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Supportive Care in Cancer

, Volume 20, Issue 8, pp 1719–1728 | Cite as

Illness appraisal, religious coping, and psychological responses in men with advanced cancer

  • Kevin L. Rand
  • Larry D. Cripe
  • Patrick O. Monahan
  • Yan Tong
  • Karen Schmidt
  • Susan M. Rawl
Original Article

Abstract

Purpose

Patients experience diverse psychological responses to cancer. Appraisals and coping have been shown to predict psychological responses to stressors. For men with advanced cancer, appraisal of cancer’s impact on their lives (illness appraisal) and religious coping may be particularly important predictors of psychological responses. We examined the relationships among illness appraisal, religious coping, and positive and negative psychological responses while controlling for disease and patient characteristics.

Method

Eighty-six men with advanced cancer completed measures, including constructed Meaning of Illness Scale, Brief Religious Coping Scale, Hospital Anxiety and Depression Scale, mini-Mental Adjustment to Cancer Scale, and Posttraumatic Growth Inventory. Treating oncologists completed questions about disease status and estimated the chances of the patient surviving 6 months.

Results

Psychological distress was predicted by prognosis (β = −0.20), illness appraisal (β = −0.48), and negative religious coping (β = 0.24). Negative mental adjustment was predicted by prognosis (β = −0.23) and illness appraisal (β = −0.57). Positive mental adjustment was predicted by illness appraisal (β = 0.46) and positive religious coping (β = 0.29). Posttraumatic growth was predicted by positive religious coping (β = 0.49).

Conclusions

Illness appraisal was more consistently associated with psychological responses to advanced cancer than patient or disease characteristics. Consequently, helping patients with their illness appraisals may be effective for improving patient psychological well-being.

Keywords

Advanced cancer Oncology Appraisal Religious coping Psychological response Men 

Notes

Acknowledgments

This research was supported by a grant from the Paul Ogle Foundation (Jeffersonville, IN).

