cancer' is used to describe the processes of adaptation that occurs during the illness. This process requires the patient to accommodate the changes that the cancer had introduced into multitude dimensions of their lives (8). To measure the adaptation of this type of changes, the QoL is used as the main instrument.…”

Section: Introductionmentioning

confidence: 99%

“…The adjustment to cancer is not always negative. A healthy adjustment without psychological morbidity may be constituted together with an active psychosocial process to facilitate personal growth (8).…”

Section: Introductionmentioning

confidence: 99%

Longitudinal assessment of distress and quality of life in the early stages of breast cancer treatment

Costa-Requena

Rodríguez

Fernández-Ortega

2012

Scandinavian Caring Sciences

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“…Furthermore, the psychologist was often first mentioned to the hospice patients by medical or nursing staff in terms of pain control, particularly linking physical and emotional pain. This introduction demonstrated a holistic approach to the mind and body, characteristic of palliative care, and facilitated a model of psychological care based on collaboration and emphasis upon the person's existing coping strategies and personal strengths (Brennan 2001), rather than mental illness. This link of the psychologist's role between the hospice and pain clinic appeared to work well and can be recommended.…”

Section: Discussionmentioning

confidence: 99%

“…The specific role of the psychologist was to see such patients and families (sometimes necessitating a family meeting), act as a consultation resource to the other staff and raise such issues at case reviews. Such complex relationship issues highlight emotional factors and coping strategies in dying and being bereaved (Brennan 2001). A central question is to what extent a chronically stressful relationship can be helped in a palliative care context -the optimism of reconciliation in the face of death vs. the persistence of longstanding emotional patterns.…”

Section: Discussionmentioning

confidence: 99%

An investigation of inpatient referrals to a clinical psychologist in a hospice

Alexander¹

2004

Eur J Cancer Care

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A clinical psychologist, in a new post in a hospice, developed an assessment, therapeutic and consultation role. A retrospective, diary-based audit was made of the inpatients referred during the first 2 years, allowing an examination of referral practices and changes over time as the psychologist's role developed. During the 2 years 11% of the hospice inpatients were referred, consistent with previous published work in this area. Referrals increased from 10% in year 1 to 12% in year 2. Referrals were not skewed in terms of patient gender or diagnosis but younger patients were referred more. Comparison with other studies suggests the psychologist's gender may influence referral rates of woman patients. Referrals for depression and anxiety increased in year 2 but decreased for pain. The number of patients seen with marital/family stresses also increased with time. Such patients required the most psychological input. Patients with problems of alcohol misuse or dementia were particularly challenging for the hospice team and specific training was developed. The psychologist's role is discussed in the light of these findings, particularly in enhancing the multidisciplinary team's holistic approach to the patient and their family, by emphasizing the patient's experience and the collaborative basis of care.

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Adjustment to cancer—coping or personal transition?

Cited by 103 publications

References 0 publications

A longitudinal study on emotional adjustment of sarcoma patients: the determinant role of demographic, clinical and coping variables

A longitudinal study on emotional adjustment of sarcoma patients: the determinant role of demographic, clinical and coping variables

Longitudinal assessment of distress and quality of life in the early stages of breast cancer treatment

An investigation of inpatient referrals to a clinical psychologist in a hospice

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