Maladaptive coping and affective disorders among cancer patients.

2.50
Hdl Handle:
http://hdl.handle.net/10541/95967
Title:
Maladaptive coping and affective disorders among cancer patients.
Authors:
Parle, M; Jones, B; Maguire, Peter
Abstract:
Coping has attracted much attention in research as a possible mediator of the psychological impact of cancer. Yet, conceptual ambiguity and methodological limitations have resulted in weak and contradictory findings. A major shortcoming has been the use of designs which do not represent adequately the complexity or the diversity of demands which arise from the diagnosis and treatment of cancer. The neglect of appraisal in the assessment of the relationship between coping and mental health is of particular concern, given the role it has been found to play in the onset and maintenance of affective disorders. In a prospective study 673 newly diagnosed cancer patients were interviewed 4 to 8 weeks and 1 year later to assess the effects of their appraisals, coping responses and resolution of any concerns on subsequent mental health. Logistic regression analyses, adjusted for possible confounding variables, were used to investigate the relationships between coping variables and affective disorders. When examined separately the degree of threat appraised, the reporting of a helpless response and perceived success of primary responses in resolving concerns all predicted subsequent effective disorder. However, in a multivariate model only appraisal and success of the response in resolving the concern were significant. No response was found to prevent affective disorders, however certain types of responses were associated with the resolution of specific concerns. The results highlight the importance of assessing the whole coping process and the need to address the complex and multifaceted characteristics of cancer demands. On the basis of our findings we describe a maladaptive cycle of coping, which we believe contributes to the later onset of affective disorders in cancer patients.
Affiliation:
Cancer Research Campaign Psychological Medicine Group, Christie Hospital, Manchester.
Citation:
Maladaptive coping and affective disorders among cancer patients. 1996, 26 (4):735-44 Psychol Med
Journal:
Psychological Medicine
Issue Date:
Jul-1996
URI:
http://hdl.handle.net/10541/95967
PubMed ID:
8817708
Type:
Article
Language:
en
ISSN:
0033-2917
Appears in Collections:
All Christie Publications

Full metadata record

DC FieldValue Language
dc.contributor.authorParle, Men
dc.contributor.authorJones, Ben
dc.contributor.authorMaguire, Peteren
dc.date.accessioned2010-04-08T11:57:09Z-
dc.date.available2010-04-08T11:57:09Z-
dc.date.issued1996-07-
dc.identifier.citationMaladaptive coping and affective disorders among cancer patients. 1996, 26 (4):735-44 Psychol Meden
dc.identifier.issn0033-2917-
dc.identifier.pmid8817708-
dc.identifier.urihttp://hdl.handle.net/10541/95967-
dc.description.abstractCoping has attracted much attention in research as a possible mediator of the psychological impact of cancer. Yet, conceptual ambiguity and methodological limitations have resulted in weak and contradictory findings. A major shortcoming has been the use of designs which do not represent adequately the complexity or the diversity of demands which arise from the diagnosis and treatment of cancer. The neglect of appraisal in the assessment of the relationship between coping and mental health is of particular concern, given the role it has been found to play in the onset and maintenance of affective disorders. In a prospective study 673 newly diagnosed cancer patients were interviewed 4 to 8 weeks and 1 year later to assess the effects of their appraisals, coping responses and resolution of any concerns on subsequent mental health. Logistic regression analyses, adjusted for possible confounding variables, were used to investigate the relationships between coping variables and affective disorders. When examined separately the degree of threat appraised, the reporting of a helpless response and perceived success of primary responses in resolving concerns all predicted subsequent effective disorder. However, in a multivariate model only appraisal and success of the response in resolving the concern were significant. No response was found to prevent affective disorders, however certain types of responses were associated with the resolution of specific concerns. The results highlight the importance of assessing the whole coping process and the need to address the complex and multifaceted characteristics of cancer demands. On the basis of our findings we describe a maladaptive cycle of coping, which we believe contributes to the later onset of affective disorders in cancer patients.en
dc.language.isoenen
dc.subjectCanceren
dc.subject.meshAdaptation, Psychological-
dc.subject.meshAdolescent-
dc.subject.meshAdult-
dc.subject.meshAged-
dc.subject.meshFemale-
dc.subject.meshHumans-
dc.subject.meshMale-
dc.subject.meshMiddle Aged-
dc.subject.meshMood Disorders-
dc.subject.meshNeoplasms-
dc.subject.meshPsychiatric Status Rating Scales-
dc.titleMaladaptive coping and affective disorders among cancer patients.en
dc.typeArticleen
dc.contributor.departmentCancer Research Campaign Psychological Medicine Group, Christie Hospital, Manchester.en
dc.identifier.journalPsychological Medicineen

Related articles on PubMed

All Items in Christie are protected by copyright, with all rights reserved, unless otherwise indicated.