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Bedlack R. Stitching strength: things I've learned about hope and how I am trying to weave them into my in ALS practice. Amyotroph Lateral Scler Frontotemporal Degener 2025; 26:189-191. [PMID: 39829368 DOI: 10.1080/21678421.2025.2454903] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/02/2025] [Accepted: 01/14/2025] [Indexed: 01/22/2025]
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Abd Ellatif Elsayed H, Aleriani F. The relationship between distress tolerance and life satisfaction among young adults in Saudi Arabia. Front Psychol 2024; 15:1447466. [PMID: 39564588 PMCID: PMC11573513 DOI: 10.3389/fpsyg.2024.1447466] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/11/2024] [Accepted: 09/23/2024] [Indexed: 11/21/2024] Open
Abstract
Purpose This study examined the relationship between Distress Tolerance, defined as the individual's ability to withstand psychological stress or endure negative emotions, and Life Satisfaction, the cognitive component of the individual's subjective wellbeing, among Saudi young adults aged 20-30. The study aimed to understand the overall scores of distress tolerance, life satisfaction, and gender differences in these variables. Methods Online questionnaires were distributed to 348 participants selected based on inclusion/exclusion criteria, using self-report scales: the Distress Tolerance Scale (DTS) and the Satisfaction with Life Scale (SWLS). The sample consisted of 77 males and 271 females, with a mean age of 1.8793 years (SD = 0.81931). Data were analyzed using the SPSS program. Results The findings supported our hypotheses that (1) Saudi young adults have high overall scores of distress tolerance and life satisfaction, (2) there is a significant positive correlation between distress tolerance and life satisfaction, (3) there are no significant differences between males and females regarding overall distress tolerance and life satisfaction levels, although (4) a significant gender difference was found in the emotional regulation subscale of DTS. A linear regression analysis also showed that distress tolerance significantly predicts life satisfaction. Conclusion Distress tolerance and life satisfaction are positively associated among Saudi young adults, with no significant gender differences in overall levels. However, differences in specific subscales, such as emotional regulation, warrant further investigation. These findings provide valuable insights for interventions to enhance this population's wellbeing.
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Affiliation(s)
- Hala Abd Ellatif Elsayed
- Clinical Psychology Program, Department of Health Sciences, College of Health and Rehabilitation Sciences, Princess Nourah Bint Abdulrahman University, Riyadh, Saudi Arabia
| | - Fatemah Aleriani
- Clinical Psychology Program, Department of Health Sciences, College of Health and Rehabilitation Sciences, Princess Nourah Bint Abdulrahman University, Riyadh, Saudi Arabia
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Bahcecioglu Turan G, Özer Z, YanmıŞ S. The effects of spiritual wellbeing on life satisfaction in hematologic cancer patients aged 65 and older in Turkey: mediating role of hope. Psychogeriatrics 2024; 24:1149-1159. [PMID: 39128845 PMCID: PMC11578000 DOI: 10.1111/psyg.13175] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/27/2024] [Revised: 07/06/2024] [Accepted: 07/28/2024] [Indexed: 08/13/2024]
Abstract
BACKGROUND The mediating role of hope in the effects of spiritual wellbeing on life satisfaction in elderly haematologic cancer patients in Turkey was investigated in the present study. METHODS The study was conducted in a descriptive, cross-sectional and correlational design. The study was conducted with 150 patients aged 65 and older who were diagnosed with haematologic cancer and who were referred to a university hospital haematology clinic and outpatient clinic. Research data were collected with Descriptive Information Form, Dispositional Hope Scale (DHS), Spiritual Well-being Scale (FACIT-Sp-12) and Satisfaction with Life Scale (SWLS). RESULTS FACIT-Sp-12 score was 37.25 ± 7.29; DHS score was 40.42 ± 8.29, SWLS score was 16.24 ± 8.79. FACIT-Sp-12 (β = 0.668) and DHS (β = 0.226) were found to affect SWLS positively. In terms of the effect of FACIT-Sp-12 on SWLS, DHS has a mediating role and makes the positive effect of FACIT-Sp-12 on SWLS stronger (β = 0.771). CONCLUSIONS Spiritual wellbeing levels of the participants in our study were found to be high, while their levels of satisfaction with life and hope were found to be moderate. It was also concluded that spiritual wellbeing had a direct effect on satisfaction with life and an indirect effect through the mediating role of hope.
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Affiliation(s)
| | - Zülfünaz Özer
- Department of Nursing, Faculty of Health SciencesIstanbul Sabahattin Zaim UniversityIstanbulTurkey
| | - Safiye YanmıŞ
- Department of Nursing, Faculty of Health SciencesErzican Binali Yıldırım UniversityErzincanTurkey
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Abu-Odah H, Sheffield D, Hogan S, Yorke J, Molassiotis A. Effectiveness of creative arts therapy for adult patients with cancer: a systematic review and meta-analysis. Support Care Cancer 2024; 32:430. [PMID: 38874793 DOI: 10.1007/s00520-024-08582-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/18/2024] [Accepted: 05/14/2024] [Indexed: 06/15/2024]
Abstract
OBJECTIVES This systematic review and meta-analysis aimed to assess the effectiveness of creative arts therapy (CAT) interventions on the health outcomes of adult patients with cancer. METHODS A comprehensive search was conducted in six databases from their inception to June 10, 2023, with no restrictions on sex, age, cancer type, cancer stage, or treatment type. The Cochrane Risk of Bias (RoB2) tool for randomized controlled trials (RCTs) and the equivalent tool for non-RCTs (ROBINS-I) were used to assess the risk of bias. Meta-analyses were conducted to pool estimates of the effects of CAT on patients' health-related outcomes. A narrative synthesis of outcomes was performed where meta-analysis was not appropriate. RESULTS A total of 25 studies (8 RCTs and 17 quasi-RCTs) involving 1489 cancer patients and survivors were included in the final data analysis. Most studies focused on patients with mixed cancer diagnoses who were undergoing active chemotherapy treatment. Most studies utilized painting, drawing, and/or sculpting as CAT interventions. The overall risk of bias in the included studies was moderate to high. Meta-analysis demonstrated a significant improvement in quality of life (SMD with 95% CI = 17.50, 10.05-24.95, P =.0000) and the social aspect of quality of life in cancer patients (SMD with 95% CI = 03.1 (0.06-0.55), P = .01), but no significant effects were found for depressive symptoms and coping strategies among patients who participated in CAT compared to control groups. Narrative analysis and non-RCTs suggested the potential of CAT in reducing levels of depression and anxiety, as well as improving self-image, hope, emotional expression/state, and processing in patients with cancer. However, inconsistent findings were reported regarding the effectiveness of CAT interventions on fatigue, spirituality, and psychosomatic distress/symptom intensity. CONCLUSION The findings indicated significant and potential benefits of CAT for individuals with cancer, primarily related to quality of life. However, caution is needed in interpreting these findings due to limitations in the methodologies utilized in the included studies. Further large-scale RCTs are needed to examine the effectiveness of CAT on health outcomes, particularly in relation to self-image, hope, and emotional expression/state and processing among patients with cancer or those in palliative care.
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Affiliation(s)
- Hammoda Abu-Odah
- School of Nursing, The Hong Kong Polytechnic University, Hong Kong, SAR, China.
| | - David Sheffield
- School of Psychology, University of Derby, Derby, DE22 1GB, UK
| | - Susan Hogan
- School of Arts, University of Derby, Derby, UK
| | - Janelle Yorke
- School of Nursing, The Hong Kong Polytechnic University, Hong Kong, SAR, China
| | - Alex Molassiotis
- College of Arts, Humanities and Education, University of Derby, Derby, UK.
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Bahçecioğlu Turan G, Türkben Polat H. The effects of illness perception on death anxiety and satisfaction with life in patients with advanced gastrointestinal cancer. Palliat Support Care 2024; 22:360-366. [PMID: 37620999 DOI: 10.1017/s1478951523001244] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 08/26/2023]
Abstract
OBJECTIVES This study was conducted to determine the effects of illness perception on death anxiety and satisfaction with life in patients with advanced gastrointestinal cancer. METHODS This cross-sectional and correlational study was conducted with 125 patients with cancer who were admitted to the oncology clinic of a university hospital in the Central Anatolian Region of Turkey between March and December 2022 and who met the research criteria and accepted to participate in the study. The data were collected with "Patient descriptive information form," "Brief Illness Perception Questionnaire (BIPQ)," "Scale of Death Anxiety (SDA)," and "Satisfaction with Life Scale (SWLS)." RESULTS It was found that mean BIPQ score of the patients was 39.54 ± 12.82, the mean SDA score was 8.02 ± 3.16, and the mean SWLS score was 14.74 ± 5.19. BIPQ total score was found to affect SDA total score positively (β = .751) and SWLS total score negatively (β = - .591). SDA total score was found to affect SWLS total score negatively (β = -.216) (p < .05). SIGNIFICANCE OF RESULTS It was found that patients with advanced gastrointestinal cancer had moderate level of illness perception and life satisfaction, and high death anxiety. It was found that as illness perception of the patients increased, their death anxiety increased and satisfaction with life decreased. In addition, it was found that as the death anxiety of patients increased, their satisfaction with life decreased.
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Affiliation(s)
| | - Hilal Türkben Polat
- Department of Fundamentals of Nursing, Seydişehir Kamil Akkanat Faculty of Health Sciences, Necmettin Erbakan University, Konya, Turkey
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Sabri S, Mohamed Hussin NA, Chooi WT. Exploration of Hope Among Young Adults with Cancer in Malaysia. J Adolesc Young Adult Oncol 2024; 13:213-223. [PMID: 37389816 DOI: 10.1089/jayao.2023.0016] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 07/01/2023] Open
Abstract
Purpose: Hope is vital for cancer patients to cope with their illnesses. It is positively associated with better health outcomes, quality of life, and daily functioning. However, restoring hope after a cancer diagnosis can be challenging, especially for young adult cancer patients. This research aimed to investigate hope among young adults with cancer throughout their cancer experience and the exploration of hope preservation in these individuals. Methods: This qualitative study involved 14 young adults recruited from a closed Facebook group. The median age of the participants was 30.5 years (range 20-39 years), and their median survival year was 3 years (range 1-18 years from the date of diagnosis). Semistructured interviews and a thematic analysis were performed to identify the major themes that emerged from these interviews. Results: The findings identified that young adults expressed hopes for cancer advocacy, good physical and mental health, ease in the afterlife, and uncertain hopes due to thoughts of death. Three areas that influenced their hope are: (1) active hope with cancer peers; (2) cancer prognosis and hope; and (3) hope comes from prayer. Their cultural and religious beliefs influenced the various forms of hope and affected their experiences with cancer. In addition, this study discovered that not all positive communication with their physician resulted in hope. Conclusion: These findings provide important insight to health care professionals (HCPs) by encouraging young adults to discuss hope and improving the existing oncology social work-based intervention. This study suggests that hope is essential for chronic illness patients and should be supported continuously during and after treatments.
