Understanding Denial

Stephenson, Pamela S.

doi:10.1188/04.onf.985-988

Cited by 10 publications

(5 citation statements)

References 11 publications

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“…This theory suggests that to actively cope with noncontrollable stressors could increase odds for maladjustment and psychological difficulties in several domains (Aldridge and Roesch, 2007; Schwartz et al, 2006). Therefore, a repressive coping style could be more adaptative in such circumstances (Stephenson, 2004). At highly stressful circumstances, this repressive style could help to focus on the task and not feel overwhelmed by emotions that could interfere with medical guidelines (Vos and De Haes, 2007).…”

Section: Discussionmentioning

confidence: 99%

Surviving cancer: The psychosocial outcomes of childhood cancer survivors and its correlates

et al. 2014

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This study assessed the psychosocial outcomes of adolescent cancer survivors and their relationship with personal and socio-familiar factors. Using a cross-sectional design, 41 survivors answered the four psychosocial dimensions of the KIDSCREEN-52 questionnaire and measures for social support and coping. Similarly, 41 parents answered coping and cancer-related distress measures. All psychosocial scores were within normative values (50 ± 10). Multiple linear regression analyses revealed four models with a range of explained variance between 9.4 percent and 31.9 percent that include the informative and emotional support, parental distress, and coping. This study contributes to the understanding of psychosocial outcomes of childhood cancer survivors and its correlates.

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Section: Discussionmentioning

confidence: 99%

Surviving cancer: The psychosocial outcomes of childhood cancer survivors and its correlates

et al. 2014

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“…Our findings of denial, inevitability, and helplessness support previous findings that this powerful emotion can result in difficulty in engaging with self-care and adherence to treatment particularly in chronic diseases [ 31 ]. It has been suggested that the diagnosis of a chronic illness can result in a reaction that resembles the stages of mourning, of which denial is a fundamental step, and that moving onto acceptance involves building a new identity [ 32 ]. Patience and understanding is needed to provide a safe and trusting environment to encouraging patients experiencing denial to develop a sense of autonomy in managing their diabetes [ 31 , 33 ].…”

Section: Discussionmentioning

confidence: 99%

“…It has been suggested that the diagnosis of a chronic illness can result in a reaction that resembles the stages of mourning, of which denial is a fundamental step, and that moving onto acceptance involves building a new identity [32]. Patience and understanding is needed to provide a safe and trusting environment to encouraging patients experiencing denial to develop a sense of autonomy in managing their diabetes [31,33].…”

Section: Intrinsic Factorsmentioning

confidence: 99%

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“I know what I'm supposed to do, but I don't do it”: patient‐perceived risk factors that lead to their lower extremity amputations

Ben chmo,

Matricciani,

Kumar

et al. 2023

Journal of Foot and Ankle Research

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Background The purpose of this study is to extend on our previous research by exploring patient-perceived factors that lead to their Lower Extremity Amputations (LEA). LEA are a serious complication of Type 2 Diabetes Mellitus (T2DM), LEA are thought to be preventable with early detection and management of risk factors. Our previous study identified that these factors extend beyond the typical biological and modifiable risk factors and may also extend to patient awareness and competing priorities. Therefore, this research explored these issues in further detail, identifying patient-perceived factors that lead to their LEA. Methods A qualitative descriptive methodology involving non-probability purposive sampling was used to recruit inpatients at a tertiary metropolitan hospital in South Australia. Semi-structured interviews were conducted, and data were transcribed verbatim. Data from the interviews were analysed using thematic analysis and the constant comparison approach. Results A total of 15 participants shared their perspectives of risk factors for LEA. Two main themes emerged: intrinsic and extrinsic factors. Intrinsic factors identified in this study included identity, ambivalence, denial, inevitability, and helplessness. Extrinsic factors related to resources, rapport with healthcare professionals, and management of care. Conclusions Through identifying that a combination of perceived personal attributes (intrinsic) and system-level (extrinsic) factors likely contribute to LEA, this study highlights the complexity of factors that contribute to patients' perceptions of what led to their diabetes related LEA. These findings support the importance of a nuanced approach in managing patients with diabetes who are at risk of LEA as it's likely patients’ personal circumstances, day-to-day life’s requirements and responsibilities, their interaction with healthcare professionals all seemingly contribute to how risks are viewed and managed. Tackling this challenge will require reimagining diabetes care, acknowledgement of risk factors beyond the obvious and addressing persistent access and workforce issues.

