Meme Kanseri Tanısı Almış Kadınların Hastalık Temsilleri ve Başa Çıkma Tarzları ile Kaygı ve Depresyon Düzeyleri Arasındaki İlişkilerin İncelenmesi

Year 2019, Volume: 9 Issue: 54, 623 - 658, 23.09.2019

Aygül Tunç Aksan , Cem Ali Gizir

https://izlik.org/JA45NN29ZF

Abstract

Bu çalışmanın amacı, tedavi görmekte olan meme kanserli kadınların hastalık temsilleri ve başa çıkma tarzları ile kaygı ve depresyon düzeyleri arasındaki ilişkileri incelemektir. Araştırmanın çalışma grubunu, Akdeniz bölgesindeki iki büyükşehirde yaşayan, birincil meme kanseri tanısı almış ve tedavileri ayakta devam etmekte olan 103 kadın oluşturmaktadır. Araştırmada, Hastalık Algısı Ölçeği, Stresle Başa Çıkma Tarzları Ölçeği, Beck Anksiyete Ölçeği ve Beck Depresyon Ölçeği olmak üzere dört ölçme aracı kullanılmıştır. Oluşturulan hipotetik modeli test etmek amacıyla kullanılan yol analizi sonucunda, meme kanserli kadınların hastalık algıları, problem odaklı ve duygu odaklı başa çıkma tarzları ile kaygı ve depresyon düzeyleri arasında anlamlı düzeyde doğrudan ve dolaylı ilişkiler bulunduğu belirlenmiştir. Elde edilen bulgular sağlık psikolojik danışmanlığı çerçevesinde tartışılarak uygulamalara ve gelecek çalışmalara yönelik önerilerde bulunulmuştur.

