Cancer-coping profile predicts long-term psychological functions and quality of life in cancer survivors
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Cancer survivors experience significant psychosocial distress even after completion of cancer treatment. The association between cancer coping and cancer recovery is not well established. The present study investigated the cancer-coping profile and cancer outcomes in breast cancer survivors.
A three-wave longitudinal study was conducted. In 2009 (wave 1), 248 breast cancer survivors completed a package of psychological inventories to evaluate cancer copying style, psychological distress, anxiety and depression, and quality of life. They received follow-up survey in 2012 (wave 2) and 2016 (wave 3). A latent profile analysis (LPA) was conducted among participants in wave 1 to identify cancer-coping class. Identified cancer-coping class was used to predict psychological and survival outcomes in waves 2 and 3.
Two cancer-coping classes were identified through LPA, namely adaptive cancer coping (class I; 52%) and maladaptive cancer coping (class II; 47.8%). Demographic and clinical factors did not differ significantly between the two classes. Subsequent analyses demonstrated that the cancer-coping style in wave 1 predicted the psychological symptoms and quality of life outcomes at the two follow-ups (waves 2 and 3). Survivors in the adaptive group (class I) exhibited lower cancer distress, anxiety and depression scores, and higher quality of life scores than those in the maladaptive group did. Cancer coping were not found to be significantly associated with cancer survival or recurrence.
The identified cancer-coping styles were predictive of the survivors’ psychological symptoms, psychological well-being, and health-related quality of life but not cancer survival or recurrence.
KeywordsCancer Survivor Coping Trajectory Psychosocial
We thank the participants for their involvement in the study.
This research received no specific grant from any funding agency in the public, commercial, or not-for-profit sectors.
Compliance with ethical standards
Conflict of interest
The authors declare that they have no conflict of interest.
- 2.National Research Council (2004) Meeting psychosocial needs of women with breast cancer. National Academies Press, Washington DCGoogle Scholar
- 6.Koch L, Jansen L, Herrmann A, Stegmaier C, Holleczek B, Singer S, Brenner H, Arndt V (2013) Quality of life in long-term breast cancer survivors—a 10-year longitudinal population-based study. Acta oncologica (Stockholm, Sweden) 52(6):1119–1128. https://doi.org/10.3109/0284186x.2013.774461 CrossRefGoogle Scholar
- 13.Mehnert A, Koch U (2008) Psychological comorbidity and health-related quality of life and its association with awareness, utilization, and need for psychosocial support in a cancer register-based sample of long-term breast cancer survivors. J Psychosom Res 64(4):383–391. https://doi.org/10.1016/j.jpsychores.2007.12.005 CrossRefGoogle Scholar
- 14.Paek MS, Ip EH, Levine B, Avis NE (2016) Longitudinal reciprocal relationships between quality of life and coping strategies among women with breast cancer. Annals of behavioral medicine : a publication of the Society of Behavioral Medicine 50(5):775–783. https://doi.org/10.1007/s12160-016-9803-y CrossRefGoogle Scholar
- 16.Greer S, Watson M (1987) Mental adjustment to cancer: its measurement and prognostic importance. Cancer Surv 6(3):439–453Google Scholar
- 17.Moorey S, Greer S (2012) Oxford guide to CBT for people with cancer. Oxford University Press, New YorkGoogle Scholar
- 22.Roth AJ, Kornblith AB, Batel-Copel L, Peabody E, Scher HI, Holland JC (1998) Rapid screening for psychologic distress in men with prostate carcinoma—a pilot study. Cancer 82(10):1904–1908. https://doi.org/10.1002/(sici)1097-0142(19980515)82:10<1904::aid-cncr13>3.0.co;2-x CrossRefGoogle Scholar
- 26.Leung CM, Ho S, Kan CS, Hung CH, Chen CN (1993) Evaluation of the Chinese version of the hospital anxiety and depression scale. A cross-cultural perspective. Int J Psychosom 40(1–4):29–34Google Scholar
- 27.Ware JE, Kosinski M, Keller SD (1994) SF-36 physical and mental health summary scales : a user’s manual. Health Assessment Lab, New England Medical Center, Boston, MassGoogle Scholar
- 29.Collins LM, Lanza ST (2010) Latent class and latent transition analysis : with applications in the social, behavioral, and health sciences. Wiley, HobokenGoogle Scholar
- 37.Kornblith A (1998) Psychosocial adaptation of cancer survivors. In: Holland J (ed) Psychooncology. Oxford University Press, New York, pp 223–254Google Scholar