Consulting a traditional healer and negative illness perceptions are associated with non-adherence to treatment in Indonesian women with breast cancer

Abstract

Objective: The aim of the present study was to test the association between psychosocial factors and delay in uptake of treatment and treatment non-adherence in Indonesian women with breast cancer.Methods: Seventy consecutive patients with breast cancer who were treated at the Hasan Sadikin Hospital in Indonesia were recruited. They completed a demographic form, the non-adherence questionnaire, the Breast Cancer Knowledge Test, the Brief Illness Perception Questionnaire, the Multidimensional Health Locus of Control Scales, the Satisfaction with Cancer Information Profile and the Distress Thermometer.Results: Seventeen (24%) out of 70 patients reported that they had delayed initiating treatment at the hospital, and nine (13%) out of 70 patients had missed two or more consecutive treatment sessions. In the bivariate analyses, we found no significant differences on any of the psychological variables between patients who delayed initiating treatment and those patients who did not, whereas patients who had missed two or more consecutive sessions had lower satisfaction with the type and timing of information provided and more negative illness perceptions than patients who had not missed their sessions. In multivariate regression analyses, consulting a traditional healer before diagnosis was associated with treatment delay (β = 1.27, p = 0.04). More negative illness perceptions (β = 0.10, p = 0.02) and whether a traditional healer had been consulted after diagnosis (β = 1.67, p = 0.03) were associated with missing treatment sessions.Conclusions: Indonesian health professionals need to be aware of patients' negative illness perceptions and their unrealistic belief in traditional healers.

How is Indonesia coping with its epidemic of chronic noncommunicable diseases? A systematic review with meta-analysis

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“…nasopharyngeal cancer [54, 72], breast cancer [83, 91, 92], cervical cancer [108], and colorectal cancer [75]. Tackling low screening uptake [75], improving early diagnosis, and increasing compliance with treatment [72] as well as better advanced physician’s knowledge and continuous education [54] are necessary steps to be taken.…”

The contribution of illness perception to psychological distress in heart failure patients

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Kanser Hastalarında Hastalık Algısının Değerlendirilmesi

“…Bu sonuç hastaların hastalığın süresi, seyri ve tedavisini kontrol edebildiği ile ilgili güçlü inançlara sahip olduklarını göstermektedir. Konu ile ilgili literatür incelendiğinde kanser hastalarında kişisel kontrol puanlarının genel olarak düşük olduğu tespit edilmiş olmasına rağmen 15,17,19,20 kişisel kontrol algısının yüksek olduğu kısıtlı sayıda çalışmaya da rastlanılmıştır. 21,23 Kanser tanısıyla birlikte birey, yaşamının tüm temel gerçeklerini ve kendi yaşamını anlayabilme ve kendi yaşamı üzerindeki kontrolü yeniden kazanabilmek için sorgulamaya başlar.…”