Post-treatment Psychological Distress Among Colorectal Cancer Survivors: Relation to Emotion Regulation Patterns and Personal Resources

International Journal of Behavioral Medicine - Tập 28 - Trang 591-601 - 2021
Svetlana Baziliansky1, Miri Cohen1
1School of Social Work, University of Haifa, Haifa, Israel

Tóm tắt

Post-treatment psychological distress among colorectal cancer (CRC) survivors is common, but changes over time. However, data on the effects of emotional factors on changes in psychological distress over time remain limited. The study sought to describe the patterns of change in psychological distress among CRC survivors in the short-term after treatment completion and to identify predictors of the change in psychological distress experienced by CRC survivors. A total of 153 CRC survivors, stages II–III at diagnosis, who were 4–24 months post-diagnosis (participation rate 89.5%) completed the Emotion Regulation Questionnaire, Acceptance and Action Questionnaire, Resilience Scale-14, Self-Compassion Scale–Short Form, and Brief Symptom Inventory-18 (psychological distress scale) at Time 1 (T1). Psychological distress was assessed again at Time 2 (T2), 6 months later. Two patterns of change in post-treatment psychological distress among CRC survivors were identified: One group of patients experienced higher psychological distress at T1, which decreased at T2. A second group experienced lower psychological distress at T1, which increased at T2. Self-compassion and personal resilience predicted higher psychological distress at T2. Lower suppression and self-compassion and higher personal resilience increased the likelihood of being in the increased psychological distress group. Psychological distress evaluation of CRC survivors at different time-points post-treatment is warranted. In addition, awareness is needed that self-compassion may be individually related to psychological distress among participants.

