Hostname: page-component-586b7cd67f-gb8f7 Total loading time: 0 Render date: 2024-11-20T17:46:57.420Z Has data issue: false hasContentIssue false

The influence of coping response and health-related quality of life on perceived social support during cancer treatment

Published online by Cambridge University Press:  28 April 2014

Gema Costa-Requena*
Affiliation:
Department of Psychiatry, Hospital General Universitari Vall d'Hebron, Universitat Autònoma, CIBERSAM, Barcelona, Spain
Rafael Ballester Arnal
Affiliation:
Department of Basic Psychology, Clinical Psychology and Psychobiology, Jaume I University, Castellon, Spain
Francisco Gil
Affiliation:
Psycho-Oncology Unit, Duran i Reynals Hospital, Barcelona, Spain
*
Address correspondence and reprint requests to: Gema Costa-Requena, Department of Psychiatry, Hospital General Universitari Vall d'Hebron, Passeig Vall d'Hebron, 119-129, 08034 Barcelona, Spain. E-Mail: [email protected]

Abstract

Objective:

In the biopsychosocial approach, perceived social support has served as a protective factor for psychological adjustment to cancer. This study aimed to determine the influence of different coping responses and health-related quality of life (HRQoL) domains on perceived social support during cancer treatment.

Method:

A cross-sectional analysis was carried out in a sample of 757 cancer outpatients. The Medical Outcomes Study Social Support Survey (MOS–SSS) was employed to assess perceived social support. The Mental Adjustment to Cancer (MAC) Scale measured coping response, and HRQoL was tested with the Medical Outcomes Study Short Form–36 (SF–36). Multivariate analyses were carried out to examine the extent to which coping and HRQoL were associated with perceived social support.

Results:

Coping response explained only 2% of the variance in perceived social support, but Hopelessness had a significant influence on perceived social support (p ≤ 0.01). HRQoL, physical, and mental domains made a significant contribution toward perceived social support, accounting for around 10% of total variance. More than coping response, HRQoL's physical and mental domains had an important influence on perceived social support during cancer treatment.

Significance of Results:

The findings of the current study report the importance of HRQoL domains in predicting perceived social support during cancer treatment, emphasizing the holistic and multidisciplinary approach to facilitate adjustment to cancer.

Type
Original Articles
Copyright
Copyright © Cambridge University Press 2014 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