Keywords

Meme kanseri , hastalık temsilleri , başa çıkma stratejileri , kaygı , depresyon

References

• Albery, I. P., & Munafó, M. (2008). Key concepts in health psychology. London: Sage Publications.
• Aldwin, C. M. (2007). Stress, coping, and development: An integrative perspective (2nd ed.). New York: The Guilford Press.
• American Psychiatric Association (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Arlington, VA: American Psychiatric Publishing.
• Armay, Z., Özkan, M., Kocaman, N. ve Özkan, S. (2007). Hastalık algısı ölçeğinin kanser hastalarında geçerlik ve güvenirlik çalışması. Klinik Psikiyatri, 10, 192-200.
• Aydoğan, Ü., Doğaner, Y. C., Borazan, E., Kömürcü, Ş., Koçak, N., Öztürk, B., Özet, A. ve Sağlam, K. (2012). Kanser hastalarında depresyon ve anksiyete düzeyleri ve hastalıkla başa çıkma tutumlarının ilişkisi. Türk Aile Hekimliği Dergisi, 16(2), 55-60.
• Bair, M. J., Poleshuck, E. L., Wu, J., Krebs, E., Damush, T., Tu, W., & Kroenke, K. (2013). Anxiety but not social stressors predict 12-month depression and pain severity. Clinical Journal of Pain, 29, 95-101.
• Bayraklı, H. (2010). Zihinsel engelli çocuğu olan ve engelli çocuğu olmayan annelerde yılmazlığa etki eden değişkenlerin incelenmesi. Yayınlanmamış yüksek lisans tezi, Ankara Üniversitesi, Ankara.
• Beck, A. T., Epstein, N., Brown, G., & Steer, R. A. (1988). An inventory for measuring clinical anxiety: Psychometric properties. Journal of Consulting and Clinical Psycholohy, 56, 893-897.
• Beck, A. T., Rush, A. J., Shaw, B. F., & Emery, G. (1979). Cognitive therapy of depression. New York: Guilford Press.
• Beck, A. T., Ward, C. H., Mendelson, M., Mock, J., & Erbaugh, J. (1961). An inventory for measuring depression. Archives of General Psychiatry, 4, 561-571.
• Ben-Zur, H., Gilbur, O., & Lev, S. (2001). Coping with breast cancer: Patient, spouse, and dyad models. Psychosomatic Medicine, 63, 32–39.
• Benyamini, B., Gozlan, M., & Kokia, E. (2004). On the self-regulation of a health threat: Cognitions, coping, and emotions among women undergoing treatment for infertility. Cognitive Therapy and Research, 28(5), 577–592.
• Bentler, P. M. (1990). Comparative fit indexes in structural models. Psychological Bulletin, 107, 238- 246.
• Bentler, P. M. (1995). EQS structural equations program manual. Encino, CA: Multivariate Software.
• Bentler, P. M., & Bonett, D. G. (1980). Significance tests and goodness-of-fit in the analysis of covariance structures. Psychological Bulletin, 88, 588–600.
• Bollen, K. A. (1989). Structural equations with latent variables. New York, NY: Wiley & Sons.
• Burgess, C., Cornelius, V., Love, S., Graham, J., Richards, M., & Ramirez, A. (2005). Depression and anxiety in women with early breast cancer: five year observational cohort study. British Medical Journal, 330, 702-705.
• Büyüköztürk, Ş. (2011). Sosyal bilimler için veri analizi el kitabı. Ankara: Pegem Akademi.
• Cameron, L. D., Booth, R. J., Schlatter, M. S., Ziginskas, D., & Harman, J. (2007). Changes in emotion regulation and psychological adjustment following use of a group psychosocial support program for women recently diagnosed with breast cancer. Psycho-Oncology, 16, 171-180.
• Cameron, L. D., & Jago, L. (2008). Emotion regulation interventions: A common-sense model approach. British Journal of Health Psychology, 13, 215-221.
• Carlisle, A. C., John, A. M., Fife-Schaw, C., & Lloyd, M. (2005). The self-regulatory model in women with rheumatoid arthritis: Relationships between illness representations, coping strategies, and illness outcome. Brritish Journal of Health Psychology. 10, 571- 587.
• Clark, D.A., & Beck, A.T. (2010). Cognitive therapy for anxiety disorders; science and practice. New York: Guilford Press.
• Clarke, D. M. (2011). Psychological adaptation, demoralization and depression in people with cancer. In D.W. Kissane, M. Maj & N. Sartorius (Eds.), Depression and cancer. (pp. 37-50). West Sussex: John Wiley & Sons.
• Clarke, D. M., Kissane, D. W., Trauer, T., & Smith, G. C. (2005). Demoralization, anhedonia and grief in patients with severe physical illness. World Psychiatry, 4, 96-105.
• Clarke, D. M., Mackinnon, A. J., Smith, G. C., McKenzie, D. P., & Herrman, H. E. (2000) Dimensions of psychopathology in the medically ill: A latent trait analysis. Psychosomatics, 41, 418-425.
• Dein, S. (2004). Explanatory models of and attitudes towards cancer in different cultures. Lancet Oncology, 5,119–24.
• Dempster, M., McCorry, N. K., Brennan, E., Donnelly, M., Murray, L., & Johnston, B. T. (2012). Psychological distress among survivors of esophageal cancer: The role of illness cognitions and coping. Dis Esophagus, 25(3), 222-227.
• De Ridder, D, & Witt, J. (2006). Self-regulation in health behavior: concepts, theories, and central ıssues. In D. De Ridder & J. De Witt (Eds.), Self-regulation in health behavior. (pp. 1-24). West Sussex: John Wiley & Sons.
• Doka, K. J. (2009). Counseling individuals with life-threatening illness. New York: Springer Publishing Company.
• Dunkel-Schetter, C., Feinstein, L. G., Taylor, S. E., & Falke, R. L. (1992). Patterns of coping with cancer. Health Psychology, 11(2), 79-87
• Erkuş, A. (2009). Davranış bilimleri için bilimsel araştırma süreci, (2. bs.). Ankara: Seçkin Yayıncılık
• Evans, D., & Norman, P. (2009). Illness representations, coping and psychological adjustment to parkinson’s disease. Psychology and Health, 24(10), 1181-1196.
• Filazoglu, G., & Griva, K. (2008). Coping and social support and health related quality of life in women with. Health and Medicine Psychology, 13(5), 559-573.
• Fillion, L., Kovacs, A. H., Gagnon, P. & Endler, N. S. (2002). Validation of the shortened COPE for use with breast cancer patients undergoing radiation therapy. Current Psychology, 21(1), 17-34
