Asian Pacific Journal of Cancer Prevention

Asian Pacific Journal of Cancer Prevention (아시아태평양암예방학회)
권호 표지
DOI QR코드

DOI QR Code

Interaction of Coping Styles and Psychological Stress on Anxious and Depressive Symptoms in Chinese Breast Cancer Patients

  • Wang, Xi (State Key Laboratory of Oncology in South China) ;
  • Wang, Shu-Sen (State Key Laboratory of Oncology in South China) ;
  • Peng, Rou-Jun (State Key Laboratory of Oncology in South China) ;
  • Qin, Tao (State Key Laboratory of Oncology in South China) ;
  • Shi, Yan-Xia (State Key Laboratory of Oncology in South China) ;
  • Teng, Xiao-Yu (State Key Laboratory of Oncology in South China) ;
  • Liu, Dong-Gen (State Key Laboratory of Oncology in South China) ;
  • Chen, Wei-Qing (Department of Biostatistics and Epidemiology, School of Public Health, Sun Yat-sen University) ;
  • Yuan, Zhong-Yu (State Key Laboratory of Oncology in South China)
  • Published : 2012.04.30
Download PDF
⟨ Previous Next ⟩

Abstract

Purpose: This study aimed to assess possible interactive effects of coping styles and psychological stress on depression and anxiety symptoms in Chinese women shortly after diagnosis of breast cancer. Methods: Four hundred and one patients with breast cancer were face-to-face interviewed by trained research staff according to a standardized questionnaire including information on socio-demographic characteristics, psychological stress, coping styles, and anxiety and depressive symptoms. Interactive effects were assessed by hierarchical multiple regression analyses. Results: There were significant associations of the four domains of psychological stress with anxiety and depressive symptoms except for the relationship between "worrying about health being harmed" and depressive symptoms. "Abreaction coping behavior" and "escaping coping behavior" significantly increased the level of both anxiety and depressive symptoms; whereas an "active coping style" reswulted in significant decrease. The interaction of "active coping behavior" with "worrying about health being harmed" significantly increased the risk of the anxiety symptoms, while adopting "self-relaxing coping behavior" was associated with significant decrease. The interaction of "worry about daily life and social relationship being restricted" with "escaping coping behavior" significantly increased the risk of the depressive symptoms. Conclusions: The results of this study suggest that certain coping styles might moderate the association of psychological stress with anxiety and depressive symptoms in Chinese women with breast cancer.

