Coping Strategies for Stress and Self-Efficacy in Patients With Cancer and Their Spouses

Amirshamsi, Mohammad; Shahrbabaki, Mangolian; Dehghan, Mahlagha

doi:10.1097/ncc.0000000000001010

Cited by 10 publications

(7 citation statements)

References 46 publications

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“…We also observed that a lower self-efficacy was associated with a higher cancer-specific distress. It is known that psychological interventions can improve patients’ self-efficacy and thus may reduce cancer-specific distress 28 29. However, we did not evaluate whether the patients received professional psychological support for their distress.…”

Section: Discussionmentioning

confidence: 98%

Psychological impact of referral to an oncology hospital on patients with an ovarian mass

Lof

Engelhardt

Gent

et al. 2022

Int J Gynecol Cancer

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ObjectivesIn patients with an ovarian mass, a risk of malignancy assessment is used to decide whether referral to an oncology hospital is indicated. Risk assessment strategies do not perform optimally, resulting in either referral of patients with a benign mass or patients with a malignant mass not being referred. This process may affect the psychological well-being of patients. We evaluated cancer-specific distress during work-up for an ovarian mass, and patients’ perceptions during work-up, referral, and treatment.MethodsPatients with an ovarian mass scheduled for surgery were enrolled. Using questionnaires we measured (1) cancer-specific distress using the cancer worry scale, (2) patients’ preferences regarding referral (evaluated pre-operatively), and (3) patients’ experiences with work-up and treatment (evaluated post-operatively). A cancer worry scale score of ≥14 was considered as clinically significant cancer-specific distress.ResultsA total of 417 patients were included, of whom 220 (53%) were treated at a general hospital and 197 (47%) at an oncology hospital. Overall, 57% had a cancer worry scale score of ≥14 and this was higher in referred patients (69%) than in patients treated at a general hospital (43%). 53% of the patients stated that the cancer risk should not be higher than 25% to undergo surgery at a general hospital. 96% of all patients were satisfied with the overall work-up and treatment. No difference in satisfaction was observed between patients correctly (not) referred and patients incorrectly (not) referred.ConclusionsRelatively many patients with an ovarian mass experienced high cancer-specific distress during work-up. Nevertheless, patients were satisfied with the treatment, regardless of the final diagnosis and the location of treatment. Moreover, patients preferred to be referred even if there was only a relatively low probability of having ovarian cancer. Patients’ preferences should be taken into account when deciding on optimal cut-offs for risk assessment strategies.

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Section: Discussionmentioning

confidence: 98%

Psychological impact of referral to an oncology hospital on patients with an ovarian mass

Lof

Engelhardt

Gent

et al. 2022

Int J Gynecol Cancer

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“…As breast cancer survivors experience less tension and discomfort, the negative feelings of the spousal caregiver decrease, prompting the spousal caregiver to better engage in home care, rather than focusing on cancer recurrence. The well-being of spousal caregivers improves the confidence of breast cancer survivors in overcoming the disease and their adherence to treatment and promotes recovery 39 40. Therefore, clinical practitioners should conduct family centred nursing interventions to alleviate spouses’ FCR, by reducing the perceived stress of breast cancer survivors to enhance family support, which could be regarded as a new approach to reduce survivors’ FCR.…”

Section: Discussionmentioning

confidence: 99%

Investigating fear of cancer recurrence among female breast cancer survivors and their spouses in southwest China: a cross-sectional study

