Coping and survival in lung cancer: a 10-year follow-up
Abstract
OBJECTIVE: Little evidence is available to clarify the influence of psychological variables on the outcome of cancer. The authors studied whether style of coping was predictive of survival in lung cancer. METHOD: A cohort of 103 patients newly diagnosed with cancer was followed for 10 years. Coping was assessed before treatment by using both self-reports and interviewer ratings. RESULTS: In a survival analysis with adjustment for known biomedical prognostic factors such as tumor stage, histological classification, and Karnofsky performance status, a depressive coping style, assessed by patients' self-reports, was linked with shorter survival (relative risk=1.91), and an active coping style, as assessed by interviewers' ratings, was linked with longer survival (relative risk=0.72). CONCLUSIONS: These results support the hypothesis that style of coping predicts survival in lung cancer. The observational design of the study, however, precludes any causal interpretation.
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Cancer increases risk for psychological distress, which is linked with poorer quality of life, greater barriers to quality cancer care, and worse morbidity and mortality.
“These coping patterns are important because cancer elevates risk for psychological distress (25) which in turn has been linked with poorer QOL (26–28), greater barriers to quality cancer care (29–33) and worse morbidity and mortality (32–36).”
From Coping in Patients With Incurable Lung and Gastrointestinal Cancers: A Validation Study of the Brief COPE (2017) · cites this paper as [32]
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- Authors
- Faller, H., & Bülzebruck, H.
- Affiliations
- University of Würzburg (DE)
- ORCID
- Faller, Hermann
- Venue
- American Journal of Psychiatry
- Published
- 2002-12-01
- Volume
- 159
- Issue
- 12
- Pages
- 2105-2107
- ISSN
- 0002-953X (ISSN-L)
- 1535-7228
- OpenAlex
- W1966412629
- Cited by
- 40
- References
- 11
- Citations by year
- 2025: 1 · 2022: 1 · 2019: 2 · 2017: 1 · 2016: 2 · 2015: 1 · 2014: 1 · 2013: 3 · 2012: 3
- FWCI
- 0.89
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- American Journal of Psychiatry (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Oncology › Cancer survivorship and care
- Health Sciences › Medicine › Psychiatry and Mental health › Cancer, Stress, Anesthesia, and Immune Response
- Health Sciences › Medicine › Oncology › Lung Cancer Research Studies
- Keywords
- lung cancer, coping styles, survival, depressive coping, active coping, prognostic factors, long-term follow-up
- MeSH terms
- Adaptation, Psychological, Adult, Aged, Aged, 80 and over, Female, Follow-Up Studies, Humans, Lung Neoplasms, Male, Middle Aged, Cohort Studies, Survival Rate
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