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Affiliation(s)
- Sahira Sabri
- School of Social Sciences, Social Work Section, Universiti Sains Malaysia, Pulau Pinang, Malaysia
| | | | - Weng-Tink Chooi
- School of Social Sciences, Social Work Section, Universiti Sains Malaysia, Pulau Pinang, Malaysia
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Berntzen H, Rustøen T, Kynø NM. "Hope at a crossroads" - Experiences of hope in intensive care patients: A qualitative study. Aust Crit Care 2024; 37:120-126. [PMID: 37709659 DOI: 10.1016/j.aucc.2023.07.037] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/10/2023] [Revised: 07/13/2023] [Accepted: 07/17/2023] [Indexed: 09/16/2023] Open
Abstract
BACKGROUND Hope is closely connected to experiences of health and illness. In critical illness, the future may be uncertain regarding survival, recovery, and daily functioning. More knowledge is needed on how to support hope in patients in intensive care units and during the following rehabilitation period. OBJECTIVES The aim of this study was to explore hope and its impacting factors among critically ill patients in the intensive care unit. METHODS This was an exploratory study using semistructured interviews for data collection. Thirteen patients discharged from intensive care were interviewed while still in hospital. Data were analysed using thematic analysis. The consolidated criteria for reporting qualitative research were used for reporting this study. FINDINGS Three themes, consisting of 8 subthemes, were generated through the analysis. The first theme presented, 'Hope at the point of uncertainty', describes the perception of hope as a phenomenon in critical illness, while the last two, 'Nourishment for hope' and 'Barriers to hope', comprise possible promoting and constraining factors affecting hope during intensive care The overarching theme 'Hope at a crossroads' reflects the overall patient experience of hope in critical illness. CONCLUSION To maintain or regain hope, healthcare personnel working with critically ill patients should be aware of the importance of encouraging and acknowledging physical progress even when small. Furthermore, they should attend to patients' relational needs and facilitate their ability to interact as the persons they are, not only as patients.
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Affiliation(s)
- Helene Berntzen
- Department of Postoperative and Intensive Care Nursing, Division of Emergencies and Critical Care, Oslo University Hospital, Norway.
| | - Tone Rustøen
- Department of Research and Development, Division of Emergencies and Critical Care, Oslo University Hospital, Norway; Department of Public Health Science, Institute of Health and Society, Faculty of Medicine, University of Oslo Norway, Norway
| | - Nina M Kynø
- Oslo Metropolitan University, Faculty of Health Sciences, Department of Nursing and Health Promotion, Acute and Critical Illness, Oslo, Norway; Department of Pediatric and Adolescent Medicine, Division of Neonatal Intensive Care, Oslo University Hospital, Norway
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Cockle S, Ogden J. The expectations of cancer treatment questionnaire and the experiences of cancer treatment questionnaire: Development and validation. COGENT PSYCHOLOGY 2023. [DOI: 10.1080/23311908.2023.2180871] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/24/2023] Open
Affiliation(s)
- Sam Cockle
- School of Psychology, University of Surrey, Guildford, UK
| | - Jane Ogden
- School of Psychology, University of Surrey, Guildford, UK
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Chan SCY, Huang QL, Low AYT. Find Joy in Sorrows: The Role of Hope in Buffering the Psychological Impact of COVID-19 on Chinese University Students in Hong Kong. Behav Sci (Basel) 2023; 13:821. [PMID: 37887470 PMCID: PMC10604835 DOI: 10.3390/bs13100821] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/05/2023] [Revised: 09/28/2023] [Accepted: 10/01/2023] [Indexed: 10/28/2023] Open
Abstract
The global coronavirus disease 2019 (COVID-19) crisis has exerted significant psychological impacts on university students who have faced drastic changes in the learning mode and suspension of classes. Despite these challenges, many students maintained subjective well-being. In this study, we examined the role of "hope" as a potential protector to maintain their subjective well-being when facing adversity during this global crisis. Specifically, we explored the mediating role of two hope components (agency thinking and pathways thinking) on the association of positive emotions and life satisfaction among Chinese university students. We conducted an online survey at a local university and recruited a total of 315 undergraduates from the humanities, creative arts, and social sciences programs through convenience sampling. Participants confirmed their informed consent and completed a set of self-administered questionnaires measuring positive emotions, hope, life satisfaction, and demographic variables. The results of mediation testing indicated that, during a global crisis such as COVID-19, positive emotions indirectly influenced life satisfaction through agency thinking rather than pathways thinking. The findings highlight the importance of agency thinking among Chinese university students in adverse situations and provide valuable insights for psychological interventions during a crisis. The article concludes by discussing possible explanations and implications of the findings in a post-pandemic world.
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Affiliation(s)
- Stephen Cheong Yu Chan
- Felizberta Lo Padilla Tong School of Social Sciences, Caritas Institute of Higher Education, Hong Kong;
| | - Qi Lu Huang
- Department of Social and Behavioural Sciences, City University of Hong Kong, Tat Chee Avenue, Kowloon, Hong Kong;
| | - Andrew Yiu Tsang Low
- Felizberta Lo Padilla Tong School of Social Sciences, Caritas Institute of Higher Education, Hong Kong;
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Kang D, Kim H, Cho J, Kim Z, Chung M, Lee JE, Nam SJ, Kim SW, Yu J, Chae BJ, Ryu JM, Lee SK. Prediction Model for Postoperative Quality of Life Among Breast Cancer Survivors Along the Survivorship Trajectory From Pretreatment to 5 Years: Machine Learning-Based Analysis. JMIR Public Health Surveill 2023; 9:e45212. [PMID: 37309655 PMCID: PMC10485708 DOI: 10.2196/45212] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/20/2022] [Revised: 05/02/2023] [Accepted: 06/13/2023] [Indexed: 06/14/2023] Open
Abstract
BACKGROUND Breast cancer is the most common cancer and the most common cause of cancer death in women. Although survival rates have improved, unmet psychosocial needs remain challenging because the quality of life (QoL) and QoL-related factors change over time. In addition, traditional statistical models have limitations in identifying factors associated with QoL over time, particularly concerning the physical, psychological, economic, spiritual, and social dimensions. OBJECTIVE This study aimed to identify patient-centered factors associated with QoL among patients with breast cancer using a machine learning (ML) algorithm to analyze data collected along different survivorship trajectories. METHODS The study used 2 data sets. The first data set was the cross-sectional survey data from the Breast Cancer Information Grand Round for Survivorship (BIG-S) study, which recruited consecutive breast cancer survivors who visited the outpatient breast cancer clinic at the Samsung Medical Center in Seoul, Korea, between 2018 and 2019. The second data set was the longitudinal cohort data from the Beauty Education for Distressed Breast Cancer (BEST) cohort study, which was conducted at 2 university-based cancer hospitals in Seoul, Korea, between 2011 and 2016. QoL was measured using European Organization for Research and Treatment of Cancer QoL Questionnaire Core 30 questionnaire. Feature importance was interpreted using Shapley Additive Explanations (SHAP). The final model was selected based on the highest mean area under the receiver operating characteristic curve (AUC). The analyses were performed using the Python 3.7 programming environment (Python Software Foundation). RESULTS The study included 6265 breast cancer survivors in the training data set and 432 patients in the validation set. The mean age was 50.6 (SD 8.66) years and 46.8% (n=2004) had stage 1 cancer. In the training data set, 48.3% (n=3026) of survivors had poor QoL. The study developed ML models for QoL prediction based on 6 algorithms. Performance was good for all survival trajectories: overall (AUC 0.823), baseline (AUC 0.835), within 1 year (AUC 0.860), between 2 and 3 years (AUC 0.808), between 3 and 4 years (AUC 0.820), and between 4 and 5 years (AUC 0.826). Emotional and physical functions were the most important features before surgery and within 1 year after surgery, respectively. Fatigue was the most important feature between 1 and 4 years. Despite the survival period, hopefulness was the most influential feature on QoL. External validation of the models showed good performance with AUCs between 0.770 and 0.862. CONCLUSIONS The study identified important factors associated with QoL among breast cancer survivors across different survival trajectories. Understanding the changing trends of these factors could help to intervene more precisely and timely, and potentially prevent or alleviate QoL-related issues for patients. The good performance of our ML models in both training and external validation sets suggests the potential use of this approach in identifying patient-centered factors and improving survivorship care.
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Affiliation(s)
- Danbee Kang
- Department of Clinical Research Design and Evaluation, SAIHST, Sungkyunkwan University, Seoul, Republic of Korea
- Center for Clinical Epidemiology, Samsung Medical Center, Seoul, Republic of Korea
| | - Hyunsoo Kim
- Department of Clinical Research Design and Evaluation, SAIHST, Sungkyunkwan University, Seoul, Republic of Korea
- Center for Clinical Epidemiology, Samsung Medical Center, Seoul, Republic of Korea
| | - Juhee Cho
- Department of Clinical Research Design and Evaluation, SAIHST, Sungkyunkwan University, Seoul, Republic of Korea
- Center for Clinical Epidemiology, Samsung Medical Center, Seoul, Republic of Korea
| | - Zero Kim
- Medical AI Research Center, Samsung Medical Center, Seoul, Republic of Korea
| | - Myungjin Chung
- Medical AI Research Center, Samsung Medical Center, Seoul, Republic of Korea
| | - Jeong Eon Lee
- Department of Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Republic of Korea
| | - Seok Jin Nam
- Department of Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Republic of Korea
| | - Seok Won Kim
- Department of Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Republic of Korea
| | - Jonghan Yu
- Department of Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Republic of Korea
| | - Byung Joo Chae
- Department of Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Republic of Korea
| | - Jai Min Ryu
- Department of Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Republic of Korea
| | - Se Kyung Lee
- Department of Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Republic of Korea
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Chay J, Huynh VA, Cheung YB, Kanesvaran R, Lee LH, Malhotra C, Finkelstein EA. The relationship between hope, medical expenditure and survival among advanced cancer patients. Front Psychol 2023; 14:1151976. [PMID: 37287770 PMCID: PMC10242009 DOI: 10.3389/fpsyg.2023.1151976] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/27/2023] [Accepted: 05/02/2023] [Indexed: 06/09/2023] Open
Abstract
Introduction Among those with advanced illness, higher levels of hope may offer physiological benefits. Yet, greater levels of hope may also encourage aggressive treatments. Therefore, higher levels of hope may lead to greater healthcare utilization, higher expenditure, and longer survival. We test these hypotheses among patients with advanced cancer. Methods A secondary data analysis from a cross-sectional survey of 195 advanced cancer patients with high mortality risk linked to subsequent healthcare utilization (outpatient, day surgeries, non-emergency admissions), health expenditures, and death records. The survey collected data on hope, measured generally by the Herth Hope Index (HHI) and more narrowly by two questions on illness-related hope. Generalized linear regression and Cox models were used to test our hypotheses. Results 142 (78%) survey participants died during the period of analysis, with close to half (46%) doing so within a year of the survey. Contrary to expectation, HHI scores did not have a significant association with healthcare utilization, expenditure or survival. Yet, illness-related hope, defined as those who expected to live at least 2 years, as opposed to the likely prognosis of 1 year or less as determined by the primary treating oncologist, had 6.6 more planned hospital encounters (95% CI 0.90 to 12.30) in the 12-months following the survey and 41% lower mortality risk (hazard ratio: 0.59, 95% CI 0.36 to 0.99) compared to those who were less optimistic. Secondary analysis among decedents showed that patients who believed that the primary intent of their treatment is curative, had higher total expenditure (S$30,712; 95% CI S$3,143 to S$58,282) in the last 12 months of life than those who did not have this belief. Conclusion We find no evidence of a relationship between a general measure of hope and healthcare utilization, expenditure, or survival among advanced cancer patients. However, greater illness-related hope is positively associated with these outcomes.