REFERENCES

Alonso, J., Prieto, L. & Antó, J.M. (1995). La versión española del SF–36 Health Survey (Cuestionario de Salud SF–36): Un instrumento para la medida de los resultados. Medicina Clinica (Barcelona), 104, 771776.Google Scholar
Alonso, Y. (2004). The biopsychosocial model in medical research: The evolution of the health concept over the last two decades. Patient Education and Counseling, 4, 239244.Google Scholar
Andrykowski, M.A. & Pavlik, E.J. (2011). Response to an abnormal ovarian cancer-screening test result: Test of the social cognitive processing and cognitive social health information processing models. Psychology & Health, 26(4), 383397.Google Scholar
Beck, R., Perkins, T.S., Holder, R., et al. (2001). The cognitive and emotional phenomenology of depression and anxiety: Are worry and hopelessness the cognitive correlates of NA and PA. Cognitive Therapy Research, 25(6), 829838.Google Scholar
Bloom, J.R., Stewart, S.L., Johston, M., et al. (2001). Sources of support and the physical and mental well-being of young women with breast cancer. Social Science & Medicine, 53, 15131524.Google Scholar
Brennan, J. (2001). Adjustment to cancer-coping or personal transition? Psycho-Oncology, 10, 110.Google Scholar
Brix, C., Schleussner, C., Füller, J., et al. (2008). The need for psychosocial support and its determinants in a sample of patients undergoing radiooncological treatment of cancer. Journal of Psychosomatic Research, 65, 541548.Google Scholar
Cicero, V., Lo Coco, G., Gullo, S., et al. (2009). The role of attachment dimensions and perceived social support in predicting adjustment to cancer. Psycho-Oncology, 18, 10451052.Google Scholar
Costa-Requena, G. & Gil, F. (2009). The Mental Adjustment to Cancer Scale: A psychometric analysis in Spanish cancer patients. Psycho-Oncology, 18, 984991.Google Scholar
Costa-Requena, G., Salamero, M. & Gil, F. (2007). Validación del cuestionario MOS–SSS de apoyo social en pacientes con cáncer. Medicina Clinica (Barcelona), 128, 687691.Google Scholar
den Oudsten, B.L., Van Heck, G.L., Van der Steeg, A.F.W., et al. (2010). Personality predicts perceived availability of social support and satisfaction with social support in women with early stage breast cancer. Supportive Care in Cancer, 18, 499508.Google Scholar
Devine, D., Parker, P.A., Fouladi, R.T., et al. (2003). The association between social support, intrusive thoughts, avoidance, and adjustment following an experimental cancer treatment. Psycho-Oncology, 12, 453462.Google Scholar
Ferrero, J., Barreto, M.P. & Toledo, M. (1994). Mental adjustment to cancer and quality of life in breast cancer patients: An exploratory study. Psycho-Oncology, 3, 223232.Google Scholar
Ganz, P.A. (1994). Quality of life and the patient with cancer. Cancer, 74(4), 14451452.Google Scholar
Grassi, L. (2013). Quam bene vivas referre: Curing and caring in psycho-oncology. Psycho-Oncology, 22, 16791687.Google Scholar
Greer, S., Morris, T. & Pettingale, K.W. (1979). Psychological response to breast cancer: Effect on outcome. Lancet, i, 785787.Google Scholar
Hack, T.F. & Degenr, L.F. (2004). Coping response following breast cancer diagnosis predict psychological adjustment three years later. Psycho-Oncology, 13, 235247.Google Scholar
Harper, F.W.K., Schmidt, J.E., Beacham, A.O., et al. (2007). The role of social cognitive processing theory and optimism in positive psychosocial and physical behavior change after cancer diagnosis and treatment. Psycho-Oncology, 16, 7991.Google Scholar
Helgeson, V.S. (2003) Social support and quality of life. Quality of Life Research, 12(Suppl. 1), 2531.Google Scholar
Helgeson, V.S. & Cohen, S. (1996). Social support and adjustment to cancer: Reconciling descriptive, correlational, and intervention research. Health Psychology, 15(2), 135148.Google Scholar
Helgeson, V.S., Snyder, P. & Seltman, H. (2004). Psychological and physical adjustment to breast cancer over 4 years: Identifying distinct trajectories of change. Health Psychology, 23, 315.Google Scholar
Holland, J.C. (2002). History of psycho-oncology: Overcoming attitudinal and conceptual barriers. Psychosomatic Medicine, 64, 206221.Google Scholar
Karl, S.R. & Holland, J.C. (2013). Looking at the roots of psychosomatic medicine: Adolf Meyer. Psychosomatics, 54, 111114.Google Scholar
Lepore, S.J. & Helgeson, V.S. (1998). Social constraints, intrusive thoughts, and mental health after prostate cancer. Journal of Social and Clinical Psychology, 17(1), 89106.Google Scholar
Lewis, J.A., Manne, S.L., DuHamel, N., et al. (2001). Social support, intrusive thoughts, and quality of life in breast cancer survivors. Journal of Behavioral Medicine, 24(3), 231245.Google Scholar
Mathews, E.E. & Cook, P.F. (2009). Relationships among optimism, well-being, self-transcendence, coping, and social support in women during treatment for breast cancer. Psycho-Oncology, 18, 716726.Google Scholar
Michael, Y.L., Berkman, L.F., Colditzm, G.A., et al. (2002). Social networks and health-related quality of life in breast cancer survivors: A prospective study. Journal of Psychosomatic Research, 52, 285293.Google Scholar
Schnoll, R.A., Mackinnon, J.R., Stolbach, L., et al. (1995). The relationship between emotional adjustment and two factor structures of the Mental Adjustment to Cancer (MAC) Scale. Psycho-Oncology, 4, 265272.Google Scholar
Sherbourne, C.D. & Stewart, A.L. (1991). The MOS Social Support Survey. Social Science & Medicine, 32, 705714.Google Scholar
Shimizu, K., Nakaya, N., Saito-Nakaya, K., et al. (2012). Clinical biopsychosocial risk factors for depression in lung cancer patients: A comprehensive analysis using data from the Lung Cancer Database Project. Annals of Oncology, 23, 19731979.Google Scholar
Uchino, B.N. (2009). What a lifespan approach might tell us about why distinct measures of social support have differential links to physical health. Journal of Social and Personal Relationship, 26(1), 5362.Google Scholar
Ware, J.R. & Sherbourne, C.D. (1992). The MOS 36-item short-form health survey (SF–36). Medical Care, 30(6), 473481.Google Scholar
Watson, M., Greer, S., Young, J., et al. (1988). Development of a questionnaire measure of adjustment to cancer: The MAC Scale. Psychological Medicine, 18, 203209.Google Scholar
Watson, M., Homewood, J., Haviland, J., et al. (2005). Influence of psychological response on breast cancer survival: Ten-year follow-up of a population-based cohort. European Journal of Cancer, 41, 17101714.Google Scholar
Zakowski, S.G., Ramatim, A., Mortonm, C., et al. (2004). Written emotional disclosure buffers the effects of social constraints on distress among cancer patients. Health Psychology, 23(6), 555563.Google Scholar