Skip to main content

Advertisement

Log in

Lack of marital support and poor psychological responses in male cancer patients

  • Original Article
  • Published:
Supportive Care in Cancer Aims and scope Submit manuscript

Abstract

A total of 272 men and 252 women with cancer participated in a study of the impact of being married and the presence of spousal support on psychological distress and coping with cancer. All participants underwent a structured interview and completed the Profile of Mood States and the Mental Adjustment to Cancer scale. Multivariate analysis controlling for potentially confounding biomedical and psychosocial variables revealed that unmarried men had significantly higher levels of psychological distress and lower levels of fighting spirit than married men, and that men with spousal support showed higher levels of fighting spirit than men without spousal support. However, no such difference was observed between unmarried and married women or between women with and without spousal support. These findings suggest that being married may play an important role in reducing psychological distress and enhancing fighting spirit of men with cancer, and that being unmarried may be a risk factor for psychological distress and lower fighting spirit for men with cancer.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. Akechi T, Okamura H, Yamawaki S, et al (1998) Predictors of patients' mental adjustment to cancer: patient characteristics and social support. Br J Cancer 77:2381–2385

    CAS  PubMed  Google Scholar 

  2. Akechi T, Fukue-Saeki M, Kugaya A, et al (2000) Psychometric properties of the Japanese version of the Mental Adjustment to Cancer (MAC) scale. Psychooncology 9:395–401

    Google Scholar 

  3. Aseltine RH Jr, Kessler RC (1993) Marital disruption and depression in a community sample. J Health Soc Behav 34:237–251

    PubMed  Google Scholar 

  4. Butow PN, Coates AS, Dunn SM (1999) Psychosocial predictors of survival in metastatic melanoma. J Clin Oncol 17:2256–2263

    CAS  PubMed  Google Scholar 

  5. Faller H, Bulzebruck H, Drings P, et al (1999) Coping, distress, and survival among patients with lung cancer. Arch Gen Psychiatry 56:756–762

    Article  CAS  PubMed  Google Scholar 

  6. Fawzy FI, Fawzy NW, Hyun CS, et al (1993) Malignant melanoma. Effects of an early structured psychiatric intervention, coping, and affective state on recurrence and survival 6 years later. Arch Gen Psychiatry 50:681–689

    CAS  PubMed  Google Scholar 

  7. Goodwin JS, Hunt WC, Key CR, et al (1987) The effect of marital status on stage, treatment, and survival of cancer patients. JAMA 258:3125–3130

    Article  CAS  PubMed  Google Scholar 

  8. Gove WR, Hughes M, Style CB (1983) Does marriage have positive effects on the psychological well-being of the individual? J Health Soc Behav 24:122–131

  9. Grassi L, Rosti G, Albieri G, et al (1989) Depression and abnormal illness behavior in cancer patients. Gen Hosp Psychiatry 11:404–411

    CAS  PubMed  Google Scholar 

  10. Greer S, Watson M (1987) Mental adjustment to cancer: its measurement and prognostic importance. Cancer Surv 6:439–453

    CAS  PubMed  Google Scholar 

  11. Greer S, Moorey S, Baruch JD, et al (1992) Adjuvant psychological therapy for patients with cancer: a prospective randomised trial. BMJ 304:675–680

    CAS  PubMed  Google Scholar 

  12. Harrison J, Maguire P, Pitceathly C (1995) Confiding in crisis: gender differences in pattern of confiding among cancer patients. Soc Sci Med 41:1255–1260

    Google Scholar 

  13. Horowitz AV (1996) Becoming married and mental health. J Marriage Fam 58:895–907

    Google Scholar 

  14. House JS, Robbins C, Metzner HL (1982) The association of social relationships and activities with mortality: prospective evidence from the Tecumseh Community Health Study. Am J Epidemiol 116:123–140

    CAS  PubMed  Google Scholar 

  15. House JS, Landis KR, Umberson D (1988) Social relationships and health. Science 241:540–545

    CAS  PubMed  Google Scholar 

  16. Johansen C, Schou G, Soll-Johanning H, et al (1996) Influence of marital status on survival from colon and rectal cancer in Denmark. Br J Cancer 74:985–988

    CAS  PubMed  Google Scholar 

  17. Kaplan GA, Salonen JT, Cohen RD, et al (1988) Social connections and mortality from all causes and from cardiovascular disease: prospective evidence from eastern Finland. Am J Epidemiol 128:370–380