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Affiliation(s)
- Junxing Chay
- Lien Centre for Palliative Care, Duke-NUS Medical School, Singapore, Singapore
| | - Vinh Anh Huynh
- Lien Centre for Palliative Care, Duke-NUS Medical School, Singapore, Singapore
| | - Yin Bun Cheung
- Program in Health Services and Systems Research, Duke-NUS Medical School, Singapore, Singapore
- Centre for Quantitative Medicine, Duke-NUS Medical School, Singapore, Singapore
| | | | - Lai Heng Lee
- Department of Haematology, Singapore General Hospital, Singapore, Singapore
| | - Chetna Malhotra
- Lien Centre for Palliative Care, Duke-NUS Medical School, Singapore, Singapore
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Zhang X, Wang D, Li F. Physical Exercise, Social Capital, Hope, and Subjective Well-Being in China: A Parallel Mediation Analysis. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 20:303. [PMID: 36612625 PMCID: PMC9819114 DOI: 10.3390/ijerph20010303] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 11/14/2022] [Revised: 12/20/2022] [Accepted: 12/22/2022] [Indexed: 06/17/2023]
Abstract
Based on data from the 2017 China General Social Survey, a conditional process analysis was conducted to explore the association between physical exercise and subjective well-being, as well as the parallel mediating effect of social networks and a sense of hope. The results showed that physical exercise had a significant positive predictive effect on the participants' subjective well-being. Furthermore, social networks and a sense of hope mediated the association between physical exercise and subjective well-being. Physical exercise indirectly promoted subjective well-being by enhancing social networks and a sense of hope. However, the indirect effect of a sense of hope on the association between physical exercise and subjective well-being was greater than that of social networks. The results of this study revealed the internal mechanism of the effect of participation in physical exercise on the improvement of subjective well-being, which is of great significance for formulating relevant policies and plans to further improve Chinese residents' well-being.
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Affiliation(s)
| | - Dianxi Wang
- School of Marxism, Beijing Sport University, Beijing 100084, China
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The impact of symptom distress on health-related quality of life in liver cancer patients receiving arterial chemoembolization: the mediating role of hope. BMC Gastroenterol 2022; 22:456. [DOI: 10.1186/s12876-022-02529-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/29/2022] [Accepted: 10/06/2022] [Indexed: 11/16/2022] Open
Abstract
Abstract
Background
Trans-hepatic arterial chemoembolization (TACE) is a treatment option for liver cancer patients. It can prolong patients’ survival but can also cause symptom distress. Symptom distress (SDs) can directly impact quality of life (QOL) and may indirectly influence QOL by lessening hope. In this study, we wanted to explore the mediating effect of hope on the relationship between SDs and QOL among patients with liver cancer receiving TACE.
Methods
A cross-sectional study was conducted from December 20, 2017, to August 6, 2018, at a gastroenterology ward of a medical center. The participants were 92 liver cancer patients (69.6% male, mean age 67.8) who were admitted for TACE treatment. Information on SDs, hope, and QOL was collected by questionnaire on discharge day. Hayes’ PROCESS model was used to test the mediating effect of hope on the relationship between SDs and QOL.
Results
The mean score and standard deviation (SD) of SDs, hope, and QOL were 32.08 (SD = 6.22), 27.09 (SD = 3.51), and 55.16 (SD = 17.33), respectively. SDs negatively impacts quality of life. The total effect of SDs on QOL was − 1.41 (95% confidence interval [CI]: − 1.96, − 0.86). The indirect effect via the mediation of hope was − 0.95 (95% CI: − 1.7, − 0.45). Hope partially mediated the effect of SDs on QOL.
Conclusion
SDs after TACE is vital; it directly reduces a patient’s overall QOL and can indirectly hinder it by reducing the patient’s hope. In addition to symptom management, interventions that help patients maintain their hope are key to improving QOL among patients receiving TACE.
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Increased hope levels correlate with life satisfaction in cancer patients: A systematic review. ADVANCES IN INTEGRATIVE MEDICINE 2022. [DOI: 10.1016/j.aimed.2022.06.002] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/18/2022]
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Salimi H, Zadeh Fakhar HB, Hadizadeh M, Akbari M, Izadi N, MohamadiRad R, Akbari H, Hoseini R. Hope therapy in cancer patients: a systematic review. Support Care Cancer 2022; 30:4675-4685. [PMID: 35079905 DOI: 10.1007/s00520-022-06831-y] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/16/2021] [Accepted: 01/11/2022] [Indexed: 12/24/2022]
Abstract
AIM To identify the associated factors of hope therapy during treatment in cancer patients. BACKGROUND Hope is very important to cancer patients at all stages of the disease process. Several and different factors are associated with hope. DESIGN A systematic literature review of quantitative empirical studies on hope and quality of life in cancer patients. DATA SOURCES Search in MEDLINE, Psychinfo, and Cochrane (January 2010-December 2020). REVIEW METHODS A coherent search strategy was designed where MESH terms were combined with "free text" terms: hope (e.g., hope therapy, Herth Hope Index, quality of life) and cancer (e.g. neoplasm, tumor). Two authors independently screened all the studies and assessed their quality. RESULTS Twenty studies were included. The overall score of Herth Hope Index in cancer patients was 36.93, and the overall score of quality of life in cancer patients were 47.52. Also, the trend of quality of life and Herth Hope Index in cancer patients has been decreasing, from 2010 to 2020. CONCLUSIONS This systematic literature review of associated factors of hope in cancer patients receiving treatment shows that hope seems to be positively related mainly by intrinsic factors, such as perceived health, quality of life, and social support.
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Affiliation(s)
- Hamed Salimi
- Department of DBA, Oxford University, London, UK
| | | | - Mohammad Hadizadeh
- Cancer Research Centre (CRC), Shahid Beheshti University of Medical Sciences, Tehran, Iran
| | - MohammadEsmaeil Akbari
- Cancer Research Centre (CRC), Shahid Beheshti University of Medical Sciences, Tehran, Iran
| | - Neda Izadi
- Cancer Research Center, Department of Epidemiology, School of Public Health and Safety, Shahid Beheshti University of Medical Sciences, Tehran, Iran
| | | | - Hosna Akbari
- Cancer Research Centre (CRC), Shahid Beheshti University of Medical Sciences, Tehran, Iran
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16
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Pape E, Decoene E, Debrauwere M, Van Nieuwenhove Y, Pattyn P, Feryn T, Pattyn PRL, Verhaeghe S, Van Hecke A. The trajectory of hope and loneliness in rectal cancer survivors with major low anterior resection syndrome: A qualitative study. Eur J Oncol Nurs 2021; 56:102088. [PMID: 34942590 DOI: 10.1016/j.ejon.2021.102088] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/09/2021] [Revised: 12/09/2021] [Accepted: 12/16/2021] [Indexed: 12/30/2022]
Abstract
PURPOSE Rectal cancer survivors are often confronted with long-term bowel function impairment, called low anterior resection syndrome. This has a large impact on patients' lives. The aim was to explore the experiences of patients with major low anterior resection syndrome with a specific focus on hope and loneliness. METHODS A grounded theory approach was used. Individual semi-structured interviews (n = 28) were performed between 2017 and 2019. Patients were recruited in three hospitals and a call was distributed in two patients' organizations. During data analysis, the constant comparative method and investigators' triangulation was used. RESULTS Hope was important at different stages in the trajectory. After treatment patients hoped to pick up their previous life. Confrontation with low anterior resection syndrome was unexpected and patients hoped to manage it through trial and error. They lost hope if further improvement was absent. At that turning point some tried to accept the new lifestyle, others pushed their boundaries and some opted for a permanent stoma. Loneliness presented itself in several layers. Patients experience loneliness due being toilet-bound, changes in their lives and activities outside their homes and the impact on their family life. CONCLUSION Assessment of the impact on patients' lives and tailored counselling is possible if healthcare professionals gain more insight into the different layers of loneliness and where the patient is located in the trajectory of hope.
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Affiliation(s)
- E Pape
- Department of Gastrointestinal Surgery, Ghent University Hospital, Ghent, Belgium.
| | - E Decoene
- Cancer Centre, Ghent University Hospital, Ghent, Belgium
| | - M Debrauwere
- Intravenous Vascular Access Team, Ghent University Hospital, Ghent, Belgium
| | - Y Van Nieuwenhove
- Department of Gastrointestinal Surgery, Ghent University Hospital, Ghent, Belgium
| | - P Pattyn
- Department of Gastrointestinal Surgery, Ghent University Hospital, Ghent, Belgium
| | - T Feryn
- Department of Surgery, AZ Sint-Jan Bruges, Belgium
| | - P R L Pattyn
- Department of Surgery, AZ Delta Roeselare, Belgium
| | - S Verhaeghe
- Department of Public Health and Primary Care, University Centre for Nursing and Midwifery, Ghent University, Ghent, Belgium
| | - A Van Hecke
- Department of Public Health and Primary Care, University Centre for Nursing and Midwifery, Ghent University, Ghent, Belgium; Staff Member Nursing Department, Ghent University Hospital, Ghent, Belgium
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17
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Nikoloudi M, Tsilika E, Parpa E, Kostopoulou S, Tentolouris A, Psarros C, Alexandra M, Mystakidou K. Herth Hope Index: A Psychometric Evaluation Study within a Sample of Greek Patients with Cancer. Indian J Palliat Care 2021; 27:367-374. [PMID: 34898931 PMCID: PMC8655662 DOI: 10.25259/ijpc_364_20] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/09/2021] [Accepted: 08/22/2021] [Indexed: 11/04/2022] Open
Abstract
Objectives: This study aims to develop the Greek version of the Herth Hope Index (HHI) and assess its psychometric properties to a palliative care patient sample, using a cross-sectional design. Materials and Methods: The HHI was translated into Greek (HHI-Gr) using the ‘forward-backward’ procedure. It was administered to 130 eligible cancer patients, while for the stability of patients’ responses, 40 of these patients completed the HHI-Gr 3 days later. Along with the HHI-Gr, patients also completed the Hospital Anxiety and Depression Scale (HADS) and the Beck Hopelessness Scale (BHS). The HHI-Gr internal consistency reliability (Cronbach’s a), stability (intraclass correlation coefficient [ICC]), factor structure (factor analysis) and convergent validity (correlation with the HADS and the BHS questionnaires) were examined using the Eastern Cooperative Oncology Group (ECOG) performance status. Results: The HHI-Gr yielded a one-factor model and a Cronbach alpha (0.860) with excellent internal consistency reliability and stability ICC (>0.90). Satisfactory convergent validity was supported by the correlation analysis between the HHI-Gr and BHS (r = 0.718, P < 0.001). Overall test-retest reliability was satisfactory with a range between 0.77 and 0.96 (P < 0.001). Conclusion: These results demonstrate that the HHI-Gr is an instrument with satisfactory psychometric properties and is a valid research tool for the measurement of the levels of hope among Greek oncology patients.
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Affiliation(s)
- Maria Nikoloudi
- Department of Radiology, Pain Relief and Palliative Care Unit, Areteion Hospital, School of Medicine, National and Kapodistrian University of Athens, Aigaleo, Greece
| | - Eleni Tsilika
- Department of Radiology, Pain Relief and Palliative Care Unit, Areteion Hospital, School of Medicine, National and Kapodistrian University of Athens, Aigaleo, Greece
| | - Efi Parpa
- Department of Radiology, Pain Relief and Palliative Care Unit, Areteion Hospital, School of Medicine, National and Kapodistrian University of Athens, Aigaleo, Greece
| | - Sotiria Kostopoulou
- Department of Radiology, Pain Relief and Palliative Care Unit, Areteion Hospital, School of Medicine, National and Kapodistrian University of Athens, Aigaleo, Greece
| | - Anastasios Tentolouris
- First Department of Propaedeutic Internal Medicine, Diabetes Center, School of Medicine, National and Kapodistrian University of Athens, Laiko General Hospital, Aigaleo, Greece
| | - Constantin Psarros
- Department of Psychiatry, School of Medicine, National and Kapodistrian University of Athens, Eginition Hospital, Aigaleo, Greece
| | | | - Kyriaki Mystakidou
- Department of Radiology, Pain Relief and Palliative Care Unit, Areteion Hospital, School of Medicine, National and Kapodistrian University of Athens, Aigaleo, Greece
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18
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Parenteau SC, Wu H. Religious Problem-Solving Styles and Life Satisfaction: Exploring God, the Will and the Way. JOURNAL OF RELIGION AND HEALTH 2021; 60:4451-4466. [PMID: 33449263 DOI: 10.1007/s10943-020-01159-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Accepted: 12/05/2020] [Indexed: 06/12/2023]
Abstract
A proliferation of empirical studies over the past few decades has examined the connection between religiosity and health; an extension of this literature has focused on the association between three styles of religious problem-solving-collaborative, self-directing and deferring-and psychological adjustment. Few studies, however, have examined variables that may mediate this association. The present study utilized a cross-sectional design to examine the pathways (means to attain goals) and agency (goal-directed energy and determination) components of hope as mediators in the association between religious problem-solving styles and psychosocial adjustment. Students (n = 91) at a midsize Southeastern university completed a demographic questionnaire, the Religious Problem-solving Styles Scale, Adult Hope Scale, and the Life Satisfaction Scale. Mediation analyses revealed that both the collaborative and deferring religious problem-solving styles were positively associated with life satisfaction through agency thinking, but the self-directing religious problem-solving style was negatively associated with life satisfaction through agency thinking. Contrary to expectations, there was no significant indirect effect of any of the religious problem-solving styles on life satisfaction via pathways thinking. These results suggest that approaching problems within a specific religious framework is associated with psychosocial adjustment, and that each religious problem-solving style may exert its effects by either amplifying or quelling goal-directed motivation and willpower. Future studies should utilize quasi-experimental designs in order to delineate cause-and-effect relationships among religious problem-solving styles, agency and pathways thinking, and psychosocial adjustment.