Tài liệu tham khảo

Philip EJ, Merluzzi TV. Psychosocial issues in post-treatment cancer survivors: Desire for support and challenges in identifying individuals in need. J Psychosoc Oncol. 2016;36:223–239. https://doi.org/10.1080/07347332.2016.1157716 Han CJ, Yang GS, Syrjala K. Symptom experiences in colorectal cancer survivors after cancer treatments: a systematic review and meta-analysis. Cancer Nurs. 2020;[Epub ahead of print]. https://doi.org/10.1097/NCC.0000000000000785 Ahn S, Jung H, Kim S, Shin SJ, Park CG, Chu SH. Quality of life among Korean gastrointestinal cancer survivors. Eur J Oncol Nurs. 2017;30:15-21. https://doi.org/10.1016/j.ejon.2017.07.002 Simon AE, Thompson MR, Flashman K, Wardle J. Disease stage and psychosocial outcomes in colorectal cancer. Colorectal Dis. 2009;11:19–25. https://doi.org/10.1111/j.1463-1318.2008.01501.x. Mosher CE, Winger JG, Given BA, Helft PR, O’Neil BH. Mental health outcomes during colorectal cancer survivorship: a review of the literature. Psychooncology. 2016;25 1261–1270. https://doi.org/10.1002/pon.3954 Calderón C, Jiménez-Fonseca P, Hernández R, et al. Quality of life, coping, and psychological and physical symptoms after surgery for non-metastatic digestive tract cancer. Surg Oncol. 2020;31:26–32. https://doi.org/10.1016/j.suronc.2019.08.009 Lotfi-Jam K, Gough K, Schofield P, Aranda S, Jefford M. A longitudinal study of four unique trajectories of psychological distress in cancer survivors after completing potentially curative treatment. Acta Oncol. 2019;58:782–789. https://doi.org/10.1080/0284186X.2018.1562209 Lynch BM, Steginga SK, Hawkes AL, Pakenham KI, Dunn J. Describing and predicting psychological distress after colorectal cancer. Cancer. 2008;112:1363–1370. https://doi.org/10.1002/cncr.23300 Russell L, Gough K, Drosdowsky A, et al. Psychological distress, quality of life, symptoms and unmet needs of colorectal cancer survivors near the end of treatment. J Cancer Surviv. 2015;9:462–470. https://doi.org/10.1007/s11764-014-0422-y Oancea SC, Cheruvu VK. Psychological distress among adult cancer survivors: Importance of survivorship care plan. Support Care Cancer. 2016;24:4523–4531. https://doi.org/10.1007/s00520-016-3291-2 Hart SL, Charles ST. Age-related patterns in negative affect and appraisals about colorectal cancer over time. Health Psychol. 2013;32:302–310. https://doi.org/10.1037/a0028523 Occhipinti S, Chambers SK, Lepore S, Aitken J, Dunn J. A longitudinal study of post-traumatic growth and psychological distress in colorectal cancer survivors. PLoS One. 2015;10: e0139119. https://doi.org/10.1371/journal.pone.013911 Dunn J, Ng SK, Holland J, et al. Trajectories of psychological distress after colorectal cancer. Psychooncology. 2013;22:1759–1765. https://doi.org/10.1002/pon.3210 Hou WK, Law CC, Yin J, Fu YT. Resource loss, resource gain, and psychological resilience and dysfunction following cancer diagnosis: a growth mixture modeling approach. Health Psychol. 2010;29:484–95. https://doi.org/10.1037/a0020809 Foster C, Haviland J, Winter J, et al. Pre-surgery depression and confidence to manage problems predict recovery trajectories of health and wellbeing in the first two years following colorectal cancer: results from the CREW Cohort Study. PLoS One. 2016;11:e0155434. https://doi.org/10.1371/journal.pone.0155434 Cohen M, Levkovich I, Pollack S, Fried G. Stability and change of postchemotherapy symptoms in relation to optimism and subjective stress: a prospective study of breast cancer survivors. Psychooncology. 2019;28:2017–2024. https://doi.org/10.1002/pon.5185 García-García T, Carmona-Bayonas A, Jimenez-Fonseca P, et al. Biopsychosocial and clinical characteristics in patients with resected breast and colon cancer at the beginning and end of adjuvant treatment. BMC Cancer. 2019;19:1143–1152. https://doi.org/10.1186/s12885-019-6358-x Lazarus RS, Folkman S. Stress, appraisal, and coping. New York, NY: Springer Publishing; 1984. Gross JJ, John OP. Individual differences in two emotional regulation processes: Implications for affect, relationships, and well-being. J Pers Soc Psychol. 2003;85:348–362. https://doi.org/10.1037/0022-3514.85.2.348 Hayes SC, Strosahl K, Wilson KG, et al. Measuring experiential avoidance: a preliminary test of a working model. Psychol Rec. 2004; 54:553–578. https://doi.org/10.1007/BF03395492 Watson M, Pettingale KW, Greer S. Emotional control and autonomic arousal in breast cancer patients. J Psychosom Res. 1984;28:467–474. https://doi.org/10.1016/0022-3999(84)90080-1 Aguirre-Camacho A, Pelletier G, González-Márquez A, Blanco-Donoso LM, García-Borreguero P, Moreno-Jiménez B. The relevance of experiential avoidance in breast cancer distress: insights from a psychological group intervention. Psychooncology. 2017;26:469–475. https://doi.org/10.1002/pon.4162 Peh CX, Liu J, Bishop GD, et al. Emotion regulation and emotional distress: the mediating role of hope on reappraisal and anxiety/depression in newly diagnosed cancer patients. Psychooncology. 2017;26:1191–1197. https://doi.org/10.1002/pon.4297 Li L, Zhu X, Yang Y, et al. Cognitive emotion regulation: characteristics and effect on quality of life in women with breast cancer. Health Qual Life Outcomes. 2015; 13:51–60. https://doi.org/10.1186/s12955-015-0242-4 Nakatani Y, Iwamitsu Y, Kuranami M, et al. The relationship between emotional suppression and psychological distress in breast cancer patients after surgery. Jpn J Clin Oncol. 2014;44:818–825. https://doi.org/10.1093/jjco/hyu089 Wagnild GM. The Resilience Scale user’s guide for the US English version of the Resilience Scale and the 14-Item Resilience Scale (RS-14). Worden, MT: The Resilience Center; 2009. Neff KD. Self-compassion: an alternative conceptualization of a healthy attitude toward oneself. Self Identity. 2003;2:85–101. https://doi.org/10.1080/15298860309032. Scoglio AAJ, Rudat DA, Garvert D, et al. Self-Compassion and responses to trauma: the role of emotion regulation. J Interpers Violence. 