Evidence map›Paper›PMID 33522569›Full record

ArticleAnnals of behavioral medicine : a publication of the Society of Behavioral Medicine2021

Comorbidity, Functional Impairment, and Emotional Distress: A Coping Mediation Model for Persons With Cancer.

Thomas V Merluzzi, Errol J Philip, Brenna Gomer, Carolyn A Heitzmann Ruhf, Dahyeon Kim

Open access · greenAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Annals of behavioral medicine : a publication of the Society of Behavioral Medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
2.1field-weighted citation impact, top 10% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

8 citing papers in PubMed, 26 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 2 institutions in 1 country.

Thomas V MerluzziDepartment of Psychology, University of Notre Dame, Notre Dame, IN, USA.ORCID 0000-0001-9320-9548
Errol J PhilipDepartment of Psychology, University of Notre Dame, Notre Dame, IN, USA.
Brenna GomerDepartment of Psychology, University of Notre Dame, Notre Dame, IN, USA.
Carolyn A Heitzmann RuhfDepartment of Psychiatry and Behavioral Science, Keck School of Medicine, University of Southern California, Los Angeles, CA, USA.
Dahyeon KimDepartment of Psychology, University of Notre Dame, Notre Dame, IN, USA.
University of Notre Dame · USUniversity of Southern California · US

Funding

Cultural Analysis of the Cancer Behavior InventoryR21CA094914 · NCI · UNIVERSITY OF NOTRE DAME · PI MERLUZZI, THOMAS V · 2005 to 2006
$319k
NCI NIH HHS CA94914NCI NIH HHS R21 CA094914
6 · The paper itself

Abstract

backgroundComorbid disease in cancer patients can substantially impact medical care, emotional distress, and mortality. However, there is a paucity of research on how coping may affect the relationship between comorbidity and emotional distress. PURPOSE: The current study investigated whether the relations between comorbidity and emotional distress and between functional impairment and emotional distress were mediated by three types of coping: action planning (AP), support/advice seeking (SAS), and disengagement (DD).

methodsFour hundred and eighty-three persons with cancer completed a measure of functional impairment (Sickness Impact Profile), the Checklist of Comorbid Conditions, the Brief COPE, the Hospital Anxiety and Depression Scale, the Quality of Life Assessment for Cancer Survivors (Negative Feelings Scale), and the Distress Screening Schedule (Emotional Distress Scale). The latter three measures were used to form a latent construct representing the outcome, emotional distress.

resultsModel comparison analysis indicated that the model with DD as a mediator had a better fit than models containing AP and SAS. DD mediated the relationship between functional impairment and emotional distress, so that engaging in DD was associated with greater distress. In addition, comorbidity and functional impairment were directly and positively related to emotional distress, but the relation between comorbidity and distress was not mediated by coping type.

conclusionsBoth comorbidity and functional impairment may be associated with distress, but disengagement coping only mediated the relation involving functional impairment and was positively associated with distress. Future studies can investigate whether teaching active coping or adaptive coping (e.g., through mindfulness exercises) can decrease distress in cancer patients, despite functional impairments.

Indexed as

NeoplasmsPsychological DistressAdaptation, PsychologicalAnxietyComorbidityDepressionEmotionsHumansQuality of LifeStress, PsychologicalSurveys and QuestionnairesCancerComorbidityCoping behaviorEmotional distressFunctional impairment

Identifiers

PMID33522569
PMCPMC8489302
OpenAlexW3127666168

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.