scholarly journals Association between tobacco use, pain expression, and coping strategies among patients with advanced cancer

Cancer ◽  
2018 ◽  
Vol 125 (1) ◽  
pp. 153-160 ◽  
Author(s):  
Rony Dev ◽  
Yu Jung Kim ◽  
Akhila Reddy ◽  
David Hui ◽  
Kimberson Tanco ◽  
...  
Keyword(s):  
Coping Strategies ◽  
Advanced Cancer ◽  
Tobacco Use ◽  
Pain Expression ◽  
And Coping

Association between tobacco use, pain expression, and maladaptive coping among patients with advanced cancer.

2016 ◽  
Vol 34 (26_suppl) ◽  
pp. 65-65
Author(s):  
Rony Dev ◽  
Yu Jung Kim ◽  
Akhila Sunkepally Reddy ◽  
David Hui ◽  
Kimberson Cochien Tanco ◽  
...  
Keyword(s):  
Cancer Patients ◽  
Advanced Cancer ◽  
Tobacco Use ◽  
Symptom Expression ◽  
Advanced Cancer Patients ◽  
Maladaptive Coping ◽  
Increased Risk ◽  
Pain Expression ◽  
Former Smokers ◽  
Never Smokers

65 Background: Cancer patients who smoke have been reported to have higher pain expression and increased risk for opioid abuse. The purpose of our study is to evaluate the association between tobacco use, symptom expression, and maladaptive coping in advanced cancer patients. Methods: We prospectively enrolled advanced cancer patients evaluated in an outpatient Supportive Care Center and collected data on patient demographics, cancer diagnosis, morphine equivalent daily dose (MEDD), cigarette smoking status using Behavioral Risk Factor Surveillance System, symptom expression as measured by Edmonton Symptom Assessment Scale, Cut down/Annoyed/Guilty/Eye opener (CAGE alcoholism questionnaire), short form Screener and Opioid Assessment for Patients with Pain (SOAP-SF) survey, and Brief COPE Questionnaire. Results: Among399 patients, 195 (49%) were never smokers, 158 (40%) former smokers, and 46 (11%) current smokers. The most common malignancies were gastrointestinal (21.1%) and breast (19.5%). Never smokers were more likely to be female (p = 0.005). Current smokers expressed significantly higher pain scores at consultation than former or never smokers [median 7 vs. 6 vs. 5, respectively (p = 0.015)], increased MEDD (median 90 vs. 60 vs. 50, p = 0.002), and more likely to screen CAGE positive (33% vs. 24% vs. 8.7%, p < 0.0001). Compared with former and never smokers, current smokers were significantly more likely to cope with substance use (p = 0.02), denial (p = 0.007), and self-blame (< 0.0001), while both current and former smokers significantly more likely to use venting (p = 0.04). In addition, current smokers compared with former and never smokers were significantly more likely screen positive (≥ 4) on the SOAP-SF survey (74% vs. 13% vs. 9.3%, p = < 0.0001) and clinicians rated patients to be at higher risk for maladaptive coping (6.5% vs 2.5% vs. 1.5%, p = 0.003). Conclusions: In advanced cancer, current and former smokers were significantly more likely to have higher pain expression, CAGE positivity, and increased MEDD at consultation. In addition, a history of current or past tobacco use in advanced cancer patients was associated with increased risk of maladaptive coping.

Perceived social support and coping strategies in advanced cancer patients

2011 ◽  
Vol 18 (5) ◽  
pp. 409-420 ◽  
Author(s):  
Adelaida Zabalegui ◽  
Esther Cabrera ◽  
Montserrat Navarro ◽  
María Isabel Cebria
Keyword(s):  
Social Support ◽  
Coping Strategies ◽  
Cancer Patients ◽  
Advanced Cancer ◽  
Perceived Social Support ◽  
Advanced Cancer Patients ◽  
And Coping

Coping by metaphors: the versatile function of metaphors in blogs about living with advanced cancer

2019 ◽  
Vol 46 (3) ◽  
pp. 267-277 ◽  
Author(s):  
Anna W Gustafsson ◽  
Charlotte Hommerberg ◽  
Anna Sandgren
Keyword(s):  
Coping Strategies ◽  
Advanced Cancer ◽  
Metaphor Analysis ◽  
Making Sense ◽  
Coping Processes ◽  
Complex Functions ◽  
Metaphor Theory ◽  
Metaphor Use ◽  
The Many ◽  
And Coping

Living with a life-limiting cancer illness can entail a turmoil of feelings such as constant fear of loss, suffering and dying. Because patients live longer with life-limiting illness, there is a need for enhanced understanding of how people make sense of and cope with the complicated aspects that this life situation brings on. In this article, we explore how bloggers with advanced cancer use metaphors as ways of making sense of their experiences. Our study is theoretically grounded in Conceptual Metaphor Theory, where metaphors are seen as a powerful phenomenon that both reflects and affects our thinking. The data consist of a corpus of blogs written in Swedish by individuals with advanced cancer, and the findings from our linguistic metaphor analysis are consistently interpreted against the backdrop of literature on coping. Our study thus highlights the intersection of linguistic metaphor analysis and psychological theories of coping by illustrating the many and complex functions metaphors can have as part of sense-making processes. Our hermeneutic approach enables us to show some differences among the three most pervasive metaphor domains in our material, battle, journey and imprisonment: the journey and imprisonment domains are more flexible than the battle domain in terms of the different kinds of coping strategies that are actualised by the bloggers’ use of metaphors. One particular finding from our analysis is the way in which the bloggers make use of metaphors to compartmentalise experiences and emotions. Our contention is that careful attention to the metaphors used by patients can improve communication in healthcare and enhance understanding of the complex role language use plays in coping processes more generally. By highlighting the relation between metaphor use and coping, our analysis also provides a way to discuss coping strategies based on the patient’s own use of language.

The Self-Efficacy in Multiple Sclerosis (SEMS) Scale

2018 ◽  
Vol 34 (5) ◽  
pp. 352-360 ◽  
Author(s):  
Silvia Bonino ◽  
Federica Graziano ◽  
Martina Borghi ◽  
Davide Marengo ◽  
Giorgia Molinengo ◽  
...  
Keyword(s):  
Multiple Sclerosis ◽  
Coping Strategies ◽  
Measurement Invariance ◽  
Sense Of Coherence ◽  
Self Efficacy ◽  
Concurrent Validity ◽  
Rasch Analysis ◽  
Well Being ◽  
Psychological Well Being ◽  
And Coping

Abstract. This research developed a new scale to evaluate Self-Efficacy in Multiple Sclerosis (SEMS). The aim of this study was to investigate dimensionality, item functioning, measurement invariance, and concurrent validity of the SEMS scale. Data were collected from 203 multiple sclerosis (MS) patients (mean age, 39.5 years; 66% women; 95% having a relapsing remitting form of MS). Fifteen items of the SEMS scale were submitted to patients along with measures of psychological well-being, sense of coherence, depression, and coping strategies. Data underwent Rasch analysis and correlation analysis. Rasch analysis indicates the SEMS as a multidimensional construct characterized by two correlated dimensions: goal setting and symptom management, with satisfactory reliability coefficients. Overall, the 15 items reported acceptable fit statistics; the scale demonstrated measurement invariance (with respect to gender and disease duration) and good concurrent validity (positive correlations with psychological well-being, sense of coherence, and coping strategies and negative correlations with depression). Preliminary evidence suggests that SEMS is a psychometrically sound measure to evaluate perceived self-efficacy of MS patients with moderate disability, and it would be a valuable instrument for both research and clinical applications.

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