Coping strategies of patients with advanced lung or colorectal cancer in six European countries: Insights from the ACTION Study

ACTION consortium

Research output: Contribution to journalJournal articleResearchpeer-review

Abstract

OBJECTIVE: Even when medical treatments are limited, supporting patients' coping strategies could improve their quality of life. Greater understanding of patients' coping strategies, and influencing factors, can aid developing such support. We examined the prevalence of coping strategies and associated variables.

METHODS: We used sociodemographic and baseline data from the ACTION trial, including measures of Denial, Acceptance, and Problem-focused coping (COPE; Brief COPE inventory), of patients with advanced cancer from six European countries. Clinicians provided clinical information. Linear mixed models with clustering at hospital level were used.

RESULTS: Data from 675 patients with stage III/IV lung (342, 51%) or stage IV colorectal (333, 49%) cancer were used; mean age 66 (10 SD) years. Overall, patients scored low on Denial and high on Acceptance and Problem-focused coping. Older age was associated with higher scores on Denial than younger age (β = 0.05; CI[0.023; 0.074]), and patients from Italy (β = 1.57 CI[0.760; 2.388]) and Denmark (β = 1.82 CI[0.881; 2.750]) scored higher on Denial than patients in other countries.

CONCLUSIONS: Patients with advanced cancer predominantly used Acceptance and Problem-focused coping, and Denial to a lesser extent. Since the studied coping strategies of patients with advanced cancer vary between subpopulations, we recommend taking these factors into account when developing tailored interventions to support patients' coping strategies.

Original languageEnglish
JournalPsycho-Oncology
Volume29
Issue number2
Pages (from-to)347-355
ISSN1057-9249
DOIs
Publication statusPublished - Feb 2020

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Colorectal Neoplasms
Neoplasms
Denmark
Italy
Cluster Analysis
Linear Models
Quality of Life
Equipment and Supplies
Lung

Keywords

  • advanced cancer
  • cancer
  • coping
  • end of life
  • oncology
  • psychology
  • support
  • tailoring

Cite this

@article{36f8de397a1f46faa8b281be251ce3b6,
title = "Coping strategies of patients with advanced lung or colorectal cancer in six European countries: Insights from the ACTION Study",
abstract = "OBJECTIVE: Even when medical treatments are limited, supporting patients' coping strategies could improve their quality of life. Greater understanding of patients' coping strategies, and influencing factors, can aid developing such support. We examined the prevalence of coping strategies and associated variables.METHODS: We used sociodemographic and baseline data from the ACTION trial, including measures of Denial, Acceptance, and Problem-focused coping (COPE; Brief COPE inventory), of patients with advanced cancer from six European countries. Clinicians provided clinical information. Linear mixed models with clustering at hospital level were used.RESULTS: Data from 675 patients with stage III/IV lung (342, 51{\%}) or stage IV colorectal (333, 49{\%}) cancer were used; mean age 66 (10 SD) years. Overall, patients scored low on Denial and high on Acceptance and Problem-focused coping. Older age was associated with higher scores on Denial than younger age (β = 0.05; CI[0.023; 0.074]), and patients from Italy (β = 1.57 CI[0.760; 2.388]) and Denmark (β = 1.82 CI[0.881; 2.750]) scored higher on Denial than patients in other countries.CONCLUSIONS: Patients with advanced cancer predominantly used Acceptance and Problem-focused coping, and Denial to a lesser extent. Since the studied coping strategies of patients with advanced cancer vary between subpopulations, we recommend taking these factors into account when developing tailored interventions to support patients' coping strategies.",
keywords = "advanced cancer, cancer, coping, end of life, oncology, psychology, support, tailoring",
author = "Jabbarian, {Lea J} and Korfage, {Ida J} and Branka Červ and {van Delden}, {Johannes J M} and Luc Deliens and Guido Miccinesi and Sheila Payne and {Thit Johnsen}, Anna and Verkissen, {Mari{\"e}tte N} and Andrew Wilcock and {van der Heide}, Agnes and Rietjens, {Judith A C} and {ACTION consortium}",
note = "{\circledC} 2019 The Authors. Psycho-Oncology published by John Wiley & Sons Ltd.",
year = "2020",
month = "2",
doi = "10.1002/pon.5259",
language = "English",
volume = "29",
pages = "347--355",
journal = "Psycho-Oncology",
issn = "1057-9249",
publisher = "JohnWiley & Sons Ltd.",
number = "2",

}

Coping strategies of patients with advanced lung or colorectal cancer in six European countries : Insights from the ACTION Study. / ACTION consortium.

