Assessing the psychological predictors of benefit finding in patients with head and neck cancer

被引:74
作者
Llewellyn, Carrie D. [1 ]
Horney, Debbie J. [1 ]
McGurk, Mark [2 ]
Weinman, John [3 ]
Herold, Jim [4 ]
Altman, Keith [4 ]
Smith, Helen E. [1 ]
机构
[1] Brighton & Sussex Med Sch, Div Primary Care & Publ Hlth, Brighton BN1 9PH, E Sussex, England
[2] Guys Hosp, Dept Oral & Maxillofacial Surg, Guys & St Thomas Hosp NHS Trust, London SE1 9RT, England
[3] Kings Coll London, Guys Hosp, Dept Psychol, Inst Psychiat, London WC2R 2LS, England
[4] Royal Sussex Cty Hosp, Dept Oral & Maxillofacial Surg, Brighton & Sussex Univ Hosp NHS Trust, Brighton BN2 5BE, E Sussex, England
关键词
cancer; oncology; benefit finding; adaptation; coping; optimism; HEALTH-RELATED-QUALITY; BREAST-CANCER; POSTTRAUMATIC GROWTH; OF-LIFE; ADJUSTMENT; WOMEN; PERSONALITY; DIAGNOSIS; ILLNESS; INTERVENTION;
D O I
10.1002/pon.2065
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
Background Some individuals are able to gain psychological benefits from illness and adversity, such as a greater sense of purpose and closer relationships, termed benefit finding (BF). The main aim of this study was to explore the extent to which BF is reported in patients with head and neck cancer (HNC). Secondary aims were to establish the relationships between BF, other patient-reported outcomes and predictive factors such as coping strategy and level of optimism. Methods This repeat measures study was conducted with 103 newly diagnosed patients with HNC. Self-completion questionnaires were used to assess BF pre-treatment and 6?months after treatment and pre-treatment coping, optimism, quality of life, anxiety and depression. Sixty-eight patients (66%) completed follow-ups. Results Moderate to high levels of BF were reported. Anxiety, depression and quality of life were not related to BF. Regression models of BF total score and three new factor analysed BF scales indicated that use of emotional support and active coping strategies were predictive of finding more positive consequences. Optimism, living with a partner and higher educational attainment were also found to have a protective effect. The amount of variance in BF explained by these five pre-treatment factors ranged from 32 to 46%. Conclusions These findings demonstrate that both dispositional and potentially modifiable factors, in particular optimism and coping strategies, were associated with patients identifying positive consequences of a diagnosis of HNC. To maximise patient's longer-term resilience and adaptation, components of BF, either directly or via coping strategies, could be targeted for intervention. Copyright (c) 2011 John Wiley & Sons, Ltd.
引用
收藏
页码:97 / 105
页数:9
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