Stress and coping with advanced cancer.

Full Abstract

OBJECTIVE:
For people with advanced cancer, the months preceding death can be very stressful. Moreover, cancer-related stressors can arise within multiple dimensions. However, little research has examined how people cope differentially with different types of stressors. The goal of this study was to examine patterns of coping across different dimensions of stress.

METHOD:
Fifty-two patients who were receiving palliative care for cancer were asked to indicate their most significant stressors within social, physical, and existential dimensions. A structured interview was then conducted to describe how the participants coped with these stressors.

RESULTS:
Overall, stressor severity ratings were correlated significantly across the three dimensions, although physical symptoms received the highest mean rating. Participants generally used a range of coping strategies to deal with their stressors, but there were clear differences across dimensions in the relative use of problem-focused versus emotion-focused strategies. Problem-focused coping was less frequent for existential issues, whereas emotion-focused strategies were used less frequently for physical stressors. Coping efforts were not clearly related to psychological distress.

SIGNIFICANCE OF RESULTS:
Although coping is an important research theme within psycho-oncology, it may be overly broad to ask, "How do people cope with cancer"? In fact, different cancer-related stressors are coped with in very different ways. There is not necessarily any particular pattern of coping that is best for relieving psychological distress.

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Author information

Author/s: De Faye, Barbara J (BJ); Wilson, Keith G (KG); Chater, Susan (S); Viola, Raymond A (RA); Hall, Pippa (P);

Affiliation: School of Psychology, University of Ottawa, Ottawa, Ontario, Canada.

Journal and publication information

Publication Type: Journal Article; Research Support, Non-U.S. Gov't

Journal: Palliative & supportive care (Palliat Support Care), published in England. (Language: eng)

Reference: 2006-Sep; vol 4 (issue 3) : pp 239-49

Dates: Created 2006/10/27; Completed 2007/01/30; Revised 2007/11/15;

PMID: 17066965, status: MEDLINE (last retrieval date: 12/26/2008)

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MeSH headings (categories)

This article was linked to the MESH Headings shown below.

Interviews as Topic
Male
Middle Aged
Neoplasms - psychology
Palliative Care
Stress, Psychological - etiology; psychology

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