Influencia del optimismo y la percepción de apoyo social del personal sanitario sobre la calidad de vida de los enfermos de cáncer

  1. Ruiz-Rodríguez, Iván 1
  2. Hombrados-Mendieta, Isabel 1
  3. Melguizo-Garín, Anabel 1
  1. 1 Departamento de Psicología Social. Facultad de Estudios Sociales y del Trabajo. Universidad de Málaga. Málaga (España)
Zeitschrift:
Psicooncología: investigación y clínica biopsicosocial en oncología

ISSN: 1696-7240

Datum der Publikation: 2021

Ausgabe: 18

Nummer: 1

Seiten: 51-75

Art: Artikel

DOI: 10.5209/PSIC.74532 DIALNET GOOGLE SCHOLAR lock_openOpen Access editor

Andere Publikationen in: Psicooncología: investigación y clínica biopsicosocial en oncología

Ziele für nachhaltige Entwicklung

Zusammenfassung

Objective: The present study aims to analyze the relationship of social support provided by health personnel and the patient’s optimism with quality of life and stress perceived by cancer patients. Method: Data regarding sociodemographic characteristics, health, optimism, social support, quality of life and perceived stress are collected from 200 cancer patients with a mean age of 50.5 years (SD = 13.05). 73.5% are women and 26.5% are men. Results: Satisfaction with the support received from health personnel (emotional, instrumental and informational) and optimism are related to a higher quality of life and less perceived stress. Predictive models indicate that satisfaction with instrumental support is the one that most reduces the stress of patients. Regarding quality of life, predictive models indicate that informational support is the one that most increases the global health status, emotional and instrumental supports that improve functioning, and instrumental support is the one that most reduces patients’ symptoms. Gender differences have also been found, women perceive significantly more stress and worse quality of life than men. Conclusion: Health personnel are a useful source of support for people with cancer and optimism improves the quality of life for cancer patients. This study highlights important practical implications.

€ Finanzierung ansehen

Informationen zur Finanzierung

Los autores quieren agradecer su colaboraci?n en este estudio al Hospital Costa del Sol (Marbella, M?laga, Espa?a) y a todas las asociaciones y pacientes que participaron en el mismo. Este trabajo ha sido apoyado por los Grupos PAIDI, Junta de Andaluc?a, Espa?a [HUM-590].

