2024-03-28T13:51:03Z
https://nagoya.repo.nii.ac.jp/oai
oai:nagoya.repo.nii.ac.jp:00028243
2023-11-16T02:57:39Z
499:508:509:2418
Exploration of coping styles in male patients with head and neck cancer: a prospective cohort study
Sato, Naohiro
Kimura, Hiroyuki
Adachi, Yasunori
Nishio, Naoki
Ando, Masahiko
Tokura, Tatsuya
Nagashima, Wataru
Kishi, Shinichi
Yamauchi, Aya
Yoshida, Keizo
Hiramatsu, Mariko
Fujimoto, Yasushi
Ozaki, Norio
open access
Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International
head and neck cancer
coping
anxiety
depression
oncology
Majority of head and neck cancer (HNC) patients are male, and more than 85% of patients with HNC have the habit of smoking and drinking. Due to the specific demographic characteristics, HNC patients are anticipated to have specific coping styles, affecting psychological distress, survival, and quality of life. We explored the subscales of the Mental Adjustment to Cancer (MAC) Scale in male patients with HNC, and then examined the correlation between revised subscales of the MAC scale and anxiety/depression. Participants were 150 male inpatients with HNC, and their demographic and medical data were obtained. Coping style was assessed by MAC scale. Anxiety and depression were assessed using the Hospital Anxiety and Depression Scale. Out of 40 items in the original MAC scale, 19 items were excluded by factor analysis, and the remaining 21 items were divided into three factors: Negative Adjustment, Positive Adjustment, and Abandonment. Negative and Positive Adjustments were similar to the copings of mixed gender patients with heterogeneous cancers, and Abandonment was a new subscale specific to male patients with HNC. This subscale had a weak positive correlation with anxiety and depression. Male HNC patients revealed a specific coping style of Abandonment, related with psychological distress. We believe that an understanding of the Abandonment coping style revealed in our study will improve the psychological support offered to male patients with HNC.
This study was fully supported by a governmental grant of a Grant-in-Aid for Scientific Research (C, no. 16K10249) from the Japanese Ministry of Education, Culture, Sports, Science and Technology and the Japanese Society for the Promotion of Science.
Nagoya University Graduate School of Medicine, School of Medicine
2019-05
eng
departmental bulletin paper
VoR
https://doi.org/10.18999/nagjms.81.2.249
http://hdl.handle.net/2237/00030439
https://nagoya.repo.nii.ac.jp/records/28243
10.18999/nagjms.81.2.249
http://www.med.nagoya-u.ac.jp/medlib/nagoya_j_med_sci/812.html
2186-3326
0027-7622
Nagoya Journal of Medical Science
81
2
249
258
https://nagoya.repo.nii.ac.jp/record/28243/files/09_Kimura.pdf
application/pdf
210.4 kB
2019-06-13