Keywords

References

  1. Ando N, Iwamitsu Y, Kuranami M, et al (2011). Predictors of psychological distress after diagnosis in breast cancer patients and patients with benign breast problems. Psychosomatics, 52, 56-64. https://doi.org/10.1016/j.psym.2010.11.012
  2. Bardwell WA, Natarajan L, Dimsdale JE, et al (2006). Objective cancer-related variables are not associated with depressive symptoms in women treated for early-stage breast cancer. J Clin Oncol, 24, 2420-7. https://doi.org/10.1200/JCO.2005.02.0081
  3. Burgess C, Cornelius V, Love S, et al (2005). Depression and anxiety in women with early breast cancer: five year observational cohort study. BMJ, 330, 702-5. https://doi.org/10.1136/bmj.38343.670868.D3
  4. Carver CS, Pozo C, Harris SD, et al (1993). How coping mediates the effect of optimism on distress: a study of women with early stage breast cancer. J Pers Soc Psychol, 65, 375-90. https://doi.org/10.1037/0022-3514.65.2.375
  5. Colleoni M, Mandala M, Peruzzotti G, et al (2000). Depression and degree of acceptance of adjuvant cytotoxic drugs. Lancet, 356, 1326-7. https://doi.org/10.1016/S0140-6736(00)02821-X
  6. Coward DD, Kahn DL (2004). Resolution of spiritual disequilibrium by women newly diagnosed with breast cancer. Oncol Nurs Forum, 31, E24-31. https://doi.org/10.1188/04.ONF.E24-E31
  7. Frick E, Tyroller M, Panzer M (2007). Anxiety, depression and quality of life of cancer patients undergoing radiation therapy: a cross-sectional study in a community hospital outpatient centre. Eur J Cancer Care, 16, 130-6. https://doi.org/10.1111/j.1365-2354.2006.00720.x
  8. Glanz K, Lerman C (1992). Psychosocial impact of breast cancer: a critical review. Ann Behav Med, 14, 204-12.
  9. Golden-Kreutz DM, Andersen BL (2004). Depressive symptoms after breast cancer surgery: Relationships with global, cancer-related, and life event stress. Psycho-Oncol, 13, 211-20. https://doi.org/10.1002/pon.736
  10. Hack TF, Degner LF (2004). Coping responses following breast cancer diagnosis predict psychological adjustment three years later. Psychooncology, 13, 235- 47. https://doi.org/10.1002/pon.739
  11. Hegel MT, Moore CP, Collins ED, et al (2006). Distress, psychiatric syndromes, and impairment of function in women with newly diagnosed breast cancer. Cancer, 107, 2924-31. https://doi.org/10.1002/cncr.22335
  12. Hirschfeld RMA (2001). Comorbidity of major depression and anxiety disorders: recoginition and management in primary care. Primary Care Companion J Clin Psychiatry, 3, 244-54. https://doi.org/10.4088/PCC.v03n0609
  13. Iwamitsu Y, Shimoda K, Abe H, et al (2005). Anxiety, emotional suppression, and psychological distress before and after breast cancer diagnosis. Psychosomatics, 46, 19-24. https://doi.org/10.1176/appi.psy.46.1.19
  14. Jacobsen PB, Jim HS (2008). Psychosocial interventions for anxiety and depression in adult cancer patients: achievements and challenges. CA Cancer J Clin, 58, 214-30. https://doi.org/10.3322/CA.2008.0003
  15. Jemal A, Siegel R, Ward E, et al (2008). Cancer statistics, 2008. CA Cancer J Clin, 58, 71-96. https://doi.org/10.3322/CA.2007.0010
  16. Kershaw T, Northouse L, Kritpracha C, et al (2004). Coping strategies and quality of life in women with advanced breast cancer and their family caregivers. Psychol Health, 19, 139 -55. https://doi.org/10.1080/08870440310001652687
  17. Landmark BT, Strandmark M, Wahl AK (2001). Living with newly diagnosed breast cancer-the meaning of existential issues. A qualitative study of 10 women with newly diagnosed breast cancer, based on grounded theory. Cancer Nurs, 24, 220-6. https://doi.org/10.1097/00002820-200106000-00008
  18. Lauver DR, Connolly-Nelson K, Vang (2007). Stressors and coping strategies among female cancer survivors after treatments. Cancer Nurs, 30, 101-11. https://doi.org/10.1097/01.NCC.0000265003.56817.2c
  19. Leung KK, Lue BH, Tang LY, Wu EC (1999). Development of a Chinese chronic illness-related stress inventory for primary care. J Psychosom Res, 46, 557-68. https://doi.org/10.1016/S0022-3999(98)00082-8
  20. Manuel JC, Burwell SR, Crawford SL, et al (2007). Younger women's perceptions of coping with breast cancer. Cancer Nurs, 30, 85-94. https://doi.org/10.1097/01.NCC.0000265001.72064.dd
