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Supportive Care in Cancer

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05.02.2018 | Original Article

Perceived stress and its associated demographic-clinical characteristics and positive expectations among Chinese cervical, kidney, and bladder cancer patients

verfasst von: Yi-Long Yang, Meng-Yao Li, Li Liu, Lie Wang

Erschienen in: Supportive Care in Cancer | Ausgabe 7/2018

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Abstract

Purpose

Positive expectations about personal abilities and future outcomes are important in shaping human behavior and emotion, which may influence the psychological adjustment in cancer patients. We aimed to assess two basic kinds of perceived stress in Chinese cancer patients and to investigate their associations with demographic-clinical characteristics and positive expectations.

Methods

A multi-center, cross-sectional study was conducted in consecutive cervical, kidney, and bladder cancer inpatients from three general hospitals in Liaoning province from February 2013 to August 2014. A total of 790 patients eligible for this study completed questionnaires on demographic-clinical variables, optimism, general self-efficacy, perceived global, and cancer-related stress anonymously. Hierarchical regression analyses were conducted to examine the relationships between optimism, general self-efficacy, and perceived stress, after controlling for possible covariates.

Results

Mean score of perceived global stress was 17.85 (SD 4.43). Mean score of perceived cancer-related stress was 37.15 (SD 12.66); 38.1% of the sample scored 44 and above, 20.1% scored 50 and above. Education, physical activity, cancer stage, and time since diagnosis were significantly associated with perceived stress. Optimism and general self-efficacy accounted for an additional variance in perceived global (14.9%) and cancer-related stress (16.9%), and both of them were independent and protective variables of perceived stress.

Conclusions

This study recognized cancer patients at risk for high levels of perceived stress and extended the understanding of the association between positive expectations and perceived global and cancer-related stress. Enhancing or maintaining optimism and general self-efficacy might be potential targets for future psychosocial interventions aimed at relieving perceived stress in cancer patients.

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Golden-Kreutz DM, Andersen BL (2004) Depressive symptoms after breast cancer surgery: relationships with global, cancer-related, and life event stress. Psychooncology 13(3):211–220. https://doi.org/10.1002/pon.736 CrossRefPubMedPubMedCentral

Cohen S, Janicki-Deverts D, Miller GE (2007) Psychological stress and disease. JAMA 298(14):1685–1687. https://doi.org/10.1001/jama.298.14.1685 CrossRefPubMed

Cohen S, Kamarck T, Mermelstein R (1983) A global measure of perceived stress. J Health Soc Behav 24(4):385–396. https://doi.org/10.2307/2136404 CrossRefPubMed

Golden-Kreutz DM, Thornton LM, Wells-Di Gregorio S et al (2005) Traumatic stress, perceived global stress, and life events: prospectively predicting quality of life in breast cancer patients. Health Psychol 24(3):288–296. https://doi.org/10.1037/0278-6133.24.3.288 CrossRefPubMedPubMedCentral

Beatty L, Lee C, Wade TD (2009) A prospective examination of perceived stress as a mediator of the relationship between life-events and QOL following breast cancer. Br J Health Psychol 14(4):789–804. https://doi.org/10.1348/135910709X412459 CrossRefPubMed

Ho RTH, Kwan TTC, Cheung IKM et al (2013) Association of fatigue with perceived stress in Chinese women with early stage breast cancer awaiting adjuvant radiotherapy. Stress Health 31:214–221CrossRefPubMed

Hsiao CP, Moore IM, Insel KC, Merkle CJ (2011) High perceived stress is linked to afternoon cortisol levels and greater symptom distress in patients with localized prostate cancer. Cancer Nurs 34(6):470–478. https://doi.org/10.1097/NCC.0b013e31820a5943 CrossRefPubMed

Li J, Yu LX, Long ZT, Li Y, Cao FL (2015) Perceived cognitive impairment in Chinese patients with breast cancer and its relationship with post-traumatic stress disorder symptoms and fatigue. Psychooncology 24(6):676–682. https://doi.org/10.1002/pon.3710 CrossRefPubMed

Reiche EMV, Nunes SOV, Morimoto HK (2004) Stress, depression, the immune system, and cancer. Lancet Oncol 5(10):617–625. https://doi.org/10.1016/S1470-2045(04)01597-9 CrossRefPubMed

10.