In: Psycho-Oncology, Vol. 29, No. 2, 02.2020, p. 347-355.

Research output: Contribution to journalJournal articleResearchpeer-review

TY - JOUR

T1 - Coping strategies of patients with advanced lung or colorectal cancer in six European countries

T2 - Insights from the ACTION Study

AU - Jabbarian, Lea J

AU - Korfage, Ida J

AU - Červ, Branka

AU - van Delden, Johannes J M

AU - Deliens, Luc

AU - Miccinesi, Guido

AU - Payne, Sheila

AU - Thit Johnsen, Anna

AU - Verkissen, Mariëtte N

AU - Wilcock, Andrew

AU - van der Heide, Agnes

AU - Rietjens, Judith A C

AU - ACTION consortium

N1 - © 2019 The Authors. Psycho-Oncology published by John Wiley & Sons Ltd.

PY - 2020/2

Y1 - 2020/2

N2 - OBJECTIVE: Even when medical treatments are limited, supporting patients' coping strategies could improve their quality of life. Greater understanding of patients' coping strategies, and influencing factors, can aid developing such support. We examined the prevalence of coping strategies and associated variables.METHODS: We used sociodemographic and baseline data from the ACTION trial, including measures of Denial, Acceptance, and Problem-focused coping (COPE; Brief COPE inventory), of patients with advanced cancer from six European countries. Clinicians provided clinical information. Linear mixed models with clustering at hospital level were used.RESULTS: Data from 675 patients with stage III/IV lung (342, 51%) or stage IV colorectal (333, 49%) cancer were used; mean age 66 (10 SD) years. Overall, patients scored low on Denial and high on Acceptance and Problem-focused coping. Older age was associated with higher scores on Denial than younger age (β = 0.05; CI[0.023; 0.074]), and patients from Italy (β = 1.57 CI[0.760; 2.388]) and Denmark (β = 1.82 CI[0.881; 2.750]) scored higher on Denial than patients in other countries.CONCLUSIONS: Patients with advanced cancer predominantly used Acceptance and Problem-focused coping, and Denial to a lesser extent. Since the studied coping strategies of patients with advanced cancer vary between subpopulations, we recommend taking these factors into account when developing tailored interventions to support patients' coping strategies.

AB - OBJECTIVE: Even when medical treatments are limited, supporting patients' coping strategies could improve their quality of life. Greater understanding of patients' coping strategies, and influencing factors, can aid developing such support. We examined the prevalence of coping strategies and associated variables.METHODS: We used sociodemographic and baseline data from the ACTION trial, including measures of Denial, Acceptance, and Problem-focused coping (COPE; Brief COPE inventory), of patients with advanced cancer from six European countries. Clinicians provided clinical information. Linear mixed models with clustering at hospital level were used.RESULTS: Data from 675 patients with stage III/IV lung (342, 51%) or stage IV colorectal (333, 49%) cancer were used; mean age 66 (10 SD) years. Overall, patients scored low on Denial and high on Acceptance and Problem-focused coping. Older age was associated with higher scores on Denial than younger age (β = 0.05; CI[0.023; 0.074]), and patients from Italy (β = 1.57 CI[0.760; 2.388]) and Denmark (β = 1.82 CI[0.881; 2.750]) scored higher on Denial than patients in other countries.CONCLUSIONS: Patients with advanced cancer predominantly used Acceptance and Problem-focused coping, and Denial to a lesser extent. Since the studied coping strategies of patients with advanced cancer vary between subpopulations, we recommend taking these factors into account when developing tailored interventions to support patients' coping strategies.

KW - advanced cancer

KW - cancer

KW - coping

KW - end of life

KW - oncology

KW - psychology

KW - support

KW - tailoring

U2 - 10.1002/pon.5259

DO - 10.1002/pon.5259

M3 - Journal article

C2 - 31663183

VL - 29

SP - 347

EP - 355

JO - Psycho-Oncology

JF - Psycho-Oncology

SN - 1057-9249

IS - 2

ER -