  21. Massie MJ (2004). Prevalence of depression in patients with cancer. J Natl Cancer Inst Monogr, 32, 57-71.
  22. Naaman SC, Radwan K, Fergusson D, et al (2009). Status of psychological trials in breast cancer patients: a report of three meta-analyses. Psychiatry, 72, 50-69. https://doi.org/10.1521/psyc.2009.72.1.50
  23. Ogden J. Health psychology. Buckingham, Open University Press 2000.
  24. Pandey M, Sarita GP, Devi N, et al (2006). Distress, anxiety, and depression in cancer patients undergoing chemotherapy. World J Surg Oncol, 4, 68. https://doi.org/10.1186/1477-7819-4-68
  25. Pinquart M, Duberstein PR (2010). Depression and cancer mortality: a meta-analysis. Psychol Med, 40, 1797-810. https://doi.org/10.1017/S0033291709992285
  26. Reynolds P, Hurley S, Torres M, et al (2000). Use of coping strategies and breast cancer survival: results from the Black and White Cancer Survival Study. Am J Epidemiol, 152, 940-9. https://doi.org/10.1093/aje/152.10.940
  27. Satin JR, Linden W, Phillips MJ (2009). Depression as a predictor of disease progression and mortality in cancer patients: a meta-analysis. Cancer, 115, 5349-61. https://doi.org/10.1002/cncr.24561
  28. Schwarz R, Krauss O, Krauss O, et al (2008). The Course of Anxiety and Depression in Patients with Breast Cancer and Gynaecological Cancer. Breast Care, 3, 417-22.
  29. Shen XH, Jiang QJ (2000). Report on application of Chinese version of medical cope questionnaire in 701 patients. Chin J Behav Med Sci, 9, 18-20.
  30. Sonnentag S, Frese M (2003). Stress in organization. In WC Borman, DR Ilgen & RJ Klimoski (Eds), Handbook of psychology. Vol. 12. Industrial and Organizational Psychology. Chichester, Wiley 2003.
  31. Uitterhoeve RJ, Vernooy M, Litjens M, et al (2004). Psychosocial interventions for patients with advanced cancer-a systematic review of the literature. Br J Cancer, 91, 1050-62.
  32. Walker LG, Heys SD, Walker MB, et al (1999). Psychological factors can predict the response to primary chemotherapy in patients with locally advanced breast cancer. Eur J Cancer, 35, 1783-8. https://doi.org/10.1016/S0959-8049(99)00169-0
  33. Ye XQ, Chen WQ, Lin JX, et al (2008). Effect of social support on psychological-stress-induced anxiety and depressive symptoms in patients receiving peritoneal dialysis. J Psychosomatic Res, 65, 157-64. https://doi.org/10.1016/j.jpsychores.2008.04.007
  34. Zabora J, BrintzenhofeSzoc K, Curbow B, et al (2001). The prevalence of psychological distress by cancer site. Psychooncology, 10, 19-28. https://doi.org/10.1002/1099-1611(200101/02)10:1<19::AID-PON501>3.0.CO;2-6
  35. Zhang J, Gao W, Wang P, Wu ZH (2010). Relationships among hope, coping style and social support for breast cancer patients. Chin Med J, 123, 2331-5.
  36. Zheng LL, Wang YL, Li HL (2003). Application of hospital anxiety and depression scale in general hospital:an analysis in reliability and validity. Shanghai Archiv Psychiatr, 15, 264-6.
  37. Zigmond AS, Snaith RP (1983). The hospital anxiety and depression scale. Acta Psychiatr Scand, 67, 361-70. https://doi.org/10.1111/j.1600-0447.1983.tb09716.x

Cited by

  1. Coping and Quality of Life in Turkish Women Living with Ovarian Cancer vol.15, pp.9, 2014, https://doi.org/10.7314/APJCP.2014.15.9.4005
  2. Depression, Anxiety and Sexual Satisfaction in Breast Cancer Patients and their Partners-Izmir Oncology Group Study vol.15, pp.24, 2015, https://doi.org/10.7314/APJCP.2014.15.24.10631
  3. Symptom Experiences and Coping Strategies among Multi-ethnic Solid Tumor Patients Undergoing Chemotherapy in Malaysia vol.16, pp.2, 2015, https://doi.org/10.7314/APJCP.2015.16.2.723
  4. The Associations of Psychological Stress with Depressive and Anxiety Symptoms among Chinese Bladder and Renal Cancer Patients: The Mediating Role of Resilience vol.11, pp.4, 2016, https://doi.org/10.1371/journal.pone.0154729
  5. Prevalence rate and influencing factors of preoperative anxiety and depression in gastric cancer patients in China: Preliminary study vol.44, pp.2, 2016, https://doi.org/10.1177/0300060515616722