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Cancer-coping profile predicts long-term psychological functions and quality of life in cancer survivors

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Abstract

Purpose

Cancer survivors experience significant psychosocial distress even after completion of cancer treatment. The association between cancer coping and cancer recovery is not well established. The present study investigated the cancer-coping profile and cancer outcomes in breast cancer survivors.

Methods

A three-wave longitudinal study was conducted. In 2009 (wave 1), 248 breast cancer survivors completed a package of psychological inventories to evaluate cancer copying style, psychological distress, anxiety and depression, and quality of life. They received follow-up survey in 2012 (wave 2) and 2016 (wave 3). A latent profile analysis (LPA) was conducted among participants in wave 1 to identify cancer-coping class. Identified cancer-coping class was used to predict psychological and survival outcomes in waves 2 and 3.

Results

Two cancer-coping classes were identified through LPA, namely adaptive cancer coping (class I; 52%) and maladaptive cancer coping (class II; 47.8%). Demographic and clinical factors did not differ significantly between the two classes. Subsequent analyses demonstrated that the cancer-coping style in wave 1 predicted the psychological symptoms and quality of life outcomes at the two follow-ups (waves 2 and 3). Survivors in the adaptive group (class I) exhibited lower cancer distress, anxiety and depression scores, and higher quality of life scores than those in the maladaptive group did. Cancer coping were not found to be significantly associated with cancer survival or recurrence.

Conclusions

The identified cancer-coping styles were predictive of the survivors’ psychological symptoms, psychological well-being, and health-related quality of life but not cancer survival or recurrence.

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Acknowledgements

We thank the participants for their involvement in the study.

Funding

This research received no specific grant from any funding agency in the public, commercial, or not-for-profit sectors.

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Authors and Affiliations

  1. Department of Psychiatry, Koo Foundation Sun Yat-Sen Cancer Center, Taipei, Taiwan

    Chih-Tao Cheng, Yi-Chen Hou & Ging-Long Wang

  2. Department of Psychology and Social Work, National Defense University, Taipei, Taiwan

    Chih-Tao Cheng

  3. Psychology Laboratory, Department of Social and Behavioural Sciences, City University of Hong Kong, Kowloon Tong, Hong Kong

    Samuel M. Y. Ho & Wing-Kei Liu

  4. Department of Medical Research, Koo Foundation Sun Yat-Sen Cancer Center, Taipei, Taiwan

    Lay-Chin Lim & Shi-Ying Gao

  5. Department of Medicine, Taipei Medical University, Taipei, Taiwan

    Wen-Yi Chang

  6. Department of Psychiatry, National Yang-Ming University School of Medicine, Taipei, Taiwan

    Ging-Long Wang

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  1. Chih-Tao Cheng
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  2. Samuel M. Y. Ho
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Correspondence to Ging-Long Wang.

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Cheng, CT., Ho, S.M.Y., Liu, WK. et al. Cancer-coping profile predicts long-term psychological functions and quality of life in cancer survivors. Support Care Cancer 27, 933–941 (2019). https://doi.org/10.1007/s00520-018-4382-z

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  • DOI: https://doi.org/10.1007/s00520-018-4382-z

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