open access

Ahead of print
Research paper (original)
Published online: 2022-08-22
Get Citation

Mental adaptation to cancer diagnosis and the health locus of control in patients undergoing treatment

Marta Kulpa1, Agata Ciuba23, Tomasz Duda, Mariola Kosowicz4, Magdalena Flaga-Łuczkiewicz5, Beata Stypuła-Ciuba6
DOI: 10.5603/NJO.a2022.0041
Affiliations
  1. Department of Psychology and Medical Communication, Medical University of Warsaw, Poland
  2. Maria Sklodowska-Curie National Research Institute of Oncology, Warsaw, Poland
  3. Department of Social Medicine and Public Health, Doctoral School, Medical University of Warsaw, Warsaw, Poland
  4. Department of Psycho-oncology, Maria Sklodowska-Curie National Research Institute of Oncology, Warsaw, Poland
  5. Dialog Therapy Centre, Warsaw, Poland
  6. Department of Cancer & Cardio-Oncology Diagnostics, Maria Sklodowska-Curie National Research Institute of Oncology, Warsaw, Poland

open access

Ahead of print
Original article
Published online: 2022-08-22

Abstract

Introduction. Cancer diagnosis and the treatment perspective pose a serious emotional and behavioral burden for the patient, and require developing adaptation strategies.

Material and methods. The research consisted of 569 patients aged 19 to 91 undergoing oncological treatment. The study used the mini-MAC scale to measure mental adaptation to cancer and the MHLC scale to measure the health locus of control.

Results. The strategy of anxiety preoccupation was highest in breast cancer. The strategy of helplessness and hopelessness achieved the highest value in breast and reproductive organ cancers.  The fighting spirit strategy showed the highest value in cancers of the digestive. The positive re-evaluation strategy was the highest in the cancers of the head and neck and the digestive system.

Conclusions. Patients with breast cancer, reproductive organs cancers seem to be at greater risk of developing destructive copying strategies, therefore extended psychological support has to be considered in those patients.

Abstract

Introduction. Cancer diagnosis and the treatment perspective pose a serious emotional and behavioral burden for the patient, and require developing adaptation strategies.

Material and methods. The research consisted of 569 patients aged 19 to 91 undergoing oncological treatment. The study used the mini-MAC scale to measure mental adaptation to cancer and the MHLC scale to measure the health locus of control.

Results. The strategy of anxiety preoccupation was highest in breast cancer. The strategy of helplessness and hopelessness achieved the highest value in breast and reproductive organ cancers.  The fighting spirit strategy showed the highest value in cancers of the digestive. The positive re-evaluation strategy was the highest in the cancers of the head and neck and the digestive system.

Conclusions. Patients with breast cancer, reproductive organs cancers seem to be at greater risk of developing destructive copying strategies, therefore extended psychological support has to be considered in those patients.

Get Citation

Keywords

cancer; illness acceptance; quality of life; strategies for coping with the disease; pain management

About this article
Title

Mental adaptation to cancer diagnosis and the health locus of control in patients undergoing treatment

Journal

Nowotwory. Journal of Oncology

Issue

Ahead of print

Article type

Research paper (original)

Published online

2022-08-22

Page views

37

Article views/downloads

16

DOI

10.5603/NJO.a2022.0041

Keywords

cancer
illness acceptance
quality of life
strategies for coping with the disease
pain management

Authors

Marta Kulpa
Agata Ciuba
Tomasz Duda
Mariola Kosowicz
Magdalena Flaga-Łuczkiewicz
Beata Stypuła-Ciuba

