pp 1-14 | Cite as

Influence of Coping Strategy on Perception of Anxiety and Depression in Patients with Non-small Cell Lung Cancer

  • Beata Jankowska-PolańskaEmail author
  • Jacek Polański
  • Mariusz Chabowski
  • Joanna Rosińczuk
  • Grzegorz Mazur
Part of the Advances in Experimental Medicine and Biology book series


The purpose of this study was to evaluate the influence of cognitive adjustment to cancer, assessed on the mini-Mental Adjustment to Cancer (mini-MAC) scale, on perception of anxiety and depression, assessed with the Hospital Anxiety and Depression Scale, in patients with non-small cell lung carcinoma (NSCLC). There were 185 patients, grouped according to the score of mini-MAC into constructive coping strategies, balanced coping strategies, and destructive coping strategies. We found that patients with predominantly destructive coping strategies had a higher level of anxiety than those with balanced or constructive strategies (10.9 vs. 9.3 vs. 6.3 points, respectively; p < 0.001). Likewise, symptoms of depression were more pronounced in patients having destructive coping strategies than in those with balanced or constructive strategies (11.9 vs. 8.8 vs. 5.8 points, respectively; p < 0.001). We further found that constructive coping strategy was a significant independent predictor of lower levels of anxiety and depressive symptoms. Other predictors included symptomatic treatment and a good nutritional status, while pain, chemotherapy, and poor performance status exacerbated the negative emotions. We conclude that cognitive adjustments to having cancer outstandingly modify the development of anxiety and depression in NSCLC patients, which also influences the choice of treatment and the treatment process itself. Thus, psychological assessment is essential in clinical practice and care for patients with lung cancer.


Anxiety Cognitive adjustment Coping strategy Depression NSCLC 


Conflicts of Interest

The authors declare no conflicts of interest in relation to this article.

Ethical Approval

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards. The study was approved by the Bioethics Committee of Wroclaw Medical University in Poland (permit no. 507/2015).

Informed Consent

Informed consent was obtained from all individual participants included in the study.


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Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  • Beata Jankowska-Polańska
    • 1
    Email author
  • Jacek Polański
    • 2
  • Mariusz Chabowski
    • 3
    • 4
  • Joanna Rosińczuk
    • 5
  • Grzegorz Mazur
    • 6
  1. 1.Department of Clinical Nursing, Faculty of Health SciencesWroclaw Medical UniversityWroclawPoland
  2. 2.Department of Internal Medicine, Occupational Diseases, Hypertension and Clinical OncologyWroclaw Medical UniversityWroclawPoland
  3. 3.Division of Surgical Procedures, Department of Clinical Nursing, Faculty of Health SciencesWroclaw Medical UniversityWroclawPoland
  4. 4.Department of SurgeryFourth Military Teaching HospitalWroclawPoland
  5. 5.Department of Nervous System Diseases, Faculty of Health SciencesWroclaw Medical UniversityWroclawPoland
  6. 6.Department of Internal Medicine, Occupational Diseases, Hypertension and Clinical OncologyWroclaw Medical UniversityWroclawPoland

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