Coping strategies of patients with advanced lung or colorectal cancer in six European countries: insights from the ACTION Study
Open accessAbstract
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.
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Coping strategies for fatigue interference and cancer-related fatigue differ depending on cultural contexts, possibly affecting intervention designs and assistive technology utilization in programs.
“Coping strategies for fatigue interference and CRF differ depending on cultural contexts,43,44 possibly affecting the intervention designs and assistive technology utilization in programs.”
From Effects of Acceptance and Commitment Therapy on fatigue interference and health-related quality of life among patients with advanced lung cancer: A pilot randomized controlled trial (2022) · cites this paper as [44]
The Background says coping strategies differ across sociocultural groups, and the Conclusion recommends tailoring interventions to patients’ coping strategies. But the paper studies coping with advanced lung or colorectal cancer, not coping specifically with fatigue interference or cancer-related fatigue; it also does not address assistive technology utilization. (LLM, conf=0.87)
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- Authors
- Jabbarian, L. J., Korfage, I. J., Červ, B., van Delden, J. J. M., Deliens, L., Miccinesi, G., Payne, S., Thit Johnsen, A., Verkissen, M. N., Wilcock, A., van der Heide, A., Rietjens, J. A. C., & on behalf of the ACTION consortium
- Affiliations
- Erasmus MC (NL)
- University Clinic of Pulmonary and Allergic Diseases Golnik (SI)
- Julius Center for Health Sciences and Primary Care University Medical Center Utrecht Utrecht The Netherlands
- End‐of‐Life Care Research Group, Department of Family Medicine and Chronic Care Vrije Universiteit Brussel and Ghent University Belgium
- Cancer Prevention and Research Institute Florence Italy
- Lancaster University (GB)
- Department of Psychology University of Southern Denmark Odense Denmark
- Vrije Universiteit Brussel (BE)
- Nottingham University Hospitals NHS Trust (GB)
- Department of Public Health Erasmus MC University Medical Center Rotterdam Rotterdam The Netherlands
- Corresponding author
- Jabbarian, Lea J.
- ORCID
- Venue
- Psycho-Oncology
- Publisher
- Wiley
- Published
- 2019-11-20
- Volume
- 29
- Issue
- 2
- Pages
- 347-355
- ISSN
- 1057-9249 (ISSN-L)
- 1099-1611
- PMC
- PMC7028098
- OpenAlex
- W2982705648
- Cited by
- 21
- References
- 41
- Citations by year
- 2026: 3 · 2025: 3 · 2024: 5 · 2023: 3 · 2022: 6 · 2021: 1
- FWCI
- 0.73
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Licence
- Locations
- Psycho-Oncology (publishedVersion, cc-by)
- Europe PMC (PubMed Central) (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- DiRROS repository (University of Maribor) (publishedVersion, cc-by)
- Repository@Nottingham (University of Nottingham) (publishedVersion, cc-by)
- EUR Research Repository (Erasmus University Rotterdam) (publishedVersion, other-oa)
- University of Southern Denmark Research Portal (University of Southern Denmark) (publishedVersion, other-oa)
- Ghent University Academic Bibliography (Ghent University) (submittedVersion, other-oa)
- Repository@Nottingham (University of Nottingham) (submittedVersion, cc-by)
- EUR Research Repository (Erasmus University Rotterdam) (submittedVersion, other-oa)
- RePub (Erasmus University Rotterdam) (submittedVersion, other-oa)
- Lancaster EPrints (Lancaster University) (submittedVersion)
- RePub (Erasmus University Rotterdam) (submittedVersion)
- VUBIR (Vrije Universiteit Brussel) (submittedVersion)
- Utrecht University Repository (Utrecht University) (submittedVersion, other-oa)
- Funders
- Seventh Framework Programme (602541‐2)
- Topics
- Health Sciences › Medicine › Oncology › Cancer survivorship and care
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Palliative and Oncologic Care
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Palliative Care and End-of-Life Issues
- Keywords
- coping strategies, advanced lung cancer, advanced colorectal cancer, denial, acceptance, problem-focused coping, Brief COPE, quality of life, sociodemographic factors, cross-national comparison, ACTION trial, patient support interventions
- MeSH terms
- Adaptation, Psychological, Adult, Aged, Europe, Female, Humans, Lung Neoplasms, Male, Middle Aged, Problem Solving, Quality of Life, Surveys and Questionnaires, Severity of Illness Index, Colorectal Neoplasms
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