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Affiliation(s)
- Stacy C Parenteau
- Department of Psychology, Auburn University at Montgomery, 210I Goodwyn Hall, Montgomery, AL, 36124, USA.
| | - Haibo Wu
- Lingnan (University) College, Sun Yat-sen University, Guangzhou, People's Republic of China
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19
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Roy DC, Lun R, Wang TF, Chen Y, Wells P. Life dissatisfaction in Canadians aged 40 and above with cancer and mental health disorders: A cross-sectional study using the Canadian Community Health Survey. Cancer Med 2021; 10:7601-7609. [PMID: 34582119 PMCID: PMC8559453 DOI: 10.1002/cam4.4287] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/23/2021] [Revised: 09/01/2021] [Accepted: 09/02/2021] [Indexed: 12/02/2022] Open
Abstract
Background Life dissatisfaction varies with different factors––particularly in the presence of chronic conditions, such as cancer. The combination of cancer and mental health disorders may increase life dissatisfaction due to lowered resilience against stress. We sought to determine if life dissatisfaction is higher in Canadians aged 40 and above with cancer compared to the cancer‐free population and if there is a synergistic effect between cancer and mental health disorder on life dissatisfaction. Methods We conducted a cross‐sectional study using the 2015–2016 Canadian Community Health Survey. We included 67,294 subjects aged 40+, and evaluated the association between cancer, mental health disorders, and life dissatisfaction using logistic regression and odds ratios (ORs) while adjusting for age, sex, marital status, education level, and chronic conditions. Relative excess risk due to interaction (RERI), attributional proportion due to interaction (AP), and Synergy index (S‐index), were calculated to determine the significance of additive interaction. Results Compared to the cancer‐free population, life dissatisfaction was higher in patients with cancer (OR 2.44, 95% CI: 1.88–3.16) and mental health disorders (OR 5.17, 95% CI: 4.56–5.85). The adjusted ORs for life dissatisfaction were 2.45 (95% CI: 1.74–3.43) and 5.17 (95% CI: 4.55–5.87) for cancer and mental health disorders, respectively, but when both conditions were present, the OR increased to 12.50 (95% CI: 8.40–18.62). The results suggested a synergistic interaction (RERI: 5.89 [95% CI: 0.91–10.87]; AP: 0.47 [95% CI: 0.25–0.69]; and S‐index: 2.05 [95% CI: 1.30–3.23]). Conclusion This study showed higher life dissatisfaction in cancer and mental health disorder patients. A synergistic effect was detected between cancer and mental health disorder on life dissatisfaction. These results suggest cancer patients with mental health disorders require additional support and psychological resources to improve their quality of life.
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Affiliation(s)
- Danielle Carole Roy
- School of Epidemiology and Public Health, Faculty of Medicine, University of Ottawa, Ottawa, Ontario, Canada
| | - Ronda Lun
- School of Epidemiology and Public Health, Faculty of Medicine, University of Ottawa, Ottawa, Ontario, Canada.,Department of Medicine, University of Ottawa, and The Ottawa Hospital Research Institute, Ottawa, Ontario, Canada
| | - Tzu-Fei Wang
- School of Epidemiology and Public Health, Faculty of Medicine, University of Ottawa, Ottawa, Ontario, Canada.,Department of Medicine, University of Ottawa, and The Ottawa Hospital Research Institute, Ottawa, Ontario, Canada
| | - Yue Chen
- School of Epidemiology and Public Health, Faculty of Medicine, University of Ottawa, Ottawa, Ontario, Canada
| | - Philip Wells
- School of Epidemiology and Public Health, Faculty of Medicine, University of Ottawa, Ottawa, Ontario, Canada.,Department of Medicine, University of Ottawa, and The Ottawa Hospital Research Institute, Ottawa, Ontario, Canada
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20
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Sabanciogullari S, Yilmaz FT. The Effect of Religious Coping on Hope Level of Cancer Patients Receiving Chemotherapy. JOURNAL OF RELIGION AND HEALTH 2021; 60:2756-2769. [PMID: 31701322 DOI: 10.1007/s10943-019-00944-1] [Citation(s) in RCA: 16] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/10/2023]
Abstract
Religious coping and hope are among factors that affect the disease, treatment compliance, psychological health and quality of life of cancer patients. The aim of this study was to determine the level of hope and religious coping styles of cancer patients, and to determine the relationship between religious coping and hope. The study was carried out descriptively and cross-sectionally with 133 patients receiving chemotherapy in an oncology center. In the study, the level of hope and positive religious coping of the patients were high and their level of negative religious coping was low. It was determined that there was a positive relationship between positive religious coping style and hope levels of patients, and positive religious coping style was a significant predictor of hope level. While patients are dealing with cancer diagnosis and treatment, it is recommended that health care professionals primarily focus on providing these patients a service with a holistic care approach and developing their hope with practices that will strengthen their positive religious coping styles.
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Affiliation(s)
- Selma Sabanciogullari
- Department of Psychiatric Nursing, School of Susehri Health High, Sivas Cumhuriyet University, Sivas, Turkey.
| | - Feride Taskin Yilmaz
- Department of Internal Diseases Nursing, School of Susehri Health High, Sivas Cumhuriyet University, Sivas, Turkey
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21
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Kim H, Park CHK, Kim Y, Joo Y. Correlates of Psychological Distress in Patients With Cancer at a Psycho-oncology Clinic. J Acad Consult Liaison Psychiatry 2021; 62:595-605. [PMID: 34245944 DOI: 10.1016/j.jaclp.2021.05.007] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/24/2021] [Revised: 05/04/2021] [Accepted: 05/26/2021] [Indexed: 10/20/2022]
Abstract
BACKGROUND Patients with cancer experience significant psychological distress. Most studies investigated individual risk factors for distress in their respective treatment setting, which limit generalizability of results or comparison of relative importance. OBJECTIVE To investigate the relation between psychological distress in patients referred to a psycho-oncology clinic and its correlates in a comprehensive manner. METHOD Medical charts of patients who visited the psycho-oncology clinic at a tertiary hospital from May 2019 to May 2020 were reviewed. Demographic, cancer-related, and psychiatric factors; health-related quality of life; and somatic pain were investigated. The Hospital Anxiety and Depression Scale, item 9 on the Patient Health Questionnaire-9, Functional Assessment of Cancer Therapy-General, Present Pain Intensity, and Distress Thermometer were measured at the index visit. Simple and multiple linear regression analyses were performed with the Distress Thermometer score as a dependent variable. RESULTS A total of 454 patients were included. The univariate analyses showed age and physical, emotional, and functional well-being scores on the Functional Assessment of Cancer Therapy-General were negatively associated with the Distress Thermometer scores, while female genital cancer, advanced disease, recent radiotherapy, the Hospital Anxiety and Depression Scale score, and the Present Pain Intensity score showed a positive relation. After adjusting for all other variables, female genital cancer (P = 0.027), anxiety subscale of the Hospital Anxiety and Depression Scale (P < 0.001), the Present Pain Intensity (P = 0.002), and physical (P < 0.001) and functional (P = 0.019) well-being subscales of the Functional Assessment of Cancer Therapy-General remained significant. CONCLUSIONS Patients with cancer who visited a psycho-oncology clinic experienced more distress if they had female genital cancer, low health-related quality of life score, severe anxiety, or somatic pain.
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Affiliation(s)
- Harin Kim
- Department of Psychiatry, Asan Medical Center, Seoul, Korea; College of Medicine, University of Ulsan, Seoul, Korea
| | | | - Yangsik Kim
- Department of neuropsychiatry, National Center for Mental Health, Seoul, Korea
| | - Yeonho Joo
- Department of Psychiatry, Asan Medical Center, Seoul, Korea; College of Medicine, University of Ulsan, Seoul, Korea.
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22
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Aslan G, Bakan AB, Kilic D. An investigation of the relationship between religious coping and life satisfaction in oncology patients aged 65 and over. Psychogeriatrics 2021; 21:279-287. [PMID: 33576111 DOI: 10.1111/psyg.12661] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/18/2020] [Accepted: 01/18/2021] [Indexed: 12/01/2022]
Abstract
BACKGROUND Religious coping refers to the use of religion or spirituality to cope with stressful situations. Religious coping is a concept which involves both positive and negative cases. Studies on oncology patients, who encounter various physical and psychological difficulties, report that religious coping beliefs and practices are of great importance in helping patients to face the disease, adapt to this crisis period and accept their disease, and maintain their hope. The purpose of the present study is to investigate the relationship between religious coping and life satisfaction in oncology patients aged 65 and over. METHODS This descriptive study was conducted at a university hospital in a city located in eastern Turkey between March and July 2020 with the voluntary participation of 125 patients with cancer. Data collection was performed via the Demographic Characteristics Form, Life Satisfaction Scale, and Religious Coping Scale. RESULTS Mean score of the Life Satisfaction Scale was significantly higher among the participants with a monthly income of 2000 tl and over, who lived with their spouse and children, who adapted to the diseases, and who perceived their health status as 'good'. The mean score of the Religious Coping Scale was significantly higher in the participants with metastasis. There was a negative, statistically significant relationship between the Life Satisfaction Scale total mean score and the Negative Religious Coping sub-scale mean score (P < 0.05). CONCLUSION This study found that negative religious coping negatively affected life satisfaction. Further, patients with cancer should be provided with psychosocial support programs that enable them to express the cases causing them to think what they experience is a divine punishment, encourage them in this way, and help them feel relieved.
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Affiliation(s)
- Gülpinar Aslan
- First and Immediate Aid Program, Agri Ibrahim Cecen University Health Services Vocational School, Agri, Turkey
| | - Ayse Berivan Bakan
- Department of Nursing, Agri Ibrahim Cecen University School of Health, Agri, Turkey
| | - Dilek Kilic
- Public Health Nursing, Health Sciences Institute Atatürk University, Erzurum, Turkey
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23
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Sharif Nia H, Lehto RH, Seyedfatemi N, Mohammadinezhad M. A path analysis model of spiritual well-being and quality of life in Iranian cancer patients: a mediating role of hope. Support Care Cancer 2021; 29:6013-6019. [PMID: 33782763 DOI: 10.1007/s00520-021-06172-2] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/05/2021] [Accepted: 03/18/2021] [Indexed: 11/12/2022]
Abstract
PURPOSE Maintenance of quality of life (QOL) is vital for adaptation to life-threatening and chronic illnesses such as cancer. Therefore, the evaluation and strengthening of personal psychological resources that support QOL for patients with cancer is paramount. This study investigated the potential mediating role of hope in the relationship between spiritual well-being and QOL in Iranian cancer patients. METHODS A correlational predictive design was used with 200 patients with varying types and stage of cancer. Demographic and health characteristic surveys, spiritual well-being (SWB), adult hope, and EORTC QLQ-c30 scales were used for measuring the study constructs. Path analysis modeling was used to determine mediation relationships. RESULTS Patients' QOL was affected by SWB and hope. Religious (β = 0.205, p = 0.002) and existential (β = 0.286, p < 0.001) SWB dimensions and hope (β = 0.263, p < 0.001) improved QOL scores. The presence of hope partially mediated the relationship between SWB and QOL. CONCLUSION Quality of life was directly affected by SWB and was further improved by the presence of hope. The study suggests that maintenance of hope is essential to QOL in Iranian patients with cancer.
