Coping, psychopathology, and quality of life in cancer patients under palliative care

Sorato, Daniela Batista; Osório, Flávia de Lima

doi:10.1017/s1478951514000339

Cited by 18 publications

(13 citation statements)

References 26 publications

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“…Third, early and meticulous psychiatric evaluation and management for suspected depressive symptoms are needed. In a previous study, cancer patients who used certain types of coping mechanisms, including social support seeking, were inversely correlated with depression (Sorato & Osorio, 2015). Our study adds value in support of this issue because we found that depression exerted the largest negative effects on spiritual well-being, interpersonal coping, and QOL.…”

Section: Discussionmentioning

confidence: 94%

Mediating effect of interpersonal coping on meaning in spirituality and quality of life and the influences of depression and anxiety thereon in cancer patients

et al. 2018

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ObjectiveThis study aimed to investigate associations among spirituality, coping strategies, quality of life (QOL), and the effects of depression and anxiety thereon in cancer patients.MethodIn total, 237 cancer patients referred to a psycho-oncology clinic at a university hospital in Korea were enrolled. After identifying predictors of patient QOL in a stepwise regression model, we developed a hypothetical path model wherein interpersonal coping was considered as a mediating variable between spirituality (meaning/peace) and QOL and wherein depression and anxiety affected each of these three variables.ResultThe direct effect of spirituality (meaning/peace) on QOL was 36.7%. In an indirect model, interpersonal coping significantly mediated the relationship between spirituality (meaning/peace) and QOL. Depression exerted the largest negative effect on spirituality (meaning/peace), interpersonal coping, and QOL. Anxiety had negative effects on spirituality (meaning/peace) and QOL, but a positive effect on interpersonal coping.Significance of resultsInterpersonal coping strategies work as a partial mediator of the relationship between meaning/peace subscales of spirituality and QOL. Effective management of depression may help in achieving better outcomes associated therewith. Greater attention and efforts to improve social connectedness and meaning of life in spiritual well-being may improve the QOL of cancer patients.

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Section: Discussionmentioning

confidence: 94%

Mediating effect of interpersonal coping on meaning in spirituality and quality of life and the influences of depression and anxiety thereon in cancer patients

et al. 2018

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“…In Asian culture, people usually do not express their negative emotions (McGoldrick, Giordano, & Garcia‐Preto, 2005). Furthermore, increasing escape–avoidance coping has been related to a high level of psychological distress (Sorato & Osório, 2015). Participants mentioned that they faced reality with a positive attitude and constantly relieved themselves of their negative emotions so that their life could move on.…”

Section: Discussionmentioning

confidence: 99%

Heavy shackles: The experience of symptom distress and coping behaviors of Chinese patients with chronic obstructive pulmonary disease

Han

Peng

et al. 2020

Nursing & Health Sciences

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People with chronic obstructive pulmonary disease exhibit various symptoms, some of which can negatively affect their daily lives. Thus, they may adopt coping behaviors to improve their condition. This qualitative descriptive study investigated symptom distress and coping behaviors among 19 Chinese patients with chronic obstructive pulmonary disease using individual, semi-structured, face-to-face interviews. We identified the following three themes for the patients' symptom distress: distressing symptoms, inescapable imprisonment, and no choice other than being a burden to the family. The various coping behaviors of the patients were categorized into the following three themes: struggle during the medical treatment process, careful maintenance of daily life, and coping with negative emotions. Although all patients experienced physical and psychological distress, they displayed a strong desire to improve their lives and health. By recognizing the patients' symptom distress and coping behaviors, tailored interventions could be developed to improve the quality of their lives. K E Y W O R D S chronic obstructive pulmonary disease, coping behavior, qualitative research, symptom distress 1 | INTRODUCTION Chronic obstructive pulmonary disease (COPD) is a common chronic respiratory disease with a high morbidity and mortality. COPD is a public health issue with a global prevalence of 11.7% (Adeloye et al., 2015). According to the World Health Organization (2019), more than 4.5 million patients will die from COPD and related diseases by 2030, which would make it the third leading cause of death worldwide. Recent studies reported that the prevalence of COPD in the Chinese population aged 40 years and above ranged from 13.6% to 13.7% (Fang et al., 2018; Wang et al., 2018), and that it had increased by approximately 70% in the last decade (Zhong et al., 2007). People with COPD experience various symptoms that negatively affect their quality of life (Jones, Watz, Wouters, & Cazzola, 2016). They adopt various strategies to manage their physical and psychological symptoms (The Global Initiative for Chronic Obstructive Lung Disease, 2020; Tselebis et al., 2016). However, current coping strategies for COPD focus mainly on individualized pharmacotherapies and not on personalized coping behaviors (Franssen et al., 2019). To reduce the burden of symptom distress in patients with COPD, understanding their coping mechanisms is essential for providing efficient guidance.