References

  1. 1.
    Carlson LE, Bultz BD (2003) Cancer distress screening: needs, models, and methods. J Psychosom Res 55(5):403–409PubMedCrossRefGoogle Scholar
  2. 2.
    Vachon M (2006) Psychosocial distress and coping after cancer treatment. Cancer Nurs 29(2 Suppl):26–31PubMedCrossRefGoogle Scholar
  3. 3.
    Zabora J et al (2001) The prevalence of psychological distress by cancer site. Psycho-Oncology 10(1):19–28PubMedCrossRefGoogle Scholar
  4. 4.
    Massie MJ (2004) Prevalence of depression in patients with cancer. J Natl Cancer Inst Monogr 32:57–71PubMedCrossRefGoogle Scholar
  5. 5.
    Lechner SC et al (2003) Do sociodemographic and disease-related variables influence benefit-finding in cancer patients? Psycho-Oncology 12(5):491–499PubMedCrossRefGoogle Scholar
  6. 6.
    Folkman S (1997) Positive psychological states and coping with severe stress. Soc Sci Med 45(8):1207–1221PubMedCrossRefGoogle Scholar
  7. 7.
    Linley PA, Joseph S, Goodfellow B (2008) Positive changes in outlook following trauma and their relationship to subsequent posttraumatic stress, depression, and anxiety. J Soc Clin Psychol 27(8):877–891CrossRefGoogle Scholar
  8. 8.
    Mazzotti E, Mazzuca F, Sebastiani C, Scoppola A, Marchetti P (2010) Predictors of existential and religious well-being among cancer patients. Supp Care Cancer. doi: 10.1007/s00520-010-1033-4
  9. 9.
    Lazarus RS, Folkman S (1984) Stress, appraisal, and coping. Springer, New YorkGoogle Scholar
  10. 10.
    Maes S et al (1996) Coping with chronic diseases. In Handbook of coping: theory, research, applications. Wiley, Oxford England, pp 221–251Google Scholar
  11. 11.
    Fife BL (2005) The role of constructed meaning in adaptation to the onset of life-threatening illness. Soc Sci Med 61(10):2132–2143PubMedCrossRefGoogle Scholar
  12. 12.
    Akechi T, Kugaya A, Okamura H, Nishiwaki Y, Yamawaki S, Uchitomi Y (1998) Predictive factors of psychological distress in ambulatory lung cancer patients. Supp Care Cancer 6:281–286CrossRefGoogle Scholar
  13. 13.
    Walker MS, Zona DM, Fisher EB (2006) Depressive symptoms after lung cancer surgery: their relation to coping style and social support. Psycho-Oncology 15(8):684–693PubMedCrossRefGoogle Scholar
  14. 14.
    Pargament KI, Koenig HG, Perez LM (2000) The many methods of religious coping: development and initial validation of the RCOPE. J Clin Psychol 56(4):519–543PubMedCrossRefGoogle Scholar
  15. 15.
    Cotton SP et al (1999) Exploring the relationships among spiritual well-being, quality of life, and psychological adjustment in women with breast cancer. Psycho-Oncology 8(5):429–438PubMedCrossRefGoogle Scholar
  16. 16.
    Nelson C et al (2009) The role of spirituality in the relationship between religiosity and depression in prostate cancer patients. Ann Behav Med 38(2):105–114PubMedCrossRefGoogle Scholar
  17. 17.
    Pargament KI et al (1998) Patterns of positive and negative religious coping with major life stressors. J Sci Stud Relig 37(4):710–724CrossRefGoogle Scholar
  18. 18.
    Carver CS et al (1993) How coping mediates the effect of optimism on distress: a study of women with early stage breast cancer. J Pers Soc Psychol 65(2):375–390PubMedCrossRefGoogle Scholar
  19. 19.
    Kiss A, Meryn S (2001) Effect of sex and gender on psychosocial aspects of prostate and breast cancer. BMJ 323(7320):1055–1058PubMedCrossRefGoogle Scholar
  20. 20.
    Keller M, Hendrich G (1999) Illness-related distress: does it mean the same for men and women? Acta Oncol (Stockholm, Sweden) 38(6):747–755CrossRefGoogle Scholar
  21. 21.
    Rinaldis M et al (2009) Development, confirmation, and validation of a measure of coping with colorectal cancer: a longitudinal investigation. Psycho-Oncology 18(6):624–633PubMedCrossRefGoogle Scholar
  22. 22.
    Lee SJ et al (2001) Discrepancies between patient and physician estimates for the success of stem cell Transplantation. JAMA 285(8):1034PubMedCrossRefGoogle Scholar
  23. 23.
    Fife BL (1995) The measurement of meaning in illness. Soc Sci Med 40(8):1021–1028PubMedCrossRefGoogle Scholar
  24. 24.
    Zigmond AS, Snaith RP (1983) The hospital anxiety and depression scale. Acta Psychiatr Scand 67(6):361–370PubMedCrossRefGoogle Scholar