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“…Además, Lazarus (39) ya indicaba que no es correcto hablar de estrategias buenas o malas en términos absolutos, sino que la adecuación de éstas siempre deberá valorarse en función de las características de la situación estresante y de las características personales del individuo que le haga frente. En el ámbito de la psico-oncología se ha hablado de la utilidad de las estrategias de desvinculación cognitivo-conductual en diversos trabajos (40,41) . En ellos, se postulaba la utilidad de estrategias tales como la negación o la represión emocional, como elementos que, puntualmente, pueden favorecer el seguir centrado en una serie de objetivos relacionados con el tratamiento o las rutinas cotidianas y no dejar lugar a la tristeza y/o la depresión, que en muchos casos podría llegar a ser incapacitante o interferir con las pautas médicas (42) .…”

Section: Discusión Y Conclusionesunclassified

Optimismo, afrontamiento y cáncer pediátrico: un estudio descriptivo

Castellano-Tejedor

2015

Psicooncología

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ResumenObjetivo y métodos: El presente trabajo tiene por objetivo evaluar los niveles de optimismo en los peores momentos del proceso oncológico (auto-referidos) en una muestra de adolescentes oncológicos en remisión (N=41). Asimismo, se explorará si dicho optimismo se asocia con el afrontamiento llevado a cabo en esos momentos y; por otra parte, con la calidad de vida (CVRS) resultante en periodo de supervivencia.Resultados: Un 70,7% de adolescentes se manifestaron optimistas en los peores momentos de su enfermedad. Los adolescentes considerados "pesimistas" mostraron hacer un mayor uso de las estrategias de "auto-inculparse" y "buscar apoyo espiritual" que los "optimistas". Por último, sólo se observó una relación significativa entre el optimismo durante los momentos más difíciles del proceso oncoló-gico y la dimensión de "bienestar físico" de la CVRS resultante en periodo de remisión.Conclusiones: No ha podido observarse un efecto claro del optimismo durante el cáncer y la CVRS resultante. Así, podría ser que el optimismo fuese una condición necesaria para sobrellevar la enfermedad de un modo más adaptativo, pero quizás no es suficiente como para suponer una mayor CVRS una vez el cán-cer ha remitido. Incluso es probable que el optimismo pueda facilitar la ocurrencia de otro Abstract Purpose and methods: This study is aimed to assess optimism in the worst self-reported moments of the oncological process in a sample of adolescent survivors of childhood cancer (N=41). It will also explore whether this optimism is associated with coping in such situations as well as with health-related quality of life (HRQoL) in survival.Results: Up to 70.7% of the sample referred to be optimistic in the worst situations of the illness. Those adolescents considered as "pessimistic" showed greater use of "selfblame" and "seek for spiritual support" strategies. However, it could not be observed a significant relationship between optimism and coping in the worst self-reported situations, and only one significant relationship was identified between optimism and the "physical well-being" dimension of HRQoL.Conclusions: It could not be identified a clear effect of optimism displayed during cancer and HRQoL in survival period. Thus, it is possible that optimism might be a necessary condition to face difficulties in a more adaptative manner during the illness, but not sufficient to have a significant effect on resulting HRQoL after cancer remission. It is even probable that optimism may facilitate the occurrence of other variables that could have a more significant effect on HRQoL in

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Understanding Denial

Abstract: Clinicians should not underestimate the value of the nurse-patient relationship when a patient is in denial. Patience, understanding, and self-awareness are crucial for providing a safe, trusting environment for patients who are experiencing denial.

Cited by 10 publications

References 11 publications

Surviving cancer: The psychosocial outcomes of childhood cancer survivors and its correlates

Surviving cancer: The psychosocial outcomes of childhood cancer survivors and its correlates

“I know what I'm supposed to do, but I don't do it”: patient‐perceived risk factors that lead to their lower extremity amputations

Optimismo, afrontamiento y cáncer pediátrico: un estudio descriptivo

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