Research Square (Research Square),
Год журнала:
2023,
Номер
unknown
Опубликована: Дек. 5, 2023
Abstract
Background
:
The
timing
of
a
breast
cancer
(BC)
diagnosis
has
significant
psychological
impact
on
patients.
However,
it
reported
that
those
eligible
for
treatment
regimens
based
neoadjuvant
chemotherapy
may
experience
high
levels
depression,
anxiety
and
distress.
To
cope
with
this
situation,
patients
deploy
coping
strategies.
aim
study
is
to
explore
effective
ineffective
adjustment
mobilized
by
Moroccan
newly
diagnosed
BC
before
receiving
chemotherapy,
as
well
identify
their
associations
socio-demographic
clinical
determinants.
Materials
Methods:
A
total
209
were
recruited
in
outpatient
oncology
department
the
public
hospital
Fez
city,
between
2021
2023.
Ethics
approval
was
obtained
signed
an
informed
consent
form.
questionnaire
interview
included
socio-economic
variables
Arabic
version
Mini-Mental
Adjustment
Cancer
(Mini-MAC)
scale,
which
measures
strategies
mental
disease,
fighting
spirit
(FS),
hopelessness/helplessness
(HH),
anxious
preoccupations
(AP),
cognitive
avoidance
(CA),
fatalism
(FA),
“maladaptive
coping”
“adaptive
coping”.
Bivariate
analysis
sociodemographic
carried
out
using
statistical
tests
according
nature
variables,
normality
homogeneity
variances.
Univariate
multivariate
linear
regression
modelling
forward
"enter"
procedure.
Results:
mean
age
47.43±9.45
found
among
participants.
Assessment
Mini-MAC
scores
revealed
higher
score
FA,
FS
"adaptive
coping"
Based
mainly
multiple
Regression,
monthly
family
income
negatively
associated
HH,
positively
linked
FA
Moreover,
left
side
laterality
AP
Furthermore,
positive
ER
status
HH
Ki-67
AP.
Conclusion:
Programs
strengthen
candidates
NACT,
taking
into
consideration
determinants
study,
are
great
importance
since
first
consultation.
Abstract
Purpose
In
this
study,
exercise
interventions
were
evaluated
for
their
effects
on
cancer-related
fatigue
(CRF)
and
quality
of
life
(QoL)
among
cancer
patients.
Design
A
meta-analysis
was
performed.
Methods
We
systematically
searched
the
PubMed/Medline,
Web
Science,
Embase,
Cochrane
Central
Register
Controlled
Trials
(CENTRAL),
PsycINFO,
CINAHL
databases,
gray
literature
sources
including
Virginia
Henderson
International
Nursing
Library
Google
Scholar.
This
study
only
included
randomized
controlled
trials
(RCTs)
examining
how
affect
CRF
QoL
Based
Risk-of-Bias
Assessment
Tool,
version
2
(RoB
2)
Grading
Recommendations
Assessment,
Development
Evaluation
(GRADE)
approach,
methodological
studies
evaluated.
addition,
standardized
mean
differences
(SMDs)
95%
confidence
intervals
(CIs)
applied
to
assess
intervention
effect
with
respect
QoL.
Data
analysis
performed
using
Review
Manager
(version
5.4).
Results
There
a
total
1573
participants
in
28
articles.
According
meta-analysis,
(SMD
=
-0.35,
CI:
-0.63
-0.07,
p
0.01)
0.36,
0.20
0.53,
<
positively
affected
by
interventions.
Subgroup
analyses
revealed
considerable
improvements
-0.54,
-1.00
-0.09,
0.02)
0.38,
0.16
0.59,
from
aerobic
exercise.
An
duration
less
than
12
weeks
had
better
-0.80,
-1.43
-0.17,
0.21
0.85,
0.01),
three
times
per
week
most
effective
frequency
improving
0.69,
0.28
1.11,
0.01).
Exercise
more
successful
-0.66,
-1.10
-0.21,
(SMD=-0.50,
0.23
0.78,
female
Sensitivity
showed
that
pooled
outcomes
reliable
stable.
Conclusion
are
workable
approach
improve
might
be
QoL,
appropriate
frequency.
have
positive
Additionally,
larger
number
high-quality
RCTs
should
conducted
further
confirm
efficacy
Registration
CRD42022351137.
As
survival
rates
from
breast
cancer
increase,
the
post-treatment
period
poses
several
challenges,
including
a
high
burden
of
cancer-related
symptoms
that
interfere
with
quality
life.
