Sense of coherence and distress in cancer patients and their partners
ABSTRACT Strong sense of coherence (SOC) is assumed to promote and protect health in stressful situations, such as a serious illness. There is, however, surprisingly little research-based discussion on the SOC-distress association in cancer patients and especially in their partners. The aim of this study was to clarify these issues. The associations between SOC, depression, and anxiety were studied in 123 cancer couples. Data were collected with self-report questionnaires at the time of diagnosis, 8 and 14 months later. The predictors of follow-up distress and possible mediators of the cross-lagged longitudinal data were analysed with SEM. No gender differences in the patients' study variables were found, but the female partners displayed more distress symptoms than their male counterparts. The results supported the SOC theory. Strong SOC alleviated the development of distress. In addition, patient SOC tended to strengthen during the follow-up. No direct crossover between baseline SOC and follow-up distress was found. However, all patient and partner variables at the 14-month follow-up were related to each other, but not at baseline. This could indicate a gradual crossover process of the shared experience. Special attention in clinical practice should be given to the psychological well-being of cancer patients' partners, especially female partners.
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ABSTRACT: This longitudinal study, involving 233 older Australians (mean age = 61.96 yrs, SD = 8.89; females = 61%), investigated whether decline in physical health was a reliable negative predictor of psychological wellbeing, and whether this relation was moderated by three individual difference variables (sense of coherence, positive life attitudes, and perceived social support). After controlling for psychological wellbeing at Time 1 and several demographic covariates, there was a significant negative association between physical decline and psychological well- being 3 years later at Time 2. As predicted by the buffering hypothesis, moderation analysis revealed this association was significantly attenuated for respondents who reported higher levels of social support rela- tive to those with less support. Contrary to our predictions, the magnitude of the relationship between physical decline and psychological wellbeing did not vary as function of sense of coherence and positive life attitudes, suggesting that these factors may not buffer older adults against the possible negative psychological effects of age- related declines in physical health.Personality and Individual Differences: Current Perspective, 1st edited by R. E. Hicks, 01/2010: pages 237-247; Australian Academic Press: Brisbane.
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ABSTRACT: Rates of psychological distress are high following diagnosis and treatment of brain tumor. There can be multiple barriers to accessing psychological support, including physical and cognitive impairments and geographical limitations. Tele-based support could provide an effective and more flexible option for delivering psychological interventions. The present study aimed to investigate the feasibility and utility of a telephone-based psychotherapy intervention for people with brain tumor. A single-case multiple-baseline design was employed with a 4-7-week baseline phase, 10-week treatment phase, and 5-week maintenance phase including a booster session. Four participants with a benign or malignant brain tumor (three males and one female; aged 34-49 years), received 10 sessions of tele-based therapy and a booster session at 4 weeks post-treatment. Levels of depression, anxiety, and illness cognitions were monitored on a weekly basis throughout each phase whilst measures of quality of life, stress, and self-concept were administered at the start and end of each phase. Weekly measures were analyzed using a combination of both visual analysis and Tau-U statistics. Of the four participants, two of them demonstrated significant gains in mental health (depression and/or anxiety) and a significant decrease in their levels of helplessness (p < 0.05). The other two participants did not show gains in mental health or change in illness cognitions. All participants reported improvement in quality of life post-treatment. The results of the study provide preliminary support concerning the feasibility and utility of tele-based therapy for some people with brain tumor. Further research examining factors influencing the outcomes of tele-based psychological support is needed.Frontiers in Oncology 03/2015; 5:71. DOI:10.3389/fonc.2015.00071
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ABSTRACT: The primary aim of this study was to examine the impact of patient sense of coherence (SOC) on anxiety and depressive symptoms, and quality of life (QoL) dimensions in the acute phase of haematopoietic stem cell transplantation (HSCT). A secondary aim was to determine if SOC measured pre-transplant was predictive of psychological distress and QoL post-transplantation, after controlling for physical wellbeing.Psycho-Oncology 02/2015; 24(2). DOI:10.1002/pon.3633 · 4.04 Impact Factor