Zhou ES, Penedo FJ, Lewis JE, Rasheed M, Traeger L, Lechner S, Soloway M, Kava BR, Antoni MH (2010) Perceived stress mediates the effects of social support on health-related quality of life among men treated for localized prostate cancer. J Psychosom Res 69(6):587–590. https://doi.org/10.1016/j.jpsychores.2010.04.019 CrossRefPubMedPubMedCentral

11.

Albuquerque K, Tell D, Lobo P, Millbrandt L, Mathews HL, Janusek LW (2012) Impact of partial versus whole breast radiation therapy on fatigue, perceived stress, quality of life and natural killer cell activity in women with breast cancer. BMC Cancer 12(1):251. https://doi.org/10.1186/1471-2407-12-251 CrossRefPubMedPubMedCentral

12.

Kwekkeboom KL, Seng JS (2002) Recognizing and responding to post-traumatic stress disorder in people with cancer. Oncol Nurs Forum 29(4):643–650. https://doi.org/10.1188/02.ONF.643-650 CrossRefPubMed

13.

Hahn EE, Hays RD, Kahn KL, Litwin MS, Ganz PA (2015) Post-traumatic stress symptoms in cancer survivors: relationship to the impact of cancer scale and other associated risk factors. Psychooncology 24(6):643–652. https://doi.org/10.1002/pon.3623 CrossRefPubMed

14.

Bandura A (1997) Self-efficacy: the exercise of control. Freeman & Co., New York

15.

Wolpe N, Nombela C, Rowe JB (2015) Dopaminergic modulation of positive expectations for goal-directed action: evidence from Parkinson’s disease. Front Psychol 6:1514CrossRefPubMedPubMedCentral

16.

Vilhauer JS, Cortes J, Moali N, Chung S, Mirocha J, Ishak WW (2013) Improving quality of life for patients with major depressive disorder by increasing hope and positive expectations with future directed therapy (FDT). Innov Clin Neurosci 10(3):12–22PubMedPubMedCentral

17.

Karademas EC (2006) Self-efficacy, social support and well-being: The mediating role of optimism. Pers Individ Dif 40(6):1281–1290. https://doi.org/10.1016/j.paid.2005.10.019 CrossRef

18.

Scheier MF, Carver CS (1985) Optimism, coping and health: assessment and implications of generalized outcome expectancies. Health Psychol 4(3):219–247. https://doi.org/10.1037/0278-6133.4.3.219 CrossRefPubMed

19.

Kreitler S, Peleg D, Ehrenfeld M (2007) Stress, self-efficacy and quality of life in cancer patients. Psychooncology 16(4):329–341. https://doi.org/10.1002/pon.1063 CrossRefPubMed

20.

Liu L, Yang YL, Wang ZY, Wu H, Wang Y, Wang L (2015) Prevalence and positive correlates of posttraumatic stress disorder symptoms among Chinese patients with hematological malignancies: a cross-sectional study. PLoS One 10(12):e0145103. https://doi.org/10.1371/journal.pone.0145103 CrossRefPubMedPubMedCentral

21.

Wang Y, Bao Y, Liu L, Ramos A, Wang YJ, Wang L (2015) The mediating effect of self-efficacy in the relationship between social support and post-traumatic stress disorder symptoms among patients with central system tumors in China: a cross-sectional study. Psychooncology 24(12):1701–1707. https://doi.org/10.1002/pon.3838 CrossRefPubMed

22.

Yang YL, Liu L, Wang XX, Wang Y, Wang L (2014) Prevalence and associated positive psychological variables of depression and anxiety among Chinese cervical cancer patients: a cross-sectional study. PLoS One 9(4):e94804. https://doi.org/10.1371/journal.pone.0094804 CrossRefPubMedPubMedCentral

23.

Yang YL, Liu L, Li MY, Shi M, Wang L (2016) Psychological disorders and psychosocial resources of patients with newly diagnosed bladder and kidney cancer: a cross-sectional study. PLoS One 11(5):e0155607. https://doi.org/10.1371/journal.pone.0155607 CrossRefPubMedPubMedCentral

24.

