Psychological adjustment to lung cancer: The role of self-compassion and social support
DOI:
https://doi.org/10.7342/ismt.rpics.2016.2.1.30Keywords:
Psychological well-being, Aged citizens, Spiritual intelligence, Physical and mental health, Depression, AnxietyAbstract
Background: The impact of the diagnosis of an oncologic disease is well-known in terms of psychological adjustment and quality of life. On the other hand it is known that depressive symptoms may also overlap the physical symptoms of cancer and cancer treatment, which may interfere in their detection and appropriate treatment approach. Objectives: The aim of the current study was to explore the relationship between psychological adjustment to lung cancer, self-compassion, social support, and emotional negative states in patients with lung cancer. Method: Fifty-five patients diagnosed with lung cancer (38 men and 17 women) with ages ranging from 44 to 87 years old participated in the study. A set of self-report instruments was used: the Mini Mental Adjustment to Cancer Scale (MiniMac), the Self-compassion Scale (SCS; Neff, 2003), the Social Support Satisfaction Scale (SSSS) and the Depression, Anxiety and Stress Scale (DASS-21). Results: Significant correlations were found between psychological adjustment, psychopathology, emotion regulation strategies (self-compassion), and social support. The predictive models for psychological adjustment and stress-related symptomatology include self-compassion and social support as significant predictive variables. Regarding the predictive model for depressive symptomatology, mindfulness seems to be the only significant predictor. Conclusions: Our findings suggest that these patients may benefit, in their therapeutic approach, from the development of this kind of strategy (new ways of relating themselves with their emotional experiences and quality of their social networks) in order to promote a better psychological adjustment to their clinical condition.
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References
Alberg, A. J., & Samet, J. M. (2003). Epidemiology of lung cancer. Chest, 123(Supl. 1), 21S–49S. [Google Scholar] [PMC]
Alves L, Bastos J., & Lunet N. (2009). Evolução da mortalidade por cancro do pulmão em Portugal (1955-2005) [Trends in lung cancer mortality in Portugal (1955-2005)]. Revista Portuguesa Pneumologia, 15, 575-587. [Google Scholar] [CrossRef]
Baer, R. A. (2003). Mindfulness training as a clinical intervention: A conceptual and empirical review. Clinical Psychology: Science and Practice, 10(2), 125-143. [Google Scholar] [CrossRef]
Batista, R., Cunha, M., Galhardo, A., Couto, M., & Massano-Cardoso, I. (2015). Psychological adjustment to lung cancer: the role of self-compassion and social support. European Psychiatry, 30 (Supl. 1), 1511-1511. [Google Scholar] [CrossRef]
Bower, M., & Waxman, J. (2006). Compêndio de oncologia [Lecture Notes: Oncology]. Lisboa: Instituto Piaget: Coleção Medicina e saúde. (Original work published 2006) [Google Scholar]
Brown, K. W., & Ryan, R. M. (2003). The benefits of being present: Mindfulness and its role in psychological well-being. Journal of Personality and Social Psychology, 84(4), 822-848. [Google Scholar] [CrossRef]
Castilho, P., & Pinto-Gouveia, J. (2011). Autocompaixão: Estudo da validação da versão portuguesa da Escala da Autocompaixão e da sua relação com as experiências adversas na infância, a comparação social e a psicopatologia [Self-compassion: Study of the validation of the Portuguese version of the Self-Compassion Scale and its relationship with adverse experiences in childhood, social comparison, and psychopathology]. Psychologica, 54, 203–230. [Google Scholar] [URL]
Custódio, S. (2010). Stress, suporte social, otimismo e saúde em estudantes de enfermagem em ensino clínico [Stress, social support, optimism, and health in nursing students in clinical teaching] (Doctoral dissertation). [Google Scholar] [Handle]
Domingues, V., & Albuquerque, E. (2008). Cancro do pulmão: Aspetos psicológicos e psiquiátricos [Lung cancer: Psychological and psychiatric aspects]. Revista Portuguesa de Pneumologia, 14(2), 261–269. [Google Scholar] [CrossRef]
Ferlay J., Shin H. R., Bray F., Forman D., Mathers C., & Parkin D. M. (200). Cancer incidence and mortality worldwide: IARC cancer base No. 10 (2). Lyon, France: International Agency for Research on Cancer, 2010. [Google Scholar] [URL]
Kline, R. B. (2005). Principles and practice of structural equation modeling (2nd ed.). New York: Guilford. [Google Scholar]
Leary, M. R., Tate, E. B., Adams, C. E., Allen, A. B., & Hancock, J. (2007). Self-compassion and reactions to unpleasant self-relevant events: The implications of treating oneself kindly. Journal of personality and social psychology, 92(5), 887–904. [Google Scholar] [CrossRef]
Lovibond, P. F., & Lovibond, S. H. (1995). The structure of negative emotional states: Comparison of the depression anxiety stress scales (EADS) with the Beck Depression and Anxiety Inventories. Behaviour Research and Therapy, 33(3), 335-343. [Google Scholar] [CrossRef]
Marques, A. R., Santos, G., Firmino, H., Santos, Z., Vale, L., Abrantes, P., Moniz, M., Amaral, A. P., Galvão, M. J., Clemente, V., Pissarra, A., Albuquerque, E., Gomes, A. A., Morais, I. (1991). Reações emocionais à doença grave: Como lidar. Coimbra. Edição Psiquiatria Clínica. [Google Scholar]
