Article

Sense of coherence and distress in cancer patients and their partners

Department of Psychology, University of Helsinki, Finland.
Psycho-Oncology (Impact Factor: 2.44). 12/2007; 16(12):1100-10. DOI: 10.1002/pon.1173
Source: PubMed

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. Copyright

0 Followers
 · 
9 Reads
  • Source
    • "Auch Kim et al. (2008) berichteten Forschungsergebnisse, wonach weibliche Partner von Krebspatienten eine schlechtere Lebensqualität angaben als männlichen Partner. Dass weibliche Angehörige von Krebspatienten vor allem im emotionalen Bereich stärker belastet sind als männliche, wird in mehreren Studien berichtet (Hagedoorn et al. 2008; Asai et al. 2008; Gustavsson-Lilius et al. 2007). Dabei ist zu berücksichtigen, dass Frauen allgemein höhere Belastungswerte zeigen als Männer und den Berechnungen in den Studien häufig keine geschlechtsbezogenen Normwerte zugrunde liegen. "

    Full-text · Article · Aug 2012 · Zeitschrift fur Psychosomatische Medizin und Psychotherapie
  • Source
    • "Auch Kim et al. (2008) berichteten Forschungsergebnisse, wonach weibliche Partner von Krebspatienten eine schlechtere Lebensqualität angaben als männlichen Partner. Dass weibliche Angehörige von Krebspatienten vor allem im emotionalen Bereich stärker belastet sind als männliche, wird in mehreren Studien berichtet (Hagedoorn et al. 2008; Asai et al. 2008; Gustavsson-Lilius et al. 2007). Dabei ist zu berücksichtigen, dass Frauen allgemein höhere Belastungswerte zeigen als Männer und den Berechnungen in den Studien häufig keine geschlechtsbezogenen Normwerte zugrunde liegen. "
    [Show abstract] [Hide abstract]
    ABSTRACT: Family caregivers play an important role in palliative care. However, the number of studies focussing on the quality of life of these family caregivers is limited. The current study evaluates quality of life and satisfaction with medical care in bereaved family members. Comparisons were made between (1) male vs. female family caregivers (N = 44) and (2) bereaved family caregivers vs. general population (EORTC QLQ-C30). Furthermore, the satisfaction of the family caregivers with medical care was assessed after the death of their relatives (ZUF HOPE). The interviews were conducted between six and eight weeks following the death of the palliative patients. Regarding quality of life, bereaved family caregivers suffered from both reduced emotional functioning and general quality of life. Female caregivers had lower functional values and stronger symptoms of insomnia, fatigue and pain than male caregivers. Bereaved family caregivers had a lower quality of life than the general population. Retrospectively, family caregivers were very satisfied with most aspects of outpatient palliative care. The only aspect criticised by the bereaved family members was a lack of psycho-social support. Family caregivers need stronger support in order to prevent burnout and to improve outpatient care. In this context, gender differences must also be considered.
    Full-text · Article · Jan 2012 · Zeitschrift fur Psychosomatische Medizin und Psychotherapie
  • Source

    Preview · Article ·
Show more