Goal Navigation, Approach-Oriented Coping, and Adjustment in Young Men with Testicular Cancer
Open accessAbstract
BACKGROUND: Cancer can challenge important life goals for young adult survivors. Poor goal navigation skills might disrupt self-regulation and interfere with coping efforts, particularly approach-oriented attempts. Two studies are presented that investigated relationships among goal navigation processes, approach-oriented coping, and adjustment (i.e., social, emotional, and functional well-being) in separate samples of young adults with testicular cancer. METHODS: In study 1, in-depth interviews (N = 21) were analyzed using thematic analysis to understand experiences of goal pursuit following cancer. In study 2, 171 men completed measures of goal navigation, coping, and adjustment to cancer. RESULTS: In study 1, three prominent themes emerged: goal clarification, goal engagement and disengagement, and responses to disrupted goals. Regression analyses in study 2 revealed that goal navigation skills were positively associated with emotional (B = .35, p < .001), social (B = .24, p < .01), and functional (B = .28, p < .001) well-being, as was approach-oriented coping (B = .22, p < .01; B = .32, p < .001; B = .26, p < .001, respectively). Goal navigation moderated associations between approach-oriented coping and well-being, such that those with low goal navigation ability and low approach-oriented coping reported lower well-being. CONCLUSIONS: Goal navigation skills and approach-oriented coping have unique and interactive relationships with adjustment to testicular cancer. They likely represent important independent targets for intervention, and goal navigation skills might also buffer the negative consequences of low use of approach-oriented coping.
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Coping styles and psychological flexibility have been identified as correlates of psychological distress in testicular cancer and other cancer populations.
“Finally, coping styles and psychological flexibility (ability to act flexibly and adjust to situational demands) have been identified as correlates to psychological distress in TC and other cancer populations.10,23,24”
From Malignancy, masculinities, and psychological distress: Comparisons made between men with testicular cancer and healthy controls (2024) · cites this paper as [23]
Study 2 Results (page not supplied) report that approach-oriented coping and goal navigation were associated with emotional well-being in young men with testicular cancer; the Background also discusses coping and psychological adaptation in adults with cancer. The paper studies goal navigation rather than identifying or measuring psychological flexibility as defined in the citing sentence, and its reported outcome is well-being rather than psychological distress. (LLM, conf=0.84)
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Hoyt, M. A., Wang, A. W.-T., Ceja, R. C., Cheavens, J. S., Daneshvar, M. A., Feldman, D. R., Funt, S. A., & Nelson, C. J. (2023) · Annals of Behavioral Medicine · doi:10.1093/abm/kaad010 · Cited by 17 · see citing works
Self-citationDax, V., Ftanou, M., Tran, B., Lewin, J., & Wiley, J. F. (2024) · Psycho-Oncology · doi:10.1002/pon.6262 · Cited by 3 · see citing works
“10,23,24 Some research has investigated these correlates in relation to masculinities.”
Background
- Authors
- Hoyt, M. A., Gamarel, K. E., Saigal, C. S., & Stanton, A. L.
- Affiliations
- The Graduate Center, CUNY (US)
- Brown University (US)
- University of California, Los Angeles (US)
- Corresponding author
- Hoyt, Michael A.
- Venue
- Annals of Behavioral Medicine
- Publisher
- Oxford University Press (OUP)
- Published
- 2016-03-02
- Volume
- 50
- Issue
- 4
- Pages
- 572-581
- ISSN
- 0742-5554 (ISSN-L)
- 0883-6612
- 1532-4796
- PMC
- PMC4935579
- OpenAlex
- W2288783926
- Cited by
- 20
- References
- 8
- Citations by year
- 2026: 1 · 2025: 2 · 2024: 2 · 2023: 3 · 2021: 4 · 2020: 4 · 2019: 1 · 2018: 1 · 2017: 2
- FWCI
- 0.72
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Annals of Behavioral Medicine (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- eScholarship (California Digital Library) (submittedVersion)
- Funders
- Livestrong Foundation
- National Institute of Mental Health (5T32MH015750)
- Topics
- Health Sciences › Medicine › Oncology › Cancer survivorship and care
- Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Childhood Cancer Survivors' Quality of Life
- Social Sciences › Psychology › Applied Psychology › Optimism, Hope, and Well-being
- Keywords
- approach-oriented coping, testicular cancer, young adult cancer survivors, adjustment to cancer, well-being, goal pursuit, goal clarification, goal disengagement, self-regulation
- MeSH terms
- Adaptation, Psychological, Adult, Goals, Humans, Male, Registries, Testicular Neoplasms, Young Adult
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