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Affiliation(s)
- Hamid Sharif Nia
- School of Nursing and Midwifery Amol, Mazandaran University of Medical Sciences, Sari, Iran
| | - Rebecca H Lehto
- College of Nursing, Michigan State University, East Lansing, MI, USA
| | - Naiemeh Seyedfatemi
- Nursing Care Research Center, Iran University of Medical Sciences, Tehran, Iran
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24
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Bareket-Bojmel L, Shahar G, Abu-Kaf S, Margalit M. Perceived social support, loneliness, and hope during the COVID-19 Pandemic: Testing a mediating model in the UK, USA, and Israel. BRITISH JOURNAL OF CLINICAL PSYCHOLOGY 2021; 60:133-148. [PMID: 33624294 PMCID: PMC8013849 DOI: 10.1111/bjc.12285] [Citation(s) in RCA: 39] [Impact Index Per Article: 9.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/20/2020] [Revised: 02/01/2021] [Indexed: 11/28/2022]
Abstract
Objectives The COVID‐19 epidemic is affecting the entire world and hence provides an opportunity examine how people from different countries engage in hopeful thinking. The aim of this study was to examine the potentially facilitating role of perceived social support vis‐à‐vis hope as well as the mediating role of loneliness between perceived social support and hope. This mediating model was tested concurrently in the UK, the USA, and Israel. Methods In April 2020, as the first wave of the virus struck the three aforementioned countries, we assessed perceived social support, loneliness, and hope in 400 adults per country (N = 1,200). Assessments in the UK/USA were conducted via the Prolific platform, whereas in Israel they were conducted via Facebook/WhatsApp. Results In all three countries, perceived social support predicted elevated hope, although the effect was smallest in the UK. Loneliness mediated this effect in all three countries, although full mediation was attained only in the UK. Conclusions Perceived social support may facilitate hope in dire times, possibly through the reduction of loneliness. Practitioner Points Findings are consistent with respect to the potentially protective role of perceived social support vis‐à‐vis hope. Perceived social support may increase hope through decreasing loneliness. In the UK, the above‐noted mediating effect of loneliness appears to be stronger than in Israel and the USA. Elevated levels of perceived social support should serve as a desired outcome in individual and group psychotherapy, as well as in community based interventions.
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Affiliation(s)
| | - Golan Shahar
- Department of Psychology, Ben-Gurion University of the Negev, Beer-Sheva, Israel
| | - Sarah Abu-Kaf
- Conflict Management & Resolution Program, Department of Interdisciplinary Studies, Ben-Gurion University of the Negev, Beer-Sheva, Israel
| | - Malka Margalit
- School of Behavioral Sciences, Peres Academic Center, Rehovot, Israel.,School of Education, Tel-Aviv University, Tel-Aviv, Israel
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25
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Nierop-van Baalen C, Grypdonck M, van Hecke A, Verhaeghe S. Associated factors of hope in cancer patients during treatment: A systematic literature review. J Adv Nurs 2020; 76:1520-1537. [PMID: 32133663 DOI: 10.1111/jan.14344] [Citation(s) in RCA: 16] [Impact Index Per Article: 3.2] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/29/2019] [Revised: 02/17/2020] [Accepted: 02/24/2020] [Indexed: 12/18/2022]
Abstract
AIM To identify the associated factors of hope during treatment in cancer patients. BACKGROUND Hope is very important to cancer patients at all stages of the disease process. Hope is seen as an important coping mechanism. Most research about hope in cancer patients considered the end of life or in palliative care. Several and different factors are associated with hope. It is not yet sufficiently clear which factors are associated with hope during the treatment. DESIGN A systematic literature review of quantitative empirical studies on hope in cancer patients during treatment. DATA SOURCES Search in MEDLINE (PubMed interface), CINAHL (EBSCO interface), Psychinfo and Cochrane (January 2009-December 2018). REVIEW METHODS Empirical quantitative studies were included regardless of the disease stage, written in English or Dutch, measuring hope from the perspective of cancer patients. Two authors independently screened all the studies and assessed their quality. RESULTS Thirty-three studies were included. Positive relationship has been established between hope and quality of life, social support, spiritual and existential well-being. Hope appears to be negatively associated with symptom burden, psychological distress and depression. There appears to be no relationship between hope and demographic and clinical variables. The relationship between anxiety and hope remains unclear. CONCLUSIONS Hope primarily seems to be a process that takes place in a person's inner being rather than being determined from outside. IMPACT Health professionals may want to focus on the meaning of hope for cancer patients in relation to the associated factors. A better understanding of the meaning of hope during treatment can be of great value in supporting cancer patients with regard to treatment decisions, psychosocial support, the experienced quality of life and symptom burden and any wishes they may have with regard to advanced care planning.
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Affiliation(s)
- Corine Nierop-van Baalen
- Haaglanden Medical Center, The Hague, The Netherlands
- Department of Public Health and Primary Care, University Hospital, Ghent University, Ghent, Belgium
| | - Maria Grypdonck
- Department of Public Health and Primary Care, University Hospital, Ghent University, Ghent, Belgium
| | - Ann van Hecke
- Department of Public Health and Primary Care, University Hospital, Ghent University, Ghent, Belgium
| | - Sofie Verhaeghe
- Department of Public Health and Primary Care, University Hospital, Ghent University, Ghent, Belgium
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26
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Spirituality and quality of life in women with breast cancer: The role of hope and educational attainment. Palliat Support Care 2020; 19:55-61. [PMID: 32580795 DOI: 10.1017/s1478951520000383] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/04/2023]
Abstract
OBJECTIVE This study investigated relationships among spirituality, hope, and overall quality of life in Muslim women with breast cancer in Malaysia. METHOD A cross-sectional descriptive design with a convenience sample of 145 Malay patients was used. The mediating role of hope in the relationship between spirituality and quality of life as well as the moderating effect of education level on the spirituality hope link were examined. RESULTS Participants with higher self-reported spirituality reported more hope (b = 6.345, p < 0.001) and higher levels of quality of life (b = 1.065, p < 0.001). Higher educational attainment weakened relationships between spirituality and hope (b = -1.460, p < 0.001). SIGNIFICANCE OF RESULTS The role of advanced education in contributing to lessened hope in relation to spirituality emphasizes the importance of skilled and personalized spiritual counseling in the respective socio-cultural religious context.
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27
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Shen A, Qiang W, Wang Y, Chen Y. Quality of life among breast cancer survivors with triple negative breast cancer--role of hope, self-efficacy and social support. Eur J Oncol Nurs 2020; 46:101771. [PMID: 32506010 DOI: 10.1016/j.ejon.2020.101771] [Citation(s) in RCA: 20] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/28/2019] [Revised: 05/02/2020] [Accepted: 05/08/2020] [Indexed: 12/12/2022]
Abstract
PURPOSE To investigate quality of life status and its influence factors among Chinese triple negative breast cancer patients, especially the role of hope, self-efficacy and social support. METHOD 121 triple negative breast cancer patients were recruited from March to June 2019. Data was collected by demographic and clinical characteristics questionnaire and instruments assessing hope, social support, self-efficacy and quality of life. Descriptive statistics, independent samples t-tests or one-way analysis of variance, Pearson correlation analyses and multiple regression analyses were applied. RESULTS Hope, social support and self-efficacy were all positively correlated with quality of life (P < 0.001). Multiple regression analyses indicated hope, income, cancer stage, self-efficacy, and social support as indicators of quality of life, explaining 56.2% of the response variation (P < 0.001). CONCLUSIONS Quality of life of triple negative breast cancer patients need to be improved. Income, hope, self-efficacy and social support are positive predictors, and cancer stage are negative predictors of quality of life. Supportive programs and interventions targeting on increasing levels of hope, self efficacy and social support should be considered while caring for this group.
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Affiliation(s)
- Aomei Shen
- Nursing Department, Tianjin Medical University Cancer Institute and Hospital, National Clinical Research Center for Cancer, Tianjin, China
| | - Wanmin Qiang
- Nursing Department, Tianjin Medical University Cancer Institute and Hospital, National Clinical Research Center for Cancer, Tianjin, China.
| | - Ying Wang
- Nursing Department, Tianjin Medical University Cancer Institute and Hospital, National Clinical Research Center for Cancer, Tianjin, China
| | - Yuhong Chen
- Department of Breast Cancer, Tianjin Medical University Cancer Institute and Hospital, National Clinical Research Center for Cancer, Tianjin, China
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Pasyar N, Rambod M, Jowkar M. The Effect of Peer Support on Hope Among Patients Under Hemodialysis. Int J Nephrol Renovasc Dis 2020; 13:37-44. [PMID: 32214839 PMCID: PMC7078768 DOI: 10.2147/ijnrd.s240756] [Citation(s) in RCA: 12] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/02/2019] [Accepted: 02/25/2020] [Indexed: 12/18/2022] Open
Abstract
Introduction Providing social support for patients under hemodialysis treatment can reduce their psychological, social, and physical problems. The present study aimed at determining the effect of peer support on hopefulness in patients under hemodialysis. Methods This clinical trial with a pre/posttest design was conducted on 128 patients who had referred to the hemodialysis centers of Shiraz University of Medical Sciences in 2019. The patients were randomly divided into an intervention and a control group. The patients in the intervention group were supported by their peers for eight weeks and were provided with the usual care, but the controls were only provided with the usual care. The data were collected using Snyder Hope Scale. Then, the data were entered into the SPSS software, version 18 and were analyzed using independent t-test and paired t-test. Results At baseline, the participants in both groups were similar with respect to the mean scores of hope and its subscales (p>0.05). However, there was a significant difference between the two groups in terms of hope and its subscales eight weeks after the intervention (p<0.001). Conclusion The results confirmed the effect of peer support on increasing hope among the patients under hemodialysis. Peer support in informational, emotional, instrumental, and spiritual forms could create a positive incentive and increase hope among the patients. Clinical Trial Number This clinical trial has been registered in the Iranian Registry of Clinical Trials (IRCT20190126042498N1).
