Cited by 310Cancer survivorship and careCancer, Stress, Anesthesia, and Immune ResponseGlobal Cancer Incidence and Screening

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Influence of psychological coping on survival and recurrence in people with cancer: systematic review

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Petticrew, Mark, Bell, Ruth, Hunter, Duncan·2002·BMJ

DOI 10.1136/bmj.325.7372.1066PMC PMC131179

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Abstract

Objective: To summarise the evidence on the effect of psychological coping styles (including fighting spirit, helplessness/hopelessness, denial, and avoidance) on survival and recurrence in patients with cancer. Design: Systematic review of published and unpublished prospective observational studies. Main outcome measures: Survival from or recurrence of cancer. Results: 26 studies investigated the association between psychological coping styles and survival from cancer, and 11 studies investigated recurrence. Most of the studies that investigated fighting spirit (10 studies) or helplessness/hopelessness (12 studies) found no significant associations with survival or recurrence. The evidence that other coping styles play an important part was also weak. Positive findings tended to be confined to small or methodologically flawed studies; lack of adjustment for potential confounding variables was common. Positive conclusions seemed to be more commonly reported by smaller studies, indicating potential publication bias. Conclusion: There is little consistent evidence that psychological coping styles play an important part in survival from or recurrence of cancer. People with cancer should not feel pressured into adopting particular coping styles to improve survival or reduce the risk of recurrence. What is already known on this topic: Survival from cancer is commonly thought to be influenced by a person's psychological coping style Some studies have shown that a coping style involving fighting spirit rather than helplessness/hopelessness is associated with survival and recurrence, though the evidence is inconsistent What this study adds: This systematic review suggests that there is no consistent association between psychological coping and outcome of cancer Publication bias and methodological flaws in some of the primary studies may explain some of the previous positive findings There is no good evidence to support the development of psychological interventions to promote particular types of coping in an attempt to prolong survival

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Authors: Petticrew, M., Bell, R., & Hunter, D.
Affiliations: MRC/CSO Social and Public Health Sciences Unit (GB)
Queen's University (CA)
Corresponding author: Petticrew, Mark
ORCID: Petticrew, Mark
Bell, Ruth
Venue: BMJ
Publisher: BMJ
Published: 2002-11-09
Volume: 325
Issue: 7372
Pages: 1066.1
ISSN: 0007-1447 (ISSN-L)
0959-8138
1468-5833
DOI: 10.1136/bmj.325.7372.1066
PMC: PMC131179
OpenAlex: W2114172104
Cited by: 310
References: 66
Citations by year: 2026: 3 · 2025: 6 · 2024: 5 · 2023: 9 · 2022: 6 · 2021: 2 · 2020: 11 · 2019: 4 · 2018: 13 · 2017: 15 · 2016: 10 · 2015: 26 · 2014: 9 · 2013: 13 · 2012: 18
FWCI: 1.54
Type: journal article
Language: en
Open access: bronze
doi.org
Licence: www.bmj.com/company/legal-information/terms-conditions/legal-information/tdm-licencepolicy (tdm)
Locations: BMJ (publishedVersion)
Europe PMC (PubMed Central) (publishedVersion)
PubMed Central (publishedVersion)
PubMed (publishedVersion)
ENLIGHTEN (Jurnal Bimbingan dan Konseling Islam) (acceptedVersion)
LSHTM Research Online (London School of Hygiene and Tropical Medicine) (acceptedVersion)
DigitalGeorgetown (Georgetown University Library) (submittedVersion)
Newcastle University ePrints (Newcastle Univesity)
Topics: Health Sciences › Medicine › Oncology › Cancer survivorship and care
Life Sciences › Biochemistry, Genetics and Molecular Biology › Cancer Research › Cancer, Stress, Anesthesia, and Immune Response
Health Sciences › Medicine › Oncology › Global Cancer Incidence and Screening
Keywords: cancer survival, tumor recurrence, fighting spirit, helplessness, hopelessness, denial, avoidance, psychological intervention, publication bias, methodological errors
MeSH terms: Adaptation, Psychological, Anxiety, Avoidance Learning, Denial, Psychological, Depression, Emotions, Humans, Neoplasm Recurrence, Local, Neoplasms, Prognosis, Prospective Studies, Cohort Studies, Publication Bias, Survivors

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Influence of psychological coping on survival and recurrence in people with cancer: systematic review

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