Cancer Manag Res. 2018 Jan 04;10:33-40. doi: 10.2147/CMAR.S148341. eCollection 2018.
The reciprocal relationship between coping mechanisms and lung cancer diagnosis: findings of a prospective study.
Cancer management and research
Cristian Oancea, Cristian Suciu, Bogdan Timar, Ion Papava, Marius Raica, Ovidiu Burlacu
Affiliations
Affiliations
- Department of Pulmonology.
- Department of Microscopic Morphology/Histology.
- Department of Biostatistics and Medical Informatics.
- Department of Neurosciences.
- Department of Surgical Semiology, "Victor Babes" University of Medicine and Pharmacy, Timisoara, Romania.
PMID: 29379318
PMCID: PMC5757489 DOI: 10.2147/CMAR.S148341
Abstract
BACKGROUND/PURPOSE: Lung cancer is a major stress factor for the affected individual, leading to psychological distress in over 50% of the diagnosed patients. Since coping styles describe different patterns in approaching serious problems, our study aimed at ascertaining if the diagnosis of lung cancer has an impact on the patient's coping styles and if there is a difference in psychical response among patients with different coping styles, as assessed by variance of anxiety and depression scores after diagnosis.
PATIENTS AND METHODS: In this prospective study, a cohort of 50 patients were evaluated using the COPE scale, Generalized Anxiety Disorder Questionnaire 7 (GAD-7), and Patient Health Questionnaire-9 (PHQ-9), both prior to and 1 month after learning about their lung cancer diagnosis. The baseline and the final parameters were compared and stratified with respect to coping styles.
RESULTS: We observed that 1 month after learning the diagnosis, the patients had a significantly higher GAD-7 score (median score 12 vs 4 points;
CONCLUSION: Our study demonstrates that patients who receive the diagnosis for cancer show a significant increase in anxiety and depression intensity. The most adaptive coping style turned out to be the problem-focused one while the least adaptive one was the avoidant style.
Keywords: anxiety; behavior; depression; distress; lung cancer; psychosocial
Conflict of interest statement
Disclosure The authors report no conflicts of interest in this work.
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