Tao,

Ma,

Yang

et al. 2024

BMJ Open

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ObjectivesExamining fear of cancer recurrence (FCR) among breast cancer survivors and their spouses, and the protective effect of family resilience on FCR among couples affected by breast cancer.DesignCross-sectional survey design.SettingTen general grade IIIa (>500 beds) hospitals in southwest China.ParticipantsOverall, 392 early breast cancer survivors and their spousal caregivers (N=392) were recruited from cancer centres in hospitals.Primary and secondary outcome measuresSpouses’ and survivors’ FCR were the primary outcome measures. Family resilience and perceived stress were the secondary outcome measures. Using a convenience sampling method, we collected data on-site using paper questionnaires. The Chinese version of the Family Resilience Assessment Scale, Perceived Stress Scale, Fear of Progression Questionnaire Short Form and Fear of Progression Questionnaire-Short Form for spouses were used to evaluate the outcomes.ResultsThe model accounted for 66.3% and 53.6% of the variance in spouses’ FCR and survivors’ FCR, respectively. Family resilience directly negatively affected perceived stress and spouses’ and survivors’ FCR (β=−0.22; β=−0.13; β=−0.19). Perceived stress was a partial mediator of the association between family resilience and survivors’ FCR (β=−0.070; 95% CI :−0.151 to –0.022). Spouses’ FCR partially mediated the association between family resilience and survivors’ FCR (β=−0.048; 95% CI= −0.092 to –0.015). Perceived stress and spouses’ FCR played a significant chain-mediated role between family resilience and survivors’ FCR (β=−0.061; 95% CI: −0.119 to –0.022).ConclusionsFamily-centred approaches to reducing survivors’ perceived stress can improve the psychological well-being of couples affected by breast cancer and ultimately reduce FCR. Medical staff should consider the psychological feelings of survivors and their spousal caregivers when devising the intervention plan, which should address the families’ potential and mobilise family and community resources for increasing family resilience.

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“…17 Self-efficacy also relates to individuals' ability to control their behavior and coping strategies (ie, coping mode). 18 As an essential mechanism in the stress response, coping mode regulates and affects a person's responses to stress. When faced with stressful events, individuals may adopt different ways of relieving stress, affecting their QoL.…”

Section: Introductionmentioning

confidence: 99%

“…Self-efficacy also relates to individuals’ ability to control their behavior and coping strategies (ie, coping mode) 18 . As an essential mechanism in the stress response, coping mode regulates and affects a person’s responses to stress.…”

Section: Introductionmentioning

confidence: 99%

The Mediating Role of Self-efficacy and Coping Mode Between Powerlessness and Quality of Life in Patients with Venous Leg Ulcers

Shan,

Li,

et al. 2024

Adv Skin Wound Care

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OBJECTIVE To explore the mediating effect of self-efficacy and coping mode between powerlessness and quality of life in patients with a venous leg ulcer (VLU). METHODS The authors used a convenience sampling method to select 208 patients with a VLU in four tertiary grade A hospitals in Qingdao and Tianjin from June 2021 to August 2022. Instruments included the Powerlessness Assessment Tool, Venous Leg Ulcer Self-efficacy Tool, Medical Coping Modes Questionnaire, and Venous Leg Ulcer Quality of Life Questionnaire. The authors used descriptive statistics, Pearson correlation, and PROCESS macros for data analysis. RESULTS The powerlessness score was significantly negatively associated with self-efficacy and confrontation coping mode scores and positively associated with patients’ quality-of-life scores. In addition, self-efficacy and confrontation coping modes separately and sequentially mediated the relationship between powerlessness and quality of life. CONCLUSIONS Self-efficacy and confrontation coping mode play important mediating roles between powerlessness and quality of life in patients with VLUs. By decreasing patients’ sense of powerlessness, boosting their self-efficacy, and encouraging them to adopt confrontation coping mode, health professionals can improve patients’ quality of life.

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Coping Strategies for Stress and Self-Efficacy in Patients With Cancer and Their Spouses

Cited by 10 publications

References 46 publications

Psychological impact of referral to an oncology hospital on patients with an ovarian mass

Psychological impact of referral to an oncology hospital on patients with an ovarian mass

Investigating fear of cancer recurrence among female breast cancer survivors and their spouses in southwest China: a cross-sectional study

The Mediating Role of Self-efficacy and Coping Mode Between Powerlessness and Quality of Life in Patients with Venous Leg Ulcers

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