References (24)
  1. Niedzwiedz CL, Knifton L, Robb KA, et al. Depression and anxiety among people living with and beyond cancer: a growing clinical and research priority. BMC Cancer. 2019; 19(1): 943.
  2. Religioni U, Czerw A, Deptała A. Przystosowanie psychiczne pacjentów do wybranych chorób nowotworowych. Psychiatr Pol. 2018; 52(1): 129–141.
  3. Chojnacka-Szawłowska G. Psychologiczne aspekty przewlekłych chorób somatycznych. PZWL, Warszawa 2012.
  4. Greer S. CBT for emotional distress of people with cancer: some personal observations. Psychooncology. 2008; 17(2): 170–173.
  5. Greer S, Moorey S, Watson M. Patients' adjustment to cancer: the Mental Adjustment to Cancer (MAC) scale vs clinical ratings. J Psychosom Res. 1989; 33(3): 373–377.
  6. Juczyński Z. Promocja zdrowia. W kręgu nauki i ideologii. Materiały XXVIII Zjazdu PTP. Wydawnictwo WSP, Opole 1993.
  7. Wrześniewski K. Style a strategie radzenia sobie ze stresem. Problemy omiaru. In: Heszen-Niejodek I, Ratajczak Z. ed. Człowiek w sytuacji stresu. Problemy teoretyczne i metodologiczne. Wydawnictwo US. Katowice, Katowice 2000: 44–63.
  8. Juczyński Z. Narzędzia pomiaru w promocji i psychologii zdrowia. Pracownia Testów Psychologicznych Polskiego Towarzystwa Psychologicznego, Warszawa 2012.
  9. Juczyński Z, Ogińska-Bulik N. Zdrowie najważniejszym zasobem człowieka. In: Juczyński Z, Ogińska-Bulik N. ed. Zasoby osobiste i społeczne sprzyjające zdrowiu jednostki. Wydawnictwo Uniwersytetu Łódzkiego, Łódź 2003: 9–16.
  10. Bronner MB, Nguyen MH, Smets EMA, et al. Anxiety during cancer diagnosis: Examining the influence of monitoring coping style and treatment plan. Psychooncology. 2018; 27(2): 661–667.
  11. Stanton A, Danoff-Burg S, Cameron C, et al. Emotionally expressive coping predicts psychological and physical adjustment to breast cancer. J Consult Clin Psychol. 2000; 68(5): 875–882.
  12. Morris N, Moghaddam N, Tickle A, et al. The relationship between coping style and psychological distress in people with head and neck cancer: A systematic review. Psychooncology. 2018; 27(3): 734–747.
  13. Kurita K, Garon EB, Stanton AL, et al. Uncertainty and psychological adjustment in patients with lung cancer. Psychooncology. 2013; 22(6): 1396–1401.
  14. Spendelow JS, Eli Joubert H, Lee H, et al. Coping and adjustment in men with prostate cancer: a systematic review of qualitative studies. J Cancer Surviv. 2018; 12(2): 155–168.
  15. Dryhinicz M, Rzepa T. The Level of Anxiety, Acceptance of Disease and Strategy of Coping with Stress in Patients Oncological and Non-oncological. Annales Universitatis Mariae Curie-Skłodowska, sectio J, Paedagogia-Psychologia. 2018; 31(1): 7–21.
  16. Roesch SC, Adams L, Hines A, et al. Coping with prostate cancer: a meta-analytic review. J Behav Med. 2005; 28(3): 281–293.
  17. Wootten AC, Burney S, Foroudi F, et al. Psychological adjustment of survivors of localised prostate cancer: investigating the role of dyadic adjustment, cognitive appraisal and coping style. Psychooncology. 2007; 16(11): 994–1002.
  18. Watson D, Wiese D, Vaidya J, et al. The two general activation systems of affect: Structural findings, evolutionary considerations, and psychobiological evidence. Journal of Personality and Social Psychology. 1999; 76: 820–838.
  19. Ośmiałowska E, Misiąg W, Chabowski M, et al. Coping Strategies, Pain, and Quality of Life in Patients with Breast Cancer. J Clin Med. 2021; 10(19).
  20. Kulpa M, Kosowicz M, Stypuła-Ciuba B, et al. Strategie przyjmowane wobec choroby i poczucie własnej skuteczności u pacjentów chorych onkologicznie. Medycyna Paliatywna. 2019; 11(2): 81–87.
  21. Ośmiałowska E, Staś J, Chabowski M, et al. Illness Perception and Quality of Life in Patients with Breast Cancer. Cancers (Basel). 2022; 14(5).
  22. Jankowska-Polańska B, Świątoniowska-Lonc N, Ośmiałowska E, et al. The Association Between Illness Acceptance and Quality of Life in Women with Breast Cancer. Cancer Manag Res. 2020; 12: 8451–8464.
  23. Religioni U, Czerw A, Deptala A. Assessment of Pain, Acceptance of Illness, Adaptation to Life, and Strategies of Coping With the Disease, in Patients With Bladder Cancer. In Vivo. 2021; 35(2): 1157–1161.
  24. Ghanem I, Castelo B, Jimenez-Fonseca P, et al. Coping strategies and depressive symptoms in cancer patients. Clin Transl Oncol. 2020; 22(3): 330–336.

Regulations

Important: This website uses cookies. More >>

The cookies allow us to identify your computer and find out details about your last visit. They remembering whether you've visited the site before, so that you remain logged in - or to help us work out how many new website visitors we get each month. Most internet browsers accept cookies automatically, but you can change the settings of your browser to erase cookies or prevent automatic acceptance if you prefer.

Wydawcą serwisu jest VM Media sp. z o.o. VM Group sp.k., ul. Świętokrzyska 73, 80–180 Gdańsk

tel.:+48 58 320 94 94, faks:+48 58 320 94 60, e-mail: viamedica@viamedica.pl