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Affiliation(s)
- Nilofar Pasyar
- Community Based Psychiatric Care Research Center, Shiraz University of Medical Sciences, Shiraz, Iran.,Nursing Department, School of Nursing and Midwifery, Shiraz University of Medical Sciences, Shiraz, Iran
| | - Masoume Rambod
- Community Based Psychiatric Care Research Center, Shiraz University of Medical Sciences, Shiraz, Iran.,Nursing Department, School of Nursing and Midwifery, Shiraz University of Medical Sciences, Shiraz, Iran
| | - Mostafa Jowkar
- Student Research Committee, Shiraz University of Medical Sciences, Shiraz, Iran
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Vehof H, Heerdink E, Sanders J, Das E. Associations Between Characteristics of Web-Based Diabetes News and Readers' Sentiments: Observational Study in the Netherlands. J Med Internet Res 2019; 21:e14554. [PMID: 31719025 PMCID: PMC6881782 DOI: 10.2196/14554] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/01/2019] [Revised: 07/20/2019] [Accepted: 08/14/2019] [Indexed: 11/23/2022] Open
Abstract
BACKGROUND Although experts agree that Web-based health information often contains exaggeration and misrepresentation of science, it is not yet known how this information affects the readers' sentiments. OBJECTIVE This study aimed to investigate whether specific aspects of Web-based diabetes research news are associated with positive or negative sentiments in readers. METHODS A retrospective observational study of the comments on diabetes research news posted on Facebook pages was conducted as a function of the innovations' developmental phase, the intended treatment effect, and the use of strong language to intensify the news messages (superlatives). Data for the investigation were drawn from the diabetes research news posted between January 2014 and January 2018 on the two largest Dutch Facebook pages on diabetes and the corresponding reader comments. By manually coding these Facebook user comments, three binary outcome variables were created, reflecting the presence of a positive sentiment, the presence of a negative sentiment, and the presence of a statement expressing hopefulness. RESULTS Facebook users made a total of 3710 comments on 173 diabetes research news posts that were eligible for further analysis. Facebook user comments on posts about diabetes prevention (odds ratio [OR] 0.55, 95% CI 0.37-0.84), improved blood glucose regulation (OR 0.68, 95% CI 0.56-0.84), and symptom relief (OR 0.31, 95% CI 0.21-0.44) were associated with less positive sentiments as compared with potential diabetes cures. Furthermore, comments on innovations supported by preclinical evidence in animals were associated with more positive sentiments (OR 1.46, 95% CI 1.07-1.99) and statements expressing hope (OR 1.47, 95% CI 1.01-2.14), when compared with innovations that have evidence from large human trials. This study found no evidence for the associations between language intensification of the news posts and the readers' sentiments. CONCLUSIONS Our finding that the attitudes toward diabetes research news on Facebook are most positive when clinical efficacy is not (or not yet) proven in large patient trials suggests that news authors and editors, as well as medical professionals, must exercise caution when acting as a conduit for diabetes research news.
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Affiliation(s)
- Hans Vehof
- Centre for Language Studies, Radboud University, Nijmegen, Netherlands
- Research Group Process Innovations in Pharmaceutical Care, HU University of Applied Sciences, Utrecht, Netherlands
| | - Eibert Heerdink
- Research Group Process Innovations in Pharmaceutical Care, HU University of Applied Sciences, Utrecht, Netherlands
- Division Pharmacoepidemiology & Clinical Pharmacology, Utrecht Institute for Pharmaceutical Sciences, Utrecht, Netherlands
| | - José Sanders
- Centre for Language Studies, Radboud University, Nijmegen, Netherlands
| | - Enny Das
- Centre for Language Studies, Radboud University, Nijmegen, Netherlands
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Sharour LA, Omari OA, Salameh AB, Yehia D. Health-related quality of life among patients with colorectal cancer. J Res Nurs 2019; 25:114-125. [PMID: 34394615 DOI: 10.1177/1744987119846177] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/20/2022] Open
Abstract
Background Up to 35% of cancer patients have clinically significant levels of psychological distress during their treatment. Accordingly, better understanding of health-related quality of life and its predictors will help oncology nurses plan appropriate interventions to improve health-related quality of life. Aims This study was conducted to investigate the relationship between hope, depression and anxiety and health-related quality of life among Jordanian cancer patients during their treatment period. Methods Cross-sectional descriptive correlational design was conducted using the Hospital Anxiety and Depression Scale, Herth Hope Index and Functional Assessment of Cancer Therapy-Colorectal surveys. Results 260 Jordanian patients with cancer from three Jordanian hospitals completed the study survey. The bivariate analysis indicated significant positive relationships between hope and quality of life (r = .57, p < .0001). A significant negative relationship was found between anxiety and depression and quality of life (r = -.76, p < .0001). A multiple regression analysis indicated that hope, Hospital Anxiety and Depression Scale and time since diagnosis were predictors of quality of life, and explained 66% of the variance in the quality of life for this sample. Conclusions The assessment of psychosocial elements including hope, depression, anxiety, and quality of life should be a part of daily nurse-caring behaviours and practices. Implement education programmes to increase nurses' competencies in the psychosocial assessment are recommended.
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Affiliation(s)
- Loai Abu Sharour
- Associate Professor, Faculty of Nursing, Al-Zaytoonah University of Jordan, Jordan
| | - Omar Al Omari
- Associate Professor, School of Nursing, Sultan Qaboos University, Oman
| | - Ayman Bani Salameh
- Assistant Professor, Faculty of Nursing, Al-Zaytoonah University of Jordan, Amman-Jordan
| | - Dalal Yehia
- Assistant Professor, Faculty of Nursing, Al-Zaytoonah University of Jordan, Amman-Jordan
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Hekmatpou D, Nasiri A, Mohaghegh F. Investigating the Effect of Self-Care Training on Life Expectancy and Quality of Life in Patients with Gastrointestinal Cancer under Radiotherapy. Asia Pac J Oncol Nurs 2019; 6:198-205. [PMID: 30931366 PMCID: PMC6371673 DOI: 10.4103/apjon.apjon_47_18] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/09/2022] Open
Abstract
Objective: A huge amount of the efforts made by health teams is dedicated to caring for cancer patients. This study has aimed to investigate the effect of self-care training on life expectancy and quality of life (QOL) in patients with gastrointestinal cancer who were under radiotherapy. Methods: In this clinical trial, 50 patients were selected using the block randomization method. The intervention was performed at Ayatollah Khansari Hospital in Arak, Iran. The patients in the intervention group received three sessions of face-to-face training. The data collection tools included Schneider's Life Expectancy Questionnaire and EORTC QOLQ-C30. Data were analyzed by SPSS version 23. Results: In the control group, 16 were male (64%) and 9 female (36%), and in the intervention group, 14 were male (56%) and 11 were female (44%). Before the intervention, the two groups were homogenous regarding all variables. After the intervention, the mean of QOL was 67 ± 22.62 in the intervention group and 56 ± 18.55 in the control group (P < 0.05). In examining the different dimensions of QOL, improvement in all functional dimensions was observed in the intervention group. After the intervention, the mean score of life expectancy showed a significant difference (P < 0.05) between the intervention group (39.52 ± 5.26) and the control group (31.6 ± 7.13). Conclusions: It was found that self-care training improved the QOL and life expectancy of patients with gastrointestinal cancer who were under radiotherapy. Therefore, self-care training is recommended to improve the QOL and the life expectancy of cancer patients.
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Affiliation(s)
- Davood Hekmatpou
- Nursing Department, Nursing and Midwifery Faculty, Arak University of Medical Sciences, Arak, Iran
| | - Azadeh Nasiri
- Nursing Department, Nursing and Midwifery Faculty, Arak University of Medical Sciences, Arak, Iran
| | - Fatholah Mohaghegh
- Medicine Department, Medical Faculty, Arak University of Medical Sciences, Arak, Iran
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Grealish L, Hyde MK, Legg M, Lazenby M, Aitken JF, Dunn J, Chambers SK. Psychosocial predictors of hope two years after diagnosis of colorectal cancer: Implications for nurse‐led hope programmes. Eur J Cancer Care (Engl) 2019; 28:e13010. [DOI: 10.1111/ecc.13010] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/20/2018] [Revised: 01/18/2019] [Accepted: 01/19/2019] [Indexed: 12/31/2022]
Affiliation(s)
- Laurie Grealish
- Menzies Health Institute Queensland Griffith University Southport Queensland Australia
- School of Nursing and Midwifery Griffith University Southport Queensland Australia
- Gold Coast Health Southport Queensland Australia
| | - Melissa K. Hyde
- Menzies Health Institute Queensland Griffith University Southport Queensland Australia
- Cancer Council Queensland Brisbane Queensland Australia
| | - Melissa Legg
- Menzies Health Institute Queensland Griffith University Southport Queensland Australia
- Cancer Council Queensland Brisbane Queensland Australia
| | | | - Joanne F. Aitken
- Menzies Health Institute Queensland Griffith University Southport Queensland Australia
- Cancer Council Queensland Brisbane Queensland Australia
- Institute for Resilient Regions University of Southern Queensland Toowoomba Queensland Australia
- School of Public Health University of Queensland Brisbane Queensland Australia
| | - Jeff Dunn
- Menzies Health Institute Queensland Griffith University Southport Queensland Australia
- Cancer Council Queensland Brisbane Queensland Australia
- Institute for Resilient Regions University of Southern Queensland Toowoomba Queensland Australia
- Prostate Cancer Foundation of Australia Sydney New South Wales Australia
| | - Suzanne K. Chambers
- Menzies Health Institute Queensland Griffith University Southport Queensland Australia
- Cancer Council Queensland Brisbane Queensland Australia
- Institute for Resilient Regions University of Southern Queensland Toowoomba Queensland Australia
- Prostate Cancer Foundation of Australia Sydney New South Wales Australia
- Exercise Medicine Research Institute Edith Cowan University Perth Western Australia Australia
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Silva NM, Santos MAD, Oliveira RAAD, Storti LB, Souza IMO, Formighieri PF, Marques S. Idosos em Tratamento Quimioterápico: Relação entre Nível de Estresse, Sintomas Depressivos e Esperança. PSICOLOGIA: TEORIA E PESQUISA 2019. [DOI: 10.1590/0102.3772e35441] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022] Open
Abstract
RESUMO A prevalência do câncer entre idosos tem aumentado nas últimas décadas. O tratamento oncológico pode acarretar aumento dos níveis de estresse e depressão. Nesse cenário, a esperança tem sido definida como um dos recursos relevantes de enfrentamento. Este estudo teve por objetivo analisar a relação entre estresse, sintomas depressivos e esperança em idosos submetidos a tratamento quimioterápico. Trata-se de um estudo quantitativo, descritivo e transversal com amostra não-probabilística de 123 idosos vinculados a um hospital geral público terciário do interior do Estado de São Paulo. Os resultados mostram que os idosos apresentavam elevados níveis de estresse percebido e de esperança; 71,5% não manifestavam sintomas depressivos. Níveis de estresse e esperança foram correlacionados negativamente, assim como sintomas depressivos e níveis de esperança, sugerindo que a esperança pode ter efeitos benéficos sobre o estresse e depressão.
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“I Have Both Lost and Gained.” Norwegian Survivors’ Experiences of Coping 9 Years After Primary Breast Cancer Surgery. Cancer Nurs 2018; 43:E30-E37. [DOI: 10.1097/ncc.0000000000000656] [Citation(s) in RCA: 19] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
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Rasch analysis of the Herth Hope Index in cancer patients. Health Qual Life Outcomes 2018; 16:196. [PMID: 30285767 PMCID: PMC6171309 DOI: 10.1186/s12955-018-1025-5] [Citation(s) in RCA: 22] [Impact Index Per Article: 3.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/02/2017] [Accepted: 09/21/2018] [Indexed: 01/25/2023] Open
Abstract
Background The concept of hope has been measured using the Herth Hope Index (HHI) in different samples, but varying factor structures comprising different items from the HHI have been reported. Therefore, further testing with regard to the dimensionality of the instrument is recommended. Rasch modeling can be used to evaluate validity evidence of an instrument’s underlying structure, to identify items with poor fit to the rest of the scale, and to identify items that perform inconsistently across groups. The aim of this study was to assess the HHI’s psychometric properties in a sample of cancer patients using a Rasch model. Adult oncology outpatients (n = 167) with pain from bone metastasis were included, and medical records were reviewed for disease and treatment information. Patients completed the 12-item HHI, which measures various dimensions of hope using a 4-point Likert scale that ranges from 1 (strongly disagree) to 4 (strongly agree). The internal scale validity, person response validity, unidimensionality, and uniform differential item functioning were evaluated by applying a Rasch rating scale model. Results Five (42%) of the twelve items (#3, #4, #5, #6 and #7) did not meet the criterion set for item goodness-of-fit. After removing these 5 items, the resulting 7-item scale demonstrated acceptable item fit to the model, acceptable unidimensionality (52.6% of the variance explained), acceptable person goodness-of-fit, adequate separation, and no differential item function. Conclusion A 7-item version of the HHI had better psychometric properties than the original 12-item version among patients with cancer-related pain. Trial registration The protocol ID is 158,707/V10 and it was registered on ClinicalTrials.gov as NCT00760305. Registered September 25, 2008.
