| Title |
Coping strategies, trajectories, and their associations with patient-reported outcomes among women with ovarian cancer
|
|---|---|
| Published in |
Supportive Care in Cancer, June 2018
|
| DOI | 10.1007/s00520-018-4284-0 |
| Pubmed ID | |
| Authors |
Vanessa L. Beesley, David D. Smith, Christina M. Nagle, Michael Friedlander, Peter Grant, Anna DeFazio, Penelope M. Webb, on behalf of the OPAL Study Group |
| Abstract |
Most women with ovarian cancer present with advanced stage disease and face aggressive treatments, recurrence, and possible death, yet little is known about how they cope. Our objective was to identify coping strategies used by women with ovarian cancer and their trajectories of use after diagnosis and to assess if coping trajectories are associated with subsequent anxiety, depression, or quality of life. Women with ovarian cancer completed questionnaires including the Brief-COPE, HADS, and FACT at 3, 6, and 9 months after diagnosis and the HADS and FACT at 12 months. Using data from 634 women who completed the 3-month questionnaire, factor analysis was conducted to identify coping strategy clusters. Trajectory modeling was used to assess patterns of coping over time. Associations between coping trajectory from 3 to 9 months and patient-reported outcomes at 12 months were investigated using general linear models. Three coping strategy clusters were identified. Use of "taking action/positive framing" followed four distinct trajectories over time: low-stable (44%), medium-stable (32%), medium-decreasing (11%), high-stable (12%). Use of "social/emotional support" had four trajectories: low-increasing (7%), low-decreasing (44%), medium-decreasing (40%), and high-stable (8%). Women either "accepted their reality" (26%) or "used some denial" (74%). Women who accepted reality reported significantly less anxiety and depression and better quality of life at 12 months. Women with high-stable use of taking action/positive framing reported less depression. Women with high-stable use of social/emotional support reported better quality of life. Strategies to assist women with acceptance, action-planning, positive-framing, and maintaining psychosocial support should be considered. |
X Demographics
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Geographical breakdown
| Country | Count | As % |
|---|---|---|
| Unknown | 1 | 100% |
Demographic breakdown
| Type | Count | As % |
|---|---|---|
| Members of the public | 1 | 100% |
Mendeley readers
The data shown below were compiled from readership statistics for 82 Mendeley readers of this research output. Click here to see the associated Mendeley record.
Geographical breakdown
| Country | Count | As % |
|---|---|---|
| Unknown | 82 | 100% |
Demographic breakdown
| Readers by professional status | Count | As % |
|---|---|---|
| Student > Master | 13 | 16% |
| Student > Bachelor | 13 | 16% |
| Student > Ph. D. Student | 10 | 12% |
| Researcher | 7 | 9% |
| Student > Doctoral Student | 4 | 5% |
| Other | 6 | 7% |
| Unknown | 29 | 35% |
| Readers by discipline | Count | As % |
|---|---|---|
| Psychology | 21 | 26% |
| Nursing and Health Professions | 13 | 16% |
| Medicine and Dentistry | 7 | 9% |
| Social Sciences | 3 | 4% |
| Agricultural and Biological Sciences | 2 | 2% |
| Other | 6 | 7% |
| Unknown | 30 | 37% |
Attention Score in Context
This research output has an Altmetric Attention Score of 1. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 28 June 2018.
All research outputs
#20,523,725
of 23,092,602 outputs
Outputs from Supportive Care in Cancer
#4,079
of 4,652 outputs
Outputs of similar age
#287,929
of 328,357 outputs
Outputs of similar age from Supportive Care in Cancer
#93
of 102 outputs
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