Cohen S, Williamson GM (1988) Perceived stress in a probability sample of the United States. In: Spacapan S, Oskamp S (eds) The social psychology of health. Sage, Newbury Park, CA, pp 31–67

25.

Weathers FW, Litz BT, Herman DS, Huska JA, Keane TM (1994) The PTSD Checklist-Civilian Version (PCL-C). National Center for PTSD, Boston MA

26.

Cordova MJ, Giese-Davis J, Golant M, Kronenwetter C, Chang V, Spiegel D (2007) Breast cancer as trauma: posttraumatic stress and posttraumatic growth. J Clin Psychol Med Settings 14(4):308–319. https://doi.org/10.1007/s10880-007-9083-6 CrossRef

27.

Costa-Requena G, Gil F (2010) Posttraumatic stress disorder symptoms in cancer: psychometric analysis of the Spanish Posttraumatic Stress Disorder Checklist-Civilian version. Psychooncology 19(5):500–507. https://doi.org/10.1002/pon.1601 CrossRefPubMed

28.

Lai JCL, Yue X (2000) Measuring optimism in Hong Kong and mainland Chinese with the revised Life Orientation Test. Pers Individ Dif 28(4):781–796. https://doi.org/10.1016/S0191-8869(99)00138-5 CrossRef

29.

Zenger M, Brix C, Borowski J, Stolzenburg JU, Hinz A (2010) The impact of optimism on anxiety, depression and quality of life in urogenital cancer patients. Psychooncology 19(8):879–886. https://doi.org/10.1002/pon.1635 CrossRefPubMed

30.

Zhang JX, Schwarzer R (1995) Measuring optimistic self-beliefs: a Chinese adaptation of the General Self-Efficacy Scale. Psychologia 38:174–181

31.

Graham JW (2009) Missing data analysis: making it work in the real world. Annu Rev Psychol 60(1):549–576. https://doi.org/10.1146/annurev.psych.58.110405.085530 CrossRefPubMed

32.

Smith SK, Zimmerman S, Williams CS, Preisser JS, Clipp EC (2008) Post-traumatic stress outcomes in non-Hodgkin’s lymphoma survivors. J Clin Oncol 26(6):934–941. https://doi.org/10.1200/JCO.2007.12.3414 CrossRefPubMedPubMedCentral

33.

Jacobsen PB, Sadler IJ, Booth-Jones M, Soety E, Weitzner MA, Fields KK (2002) Predictors of posttraumatic stress disorder symptomatology following bone marrow transplantation for cancer. J Consult Clin Psychol 70(1):235–240. https://doi.org/10.1037/0022-006X.70.1.235 CrossRefPubMed

34.

Thornton LM, Andersen BL, Crespin TR, Carson WE (2007) Individual trajectories in stress covary with immunity during recovery from cancer diagnosis and treatments. Brain Behav Immun 21(2):185–194. https://doi.org/10.1016/j.bbi.2006.06.007 CrossRefPubMed

35.

Pritchard M, Elison-Bowers P, Birdsall B (2010) Impact of integrative restoration (iRest) meditation on perceived stress levels in multiple sclerosis and cancer outpatients. Stress Health 26:233–237CrossRef

36.

Demyttenaere K, Bruffaerts R, Posada-Villa J, Gasquet I, Kovess V, Lepine JP, Angermeyer MC, Bernert S, de Girolamo G, Morosini P, Polidori G, Kikkawa T, Kawakami N, Ono Y, Takeshima T, Uda H, Karam EG, Fayyad JA, Karam AN, Mneimneh ZN, Medina-Mora ME, Borges G, Lara C, de Graaf R, Ormel J, Gureje O, Shen Y, Huang Y, Zhang M, Alonso J, Haro JM, Vilagut G, Bromet EJ, Gluzman S, Webb C, Kessler RC, Merikangas KR, Anthony JC, von Korff M, Wang PS, Brugha TS, Aguilar-Gaxiola S, Lee S, Heeringa S, Pennell BE, Zaslavsky AM, Ustun TB, Chatterji S, WHO World Mental Health Survey Consortium (2004) Prevalence, severity, and unmet need for treatment of mental disorders in the World Health Organization World Mental Health Surveys. JAMA 291(21):2581–2590. https://doi.org/10.1001/jama.291.21.2581 CrossRefPubMed

37.