Geldgeber

Bibliographische Referenzen

  • World Health Organization. Cancer [Internet]. 2018 [Acceso 5 de julio de 2020]. Disponible en: http://www.who.int/news-room/fact-sheets/detail/cancer
  • World Health Organization. Regional Office for Europe. Cancer [Internet]. [Acceso 6 de julio de 2020]. Disponible en: http://www.euro.who.int/en/health-topics/noncommunicable-diseases/cancer/cancer
  • Instituto Nacional de Estadística. Fallecidos por cáncer en España [Internet]. Instituto Nacional de Estadística. 2019. Disponible en: http://www.ine.es/infografias/infografia_ fallecidos_cancer.pdf
  • Labrell F, Câmara-Costa H, Dufour C, Grill J, Chevignard M. Maternal stress and pediatric brain cancer: a French study. J Psychosoc Oncol 2019; 37: 96-109. doi:10.1080 /07347332.2018.1529009
  • Rowland JH, Bellizzi KM. Cancer survivorship issues: Life after treatment and implications for an aging population. J Clin Oncol 2014; 32: 2662-8. doi:10.1200/ JCO.2014.55.8361
  • Cella DF. Quality of life: concepts and definition. J Pain Symptom Manage 1994; 9: 186- 92. doi:10.1016/0885-3924(94)90129-5
  • Pirri C, Bayliss E, Trotter J, Olver IN, Katris P, Drummond P, et al. Nausea still the poor relation in antiemetic therapy? the impact on cancer patients’ quality of life and psychological adjustment of nausea, vomiting and appetite loss, individually and concurrently as part of a symptom cluster. Support Care Cancer 2013; 21: 735-48. doi:10.1007/s00520-012-1574-9
  • Gargantini ACG, Martín Casari L. Imagen Corporal y su Influencia en la Calidad de Vida en mujeres con mastectomía. Comparación entre mujeres con reconstrucción inmediata, reconstrucción diferida o sin reconstrucción. Psicooncología 2019; 16: 43-60. doi:10.5209/PSIC.63647
  • Barbus E, Pestean C, Larg MI, Gabora K, Cheptea M, Bonci EA, et al. Quality of life in thyroid cancer: A questionnaire based-study. J Evid Based Psychother 2018; 18: 1-20. doi:10.24193/jebp.2018.1.1
  • Adamowicz K, Janiszewska J, Lichodziejewska-Niemierko M. Prognostic value of patient knowledge of cancer on quality of life in advanced lung cancer during chemotherapy. J Cancer Educ 2020; 35: 93-9. doi:10.1007/s13187-018-1444-3
  • Lopes AC, Bacalhau R, Santos M, Pereira M, Pereira MG. Contribution of sociodemographic, clinical and psychological variables to quality of life in women with cervical cancer in the follow-up phase. J Clin Psychol Med Settings 2019; 27:603-14. doi:10.1007/s10880-019-09644-0
  • Willems RA, Bolman CAW, Mesters I, Kanera IM, Beaulen AAJM, Lechner L. Cancer survivors in the first year after treatment: The prevalence and correlates of unmet needs in different domains. Psychooncology 2016; 25: 51-7. doi:10.1002/pon.3870
  • Thomé B, Hallberg IR. Quality of life in older people with cancer - A gender perspective. Eur J Cancer Care 2004; 13: 454-63. doi:10.1111/j.1365-2354.2004.00471.x
  • Franceschi S, La Vecchia C. Cancer epidemiology in the elderly. Crit Rev Oncol Hematol 2001; 39: 219-26. doi:10.1016/S1040-8428(01)00102-0
  • Ezat WS, Noraziani K, Sabrizan O. Improving quality of life among cancer patients in Malaysia. Asian Pac J Cancer Prev 2012; 13: 1069-75. doi:10.7314/APJCP.2012.13.3.1069
  • Puente-Maestu L, Villar F. Implicaciones de la calidad de vida en las decisiones quirúrgicas del cáncer de pulmón. Psicooncologia 2006; 3: 393-405.
  • Fitch M, Longo CJ. Exploring the impact of out-of-pocket costs on the quality of life of Canadian cancer patients. J Psychosoc Oncol 2018; 36: 582-96. doi:10.1080/07347332.2 018.1486937
  • Abdollahi A, Panahipour H, Hosseinian S, Allen KA. The effects of perceived stress on hope in women with breast cancer and the role of psychological hardiness. Psychooncology 2019; 28: 1477-82. doi:10.1002/pon.5102
  • Pedersen AF, Rossen P, Olesen F, Von Der Maase H, Vedsted P. Fear of recurrence and causal attributions in long-term survivors of testicular cancer. Psychooncology 2012; 21: 1222-8. doi:10.1002/pon.2030
  • Miaskowski C, Paul SM, Mastick J, Abrams G, Topp K, Smoot B, et al. Associations between perceived stress and chemotherapy-induced peripheral neuropathy and otoxicity in adult cancer survivors. J Pain Symptom Manage 2018; 56: 88-97. doi:10.1016/j. jpainsymman.2018.02.021
  • Reich RR, Lengacher CA, Alinat CB, Kip KE, Paterson C, Ramesar S, et al. Mindfulness- Based Stress Reduction in post-treatment breast cancer patients: immediate and sustained effects across multiple symptom clusters. J Pain Symptom Manage 2017; 53: 85-95. doi:10.1016/j.jpainsymman.2016.08.005
  • Dunn LB, Langford DJ, Paul SM, Berman MB, Shumay DM, Kober K, et al. Trajectories of fear of recurrence in women with breast cancer. Support Care Cancer 2015; 23: 2033- 43. doi:10.1007/s00520-014-2513-8
