Adult self-image and well-being after testicular cancer: The role of agency and meaning

Ryan, Sherry; Hoyt, Michael F.

doi:10.1080/08870446.2018.1456659

Cited by 9 publications

(13 citation statements)

References 42 publications

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“…Negative body image, 33 , 42 , 43 anxiety, depression, 44 , 45 and fatigue 46 , 47 decreased patient well-being. Moreover, treatment side effects, especially pain, 48 correlated with lower well-being.…”

Section: Resultsmentioning

confidence: 99%

“…95 One study suggested that patients may find meaning in cancer by: attempting to define the disease, viewing cancer as a ‘‘divine test’’, or as a catalyst for positive self-reconstruction. 96 Intrinsic factors, such as self-esteem, 44 religious faith, 97 spiritual well-being, 98 and positive coping strategies, 99 correlated with meaning discovery. Interventions that may improve meaning discovery include increasing social support, 98 legacy making through story or art, 100 increased benevolence toward others, 64 and certain meaning-centered programs.…”

Section: Resultsmentioning

confidence: 99%

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Identification of Evidence for Key Positive Psychological Constructs in Pediatric and Adolescent/Young Adult Patients with Cancer: A Scoping Review

Wayant

Manquen

Wendelbo

et al. 2021

Journal of Adolescent and Young Adult Oncology

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Introduction: Children and adolescents/young adults (AYAs) with cancer are a vulnerable population susceptible to numerous late effects, such as fatigue and depression, which may diminish their long-term psychological, physical, spiritual, and emotional health. A well-rounded understanding of how positive psychological constructs affect the quality of care and treatment outcomes is therefore warranted. Methods: We conducted a scoping review of 15 positive psychological constructs in children and AYAs with cancer. The primary research questions were (1) what is known about positive psychological constructs in children and AYAs with cancer; (2) what value is ascribed to these constructs by patients?. Results: Two hundred seventy-six articles were included after database search and screening. These studies were mostly observational or qualitative and conducted in North America. Constructs were often poorly defined, and measurement tools used to gather data were wide ranging. Numerous factors were correlated with increased or decreased expression of certain constructs, but overall themes were difficult to identify. Similarly, patients often spoke of what increased or decreased expression of a construct, with less emphasis on what they implicitly value. Discussion: This scoping review found ample evidence for what increases or decreases expression of positive psychological constructs, but this evidence was observational and often conflicting. In the future, we recommend the development of a core set of psychological outcomes, with definitions and corresponding measurement tools. We further recommend an emphasis on randomized trials to more rigorously study how expression of constructs can be improved and what effect this has on the quality of life.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Identification of Evidence for Key Positive Psychological Constructs in Pediatric and Adolescent/Young Adult Patients with Cancer: A Scoping Review

Wayant

Manquen

Wendelbo

et al. 2021

Journal of Adolescent and Young Adult Oncology

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“…These include accomplishing relationship and career goals, 13,15,21 accepting the possibility of an uncertain future, 22 and solidifying beliefs about the self as an independent adult agent. 34 EA cancer survivors who have fewer tangible resources, less flexibility to accept goal change, and stronger visions of the self as an independent adult agent may be at greater risk to experience psychological distress as a result of cancer-related financial stress.…”

Section: Discussionmentioning

confidence: 99%

The experience of financial stress among emerging adult cancer survivors

Gupta

Mazza

Hoyt

et al. 2020

Journal of Psychosocial Oncology

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Objective: The experience of cancer-related financial stress was examined within the developmental context of emerging adulthood. Methodological approach: This study is a secondary analysis of data drawn from two samples of testicular or hematologic cancer survivors. In-depth interviews from 52 emerging adult (EA) cancer survivors, ages 18-29, were coded by combining thematic analysis with an abductive approach. Findings: Emergent themes included some common to most age groups, including worries about medical costs and availability of health insurance, as well as specific age-related concerns, such as fertility preservation. Financial stress appeared to interrupt developmental tasks of emerging adulthood, including completing an education, establishing independence, and managing relationships. Surprisingly, financial stress was experienced as a benefit for some participants. Conclusion: Financial stress affects EA cancer survivors in unique ways. To provide support, health professionals should consider survivors' developmental life stage to understand their financial stress, and ultimately, to improve quality of life.

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“…The preponderance of new diagnoses of testicular cancer occur in young adults (ages 18-29) (NCI, 2019), a life stage marked by establishing independence and by challenges in relationships and career pursuits (Arnett, 2000). Young men report disruptions in body image, elevated anxiety, changes in sexual confidence, and lowered adult self-image after treatment (Ryan & Hoyt, 2018;Smith et al, 2016). Such adverse outcomes can be perceived as inconsistent with masculine identity, contributing to psychological distress and declines in physical health (Hoyt, Stanton, Irwin, & Thomas, 2013).…”

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confidence: 99%

Cancer-related masculinity threat in young adults with testicular cancer: the moderating role of benefit finding

Wang

Hoyt

2020

Anxiety, Stress, & Coping

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BACKGROUND AND OBJECTIVES: Perceiving benefit from a healthrelated stressor such as cancer has been associated with better psychological adjustment in various cancer populations; however, it has not been studied in the context of young adulthood or gender-related cancer threat. This study investigated the role of benefit finding in psychological adjustment among young adults with testicular cancer, and whether BF moderates cancer-related masculine threat. DESIGN: This study utilizes a cross-sectional design with a diverse sample of young adult testicular cancer survivors. METHODS: Men with a history of testicular cancer (N = 171; M age = 25.2, SD = 3.32) completed questionnaires of benefit finding, cancer-related masculine threat, and indicators of psychological adjustment. RESULTS: Multiple regression analysis revealed that cancer-related masculine threat was associated with worse adjustment across indicators and that benefit finding was related to higher positive affect and lower depressive symptoms. Benefit finding attenuated the potentially adverse effect of cancer-related masculine threat on negative affect and depressive symptoms such that cancer-related masculine threat demonstrated a stronger association with negative affect and depressive symptoms for people with relatively low BF.

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Adult self-image and well-being after testicular cancer: The role of agency and meaning

Abstract: Assessment of adult self-image might be useful in identifying risk for poor adjustment. Interventions that target agency and meaning might facilitate developmental goals.

Cited by 9 publications

References 42 publications

Identification of Evidence for Key Positive Psychological Constructs in Pediatric and Adolescent/Young Adult Patients with Cancer: A Scoping Review

Identification of Evidence for Key Positive Psychological Constructs in Pediatric and Adolescent/Young Adult Patients with Cancer: A Scoping Review

The experience of financial stress among emerging adult cancer survivors

Cancer-related masculinity threat in young adults with testicular cancer: the moderating role of benefit finding

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