  25. 25.
    Smith AB et al (2002) Factor analysis of the hospital anxiety and depression scale from a large cancer population. Psychol Psychother Theory Res Pract 75(2):165–176CrossRefGoogle Scholar
  26. 26.
    Johnston M, Pollard B, Hennessey P (2000) Construct validation of the hospital anxiety and depression scale with clinical populations. J Psychosom Res 48(6):579–584PubMedCrossRefGoogle Scholar
  27. 27.
    Aylard PR et al (1987) A validation study of three anxiety and depression self-assessment scales. J Psychosom Res 31(2):261–268PubMedCrossRefGoogle Scholar
  28. 28.
    Watson M et al (1988) Development of a questionnaire measure of adjustment to cancer: the MAC scale. Psychol Med J Res Psychiat Allied Sci 18(1):203–209Google Scholar
  29. 29.
    Nordin K et al (1999) The mental adjustment to cancer scalea psychometric analysis and the concept of coping. Psycho-Oncology 8(3):250–259PubMedCrossRefGoogle Scholar
  30. 30.
    Watson M et al (1994) The mini-MAC: further development of the mental adjustment to cancer scale. J Psychosoc Oncol 12(3):33–46CrossRefGoogle Scholar
  31. 31.
    Greer S, Watson M (1987) Mental adjustment to cancer: its measurement and prognostic importance. Cancer Surv 6(3):439–453PubMedGoogle Scholar
  32. 32.
    Watson M, Homewood J (2008) Mental adjustment to cancer scale®: psychometric properties in a large cancer cohort. Psycho-Oncology 17(11):1146–1151PubMedCrossRefGoogle Scholar
  33. 33.
    Tedeschi RG, Calhoun LG (2004) Target article: ‘Posttraumatic growth: conceptual foundations and empirical evidence. Psychol Inq 15(1):1–18CrossRefGoogle Scholar
  34. 34.
    Tedeschi RG, Calhoun LG (1996) The posttraumatic growth inventory: measuring the positive legacy of trauma. J Trauma Stress 9(3):455–471PubMedCrossRefGoogle Scholar
  35. 35.
    Cordova MJ et al (2001) Posttraumatic growth following breast cancer: a controlled comparison study. Health Psychol 20(3):176–185PubMedCrossRefGoogle Scholar
  36. 36.
    Ransom S, Sheldon KM, Jacobsen PB (2008) Actual change and inaccurate recall contribute to posttraumatic growth following radiotherapy. J Consult Clin Psychol 76(5):811–819PubMedCrossRefGoogle Scholar
  37. 37.
    Widows MR et al (2005) Predictors of posttraumatic growth following bone marrow transplantation for cancer. Health Psychol 24(3):266–273PubMedCrossRefGoogle Scholar
  38. 38.
    MacKinnon DP, Fairchild AJ (2009) Current directions in mediation analysis. Curr Dir Psychol Sci 18(1):16–20PubMedCrossRefGoogle Scholar
  39. 39.
    MacKinnon DP et al (2007) Distribution of the product confidence limits for the indirect effect: program PRODLIN. Behav Res Meth 39(3):384–389CrossRefGoogle Scholar
  40. 40.
    Zavala MW et al (2009) Spirituality and quality of life in low-income men with metastatic prostate cancer. Psycho-Oncology 18(7):753–761PubMedCrossRefGoogle Scholar
  41. 41.
    Hebert R et al (2009) Positive and negative religious coping and well-being in women with breast cancer. J Palliat Med 12(6):537–545PubMedCrossRefGoogle Scholar
  42. 42.
    Proffitt D et al (2007) Judeo-christian clergy and personal crisis: religion, posttraumatic growth and well being. J Relig Health 46(2):219–231CrossRefGoogle Scholar
  43. 43.
    Laubmeier KK, Zakowski SG (2004) The role of objective versus perceived life threat in the psychological adjustment to cancer. Psychol Health 19(4):425–437CrossRefGoogle Scholar
  44. 44.
    Janoff-Bulman R, Frieze IH (1983) A theoretical perspective for understanding reactions to victimization. J Soc Issues 39(2):1–17CrossRefGoogle Scholar
  45. 45.
    Nunnally JC (1967) Psychometric theory. McGraw-Hill, New YorkGoogle Scholar

Copyright information

© Springer-Verlag 2011

Authors and Affiliations

  • Kevin L. Rand
    • 1
  • Larry D. Cripe
    • 2
  • Patrick O. Monahan
    • 2
  • Yan Tong
    • 2
  • Karen Schmidt
    • 2
  • Susan M. Rawl
    • 3
  1. 1.Department of PsychologyIndiana University-Purdue UniversityIndianapolisUSA
  2. 2.School of MedicineIndiana UniversityIndianapolisUSA
  3. 3.School of NursingIndiana UniversityIndianapolisUSA

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