    CAS  PubMed  Google Scholar 

  18. Kravdal O (2001) The impact of marital status on cancer survival. Soc Sci Med 52:357–368

    Article  CAS  PubMed  Google Scholar 

  19. Lloyd GG, Parker AC, Ludlam CA, et al (1984) Emotional impact of diagnosis and early treatment of lymphomas. J Psychosom Res 28:157–162

    Article  CAS  PubMed  Google Scholar 

  20. Maciejewski PK, Prigerson HG, Mazure CM (2001) Sex differences in event-related risk for major depression. Psychol Med 31:593–604

    Article  CAS  PubMed  Google Scholar 

  21. Marks NF (1996) Flying solo at midlife: gender, marital status, and psychological well-being. J Marriage Fam 58:917–932

    Google Scholar 

  22. Maunsell E, Brisson J, Deschenes L (1995) Social support and survival among women with breast cancer. Cancer 76:631–637

    CAS  PubMed  Google Scholar 

  23. McNair D, Lorr M, Droppleman L (1971) EITS manual for the Profile of Mood States. Educational and Industrial Testing Service, San Diego

  24. Micheli A, Mariotto A, Giorgi Rossi A, et al (1998) The prognostic role of gender in survival of adult cancer patients. Eur J Cancer 34:2271–2278

    Article  CAS  Google Scholar 

  25. Petticrew M, Bell R, Hunter D (2002) Influence of psychological coping on survival and recurrence in people with cancer: systematic review. BMJ 325:1066–1069

    Article  PubMed  Google Scholar 

  26. Ross CE (1995) Reconceptualizing marital status as a continuum of social attachment. J Marriage Fam 57:129–140

    Google Scholar 

  27. Thomas PD, Goodwin JM, Goodwin JS (1985) Effect of social support on stress-related changes in cholesterol level, uric acid level, and immune function in an elderly sample. Am J Psychiatry 142:735–737

    CAS  PubMed  Google Scholar 

  28. Trask PC, Paterson AG, Hayasaka S, et al (2001) Psychosocial characteristics of individuals with non-stage IV melanoma. J Clin Oncol 19:2844–2850

    CAS  PubMed  Google Scholar 

  29. Tross S, Herndon J 2nd, Korzun A, et al (1996) Psychological symptoms and disease-free and overall survival in women with stage II breast cancer. Cancer and Leukemia Group B. J Natl Cancer Inst 88:661–667

    CAS  PubMed  Google Scholar 

  30. Uchitomi Y, Mikami I, Kugaya A, et al (2001) Physician support and patient psychologic responses after surgery for nonsmall cell lung carcinoma: a prospective observational study. Cancer 92:1926–1935

    Article  CAS  PubMed  Google Scholar 

  31. Umberson D, Williams K (1999) Family status and mental health. In: Aneshensel C, Phelan J (eds) Handbook of the sociology of mental health. Kluwer Academic/Plenum, New York, pp 225–253

  32. Watson M, Greer S, Young J, et al (1988) Development of a questionnaire measure of adjustment to cancer: the MAC scale. Psychol Med 18:203–209

    CAS  PubMed  Google Scholar 

  33. Watson M, Haviland JS, Greer S, et al (1999) Influence of psychological response on survival in breast cancer: a population-based cohort study. Lancet 354:1331–1336

    Article  CAS  PubMed  Google Scholar 

  34. Yokoyama K, Araki S, Kawakami N, et al (1990) Production of the Japanese edition of Profile of Mood States (POMS): assessment of reliability and validity. Jpn J Public Health 37:913–918

    CAS  Google Scholar 

  35. Zabora J, BrintzenhofeSzoc K, Curbow B, et al (2001) The prevalence of psychological distress by cancer site. Psychooncology 10:19–28

    CAS  PubMed  Google Scholar 

Download references

Acknowledgements

The authors would like to thank Satoshi Sasaki, MD, PhD, of the National Institute of Health and Nutrition for his helpful advice on the statistical analyses, and would like to acknowledge the collaborative support of the physicians and nursing staff of the National Cancer Center Hospital East.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Yosuke Uchitomi.

Additional information

This work was supported in part by a Grant-in-Aid for Cancer Research and Second-term Comprehensive 10-year Strategy for Cancer Control from the Japanese Ministry of Health and Welfare. Koji Taniguchi and Shimako Suzuki are awardees of Research Fellowships from the Foundation for Promotion of Cancer Research in Japan.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Taniguchi, K., Akechi, T., Suzuki, S. et al. Lack of marital support and poor psychological responses in male cancer patients. Support Care Cancer 11, 604–610 (2003). https://doi.org/10.1007/s00520-003-0495-z

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00520-003-0495-z

Keywords

Navigation