Zeng HM, Zheng RS, Guo YM, Zhang S, Zou X, Wang N, Zhang L, Tang J, Chen J, Wei K, Huang S, Wang J, Yu L, Zhao D, Song G, Chen J, Shen Y, Yang X, Gu X, Jin F, Li Q, Li Y, Ge H, Zhu F, Dong J, Guo G, Wu M, du L, Sun X, He Y, Coleman MP, Baade P, Chen W, Yu XQ (2015) Cancer survival in China, 2003–2005: a population-based study. Int J Cancer 136(8):1921–1930. https://doi.org/10.1002/ijc.29227 CrossRefPubMed

38.

Speck RM, Courneya KS, Mâsse LC, Duval S, Schmitz KH (2010) An update of controlled physical activity trials in cancer survivors: a systematic review and meta-analysis. J Cancer Surviv 4(2):87–100. https://doi.org/10.1007/s11764-009-0110-5 CrossRefPubMed

39.

Carver CS, Pozo C, Harris SD, Noriega V, Scheier MF, Robinson DS, Ketcham AS, Moffat FL, Clark KC (1993) How coping mediates the effect of optimism on distress: a study of women with early stage breast cancer. J Pers Soc Psychol 65(2):375–390. https://doi.org/10.1037/0022-3514.65.2.375 CrossRefPubMed

40.

Mystakidou K, Parpa E, Tsilika E, Galanos A, Vlahos L (2008) General perceived self-efficacy: validation analysis in Greek cancer patients. Support Care Cancer 16(12):1317–1322. https://doi.org/10.1007/s00520-008-0443-z CrossRefPubMed

41.

Beckmann J, Kellmann M (2004) Self-regulation and recovery: approaching an understanding of the process of recovery from stress. Psychol Rep 95(3_suppl):1135–1153. https://doi.org/10.2466/pr0.95.3f.1135-1153 CrossRefPubMed

42.

Peterson C (2000) The future of optimism. Am Psychol 55(1):44–55. https://doi.org/10.1037/0003-066X.55.1.44 CrossRefPubMed

43.

Lee V, Cohen SR, Edgar L, Andrea ML, Anita JG (2006) Meaning-making intervention during breast or colorectal cancer treatment improves self-esteem, optimism, and self-efficacy. Soc Sci Med 62(12):3133–3145. https://doi.org/10.1016/j.socscimed.2005.11.041 CrossRefPubMed

44.

Rottmann N, Dalton SO, Christensen J, Frederiksen K, Johansen C (2010) Self-efficacy, adjustment style and well-being in breast cancer patients: a longitudinal study. Qual Life Res 19(6):827–836. https://doi.org/10.1007/s11136-010-9653-1 CrossRefPubMed

45.

Yu Y, Peng L, Tang T, Chen L, Li M, Wang T (2014) Effects of emotion regulation and general self-efficacy on posttraumatic growth in Chinese cancer survivors: assessing the mediating effect of positive affect. Psychooncology 23(4):473–478. https://doi.org/10.1002/pon.3434 CrossRefPubMed

Titel: Perceived stress and its associated demographic-clinical characteristics and positive expectations among Chinese cervical, kidney, and bladder cancer patients
verfasst von: Yi-Long Yang
Meng-Yao Li
Li Liu
Lie Wang
Publikationsdatum: 05.02.2018
Verlag: Springer Berlin Heidelberg
Erschienen in: Supportive Care in Cancer / Ausgabe 7/2018
Print ISSN: 0941-4355
Elektronische ISSN: 1433-7339
DOI: https://doi.org/10.1007/s00520-018-4081-9

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Perceived stress and its associated demographic-clinical characteristics and positive expectations among Chinese cervical, kidney, and bladder cancer patients

Abstract

Purpose

Methods

Results

Conclusions

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Live-Webinar: Aktuelle Leitlinien bei Herz-Kreislauf-Erkrankungen

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Abstract

Purpose

Methods

Results

Conclusions

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