  • Smith AB, Butow P, Olver I, Luckett T, Grimison P, Toner GC, et al. The prevalence, severity, and correlates of psychological distress and impaired health-related quality of life following treatment for testicular cancer: a survivorship study. J Cancer Surviv 2016; 10: 223-33. doi:10.1007/s11764-015-0468-5
  • Fleer J, Sleijfer D, Hoekstra H, Tuinman M, Klip E, Hoekstra-Weebers J. Objective and subjective predictors of cancer-related stress symptoms in testicular cancer survivors. Patient Educ Couns 2006; 64: 142-50. doi:10.1016/j.pec.2005.12.009
  • Kreitler S, Peleg D, Ehrenfeld M. Stress, self-efficacy and quality of life in cancer patients. Psychooncology 2007; 16: 329-41. doi:10.1002/pon.1063
  • Alcorso J, Sherman KA. Factors associated with psychological distress in women with breast cancer-related lymphoedema. Psychooncology 2016; 25: 865-72. doi:10.1002/pon.4021
  • Carver CS, Scheier MF. Dispositional optimism. Trends Cogn Sci 2014; 18: 293-9. doi:10.1016/j.tics.2014.02.003
  • Saboonchi F, Petersson L, Alexanderson K, Bränström R, Wennman-Larsen A. Expecting the best and being prepared for the worst: structure, profiles, and 2-year temporal stability of dispositional optimism in women with breast cancer. Psychooncology 2016; 25: 957- 63. doi:10.1002/pon.4045
  • Finck C, Barradas S, Zenger M, Hinz A. Quality of life in breast cancer patients: associations with optimism and social support. Int J Clin Health Psychol 2018; 18: 27-34. doi:10.1016/j.ijchp.2017.11.002
  • Mera PC, Ortiz M. La relación del optimismo y las estrategias de afrontamiento con la calidad de vida de mujeres con cáncer de mama. Ter Psicol 2012; 30: 69-78. doi:10.4067/ S0718-48082012000300007
  • Schou I, Ekeberg Ø, Ruland CM, Sandvik L, Kåresen R. Pessimism as a predictor of emotional morbidity one year following breast cancer surgery. Psychooncology 2004; 13: 309-20. doi:10.1002/pon.747
  • Jaime-Bernal L, Juárez-García DM, Téllez A. La influencia del estrés y el optimismo sobre la calidad de sueño de mujeres con cáncer de mama. Psicooncología 2018; 15: 249- 60. doi:10.5209/PSIC.61434
  • Lemola S, Räikkönen K, Gomez V, Allemand M. Optimism and self-esteem are related to sleep. Results from a large community-based sample. Int J Behav Med 2013; 20: 567-71. doi:10.1007/s12529-012-9272-z
  • Schou I, Ekeberg O, Sandvik L, Ruland CM. Stability in optimism-pessimism in relation to bad news: A study of women with breast cancer. J Pers Assess 2005; 84: 148-54. doi:10.1207/s15327752jpa8402_04
  • Trunzo JJ, Pinto BM. Social support as a mediator of optimism and distress in breast cancer survivors. J Consult Clin Psychol 2003; 71: 805-11. doi:10.1037/0022-006X.71.4.805
  • Shaheen N, Andleeb S, Ahmad S, Bano A. Effect of optimism on psychological stress in breast cancer women. J Soc Sci 2014; 8: 84-90.
  • Sephton S, Spiegel D. Circadian disruption in cancer: a neuroendocrine-immune pathway from stress to disease? Brain Behav Immun 2003; 17: 321-8. doi:10.1016/S0889- 1591(03)00078-3
  • Durá-Ferrandis E, Saéz-Mansilla C, Murphy SE, Johnson AC, Tercyak KP. Actitudes hacia la maternidad y el apoyo social como predictores de trastornos emocionales en mujeres jóvenes con cáncer recientemente diagnosticadas que se someten a la preservación de la fertilidad. Psicooncología 2019; 16: 127-41. doi:10.5209/PSIC.63652
  • Villanova Quiroga C, Fritzen Binfaré L, Rudnicki T, Iracema de Lima Argimon I. Ruminación y apoyo social como predictores del crecimiento postraumático en mujeres con cáncer de mama: una revisión sistemática. Psicooncología 2018; 15: 301-14. doi:10.5209/PSIC.61437
  • Melguizo-Garín A, Martos-Méndez MJ, Hombrados-Mendieta I. Influencia del apoyo social sobre el estrés y la satisfacción vital en padres de niños con cáncer desde una perspectiva multidimensional. Psicooncología 2019; 16: 25-42. doi:10.5209/PSIC.63646
  • Melguizo-Garín A, Hombrados-Mendieta I, Martos-Méndez MJ. La experiencia de un grupo de apoyo en el proceso de duelo de familiares de niños con cáncer. Un estudio cualitativo. Psicooncología 2020; 17: 117-29. doi:10.5209/psic.68245
  • Lin N, Dean A, Ensel W, editors. Social support, life events and depression. New York: Academic Press, 1986.
  • Breuer N, Sender A, Daneck L, Mentschke L, Leuteritz K, Friedrich M, et al. How do young adults with cancer perceive social support? A qualitative study. J Psychosoc Oncol 2017; 35: 292-308. doi:10.1080/07347332.2017.1289290
  • Taylor SE. Health Psychology. New York: McGraw-Hill; 2006.
  • Lin N. Conceptualizing social support. En: Lin N, Dean A, Ensel W, editors. Social support, life events and depression. New York: Academic Press; 1986. p. 17-30.
