Promoting adjustment after treatment for cancer

Department of Psychology, University of California, Los Angeles, Los Ángeles, California, United States
Cancer (Impact Factor: 4.89). 12/2005; 104(11 Suppl):2608-13. DOI: 10.1002/cncr.21246
Source: PubMed


The transition from the period of diagnosis and medical treatment of cancer to survivorship (i.e., the reentry phase) is an understudied phase in the cancer trajectory. The objectives of this report were 1) to illustrate several adaptive tasks of the reentry phase, 2) to provide examples of research on factors that predict positive adjustment during this phase, and 3) to discuss interventions that address the adaptive tasks of early cancer survivorship. Although the pertinent empirical literature is scarce, accounts from cancer survivors, healthcare professionals, and qualitative researchers converge to suggest several themes in adaptive tasks during reentry. Drawing from the authors' work and that of others, the authors have described common expectancies held by many individuals approaching reentry (e.g., "I shouldn't need support"), typical concerns during this phase (e.g., concern over cancer recurrence), and personal and contextual factors that can facilitate and hinder adjustment. Promising psychosocial interventions have been developed for individuals in the reentry period. Continued research will be necessary to characterize this important phase of cancer survivorship.

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Available from: Julia Rowland, Oct 03, 2014
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    • "A number of hypotheses have been proposed to explain these results (Hungerbuehler, et al., 2011; Weiss, 2004a). Women, who are more sensitive to stress (Stanton, et al., 2005), are more likely to experience thoughts, images, and feelings that cause them distress, but this in turn would trigger PTG (Kashdan & Kane, 2011). The results could also be explained by the fact that in terms of personal relationships and intimacy, women guide men, with men being more likely to have an intimate relationship with their wife, whereas she will also have intimate relationships with other women (Weiss, 2004a). "

    Full-text · Chapter · Jan 2016
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    • "In survivorship care, these functions are essential. Survivors have complex emotional needs, often surrounding adjusting to a new ''normal'' after cancer [14] [15]. They face uncertainty about their future health and report that fears about cancer recurrence are among their greatest worries [16]. "
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    ABSTRACT: The Institute of Medicine recommends cancer survivors completing treatment be provided with a treatment summary to facilitate delivery of patient-centered survivorship care. However, the relationship between treatment summary receipt and patient-centered communication (PCC) and overall quality of care (QOC) are not well understood. Cancer survivors responding to the Health Information National Trends Survey reported treatment summary receipt, QOC, and experiences of six core functions of PCC. Multivariable logistic regression assessed the relationship between treatment summary receipt and PCC. The prevalence of survivors' treatment summary receipt and demographic/clinical characteristics predictive of treatment summary receipt were also assessed. Of 359 respondents with a cancer history, 34.5% reported receiving a treatment summary. Greater treatment burden was associated with increased treatment summary receipt. Treatment summary receipt was associated with higher QOC and more PCC, both overall and for five of the six PCC functions. The receipt of cancer treatment summaries may improve PCC and QOC for survivors. The positive relationship between treatment summary receipt and survivors' PCC experience substantiates continued efforts to provide treatment summaries to survivors transitioning from active treatment to survivorship care. Future research should characterize mechanisms by which treatment summary provision may enhance PCC. Copyright © 2015 Elsevier Ireland Ltd. All rights reserved.
    Full-text · Article · Jun 2015 · Patient Education and Counseling
    • "Whereas partners may focus on moving on and reestablishing normality (Harrow, Wells, Barbour, & Cable, 2008), patients can experience continued difficulties, including fear of cancer recurrence and harm from adjuvant treatment (Spencer et al., 1999). Expectations to return to old roles soon may not hold true (Stanton et al., 2005). Couples' dyadic coping, that is, the different ways in which patient and partner interact when they deal with stressors (Berg & Upchurch, 2007), is likely to influence both members' adjustment to breast cancer. "
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    ABSTRACT: Objective: The way couples deal with stressors is likely to influence their adjustment after breast cancer diagnosis. Based on the systemic-transactional model, this study examined whether the supportive, delegated and negative dyadic coping provided by patients and partners and their common dyadic coping as a couple were associated with change in relationship quality and depressive symptoms over time. Method: Women with breast cancer and their male partners (N = 538 couples) participated in a longitudinal study (Time 1, ≤ 4 months after surgery; Time 2, 5 months later). Dyadic coping was assessed using the Dyadic Coping Inventory (Bodenmann, 2008). The Center for Epidemiologic Studies-Depression Scale (Radloff, 1977) and the Relationship Ladder (Kuijer, Buunk, De Jong, Ybema, & Sanderman, 2004) measured depressive symptoms and relationship quality, respectively. Results: Negative dyadic coping was adversely associated with both patients' and partners' outcomes. The more patients rated the couple as engaging in common dyadic coping, the higher relationship quality and the fewer depressive symptoms both patients and partners experienced. Patients experienced more depressive symptoms the more delegated coping (i.e., taking over tasks) they provided to the partner. Partners experienced fewer depressive symptoms the more delegated coping they provided to the patient, but more depressive symptoms the more supportive coping the patient provided to them. Conclusion: This study has contributed to disentangling how dyadic coping behaviors influence couples' adjustment. Interventions may focus on reducing negative dyadic coping and strengthening common dyadic coping, and be attentive to the different effects of dyadic coping on patients and partners.
    No preview · Article · Mar 2015 · Health Psychology
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