2018;33:2016–2036. Walsh DMJ, Morrison TG, Conway RJ, Rogers E, Sullivan FJ, Groarke A. A model to predict psychological- and health-related adjustment in men with prostate cancer: the role of post traumatic growth, physical post traumatic growth, resilience and mindfulness. Front Psychol. 2018;9:136–147. https://doi.org/10.3389/fpsyg.2018.00136 Todorov N, Sherman KA, Kilby CJ, Breast Cancer Network Australia. Self-compassion and hope in the context of body image disturbance and distress in breast cancer survivors. Psychooncology. 2019; 28:2025–2032. https://doi.org/10.1002/pon.5187 Arambasic J, Sherman KA, Elder E, Breast Cancer Network Australia. Attachment styles, self-compassion, and psychological adjustment in long-term breast cancer survivors. Psychooncology. 2019;28:1134–1141. https://doi.org/10.1002/pon.5068 Ben-Zur H, Cohen M, Gouzman J. Posttraumatic growth moderates the effects of posttraumatic stress symptoms on adjustment and positive affective reactions in digestive system cancer patients. Psychol Health Med. 2015;20:685–696. https://doi.org/10.1080/13548506.2014.969747 Cohen M, Baziliansky S, Beny A. The association of resilience and age in individuals with colorectal cancer: an exploratory cross-sectional study. J Geriatr Oncol. 2014;5:33–39. https://doi.org/10.1016/j.jgo.2013.07.009 Ye ZJ, Qiu HZ, Li PF, et al. Predicting changes in quality of life and emotional distress in Chinese patients with lung, gastric, and colon-rectal cancer diagnoses: the role of psychological resilience. Psychooncology. 2017;26:829–835. https://doi.org/10.1002/pon.4237 Gan Y, Zheng L, Wang Y, Li, W. An extension of the meaning making model using data from Chinese cancer patients: the moderating effect of resilience. Psychol Trauma. 2018;10:594–601. https://doi.org/10.1037/tra0000325 Wu PH, Chen SW, Huang WT, Chang SC, Hsu MC. Effects of a psychoeducational intervention in patients with breast cancer undergoing chemotherapy. J Nurs Res. 2018;26:266–279. https://doi.org/10.1097/jnr.0000000000000252 Chahar Mahali S, Beshai S, Wolfe WL. The associations of dispositional mindfulness, self-compassion, and reappraisal with symptoms of depression and anxiety among a sample of Indigenous students in Canada. J Am Coll Health. 2020;[Epub ahead of print]. https://doi.org/10.1080/07448481.2020.1711764 Yela JR, Crego A, Gómez-Martínez MÁ, Jiménez L. Self-compassion, meaning in life, and experiential avoidance explain the relationship between meditation and positive mental health outcomes. J Clin Psychol. 2020;[Epub.ahead of print]. https://doi.org/10.1002/jclp.22932 Min JA, Yu JJ, Lee CU, Chae JH. Cognitive emotion regulation strategies contributing to resilience in patients with depression and/or anxiety disorders. Compr Psychiatry. 2013; 54:1190–1197. https://doi.org/10.1016/j.comppsych.2013.05.008 Robins CJ, Keng SL, Ekblad AG, Brantley JG. Effects of mindfulness-based stress reduction on emotional experience and expression: a randomized controlled trial. J Clin Psychol. 2012;68: 117–131. https://doi.org/10.1002/jclp.20857 Petrocchi N, Ottaviani C, Couyoumdjian A. Dimensionality of self-compassion: translation and construct validation of the self-compassion scale in an Italian sample. J Ment Health. 2014; 23:72–77. https://doi.org/10.3109/09638237.2013.841869 Cohen J. A power primer. Psycholl Bull. 1992;112:155–159. https://doi.org/10.1037//0033-2909.112.1.155 Matsumoto D, Yoo SH, Nakagawa S, et al. Culture, emotion regulation, and adjustment. J Pers Soc Psychol. 2008;94:925–37. https://doi.org/10.1002/9781118339893.wbeccp126. Raes F, Pommier E, Neff KD, Van Gucht D. Construction and factorial validation of a short form of the Self-Compassion Scale. Clin Psychol Psychother. 2011;18:250–255. https://doi.org/10.1002/cpp.702 Zeller M, Yuval K, Nitzan-Assayag Y, Bernstein A. Self-compassion in recovery following potentially traumatic stress: longitudinal study of at-risk youth. J Abnorm Child Psychol. 2014;43:645–653. https://doi.org/10.1007/s10802-014-9937-y Derogatis LR. The Brief Symptom Inventory-18 (BSI-18): administration, scoring and procedures manual. Minneapolis, MN: National Computer System; 2000. Deshields T, Tibbs T, Fan MY, Taylor M. Differences in patterns of depression after treatment for breast cancer. Psychooncology. 2006;15:398–406. https://doi.org/10.1002/pon.962 Helgeson VS, Synder P, Seltman H. Psychological and physical adjustments to breast cancer over 4 years: identifying distinct trajectories of change. Health Psychol. 2004;23:3–15. https://doi.org/10.1037/0278-6133.23.1.3 Hill RE, Wakefield CE, Cohn RJ, et al. Survivorship care plans in cancer: a meta-analysis and systematic review of care plan outcomes. Oncologist. 2020;25;e351-e372. https://doi.org/10.1634/theoncologist.2019-0184 Cohen M. The association of cancer patients’ emotional suppression and their self-rating of psychological distress on short screening tools. Behav Med. 2013;39:29–35. https://doi.org/10.1080/08964289.2012.731440 Larson AG, Morris KJ, Juckett MB, et al. Mindfulness, experiential avoidance, and recovery from hematopoietic stem cell transplantation. Ann Behav Med. 2019;53:886–895. https://doi.org/10.1093/abm/kay097 Gouzman J, Cohen M, Ben-Zur H, et al. Resilience and psychosocial adjustment in digestive system cancer. J Clin Psychol Med Settings. 2015;22:1–13. https://doi.org/10.1007/s10880-015-9416-9 Przezdziecki A, Sherman KA, Baillie A, Taylor A, Foley E, Stalgis-Bilinski K. My changed body: breast cancer, body image, distress and self-compassion. Psychooncology. 2013; 22:1872–1879. https://doi.org/10.1002/pon.3230 Zhu L, Yao J, Wang J, et al. The predictive role of self-compassion in cancer patients’ symptoms of depression, anxiety, and fatigue: a longitudinal study. Psychooncology. 2019;28:1918–1925. https://doi.org/10.1002/pon.5174 van Muijen P, Schellart AJM, Duijts SFA, van der Beek AJ. (2019) The mediating role of coping between self-reported health complaints and functional limitations, self-assessed work ability and work status of long-term sick-listed cancer survivors. Eur J Cancer Care. 2019; 28:e12928-e12940. https://doi.org/10.1111/ecc.12928