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Living and Coping with Cancer: Specific Challenges and Adaptation
Uppsala University, Medicinska vetenskapsområdet, Faculty of Medicine, Department of Public Health and Caring Sciences, Caring Sciences.
2007 (English)Doctoral thesis, comprehensive summary (Other academic)
Abstract [en]

The overall aims of this thesis were to prospectively investigate how specific challenges among patients with commonly occurring cancers are related to adaptation and well-being, to predict later well-being using a range of psychosocial aspects and to compare two ways of measuring coping with cancer. This was studied at diagnosis in patients with gastrointestinal cancers and their spouses and at termination of cancer treatment and during follow-up in a heterogeneous group of cancers. At diagnosis, higher levels of psychological distress were accompanied both by more coping attempts and less perceived control over the stressful events. Somatic aspects and Everyday concerns were frequent stressful events. The most frequently used coping strategies were emotion-focused. The Daily Coping Assessment (DCA) rendered a varied picture of ways of handling the stressful events (Study I). When studying coping as a process, the DCA has advantages compared to the commonly used measure MAC, since DCA better separates coping from both the stressful event and outcome. A comparison of the DCA and the MAC rendered differences regarding the usage of coping strategies (Study II). Patients with higher levels of anxiety/depression also had higher discrepancies between attainment and importance for most life values compared to patients with less anxiety/depression. For the patients, but not for the spouses, the discrepancies for several life values along with anxiety and depression decreased over time (Study III). Anxiety/depression at termination of treatment are strong predictors for anxiety/depression and QoL at follow-up. However, other variables like psychiatric history, the bother an event caused, the coping strategy Acceptance, the stressful event Thoughts/affects and emotional and instrumental aspects of social support contributed to the prediction (Study IV). Thus, it is concluded that detailed information regarding specific and frequent situations among cancer patients is possible to reveal and necessary for a better understanding of what influences well-being.

Place, publisher, year, edition, pages
Uppsala: Acta Universitatis Upsaliensis , 2007. , p. 59
Series
Digital Comprehensive Summaries of Uppsala Dissertations from the Faculty of Social Sciences, ISSN 1652-9030 ; 28
Keywords [en]
Caring sciences, stressful events, appraisal, coping, life values, social support, psychiatric history, anxiety, depression, well-being, quality of life, cancer, spouses
Keywords [sv]
Vårdvetenskap
Identifiers
URN: urn:nbn:se:uu:diva-7784ISBN: 978-91-554-6849-1 (print)OAI: oai:DiVA.org:uu-7784DiVA, id: diva2:169984
Public defence
2007-04-27, Sal IX, Universitetsbyggnaden, Övre Slottsgatan 2, Uppsala, 09:00
Opponent
Supervisors
Available from: 2007-04-02 Created: 2007-04-02Bibliographically approved
List of papers
1. Daily assessments of coping in patients with gastrointestinal cancer
Open this publication in new window or tab >>Daily assessments of coping in patients with gastrointestinal cancer
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2002 In: Psychooncology, Vol. 11, no 1, p. 1-11Article in journal (Refereed) Published
Identifiers
urn:nbn:se:uu:diva-95672 (URN)
Available from: 2007-04-02 Created: 2007-04-02Bibliographically approved
2. Comparisons of a questionnaire commonly used for measuring coping with a daily-basis prospective coping measure
Open this publication in new window or tab >>Comparisons of a questionnaire commonly used for measuring coping with a daily-basis prospective coping measure
2006 In: J Psychosom Res, Vol. 61, no 6, p. 813-820Article in journal (Refereed) Published
Identifiers
urn:nbn:se:uu:diva-95673 (URN)
Available from: 2007-04-02 Created: 2007-04-02Bibliographically approved
3. Discrepancies between attainment and importance of life values and anxiety and depression in gastrointestinal cancer patients and their spouses
Open this publication in new window or tab >>Discrepancies between attainment and importance of life values and anxiety and depression in gastrointestinal cancer patients and their spouses
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2001 (English)In: Psychooncology, Vol. 10, no 6, p. 479-489Article in journal (Refereed) Published
Identifiers
urn:nbn:se:uu:diva-95674 (URN)
Available from: 2007-04-02 Created: 2007-04-02 Last updated: 2011-03-10Bibliographically approved
4. Termination of cancer treatment: Stressful events, adaptation and prediction of well-being at follow-up
Open this publication in new window or tab >>Termination of cancer treatment: Stressful events, adaptation and prediction of well-being at follow-up
Manuscript (Other academic)
Identifiers
urn:nbn:se:uu:diva-95675 (URN)
Available from: 2007-04-02 Created: 2007-04-02 Last updated: 2010-01-13Bibliographically approved

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