Changes in intimate relationships following treatment for head and neck cancer—A qualitative study

Stenhammar, Christina; Isaksson, Joakim; Granström, Brith; Laurell, Göran; Ehrsson, Ylva Tiblom

doi:10.1080/07347332.2017.1339224

Cited by 8 publications

(5 citation statements)

References 43 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…It is based on evidence that major crises have the capacity to overthrow established beliefs and attitudes following the stimulation of cognitive processing 40 . In this context, patients may report a new sense of closeness, love and intimacy in their relationships 41 . Relatedness, on the other hand, is conceptualized as a mutual experience, which should be reflected by an item pool that measures positive and negative relational experiences as well as the individual's idea of its outside perception.…”

Section: Discussionmentioning

confidence: 99%

The role of attachment avoidance: A longitudinal mediation model predicting existential distress in patients with advanced cancer

Philipp

Mehnert²,

Koranyi³

et al. 2021

Psycho-Oncology

View full text Add to dashboard Cite

Objective Although a protective effect of reliable interpersonal relationships on existential distress has been established, evidence remains inconclusive for attachment insecurity as an underlying factor of persistent psychological distress. We tested a longitudinal model hypothesizing attachment avoidance as a mediator of high demoralization and anxiety over time. Methods We studied 206 patients with advanced cancer (mean age = 59.6, 61% female) participating in an intervention trial. Patients completed self‐report measures for demoralization, anxiety, perceived relatedness, attachment insecurity, and death anxiety. Our mediated path model included perceived relatedness and death anxiety at baseline as predictors, attachment avoidance at baseline as mediator, and demoralization and anxiety at 6‐month follow‐up (N = 125) as outcomes. Results Attachment avoidance partially mediated the relationship between death anxiety and demoralization (β = 0.07, 95% CI 0.02–0.12) and anxiety (β = 0.05, 95% CI 0.001–0.10). Findings for perceived relatedness were less conclusive. Its indirect effects through attachment avoidance were significant for both outcomes (demoralization: β = −0.07, 95% CI −0.13 to −0.02, anxiety: β = −0.05, 95% CI −0.11 to −0.003). Conclusions Due to its trait‐like quality, attachment avoidance may play a less central role in explaining the course of existential distress over time than previous research indicated. Addressing change‐sensitive relational concerns in psychosocial interventions may be more effective to alleviate existential distress.

show abstract

Section: Discussionmentioning

confidence: 99%

The role of attachment avoidance: A longitudinal mediation model predicting existential distress in patients with advanced cancer

Philipp

Mehnert²,

Koranyi³

et al. 2021

Psycho-Oncology

View full text Add to dashboard Cite

show abstract

“…Written informed consent was obtained from all of the patients, and the study was reviewed and approved by the Regional Ethical Review Board in Umeå (Dnr 2010-24-31). Four articles have previously been published from the material obtained from the clinical development programme (Isaksson, Salander, Granström, & Laurell, 2014;Isaksson, Wilms, Laurell, Fransson, & Ehrsson, 2016;Salander, Isaksson, Granström, & Laurell, 2016;Stenhammar, Isaksson, Granström, Laurell, & Ehrsson, 2017).…”

Section: Ethical Considerationsmentioning

confidence: 99%

Experiences and coping strategies related to food and eating up to two years after the termination of treatment in patients with head and neck cancer

2018

Self Cite

View full text Add to dashboard Cite

The purpose was to describe how patients with head and neck cancer experience and cope with difficulties related to food and eating up to two years after the termination of treatment. One hundred and thirty‐five patients were followed with thematically structured interviews. The patients’ responses of nutritional issues were categorised using similarities and differences technique. In the analysis, six categories emerged describing the process of eating and drinking from the end of treatment up to two years after treatment: The constant battle—eating and drinking over time, Food alterations and nutritional support—both pros and cons, Standing aside and not joining in when eating together with others, Finding ways to cope and to make the new a part of everyday life, Relationships and social support—hindrances and facilitators, and Longing for “normality.” Results imply that patients struggle with physiological, psychological and social aspects related to food and eating, and use coping mechanisms to facilitate their eating problems. The best practice for rehabilitation and follow‐up must be established in order to meet the multifaceted needs of head and neck cancer survivors.

show abstract

“… 62–65 Our group includes expertise in the field of human–computer interaction and user-centred design, 66 especially eHealth applications, including gender aspects, 67 expertise regarding ICs in the cancer context 68 and expertise in nursing and medical aspects of patients with HNC. 69 …”

Section: Methods and Analysismentioning

confidence: 99%

Internet-based support for informal caregivers to individuals with head and neck cancer (Carer eSupport): a study protocol for the development and feasibility testing of a complex online intervention

et al. 2022

Self Cite

View full text Add to dashboard Cite

IntroductionIt is strongly recommended that randomised controlled trials are preceded with an exploration of the needs of the target population and feasibility testing of the intervention. The present study protocol is set out to describe these steps in the development of a complex intervention.The past decades’ transition of care from inpatient to outpatient settings has increased the complexity of caregivers’ responsibilities, which they may not be prepared for. There is a need to support informal caregivers (ICs) to prepare them for caregiving and decrease the caregiver burden. The main aim of this study is to describe the development of an internet-based intervention (Carer eSupport) to improve ICs’ ability to support individuals with head and neck cancer and to describe the testing of the feasibility and acceptability of Carer eSupport.Methods and analysisThis is a multicentre study involving the ear, nose and throat clinics and the oncology and radiotherapy clinics at three university hospitals. The study protocol comprises two phases, development and feasibility testing, using the Medical Research Council framework for developing a complex intervention. Carer eSupport will be based on the results from focus group discussions with ICs and healthcare professionals (planned for n=6–8 in respective groups) and scientific evidence, the Social Cognitive Theory and the Theory of Acceptance and Use of Technology. The feasibility testing will include 30 ICs who will have access to Carer eSupport for 1 month. The feasibility testing will be evaluated with a mixed-method design.Ethics and disseminationAll procedures have been approved by the Ethics Committee at Uppsala University (Dnr: 2020-04650). Informed consent will be obtained before enrolment of patients, their ICs and healthcare staff. The feasibility testing is registered at Clinicaltrials.gov (Identifier: NCT05028452). Findings will be disseminated in peer-reviewed journal publications.Trial registration numberClinicaltrials.gov (Identifier: NCT05028452

show abstract

Changes in intimate relationships following treatment for head and neck cancer—A qualitative study

Cited by 8 publications

References 43 publications

The role of attachment avoidance: A longitudinal mediation model predicting existential distress in patients with advanced cancer

The role of attachment avoidance: A longitudinal mediation model predicting existential distress in patients with advanced cancer

Experiences and coping strategies related to food and eating up to two years after the termination of treatment in patients with head and neck cancer

Internet-based support for informal caregivers to individuals with head and neck cancer (Carer eSupport): a study protocol for the development and feasibility testing of a complex online intervention

Contact Info

Product

Resources

About