Exploration of coping styles in male patients with head and neck cancer: a prospective cohort study

被引:1
作者
Sato, Naohiro [1 ]
Kimura, Hiroyuki [1 ]
Adachi, Yasunori [2 ]
Nishio, Naoki [3 ]
Ando, Masahiko [4 ]
Tokura, Tatsuya [1 ]
Nagashima, Wataru [5 ]
Kishi, Shinichi [1 ]
Yamauchi, Aya [1 ]
Yoshida, Keizo [6 ]
Hiramatsu, Mariko [3 ]
Fujimoto, Yasushi [3 ]
Ozaki, Norio [1 ]
机构
[1] Nagoya Univ, Grad Sch Med, Dept Psychiat, Nagoya, Aichi, Japan
[2] Anjo Kosei Hosp, Dept Palliat Care, Anjo, Aichi, Japan
[3] Nagoya Univ, Grad Sch Med, Dept Otorhinolaryngol, Nagoya, Aichi, Japan
[4] Nagoya Univ Hosp, Ctr Adv Med & Clin Res, Nagoya, Aichi, Japan
[5] Nagoya Univ, Grad Sch Med, Ctr Student Counseling, Dept Psychopathol & Psychotherapy, Nagoya, Aichi, Japan
[6] DENSO Corp, Hlth Care Promot Div, Kariya, Aichi, Japan
来源
NAGOYA JOURNAL OF MEDICAL SCIENCE | 2019年 / 81卷 / 02期
关键词
head and neck cancer; coping; anxiety; depression; oncology; QUALITY-OF-LIFE; MENTAL ADJUSTMENT; PSYCHOLOGICAL DISTRESS; MAC SCALE; PSYCHOMETRIC PROPERTIES; GENDER-DIFFERENCES; BREAST-CANCER; DEPRESSION; ANXIETY; DRINKING;
D O I
10.18999/nagjms.81.2.249
中图分类号
R-3 [医学研究方法]; R3 [基础医学];
学科分类号
1001 ;
摘要
Majority of head and neck cancer (HNC) patients are male, and more than 85% of patients with HNC have the habit of smoking and drinking. Due to the specific demographic characteristics, HNC patients are anticipated to have specific coping styles, affecting psychological distress, survival, and quality of life. We explored the subscales of the Mental Adjustment to Cancer (MAC) Scale in male patients with HNC, and then examined the correlation between revised subscales of the MAC scale and anxiety/depression. Participants were 150 male inpatients with HNC, and their demographic and medical data were obtained. Coping style was assessed by MAC scale. Anxiety and depression were assessed using the Hospital Anxiety and Depression Scale. Out of 40 items in the original MAC scale, 19 items were excluded by factor analysis, and the remaining 21 items were divided into three factors: Negative Adjustment, Positive Adjustment, and Abandonment. Negative and Positive Adjustments were similar to the copings of mixed gender patients with heterogeneous cancers, and Abandonment was a new subscale specific to male patients with HNC. This subscale had a weak positive correlation with anxiety and depression. Male HNC patients revealed a specific coping style of Abandonment, related with psychological distress. We believe that an understanding of the Abandonment coping style revealed in our study will improve the psychological support offered to male patients with HNC.
引用
收藏
页码:249 / 258
页数:10
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