This
study
aims
to
provide
better
understanding
relationship
between
coping
(approach
and
avoidance),
emotional
processing
(emotional
awareness
acceptance
emotions),
symptoms.
is
cross-sectional,
secondary
analysis
baseline
data
randomized
controlled
trial
entitled
"The
Role
Emotional
Processing
in
Art
Therapy"
(REPAT)
study.
Participants
included
179
survivors
6.1
months
on
average
after
completing
primary
treatment.
completed
questionnaires
measuring
approach
avoidance
coping,
emotions,
(depression,
fatigue,
pain),
Level
Awareness
performance
scale.
Hierarchical
linear
regressions
were
performed
while
adjusting
for
background
variables.
experienced
significant
depressive
(51.7%),
fatigue
(78.8%),
pain
interference
(78%),
intensity
(66%).
There
strong
correlations
depression,
pain.
After
confounders,
emotions
was
negatively
associated
positively
interference.
not
symptoms,
but
both
significantly
emotions.
Breast
survivors'
presents
challenge
dealing
elevated
Regardless,
low
fewer
Supportive Care in Cancer,
Год журнала:
2024,
Номер
32(4)
Опубликована: Март 12, 2024
Abstract
Purpose
Despite
improved
survival
for
people
with
advanced
cancer
due
to
new
medical
treatments,
a
growing
group
of
long-term
responders
(LTRs)
has
learn
live
uncertainties
that
affect
several
life
domains.
At
the
core
their
experience,
they
neither
feel
like
patient
nor
healthy.
awareness
LTRs’
experiences,
learning
more
about
how
cope
response
can
provide
insight
into
best
support
them.
Our
study
aimed
gain
deeper
understanding
what
LTRs
experience
as
helpful
in
navigating
response.
Methods
We
conducted
an
exploratory
qualitative
using
thematic
data
analysis.
Semi-structured
in-depth
interviews
were
17
participants
melanoma
or
lung
confirmed
stable
disease
while
on
immuno-
targeted
therapy.
Results
reported
strategies
navigate
response,
example,
by
involving
social
environment,
seeing
uncertainty
opportunity,
and
being
present
moment.
This
helped
them
reclaim
sense
control
,
alter
perspective
reshape
lives
according
values
.
Conclusion
Using
different
coping
enables
acknowledge
both
sick
healthy
side.
Striking
balance
between
oriented
feeling
help
close
others
Healthcare
professionals
recognizing
whether
are
at
healthy,
actively
during
appointments.
Blood Advances,
Год журнала:
2024,
Номер
8(6), С. 1369 - 1378
Опубликована: Янв. 6, 2024
Abstract
Patients
undergoing
hematopoietic
cell
transplantation
(HCT)
must
cope
with
physical
and
psychological
symptoms.
Yet,
studies
examining
pre-HCT
coping
are
limited.
We
aimed
to
characterize
coping,
evaluate
the
association
of
baseline
quality
life
(QOL)
distress,
identify
sociodemographic
factors
associated
coping.
conducted
a
cross-sectional
analysis
data
from
multisite
randomized
supportive
care
intervention
trial
among
patients
hematologic
malignancies
allogeneic
or
autologous
HCT.
assessed
patient-reported
QOL,
within
72
hours
admission
for
used
median
split
method
dichotomize
multivariate
regression
analyses
distress
QOL.
Of
awaiting
HCT
(n
=
360;
mean
age,
55.4
years;
49.7%
autologous),
43.5%
were
high
users
approach-oriented
whereas
31.3%
avoidant
reported
use
emotional
support
(60.9%),
acceptance
(51.2%),
self-blame
(33%),
denial
(31.3%).
Older
age
(≥65
years)
was
less
frequent
(odds
ratio,
0.5;
P
.01).
Approach-oriented
better
QOL
(Beta(B)
6.7;
.001),
lower
depression
(B
−1.1;
.001)
anxiety
−0.9;
.02)
Avoidant
worse
−13.3;
<
symptoms
1.9;
3.1;
posttraumatic
stress
disorder
8.1;
.001).
Pre-HCT
is
strongly
These
need
interventions
address
during
hospitalization.
This
clinical
registered
at
www.clinicaltrials.gov
as
#NCT03641378.
European Journal of Investigation in Health Psychology and Education,
Год журнала:
2024,
Номер
14(2), С. 339 - 350
Опубликована: Фев. 6, 2024
Background:
Despite
the
current
data
on
morbidity
and
mortality,
a
growing
number
of
patients
with
diagnosis
cancer
survive
due
to
an
early
advances
in
treatment
modalities.
This
study
aimed
compare
quality
life
coping
strategies
three
groups
identify
associated
clinical
sociodemographic
characteristics.
Methods:
A
comparative
was
conducted
outpatients
at
public
hospital
state
São
Paulo,
Brazil.
