ArticleTheScientificWorldJournal2019
Biopsychosocial Correlates of Adjustment to Cancer during Chemotherapy: The Key Role of Health-Related Quality of Life.
Article in TheScientificWorldJournal, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.
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9 citing papers in PubMed, 25 citations in OpenAlex.
- Patient Navigation Needs and Quality of Life Among Women with Gynecological Cancer in Indonesia: A Cross-Sectional Study.Healthcare (Basel, Switzerland) · 2026Article
- Anxiety and Depression in Breast Cancer Patients Before and After Chemotherapy: A Pre-Post Study Without a Control Group.Journal of clinical medicine · 2025Article
- Self-blaming as a barrier to lung cancer screening and smoking cessation programs in Italy. A qualitative study.PloS one · 2025Article
- Maladaptive coping styles moderate the relationship between information on cancer treatment and psychosocial symptoms: an Italian multicenter study.Frontiers in psychology · 2024Article
- Effects of Acceptance and Commitment Therapy on fatigue interference and health-related quality of life among patients with advanced lung cancer: A pilot randomized controlled trial.Asia-Pacific journal of oncology nursing · 2022Article
- A qualitative study investigating Australian cancer service outpatients' experience of distress screening and management: what is the personal relevance, acceptability and improvement opportunities from patient perspectives?Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2022Article
- Separate but Related: Dimensions of Healthcare Provider Social Support in Day-Treatment Oncology Units.Frontiers in psychology · 2022Article
- [Cytotoxic effect of photodynamic liposome gel combined with trastuzumab on drugresistant breast cancer cellsNan fang yi ke da xue xue bao = Journal of Southern Medical University · 2021Article
- Gender Differences in Psychosocial, Religious, and Spiritual Aspects in Coping: A Cross-Sectional Study with Cancer Patients.Women's health reports (New Rochelle, N.Y.) · 2021Article
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2 authors at 1 institution in 1 country.
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No grant is acknowledged in the PubMed record.
Abstract
backgroundPatients adjust to cancer in a continuous process that follows the course of the disease. Previous research has considered several illness-related variables and demographics, quality of life, personality, and social factors as predictors of adjustment to cancer, which can be maladaptive (e.g., helplessness-hopelessness and anxious preoccupation) or adaptive (e.g., fighting spirit).
aimsAssuming a biopsychosocial view, we test an empirical model in which disease stage, patient's age, and gender are viewed as the distal antecedents of positive and negative adjustment to cancer for chemotherapy patients. Health-related quality of life (HRQoL) has a key role, interposing between the distal antecedents and adaptational outcomes. Social support and positive thinking are also included in the model as related to adjustment.
methodsOne-hundred-sixty-two consecutive cancer patients receiving adjuvant or standard chemotherapy participated in the study. Patients completed the Mini-Mental Adjustment to Cancer, the Brief-COPE, the Social Provision Scale, and the SF-12 Health Survey. Partial least squares structural equation modeling (PLS-SEM) was applied for model building and hypotheses testing.
resultsWe found a negative association between advanced stage and physical functioning, a strong positive link between physical functioning and mental health, and significant relations between mental health and helpless-hopelessness, anxious preoccupation, and cognitive avoidance. Social support and positive thinking were related to fighting spirit and fatalism. Cancer stage and female gender were indirectly associated with adaptational outcomes through HRQoL. The patient's age had no significant relationships in the model. DISCUSSION: HRQoL (both physical and mental) is a key factor for preventing maladjustment in chemotherapy patients. Social support and positive thinking coping style fosters fighting spirit and fatalism on health outcomes. Two potential lines of action seem promising: preventing maladaptive and promoting adaptive adjustments working on patient's mental health individually and involving significant others in supportive care, respectively.
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