Relationship of psychological characteristics and self-efficacy in gastrointestinal cancer survivors

Authors

  • Yuuta Kohno,

    1. Section of Liaison Psychiatry and Palliative Medicine, Graduate School of Tokyo Medical and Dental University, Tokyo, Japan
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  • Michio Maruyama,

    1. Department of Surgery Okubo Hospital, Tokyo Metropolitan Health and Medical Treatment Corporation, Tokyo, Japan
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  • Yutaka Matsuoka,

    1. Department of Adult Mental Health, National Institute of Mental Health, National Center for Neurology and Psychiatry, Tokyo, Japan
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  • Toshiko Matsushita,

    1. School of Nursing, Faculty of Health and Medical Care, Saitama Medical University, Saitama, Japan
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  • Michihiko Koeda,

    1. Department of Bioinformatics, Medical Research Institute, Graduate School of Tokyo Medical and Dental University, Tokyo, Japan
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  • Eisuke Matsushima

    Corresponding author
    1. Section of Liaison Psychiatry and Palliative Medicine, Graduate School of Tokyo Medical and Dental University, Tokyo, Japan
    • Section of Liaison Psychiatry and Palliative Medicine, Graduate School of Tokyo Medical and Dental University, 1-5-45 Yushima, Bunkyo-Ku, Tokyo 113-8519, Japan
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Abstract

To characterize gastrointestinal cancer survivors' ability to psychologically adjust, we examined the relationship between psychological characteristics (quality of life (QOL), anxiety, depression, and post-traumatic stress symptoms) and self-efficacy (perceived ability to initiate coping strategies). Forty-seven subjects (32 males and 15 females) were recruited from outpatient clinics or general surgical wards after readmission for therapy unrelated to cancer. All had undergone treatment for gastrointestinal cancer. Japanese version of the Functional Assessment of Cancer Therapy—General (FACT-G), Japanese version of Hospital Anxiety and Depression Scale (HADS), Japanese version of Impact of Event Scale—Revised (IES-R), and The Self-Efficacy Scale for Advanced Cancer (SEAC) were administered. Correlation analyses revealed a statistically significant positive correlation between three subscales of SEAC and QOL (total of FACT-G value) and a significant negative correlation between anxiety, depression (the total of HADS value), post-traumatic stress symptoms (the total of IES-R value), and SEAC. In multiple regression analysis, the influence from Affect Regulation Efficacy (subscale of SEAC) was the largest in anxiety and post-traumatic stress symptoms while the influence from Activities of Daily Living Efficacy (subscale of SEAC) was the largest in QOL and depression. Our findings revealed that a strong relationship between self-efficacy and psychological adjustment, and that there should be several psychological intervention forms performed at various treatment stages to enhance self-efficacy in this population of gastrointestinal cancer survivors. These results also imply the effectiveness of interventions on self-efficacy for gastrointestinal cancer survivors and the influence of psychological factors such as QOL, anxiety, depression, and post-traumatic stress symptoms. Copyright © 2009 John Wiley & Sons, Ltd.

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