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      The relationship between coping strategies, quality of life, and mood in patients with incurable cancer : Coping in Patients With Incurable Cancer

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          Abstract

          Patients with incurable cancer face many physical and emotional stressors, yet little is known about their coping strategies or the relationship between their coping strategies, quality of life (QOL), and mood.

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          Most cited references35

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          How coping mediates the effect of optimism on distress: A study of women with early stage breast cancer.

          Charles S. Carver, Christina Pozo, Suzanne Harris … (1993)
          Article 0 comments Cited 222 times – based on 0 reviews     Review now
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            End-of-life discussions, goal attainment, and distress at the end of life: predictors and outcomes of receipt of care consistent with preferences.

            W Mack, Peter D. Block, Jennifer Weeks … (2010)
            Physicians have an ethical obligation to honor patients' values for care, including at the end of life (EOL). We sought to evaluate factors that help patients to receive care consistent with their preferences. This was a longitudinal multi-institutional cohort study. We measured baseline preferences for life-extending versus symptom-directed care and actual EOL care received in 325 patients with advanced cancer. We also measured associated sociodemographic, health, and communication characteristics, including EOL discussions between patients and physicians. Preferences were assessed a median of 125 days before death. Overall, 68% of patients (220 of 325 patients) received EOL care consistent with baseline preferences. The proportion was slightly higher among patients who recognized they were terminally ill (74%, 90 of 121 patients; P = .05). Patients who recognized their terminal illness were more likely to prefer symptom-directed care (83%, 100 of 121 patients; v 66%, 127 of 191 patients; P = .003). However, some patients who were aware they were terminally ill wished to receive life-extending care (17%, 21 of 121 patients). Patients who reported having discussed their wishes for EOL care with a physician (39%, 125 of 322 patients) were more likely to receive care that was consistent with their preferences, both in the full sample (odds ratio [OR] = 2.26; P < .0001) and among patients who were aware they were terminally ill (OR = 3.94; P = .0005). Among patients who received no life-extending measures, physical distress was lower (mean score, 3.1 v 4.1; P = .03) among patients for whom such care was consistent with preferences. Patients with cancer are more likely to receive EOL care that is consistent with their preferences when they have had the opportunity to discuss their wishes for EOL care with a physician.
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              Stigma, shame, and blame experienced by patients with lung cancer: qualitative study.

              R. A. McPherson, A Chapple, S Ziebland (2004)
              To draw on narrative interviews with patients with lung cancer and to explore their perceptions and experience of stigma. Qualitative study. United Kingdom. 45 patients with lung cancer recruited through several sources. Participants experienced stigma commonly felt by patients with other types of cancer, but, whether they smoked or not, they felt particularly stigmatised because the disease is so strongly associated with smoking. Interaction with family, friends, and doctors was often affected as a result, and many patients, particularly those who had stopped smoking years ago or had never smoked, felt unjustly blamed for their illness. Those who resisted victim blaming maintained that the real culprits were tobacco companies with unscrupulous policies. Some patients concealed their illness, which sometimes had adverse financial consequences or made it hard for them to gain support from other people. Some indicated that newspaper and television reports may have added to the stigma: television advertisements aim to put young people off tobacco, but they usually portray a dreadful death, which may exacerbate fear and anxiety. A few patients were worried that diagnosis, access to care, and research into lung cancer might be adversely affected by the stigma attached to the disease and those who smoke. Patients with lung cancer report stigmatisation with far reaching consequences. Efforts to help people to quit smoking are important, but clinical and educational interventions should be presented with care so as not to add to the stigma experienced by patients with lung cancer and other smoking related diseases.
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                Author and article information

                Journal
                Title: Cancer
                Abbreviated Title: Cancer
                Publisher: Wiley
                ISSN: 0008543X
                Publication date Created: July 01 2016
                Publication date (Print): July 01 2016
                Publication date (Electronic): April 18 2016
                Volume: 122
                Issue: 13
                Pages: 2110-2116
                Affiliations
                [1 ]Division of Hematology and Oncology, Department of Medicine; Massachusetts General Hospital Cancer Center and Harvard Medical School; Boston Massachusetts
                [2 ]Department of Psychiatry; Massachusetts General Hospital and Harvard Medical School; Boston Massachusetts
                [3 ]Division of Palliative Care, Department of Medicine; Massachusetts General Hospital and Harvard Medical School; Boston Massachusetts
                Article
                DOI: 10.1002/cncr.30025
                SO-VID: 09430158-b314-4d8c-8a60-041e029c28ac
                Copyright © © 2016
                License:

                http://doi.wiley.com/10.1002/tdm_license_1.1

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