Neff, K. D. (2003a). The development and validation of a scale to measure self-compassion. Self and Identity, 2, 223-250. [Google Scholar] [CrossRef]
Neff, K. (2003b). Self-compassion: An alternative conceptualization of a healthy attitude toward oneself. Self and Identity, 2, 85–101. [Google Scholar] [CrossRef]
Neff, K. D., & Costigan, A. P. (2014). Self-compassion, well-being, and happiness. Psychologie in Österreich, 2/3, 114-117. [PDF]
Neff, K. D., Kirkpatrick, K., & Rude, S. S. (2007). Self-compassion and adaptive psychological functioning. Journal of Research in Personality, 41(1), 139-154. [Google Scholar] [CrossRef]
Neff, K. D., Rude, S. S., & Kirkpatrick, K. (2007). An examination of self-compassion in relation to positive psychological functioning and personality traits. Journal of Research in Personality, 41(4), 908-916. [Google Scholar] [CrossRef]
Ogden, J. (1999). Psicologia da saúde [Health psychology: A textbook]. Lisboa: Climepsi Editores. (Original work published 1996) [Google Scholar]
Pais-Ribeiro, J. L. (1999). Escala de satisfação com o suporte social [Social Support Satisfaction Scale (ESSS)]. Análise Psicológica, 3(12), 547-558. [Google Scholar] [Scielo]
Pais-Ribeiro, J., Honrado, A., & Leal, I. (2004). Contribuição para o estudo da adaptação portuguesa das escalas de Depressão Ansiedade e Stress de Lovibond e Lovibond [Contribution to the study of the Portuguese adaptation of the Depression Scale Anxiety and Stress Scales of Lovibond and Lovibond]. Psychologica, 36, 235-246. [Google Scholar]
Pais-Ribeiro, J. L., Ramos, D., & Samico, S. (2003). Contribuição para uma validação conservadora da escala reduzida de ajustamento mental ao cancro (Mini-MAC) [Contribution to a conservative validation of a portuguese version of the mini mental adjustment to cancer scale (Mini-MAC) ]. Psicologia, Saúde e Doenças, 4(2), 231-247. [Google Scholar] [Handle]
Parente, B., Barata, F. J., Neto, I. G., & Costa, A. (2002). Cancro do pulmão — O doente terminal [Lung cancer - The terminal patient]. Revista Portuguesa de Pneumologia, 8(4), 351–372. [Google Scholar] [Elsevier]
Parente, B., Queiroga, H., Teixeira, E., Sotto-Mayor, R., Barata, F., Sousa, A., Melo, M. J., João, F., Neveda, R., Cunha, J., Fernandes, A., Manuel, M., Cardoso, T., Ferreira, L., Nogueira, F., Duarte, J., Semedo, E., Brito, U., Pimentel, F., Barros, S., Costa, F., Almodôvar, T., & Araújo, A. (2007). Estudo epidemiológico do cancro do pulmão em Portugal nos anos de 2000/2002 [Epidemiological study of lung cancer in Portugal (2000/2002) ]. Revista Portuguesa de Pneumologia, 13(2), 255–265. [Google Scholar] [Scielo]
Pereira, M., & Lopes, C. (2005). O doente oncológico e sua família [O doente oncológico e sua família] (2nd ed.) Manuais Universitários: Climepsi. [Google Scholar]
Pinto-Gouveia, J., Duarte, C., Matos, M., & Fráguas, S. (2013). The protective role of self-compassion in relation to psychopathology symptoms and quality of life in chronic and in cancer patients. Clinical Psychology & Psychotherapy, 21(4), 311-323. [Google Scholar] [CrossRef]
Rodrigues, J., & Ferreira, N. (2012). Estrutura e funcionalidade da rede de apoio social do adulto com câncer [Structure and functionality of the social support network for adults with cancer]. Acta Paulista de Enfermagem, 25(5), 781–787. [Google Scholar] [Scielo]
Santos, C., & Pais-Ribeiro, J. (2001). A qualidade de vida do doente oncológico - Revisão da bibliografia [The quality of life of the cancer patient - Review of the literature]. Referência, 7, 5-16. [Google Scholar] [URL]
Santos, C. S. V. de B., Ribeiro, J. P., & Lopes, C. (2003). Estudo de adaptação da Escala de Satisfação com o Suporte Social (ESSS). Psicologia, Saúde & Doenças, 4(2), 185–204. [Google Scholar] [URL]
Stewart, M., Craig, D., MacPherson, K., & Alexander, S. (2001). Promoting positive affect and diminishing loneliness of widowed seniors through a support intervention. Public Health Nursing, 18(1), 54-63. [Google Scholar] [CrossRef]
Stommel, M., Kurtz, M. E., Kurtz, J., Given, C. W., & Given, B. A. (2004). A longitudinal analysis of the course of depressive symptomatology in geriatric patients with cancer of the breast, colon, lung or prostate. Health Psychology, 23(6), 564-573. [Google Scholar] [CrossRef]
Straub, R. O. (2005). Psicologia da saúde [Health psychology]. Porto Alegre: Artes Médicas. (Original work published 2002) [Google Scholar]
Tabachnick, B., & Fidell, L. (2007). Using multivariate statistics. New York: Pearson Education Inc. [Google Scholar]
Usta, Y. Y. (2012). Importance of social support in cancer patients. Asian Pacific Journal of Cancer Prevention, 13(8), 3569–3572. [Google Scholar] [URL]
Watson, M., Law, M., Santos, M., Greer, S., Baruch, J., & Bliss, J. (1994). The mini-MAC: Further development of the mental adjustment to cancer scale. Journal of Psychosocial Oncology, 12(3), 33-46. [Google Scholar] [CrossRef]
Zamboni, M. (2002). Epidemiologia do câncer do pulmão [Lung cancer epidemiology]. Jornal Pneumologia, 28(1), 41–47. [Google Scholar] [Scielo]
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Copyright (c) 2016 Rute Batista, Marina Cunha, Ana Galhardo, & Margarida Couto
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