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“…Strategies that are ineffective for palliative patients have been described as coping mechanisms that do not ensure satisfactory quality of life or physical, emotional and social well-being. 4 Within our sample, the strategies that promoted psychological inflexibility were considered ‘reactive’ in nature as they only temporarily attenuated the aversive feelings associated with losses and closely linked to a self-centred focus. Resigned or passive acceptance was also salient and considered as an ineffective response to undesirable events.…”

Section: Discussionmentioning

confidence: 99%

“…1 Palliative patients suffer from physiological and psychological difficulties including threats to their sense of self. [2][3][4][5][6] In adjusting to terminal illness, individuals have to overcome impairment to personal and social identities. 7 Being a palliative care patient involves a constant awareness of the fragility of life, as patients try to arrange their lives to incorporate treatment and individual goals.…”

Section: Introductionmentioning

confidence: 99%

‘I would describe myself as a deformed troll’: Using interpretative phenomenological analysis to explore body image struggles among palliative care patients

2018

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Background: Illness adjustment is a widely studied area in the palliative care context. However, research focussing on how altered body image can affect men and women in palliative care is limited and unclear. Aim: To explore the links between palliative care patients’ affected sense of self, altered body image and terminal illness adjustment. Design: Semi-structured interviews were conducted, and the Interpretative Phenomenological Analysis approach was used to analyse patients’ experiences. Setting/participants: English-speaking, adult palliative care outpatients were interviewed at a local community hospice in the United Kingdom. The mean age was 55 years (ranging from 35–65 years). Results: Analysis of accounts indicated three superordinate themes: (1) ‘Not being me’: self-discrepancy, (2) existing in the landscape of loss, (3) living and thriving in the landscape of loss. The most disturbing issues, such as appearance-focussed struggles and low body-confidence, were stemming from participants’ frustration over their lack of control and their attachment to their former self-image. Conclusions: The patients’ insights demonstrated that body image distress was prevalent among all respondents regardless of gender or diagnosis. A spiral model is described showing how discrepancy-based processing (i.e. ‘not being me’) and rigid attachment to former self can have harmful consequences on palliative patients’ abilities to cope. In order to facilitate adjustment to a self-identity crisis resulting from a terminal diagnosis, it is necessary for professionals to recognise and address body image changes among palliative care outpatients.

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Coping, psychopathology, and quality of life in cancer patients under palliative care

Cited by 18 publications

References 26 publications

Mediating effect of interpersonal coping on meaning in spirituality and quality of life and the influences of depression and anxiety thereon in cancer patients

Mediating effect of interpersonal coping on meaning in spirituality and quality of life and the influences of depression and anxiety thereon in cancer patients

Heavy shackles: The experience of symptom distress and coping behaviors of Chinese patients with chronic obstructive pulmonary disease

‘I would describe myself as a deformed troll’: Using interpretative phenomenological analysis to explore body image struggles among palliative care patients

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