The
300
participants
were
assigned
groups:
palliative
care
(Group
A),
post-treatment
follow-up
no
evidence
disease
B),
undergoing
for
C).
Data
collection
involved
use
McGill
Quality
Life
Questionnaire
Ways
Coping
Questionnaire.
No
generic
quality-of-life
assessment
tool
utilized,
as
it
would
not
be
able
appropriately
evaluate
impact
specific
group
receiving
care.
Results:
underused.
Participants
had
poorer
life,
particularly
psychological
well-being
physical
symptom
domains.
Age,
currently
treatment,
level
education
significantly
scores.
gender,
income,
absence
pharmacological
pain
control
independently
Moreover,
positive
association
found
between
life.
Conclusion:
Cancer
generally
report
lower
However,
male
patients,
those
who
did
rely
control,
higher
scores
reported
better
perception
their
tended
decrease
age
income
level.
Patients
more
likely
strategies.
also
decreased
age.
Journal of Health Psychology,
Год журнала:
2022,
Номер
28(6), С. 524 - 540
Опубликована: Окт. 31, 2022
The
aims
of
this
systematic
review
were
(a)
to
analyze
recent
studies
about
the
association
between
social
support
and
coping
strategies
in
cancer
patients
after
an
established
diagnosis;
(b)
evaluate
direction
association;
(c)
highlight
any
differences
among
different
types.
Seven
databases
searched
for
reporting
last
51
years.
Most
52
included
highlighted
support,
regardless
source.
Our
findings
supported
a
bidirectional
association.
No
significant
found
types
cancer.
In
conclusion,
our
results
sustain
importance
knowledge
studying
identify
limits
resources
well-being
oncological
patients.
This
could
lead
creation
holistic
protocols
prevent
poor
adjustment
European Journal of Cancer Care,
Год журнала:
2024,
Номер
2024, С. 1 - 12
Опубликована: Фев. 28, 2024
Purpose.
This
study
aimed
to
the
challenges
and
ways
of
coping
with
living
chronic
lymphocytic
leukemia
(CLL)
before
initiation
treatment.
Methods.
Semistructured
interviews
were
carried
out
8
people
CLL
(4
males
4
females)
who
had
never
received
any
Interpretative
phenomenological
analysis
was
utilized
for
data.
Results.
The
following
three
themes
developed:
(1)
“Still
waters
run
deep”
highlights
contrast
between
minimal
symptoms
while
experiencing
high
anxiety
future,
(2)
“Surviving
uncertainty”
portrays
participants’
supportive
networks,
communication
challenges,
internal
mechanisms
face
threatening
overtones
CLL,
(3)
“Turning
over
a
new
leaf”
delineates
realization
life’s
finiteness
way
this
acts
as
nudge
psychological
growth.
Conclusion.
Despite
limited
physical
discomfort,
diagnosis
watch-and-wait
phase
bring
about
distress,
which
drives
meaning-making
efforts
an
array
mechanisms,
potentially
leading
posttraumatic
growth
processes
CLL.
BMC Women s Health,
Год журнала:
2024,
Номер
24(1)
Опубликована: Окт. 8, 2024
Breast
cancer
poses
a
significant
global
health
challenge,
with
Iran
experiencing
particularly
high
incidence
and
mortality
rates.
Understanding
the
adaptation
process
of
Iranian
breast
survivors'
post-treatment
is
crucial.
This
study
explores
perceptions,
barriers,
coping
mechanisms
survivors
by
integrating
Stress-Coping
Theory
(SCT)
Health
Belief
Model
(HBM).
Semi-structured
interviews
were
conducted
17
survivors,
grounded
theory
approach
guided
deductive
content
analysis
data.
The
findings
reveal
key
themes,
including
perceived
susceptibility,
benefits,
barriers
to
care,
cues
action,
self-efficacy,
appraisal
action.
Perceived
susceptibility
highlights
diagnostic
challenges
stemming
from
practitioner
errors
symptom
misconceptions.
benefits
underscore
importance
early
detection
support
healthcare
providers
families.
Barriers
include
cultural
financial
obstacles,
while
action
reflect
influence
media,
family,
personal
experiences
on
healthcare-seeking
behavior.
also
examines
strategies,
such
as
problem-focused
emotion-focused
approaches,
along
family
external
stressors.
To
address
these
enhance
systems,
suggests
specific
strategies
for
providers,
targeted
training
improve
accuracy
patient
communication.
Culturally
sensitive
awareness
campaigns
can
correct
misconceptions,
counseling
mitigate
economic
barriers.
Establishing
community-based
groups
involving
members
in
care
plans
emotional
psychological
support.
These
aim
overcome
identified
systems
ultimately
fostering
better
recovery
outcomes.