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Chinese Students’ Satisfaction with Life Relative to Psychological Capital and Mediated by Purpose in Life. CURRENT PSYCHOLOGY 2018. [DOI: 10.1007/s12144-018-9849-z] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/07/2023]
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The effectiveness of solution-focused brief therapy for psychological distress among Chinese parents of children with a cancer diagnosis: a pilot randomized controlled trial. Support Care Cancer 2018; 26:2901-2910. [PMID: 29546523 DOI: 10.1007/s00520-018-4141-1] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/18/2017] [Accepted: 03/02/2018] [Indexed: 12/24/2022]
Abstract
PURPOSE Given the critical role of parental care for pediatric cancer patients, this pilot study evaluated the feasibility and effectiveness of a hospital-based solution-focused brief therapy (SFBT) intervention for reducing psychological distress among parents of pediatric cancer patients in China. Differences between treatment and active control (AC) groups were assessed on dimensions of psychological distress. Parents' level of hope was also assessed. METHODS Participants (N = 44) were randomly assigned to SFBT or AC. Parents received four sessions of SFBT twice a week delivered by graduate-level hospital social workers. Pre- and post-intervention assessments measured change in distress (depression, anxiety, and somatization symptoms) of parents as well as their level of hope. RESULTS Analysis of covariance (ANCOVA) indicated the SFBT group had better outcomes than the AC group on overall distress of somatic, anxiety, depression symptoms and level of hope. Within- and between-group treatment effects reported significantly greater effect of the SFBT group than of the AC group. CONCLUSIONS Considering the inherent limits of a pilot feasibility study, results suggest that SFBT is a feasible, culturally compatible, and promising intervention for alleviating distress among Chinese parents of children with cancer. Additional comprehensive trials are needed to draw more definitive conclusions. RELEVANCE SFBT may be beneficial for improving the critical support systems of parents of pediatric cancer patients. Thus, SFBT may have the potential to enhance children's well-being during cancer treatment and recovery.
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Nordheim T, Rustøen T, Solevåg AL, Småstuen MC, Nakstad B. Hope in Parents of Very-Low Birth Weight Infants and its Association with Parenting Stress and Quality of Life. J Pediatr Nurs 2018; 38:e53-e58. [PMID: 29107448 DOI: 10.1016/j.pedn.2017.10.006] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/08/2016] [Revised: 10/06/2017] [Accepted: 10/09/2017] [Indexed: 10/18/2022]
Abstract
PURPOSE Being a parent of a very-low-birth-weight (VLBW) infant can be stressful. We aimed to describe parental hope 42months after the birth of a VLBW infant and determine whether there is an association between hope and parenting stress with quality of life (QoL), respectively. DESIGN AND METHODS Fifty-nine parents of VLBW infants completed questionnaires about hope, parenting stress and QoL. Pearson correlation coefficients (r) and linear regression models were used to examine the relationship between the selected variables. To compare groups, t-test was used and Cohen's d for effect size was calculated. RESULTS Parents of VLBW infants were more hopeful than the general population (p<0.001). Parenting stress and hope were both independently associated with QoL (p<0.001). The subgroup of parents of infants with birth weight <1000g had less hope (p=0.041) and higher parenting stress (p=0.041) than parents of infants with birth weight 1000-1500g. CONCLUSIONS Hope and parenting stress were both independent determinants of QoL. Parents of the presumably sickest infants had less hope and higher parenting stress than parents of VLBW infants with a birth weight over 1000g. Hope should be further explored as a coping mechanism in parents of VLBW infants. PRACTICE IMPLICATIONS The clinical implications of the strong association between hope, parenting stress and QoL remain to be determined, but reducing stress and strengthening hope seem to be important. This should be taken into account both at hospital discharge and at follow-up, especially for lower-birth-weight infants.
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Affiliation(s)
- Trond Nordheim
- Department of Pediatric and Adolescent Medicine, Akershus University Hospital, Nordbyhagen, Norway; Institute for Clinical Medicine, Campus Ahus, University of Oslo, Nordbyhagen, Norway.
| | - Tone Rustøen
- Department of Research and Development, Division of Emergencies and Critical Care, Oslo University Hospital, Oslo, Norway; Institute of Health and Society, Department of Nursing Science, University of Oslo, Norway
| | - Anne Lee Solevåg
- Department of Pediatric and Adolescent Medicine, Akershus University Hospital, Nordbyhagen, Norway
| | - Milada Cvancarova Småstuen
- Department of Research and Development, Division of Emergencies and Critical Care, Oslo University Hospital, Oslo, Norway; Department of Public Health, Faculty of Nursing Science, Oslo and Akershus University College of Applied Sciences, Oslo, Norway
| | - Britt Nakstad
- Department of Pediatric and Adolescent Medicine, Akershus University Hospital, Nordbyhagen, Norway; Institute for Clinical Medicine, Campus Ahus, University of Oslo, Nordbyhagen, Norway
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Bando T, Onishi C, Imai Y. Treatment-associated symptoms and coping of postoperative patients with lung cancer in Japan: Development of a model of factors influencing hope. Jpn J Nurs Sci 2017; 15:237-248. [DOI: 10.1111/jjns.12193] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/17/2017] [Revised: 08/24/2017] [Accepted: 09/06/2017] [Indexed: 11/28/2022]
Affiliation(s)
- Takae Bando
- Tokushima University Graduate School; Tokushima Japan
| | - Chiemi Onishi
- Tokushima University Graduate School; Tokushima Japan
| | - Yoshie Imai
- Tokushima University Graduate School; Tokushima Japan
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Temple WJ. Inspiring hope-A physician's responsibility, translating the science into clinical practice. J Surg Oncol 2017; 117:545-550. [DOI: 10.1002/jso.24887] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/20/2017] [Accepted: 09/23/2017] [Indexed: 12/27/2022]
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Ben Shlomo S, Skvirsky V, Taubman-Ben-Ari O, Azuri Y, Horowitz E. Mental health of women entering fertility treatment: What role do age and internal resources play? Stress Health 2017; 33:470-476. [PMID: 27885806 DOI: 10.1002/smi.2733] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/06/2016] [Revised: 10/07/2016] [Accepted: 10/17/2016] [Indexed: 11/06/2022]
Abstract
Drawing on Lazarus and Folkman's (1984) model of stress and coping, the study aimed at (a) examining the associations between the mental health of women entering fertility treatment and their internal resources (hope and two aspects of self-consciousness: reflection and rumination); (b) indicating whether mental health is associated with age (above or below 35), and whether this association is mediated by the internal resources. The sample consisted of 137 women (76 aged 20-34; 61 aged 35-44) at the start of fertility treatment who completed a series of self-report questionnaires. Results indicated that younger women reported higher distress and rumination than older women. Higher hope was associated with greater well-being, and higher rumination was associated with greater distress. Furthermore, hope and rumination were found to mediate the association between age and mental health. These findings highlight the importance of developing age-based interventions for women entering fertility treatment, aimed at strengthening their resilience to effectively cope with the demanding process ahead.
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Affiliation(s)
- Shirley Ben Shlomo
- The Louis and Gabi Weisfeld School of Social Work, Bar-Ilan University, Ramat Gan, Israel
| | - Vera Skvirsky
- The Louis and Gabi Weisfeld School of Social Work, Bar-Ilan University, Ramat Gan, Israel
| | - Orit Taubman-Ben-Ari
- The Louis and Gabi Weisfeld School of Social Work, Bar-Ilan University, Ramat Gan, Israel
| | - Yoseph Azuri
- The Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.,Maccabi Healthcare, Tel Aviv, Israel
| | - Eran Horowitz
- The Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.,Maccabi Healthcare, Tel Aviv, Israel
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Dispositional hope and life satisfaction among older adults attending lifelong learning programs. Arch Gerontol Geriatr 2017; 72:80-85. [DOI: 10.1016/j.archger.2017.05.008] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/23/2016] [Revised: 11/25/2016] [Accepted: 05/14/2017] [Indexed: 01/07/2023]
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Lie NEK, Larsen TMB, Hauken MA. Coping with changes and uncertainty: A qualitative study of young adult cancer patients' challenges and coping strategies during treatment. Eur J Cancer Care (Engl) 2017; 27:e12743. [PMID: 28758705 DOI: 10.1111/ecc.12743] [Citation(s) in RCA: 20] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 06/26/2017] [Indexed: 01/10/2023]
Abstract
Young adult cancer patients (YACPs), aged 18-35 years when diagnosed with cancer, are in a vulnerable transitioning period from adolescence to adulthood, where cancer adds a tremendous burden. However, YACPs' challenges and coping strategies are under-researched. The objective of this study was to explore what challenges YACP experience during their treatment, and what coping strategies they applied to them. We conducted a qualitative study with a phenomenological-hermeneutic design, including retrospective, semi-structured interviews of 16 YACPs who had undergone cancer treatment. Data were analysed using thematic analysis and interpreted applying the Cognitive Activation Theory of Stress (CATS). We found "coping with changes and uncertainty" as overarching topic for YACPs' challenges, particularly related to five themes, including (1) receiving the diagnosis, (2) encountering the healthcare system, (3) living with cancer, (4) dealing with the impact of the treatment and (5) reactions from the social network. YACPs' coping strategies applied to these challenges varied broadly and ranged from maladaptive strategies, such as neglecting the situation, to conducive emotional or instrumental approaches to manage their challenges. The findings call for age-specific needs assessments, information and support for YACPs, and their families in order to facilitate YACPs' coping during their treatment.
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Balsanelli ACS, Grossi SAA. Predictors of hope among women with breast cancer during chemotherapy. Rev Esc Enferm USP 2017; 50:898-904. [PMID: 28198953 DOI: 10.1590/s0080-623420160000700004] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/14/2016] [Accepted: 10/25/2016] [Indexed: 01/03/2023] Open
Abstract
OBJECTIVE Identifying the predictors of hope in patients with breast cancer during chemotherapy treatment. METHOD A prospective longitudinal study. The sample was composed of 122 women who responded to the instruments of hope, anxiety and depression, coping, fatigue, religiosity and self-esteem in the first and last cycle of chemotherapy. These variables were used in adjusting the logistic regression model that characterized multivariate statistics, allowing identification of predictor variables. RESULT The increase of hope at the end of chemotherapy treatment was statistically significant (p = 0.012). The delay in undergoing treatment from the onset of breast cancer symptoms, Karnofsky Performance Status, depression, self-esteem and pain were characterized as factors being associated to hope by univariate analysis. Among the variables analyzed, pain was the only predicting factor of hope. CONCLUSION Pain was the predicting factor in this sample. Hope increased during treatment and revealed the following associated factors: Karnofsky Performance Status, delay in starting the treatment, depression, self-esteem and pain. This study brought forth a multidisciplinary contribution, allowing for understanding the factors that can influence hope and presenting support to nursing care. The data evidenced conditions of improvement or worsening of hope, which requires interdisciplinary attention in Oncology. OBJETIVO Identificar os fatores preditores da esperança nas pacientes com câncer de mama em tratamento quimioterápico. MÉTODO Estudo prospectivo longitudinal. A amostra foi de 122 mulheres que responderam aos instrumentos de esperança, ansiedade e depressão, coping, fadiga, religiosidade e autoestima no primeiro e no último ciclo de quimioterapia. Essas variáveis foram utilizadas no ajuste do modelo de regressão logística que caracterizou a estatística multivariada permitindo a identificação das variáveis preditoras. RESULTADO O aumento da esperança ao final do tratamento quimioterápico foi estatisticamente significante (p = 0,012). A demora na realização do tratamento desde o início dos sintomas do câncer de mama, o Karnofsky Performance Status, a depressão, a autoestima e a dor foram caracterizadas como fatores associados à esperança pela análise univariada. Dentre as variáveis analisadas, a dor apresentou-se como o único fator preditor da esperança. CONCLUSÃO A dor foi o fator preditor nesta amostra. A esperança aumentou durante o tratamento e revelou os fatores associados: Karnofsky Performance Status, demora no início do tratamento, depressão, autoestima e dor. Este estudo trouxe uma contribuição multidisciplinar, permitiu compreender os fatores que podem influenciar a esperança e apresentou subsídios à assistência de enfermagem. Os dados evidenciaram condições de melhora ou agravamento da esperança, o que requer atenção interdisciplinar em Oncologia.
