RESEARCH PAPER
Mental adaptation to cancer in women with gynaecological cancer
 
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1
Department of Nursing, Faculty of Health Sciences, Collegium Medicicum University of Warmia and Mazury in Olsztyn, Poland
2
Department of Multimedia and Computer Graphics, Faculty of Mathematics and Information Technology, University of Warmia and Mazury in Olsztyn, Poland
3
Department of Gynecology and Obstetrics, School of Medicine, Collegium Medicicum University of Warmia and Mazury in Olsztyn, Poland
CORRESPONDING AUTHOR
Ewa Kupcewicz   

Faculty of Health Sciences, Department of Nursing, Collegium Medicicum University of Warmia and Mazury in Olsztyn, Poland, Żołnierska 14C, 10-561 Olsztyn, Poland E-mail: ekupcewicz@wp.pl
 
J Pre Clin Clin Res. 2017;11(2):120–126
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ABSTRACT
Introduction and Objective:
Adapting to gynaecological cancer is the problem of accepting and coping with the disease and its consequences. The aim of this study is to analyze the relationship between stress intensity and strategies for coping with stress and psychological adaptation to disease in women diagnosed with gynaecological cancer

Material and methods:
The study was performed on a group of 102 women diagnosed with gynaecologic malignancy. The mean age of patients was 56.1 (SD ±10.75) years. Three self- designed questionnaires were used to carry out the study: Scale of Perceived Stress (PSS-10), Multidimensional Inventory for Measuring Coping with Stress (Mini-COPE) and the Scale of Mental Adaptation to Cancer (Mini-MAC). Statistical significance was set at p <0.05.

Results:
In more than half of the women surveyed, the severity of stress experienced during the last month was high. Women with a malignant illness significantly differed (p<0.001) in the styles of coping with the disease, preferring a constructive style (M=43.5; SD±5.76) rather than a destructive style (M=21.7; SD±5.28). The highest median values were obtained by positive revalidation (M=21.9; SD±3.01) and fighting spirit (M=21.6; SD±3.47) strategies. The most prominent indicator of predicting a constructive style of coping with cancer was the coping strategy described as Positive Revalidation (ßeta=0.38; R²=0.41); whereas an Acceptance strategy was a predictor of a destructive style (ßeta=-0.30; R²=0.31).

Conclusions:
Most women facing gynaecological cancer experience a high level of stress, and try to use active strategies to deal with the disease. The results indicate that there is a need to offer special psychological care to oncologically diagnosed women.

 
REFERENCES (23)
1.
Juczyński Z, Ogińska – Bulik N. Narzędzia pomiaru stresu i radzenia sobie ze stresem. Warszawa, Pracownia Testów Psychologicznych, 2009.
 
2.
Selye H. Tamed stress. Warszawa, Państwowy Instytut Wydawniczy, 1978.
 
3.
Lazarus RS, Folkman S. Stress, appraisal and coping. Now York, US: Springer Publishing Company; 1984.
 
4.
Heszen I. Psychologia stresu. Warszawa, PWN, 2013.
 
5.
Folkman S. Personal control and stress, and coping processes: A theoretical analysis. J Pers Soc Psychol. 1984; 6(4): 839‑852.
 
6.
Sygit-Kowalkowska E. Radzenie sobie ze stresem jako zachowanie zdrowotne człowieka – perspektywa psychologiczna. Hygeia Public Health. 2014; 49(2): 202-208.
 
7.
Mroczkowska D, Białkowska J. Style radzenia sobie ze stresem jako zmienne determinujące jakość życia młodych dorosłych. Med Og Nauk Zdr. 2014; 20(3): 265–269.
 
8.
Juczyński Z. Narzędzia pomiaru w promocji i psychologii zdrowia. Warszawa, Pracownia Testów Psychologicznych, 2009.
 
9.
Parker JDA, Endler NS. Coping with coping assessment: A critical review. Europ J Person. 1992; 6: 321–344.
 
10.
Carver CS, Scheier MF, Weintraub JK. Assessing coping strategies: A theoretically based approach. J Pers Soc Psychol. 1989; 56(2): 267-283.
 
11.
Carver CS, Scheier MF. Situational coping and copingdispositions in a stressful transaction. J Pers Soc Psychol. 1994; 66(1): 184-195.
 
12.
Watson M, Greer S, Young J, Inayat Q, Burgess C, Robertson B. Development of a questionnaire measure of adjustment to cancer: the MAC scale. Psychol Med. 1988; 18(1): 203-209.
 
13.
Watson M, Santos dos M, Greer S, Baruch J, Bliss J. The Mini-MAC: Further Development of the Mental Adjustment to Cancer Scale. J Psychosoc Oncol.1994; 12(3): 33-46.
 
14.
Costanzo ES, Lutgendorf SK, Rothrock NE, Anderson B. Coping and quality of life among women extensively treated for gynecologic cancer. Psychooncology.2006; 15(2): 132-42.
 
15.
Pereira MG, Baia V, Machado JC. Coping and quality of life in patients with skin tumors in the follow-up stage: The mediating role of body image and psychological morbidity. J Psychosoc Oncol. 2016; 34(5): 400-12.
 
16.
Shapiro JP, McCue K, Heyman EN, Dey T, Haller HS. Coping-Related Variables Associated with Individual Differences in Adjustment to Cancer. J Psychosoc Oncol. 2010; 28(1): 1-22.
 
17.
Simonelli LE, Pasipanodya E. Health Disparities in Unmet Support Needs of Women with Gynecologic Cancer: An Exploratory Study. J Psychosoc Oncol. 2014; 32(6): 727-734.
 
18.
Sekse RJ, Råheim M, Gjengedal E. Shyness and openness--common ground for dialogue between health personnel and women about sexual and intimate issues after gynecological cancer. Health Care Women Int. 2015; 36(11): 1255-69.
 
19.
Czerw AI, Religioni U, Deptała A, Walewska-Zielecka B. Assessment of pain, acceptance of illness, adjustment to life with cancer, and coping strategies in colorectal cancer patients. Prz Gastroenterol. 2016; 11(2): 96-103.
 
20.
Oniszczenko W, Laskowska A. Emotional reactivity, coping style and cancer trauma symptoms. Arch Med Sci. 2014; 24:10(1): 10-6.
 
21.
Urbaniec OA, Collins K, Denson LA, Whitford HS, Gynecological Cancer Survivors: Assessment of Psychological Distress and Unmet Supportive Care Needs. J Psychosoc Oncol. 2011; 29(5): 534-551.
 
22.
Deimling GT, Albitz C, Monnin K, Renzhofer Pappada HT, Nalepa E, Boehm ML, Mitchell C, Personality and psychological distress among older adult, long-term cancer survivors. J Psychosoc Oncol. 2017; 35(1): 17-31.
 
23.
Gould RV, Brown SL, Bramwell R. Psychological adjustment to gynaecological cancer: Patients’ illness representations, coping strategies and mood disturbance. Psychology&Health. 2010; 25(10): 633-646.
 
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