  • Thoits PA. Conceptual, methodological, and theoretical problems in studying social support as a buffer against life stress. J Health Soc Behav 1982; 23: 145-59. doi:10.2307/2136511
  • Broadbent E, Petrie KJ, Main J, Weinman J. The Brief Illness Perception Questionnaire. J Psychosom Res 2006; 60: 631-7. doi:10.1016/j.jpsychores.2005.10.020
  • Drageset S, Lindstrøm TC, Giske T, Underlid K. “The support I need”: women´s experiences of social support after having received breast cancer diagnosis and awaiting surgery. Cancer Nurs 2012; 35: E39-47. doi:10.1097/NCC.0b013e31823634aa
  • Drageset S, Lindstrøm TC, Giske T, Underlid K. Women’s experiences of social support during the first year following primary breast cancer surgery. Scand J Caring Sci 2016; 30: 340-8. doi:10.1111/scs.12250
  • Linden W, Vodermaier A. Mismatch of desired versus perceived social support and associated levels of anxiety and depression in newly diagnosed cancer patients. Support Care Cancer 2012; 20: 1449-56. doi:10.1007/s00520-011-1228-3
  • Hombrados-Mendieta I, García-Martín MA, Gómez-Jacinto L. The relationship between social support, loneliness, and subjective well-being in a Spanish sample from a multidimensional perspective. Soc Indic Res 2013; 114: 1013-34. doi:10.1007/s11205- 012-0187-5
  • Aaronson NK, Ahmedzai S, Bergman B, Bullinger M, Cull A, Duez NJ, et al. The European Organization for Research and Treatment of Cancer QLQ-C30: A quality-of-life instrument for use in international clinical trials in oncology. J Natl Cancer Inst 1993; 85: 365-76.
  • Arrarás JI, Illarramendi JJ, Valerdi JJ. El cuestionario de calidad de vida para cáncer de la EORTC, QLQ-C30. Estudio estadístico de validación con una muestra española. Rev Psicol la Salud 1995; 7: 13-33.
  • García-Martín MÁ, Hombrados-Mendieta I, Gómez-Jacinto L. A multidimensional approach to social support: the Questionnaire on the Frequency of and Satisfaction with Social Support (QFSSS). An Psicol 2016; 32: 501-15. doi:10.6018/analesps.32.2.201941
  • Hombrados-Mendieta I, Gómez Jacinto L, Domínguez-Fuentes JM, García-Leiva P, Castro-Travé M. Types of social support provided by parents, teachers and classmates during adolescence. J Community Psychol 2012; 40: 645-664. doi:10.1002/jcop.20523
  • Hombrados-Mendieta I, Millán-Franco M, Gómez-Jacinto L, González-Castro F, Martos- Méndez MJ, García-Cid A. Positive influences of social support on sense of community, life satisfaction and the health of immigrants in Spain. Front Psychol 2019; 10: 2555. doi:10.3389/fpsyg.2019.02555.
  • Cohen S, Kamarck T, Mermelstein R. A global measure of perceived stress. J Health Soc Behav 1983; 24: 385. doi:10.2307/2136404
  • Remor E. Psychometric properties of a European Spanish version of the Perceived Stress Scale (PSS). Span J Psychol 2006; 9: 86-93. doi:10.1017/S1138741600006004
  • Scheier MF, Carver CS, Bridges MW. Distinguishing optimism from neuroticism (and trait anxiety, self-mastery, and self-esteem): A reevaluation of the Life Orientation Test. J Pers Soc Psychol 1994; 67: 1063-78. doi:10.1037/0022-3514.67.6.1063
  • Otero JM, Luengo A, Romero E, Gómez JA, Castro C. Psicología de la personalidad. Manual de prácticas. Barcelona: Ariel Practicum, 1998.
  • García-Calvente M del M, Mateo-Rodríguez I, Maroto-Navarro G. El impacto de cuidar en la salud y la calidad de vida de las mujeres. Gac Sanit 2004; 18(Supl.2): 83-92.
  • Trask PC, Paterson AG, Fardig J, Smith DC. Course of distress and quality of life in testicular cancer patients before, during, and after chemotherapy: Results of a pilot study. Psychooncology 2003;12:814-20. doi: 10.1002/pon.703
  • Oraá-Tabernero N, Cruzado JA. Ansiedad y depresión en hombres con cáncer de próstata en función del tipo de tratamiento y su relación con la calidad de vida y la información recibida. Psicooncología 2019; 16: 329-44. doi:10.5209/psic.65594
  • Sjölander C, Berterö C. The significance of social support and social networks among newly diagnosed lung cancer patients in Sweden. Nurs Health Sci 2008; 10: 182-7. doi:10.1111/j.1442-2018.2008.00395.x
  • Costa-Requena G, Ballester Arnal R, Gil F. Perceived social support in spanish cancer outpatients with psychiatric disorder. Stress Health 2013; 29: 421-6. doi:10.1002/smi.2488
  • Landmark BT, Strandmark M, Wahl A. Breast cancer and experiences of social support: In-depth interviews of 10 women with newly diagnosed breast cancer. Scand J Caring Sci 2002; 16: 216-23. doi:10.1046/j.1471-6712.2002.00059.x
  • Curtis R, Groarke AM, McSharry J, Kerin M. Experience of breast cancer: Burden, benefit, or both? Cancer Nurs 2014; 37: E21-E30. doi:10.1097/NCC.0b013e3182894198
Fuente de los datos: Dialnet