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Affiliation(s)
| | - Sonia Aurora Alves Grossi
- Universidade de São Paulo, Escola de Enfermagem, Departamento de Enfermagem Médico-Cirúrgica, São Paulo, SP, Brazil
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Yang CH, Zhang Q, Ding D. Effect of "Five Words" hand therapy on coping style and negative emotion of patients after surgery for gastric cancer. Shijie Huaren Xiaohua Zazhi 2017; 25:1200-1204. [DOI: 10.11569/wcjd.v25.i13.1200] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 02/06/2023] Open
Abstract
AIM To evaluate the effect of "Five Words" hand therapy on the coping style and negative emotion of patients after surgery for gastric cancer.
METHODS Eighty-seven patients who underwent surgery for gastric cancer from January 2015 to December 2016 at our hospital were selected and randomly divided into either an observation group (44 cases) or a control group (43 cases). The control group received routine nursing care, and the observation group was given "Five Words" hand therapy on the basis of routine nursing care. Patients' coping style, level of hope, and anxiety were assessed using the Medical Coping Style Questionnaire, the Chinese Herth Hope Scale, and the State Trait Anxiety Scale, respectively.
RESULTS The observation group was significantly better than the control group in the score of coping style (19.39 ± 4.32 vs 15.84 ± 4.30), and the avoidance and yield scores were significantly lower in the observation group than in the control group (t = 12.933, P = 0.000; t = 4.854, P = 0.006; t = 11.934, P = 0.000). The levels of hope in the observation group were significantly higher than those in the control group (t = 5.932, P = 0.003; t = 7.092, P = 0.001). The scores of trait anxiety and state anxiety in the observation group were significantly lower than those in the control group (31.20 ± 3.34 vs 38.30 ± 3.48, t = 9.049, P = 0.000; 30.22 ± 3.52 vs 39.94 ± 3.47, t = 12.930, P = 0.000).
CONCLUSION The "Five Words" hand therapy can significantly improve the coping style and negative emotion of patients after surgery for gastric cancer.
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Satici SA, Uysal R. Psychological Vulnerability and Subjective Happiness: The Mediating Role of Hopelessness. Stress Health 2017; 33:111-118. [PMID: 27185361 DOI: 10.1002/smi.2685] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/12/2015] [Revised: 02/26/2016] [Accepted: 04/06/2016] [Indexed: 11/11/2022]
Abstract
The current study examined the mediating role of hopelessness on the relationship between psychological vulnerability and subjective happiness. It was anticipated that hopelessness may act as a mediator in the relationship between psychological vulnerability and subjective happiness. Two hundred sixty-nine (150 women and 119 men) university students completed the Psychological Vulnerability Scale, the Subjective Happiness Scale and the Beck Hopelessness Scale. Data have been collected in the 2013-2014 academic year. The present study was designed as a cross-sectional study. Correlational results indicated that psychological vulnerability and hopelessness were significantly negatively associated with subjective happiness. Results using structural equation modelling showed that hopelessness fully mediated the relationship between psychological vulnerability and subjective happiness. Implications for future research and limitations of the present study are discussed. Copyright © 2016 John Wiley & Sons, Ltd.
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Affiliation(s)
- Seydi Ahmet Satici
- Department of Psychological Counseling and Guidance, Faculty of Education, Artvin Coruh University, Artvin, Turkey
| | - Recep Uysal
- Department of Psychological Counseling and Guidance, Faculty of Education, Yildiz Technical University, Istanbul, Turkey
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Kang D, Kim IR, Choi EK, Yoon JH, Lee SK, Lee JE, Nam SJ, Han W, Noh DY, Cho J. Who are happy survivors? Physical, psychosocial, and spiritual factors associated with happiness of breast cancer survivors during the transition from cancer patient to survivor. Psychooncology 2017; 26:1922-1928. [DOI: 10.1002/pon.4408] [Citation(s) in RCA: 18] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/20/2016] [Revised: 01/14/2017] [Accepted: 02/18/2017] [Indexed: 01/20/2023]
Affiliation(s)
- Danbee Kang
- Department of Health Sciences and Technology, SAIHST; Sungkyunkwan University; Seoul South Korea
| | - Im-Ryung Kim
- Cancer Education Center, Samsung Comprehensive Cancer Center, Samsung Medical Center; Sungkyunkwan University School of Medicine; Seoul South Korea
| | - Eun-Kyung Choi
- Cancer Education Center, Samsung Comprehensive Cancer Center, Samsung Medical Center; Sungkyunkwan University School of Medicine; Seoul South Korea
| | - Jung Hee Yoon
- Cancer Education Center, Samsung Comprehensive Cancer Center, Samsung Medical Center; Sungkyunkwan University School of Medicine; Seoul South Korea
| | - Se-Kyung Lee
- Department of Surgery, Samsung Medical Center; Sungkyunkwan University School of Medicine; Seoul South Korea
| | - Jeong Eon Lee
- Department of Health Sciences and Technology, SAIHST; Sungkyunkwan University; Seoul South Korea
- Department of Surgery, Samsung Medical Center; Sungkyunkwan University School of Medicine; Seoul South Korea
| | - Seok Jin Nam
- Department of Surgery, Samsung Medical Center; Sungkyunkwan University School of Medicine; Seoul South Korea
| | - Wonshik Han
- Department of Surgery and Cancer Research Institute; Seoul National University College of Medicine; Seoul South Korea
| | - Dong-Young Noh
- Department of Surgery and Cancer Research Institute; Seoul National University College of Medicine; Seoul South Korea
| | - Juhee Cho
- Department of Health Sciences and Technology, SAIHST; Sungkyunkwan University; Seoul South Korea
- Cancer Education Center, Samsung Comprehensive Cancer Center, Samsung Medical Center; Sungkyunkwan University School of Medicine; Seoul South Korea
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Psychological vulnerability, resilience, and subjective well-being: The mediating role of hope. PERSONALITY AND INDIVIDUAL DIFFERENCES 2016. [DOI: 10.1016/j.paid.2016.06.057] [Citation(s) in RCA: 113] [Impact Index Per Article: 12.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/16/2022]
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Zhang C, Franklin T, Sarkar DK. Inhibition of Mammary Cancer Progression in Fetal Alcohol Exposed Rats by β-Endorphin Neurons. Alcohol Clin Exp Res 2016; 40:134-40. [PMID: 26727531 DOI: 10.1111/acer.12941] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/25/2015] [Accepted: 10/21/2015] [Indexed: 01/25/2023]
Abstract
BACKGROUND Fetal alcohol exposure (FAE) increases the susceptibility to carcinogen-induced mammary cancer progression in rodent models. FAE also decreases β-endorphin (β-EP) level and causes hyperstress response, which leads to inhibition of immune function against cancer. Previous studies have shown that injection of nanosphere-attached dibutyryl cyclic adenosine monophosphate (dbcAMP) into the third ventricle increases the number of β-EP neurons in the hypothalamus. In this study, we assessed the therapeutic potential of stress regulation using methods to increase hypothalamic levels of β-EP, a neuropeptide that inhibits stress axis activity, in treatment of carcinogen-induced mammary cancer in fetal alcohol exposed rats. METHODS Fetal alcohol exposed and control Sprague Dawley rats were given a dose of N-Nitroso-N-methylurea (MNU) at postnatal day 50 to induce mammary cancer growth. Upon detection of mammary tumors, the animals were either transplanted with β-EP neurons or injected with dbcAMP-delivering nanospheres into the hypothalamus to increase β-EP peptide production. Spleen cytokines were detected using reverse transcription polymerase chain reaction assays. Metastasis study was done by injecting mammary cancer cells MADB106 into jugular vein of β-EP-activated or control fetal alcohol exposed animals. RESULTS Both transplantation of β-EP neurons and injection of dbcAMP-delivering nanospheres inhibited MNU-induced mammary cancer growth in control rats, and reversed the effect of FAE on the susceptibility to mammary cancer. Similar to the previously reported immune-enhancing and stress-suppressive effects of β-EP transplantation, injection of dbcAMP-delivering nanospheres increased the levels of interferon-γ and granzyme B and decreased the levels of epinephrine and norepinephrine in fetal alcohol exposed rats. Mammary cancer cell metastasis study also showed that FAE increased incidence of lung tumor retention, while β-EP transplantation inhibited lung tumor growth in both normal and fetal alcohol exposed rats. CONCLUSIONS Our results suggest that increase of β-EP production in the hypothalamus may serve as a potential therapeutic strategy for treating the cancer growth in patients with chronic stress and compromised immune function, such as the patients with FAE.
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Affiliation(s)
- Changqing Zhang
- Endocrine Program, Rutgers University, The State University of New Jersey, New Brunswick, New Jersey.,Endocrinolgy and Animal Biosciences Graduate Program, Rutgers University, The State University of New Jersey, New Brunswick, New Jersey
| | - Tina Franklin
- Endocrine Program, Rutgers University, The State University of New Jersey, New Brunswick, New Jersey.,Molecular Biosciences Graduate Program, Rutgers University, The State University of New Jersey, New Brunswick, New Jersey
| | - Dipak K Sarkar
- Endocrine Program, Rutgers University, The State University of New Jersey, New Brunswick, New Jersey.,Department of Animal Sciences, Rutgers University, The State University of New Jersey, New Brunswick, New Jersey
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Mohebbifar R, Pakpour AH, Nahvijou A, Sadeghi A. Relationship between Spiritual Health and Quality of Life in Patients with Cancer. Asian Pac J Cancer Prev 2016; 16:7321-6. [PMID: 26514531 DOI: 10.7314/apjcp.2015.16.16.7321] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/12/2022] Open
Abstract
As the essence of health in humans, spiritual health is a fundamental concept for discussing chronic diseases such as cancer and a major approach for improving quality of life in patients is through creating meaningfulness and purpose. The present descriptive analytical study was conducted to assess the relationship between spiritual health and quality of life in 210 patients with cancer admitted to the Cancer Institute of Iran, selected through convenience sampling in 2014. Data were collected using Spiritual Health Questionnaire and the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire (EORTC-QLQ). Patients' performance was assessed through the Karnofsky Performance Status Indicator and their cognitive status through the Mini-Mental State Examination (MMSE). Data were analyzed in SPSS-16 using descriptive statistics and stepwise linear regression. The results obtained reported the mean and standard deviation of the patients' spiritual health scoreas 78.4±16.1and the mean and standard deviation of their quality of life score as 58.1±18.7. The stepwise linear regression analysis confirmed a positive and significant relationship between spiritual health and quality of life in patients with cancer (β=0.688 and r=0.00). The results of the study show that spiritual health should be more emphasized and reinforced as a factor involved in improving quality of life in patients with cancer. Designing care therapies and spiritual interventions is a priority in the treatment of these patients.
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Affiliation(s)
- Rafat Mohebbifar
- Department of Health Management, School of Health, Qazvin University of Medical Sciences, Qazvin, Iran E-mail :
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