• Folkman, S., & Lazarus, L. (1980). An analysis of coping in a middle-aged community sample. Journal of Health and Social Behavior, 21(3), 219-239.
• Folkman, S., Lazarus, R. S., Dunkel-Schetter, C., DeLongis, A., & Gruen, R. J. (1986). Dynamics of a stressful encounter: cognitive appraisal, coping, and encounter outcomes. Journal of Personality and Social Psychology, 50(5), 992-1003.
• Gilbar, O. and HevroniI, A. (2007). Counterfactuals, coping strategies and psychological distress among breast cancer patients. Anxiety, Stress, ve Coping, 20(4), 383-392.
• Goldberg, D. P., & Lecrubier, Y. (1995). Form and frequency of mental disorders across centres. In T. B. Üstün, & N. Sartorius (Eds.), Mental illness in general health care: An international study (pp. 323-335). Chichester: John Wiley & Sons.
• Goli, F., Scheidt C.E., Gholamrezaei, A., & Farzanegan, M. (2014). The role of locus of control and attributional style in coping strategies and quality of life among Iranian breast cancer and colorectal cancer patients: A pilot study. International Journal of Body Mind and Culture, 1(1), 65-72.
• Gould, R. V., Brown, S. L., & Bramwell, R. (2010). Psychological adjustment to gynecological cancer: patients' illness representations, coping strategies and mood disturbance. Psychology and Health, 25(5), 633-646.
• Grace, A. L., K. S., Brooksd, D., Arthure, H., Scholel, P., Suskin, N., Jaglal, S., Abramson, B., & Stewart D. (2005). Illness perceptions among cardiac patients: Relation to depressive symptomatology and sex. Journal of Psychosomatic Research, 59(3), 153-160.
• Gravetter, F. J. & Wallnau, L. B. (2007). Statistics for the behavioral sciences (7th ed.). Canada: Thomson Wadswort.
• Gray, S. E. & Rutter, D. R. (2007). Illness representations in young people with chronic fatigue syndrome. Psychology and Health, 22, 159-174.
• Hagger, M., & Orbell, S. (2003). A meta analytic review of the common-sense model of illness representations. Psychology and Health, 18, 141-184.
• Hagger, M. S., & Orbell, S. (2005). A confirmatory factor analysis of the revised illness perception questionnaire (IPQ-R) in a cervical screening context. Psychology and Health, 20,161-173.
• Heijmans, M. (1999). The role of patients’ illness representations in coping and functioning with addison’s disease. British Journal of Health Psychology, 4, 137-149 .
• Heijmans, M., & De Ridder, D. (1998). Assessing ıllness representations of chronic ıllness: Explorations of their disease-specific nature. Journal of Behavioral Medicine, 21, 485-503.
• Hewitt, M., Herdman, R., & Holland, J. (2004). Meeting psychosocial needs of women with breast canser/national cancer policy board. Washington: The National Academies Press.
• Hirschfeld, R. M. (2001). The comorbidity of major depression and anxiety disorders: Recognition and management in primary care. Primary Care Companion to Journal of Clinical Psychiatry, 3, 244-254.
• Hisli, N. (1988). Beck depresyon envanteri’nin geçerliği üzerine bir çalışma. Psikoloji Dergisi, 6(22), 118-122.
• Hisli, N. (1989). Beck depresyon envanteri’nin üniversite öğrencileri için geçerliği, güvenirliği. Psikoloji Dergisi, 7, 3-13.
• Husain, M. O., Dearman, S. P., Chaudhry, I. B., Rizvi, N., & Waheed, W. (2008). The relationship between anxiety, depression and illness perception in tberculosis patients in Pakistan. Clinical Practice and Epidemiology in Mental Health, 4, 4-8.
• Institute of Medicine (2008). Cancer care for the whole patient: Meeting psychosocial health needs. Washington: The National Academies Press.
• Jacobsen, P. B., & Donovan, K. A. (2011). Psychological co-morbidities of cancer psychological. In P. Sherry (Ed.), Co-morbidities of physical illness a behavioral medicine perspective (pp. 163-205). New York: Springer.
• Kang, J. I., Sung, N.Y., Park, S. J., Lee, C. G., & Lee, B. O. (2013). The epidemiology of psychiatric disorders among women with breast cancer in South Korea: Analysis of national registry data. Psycho-Oncology, 23(1), 35-39.
• Karabulutlu, E. Y., Bilici, M., Çayır, K., Tekin, S. B., & Kantarcı, R. (2010). Coping, anxiety and depression in Turkish patients with cancer. European Journal of General Medicine, 7(3), 296- 302.
• Katon, W., & Roy-Byrne, P. P. (1991). Mixed anxiety and depression. Journal of Abnormal Psychology, 100, 337-345.
• Keeling, M., Bambrough, J., & Simpson, J. (2013). Depression, anxiety and positive affect in people diagnosed with low‐grade tumours: the role of illness perceptions. Psycho‐Oncology, 22(6), 1421‐1427.
• Kline, R. B. (1998). Principles and practices of structural equation modeling. New York: The Guilford Press.
• Knibb, R. C., & Horton, S. (2008). Can illness perceptions and coping predict psychological distress amongst allergy sufferers? British Journal of Health Psychology 13, 103-119.
• Knowles, S., Cook, S., & Tribbick, D. (2013). Relationship between health status, illness perceptions, coping strategies and psychological morbidity: A preliminary study with IBD stoma patients. Journal of Crohn's and Colitis, 7, 471-478.
• Knowles, S., Wilson, J., Connell, W., & Kamm, M. (2011). Examination of the relations between disease perceptions, coping strategies, and morbidity in crohn’s disease guided sense model of illness. Inflammatory Bowel Diseases, 17, 2551-2557.
• Kocaman-Yıldırım, N., Okanlı, A., Yılmaz-Karabulutlu, E., Karahisar, F., ve Özkan, S. (2013). Hemodiyaliz hastalarının anksiyete ve depresyon belirtilerine hastalık algısının etkisi: Çok merkezli bir çalışma. Anatolian Journal of Psychiatry, 14, 252-259.
• Lazarus, R. S., & Folkman, S. (1984). Stress, appraisal, and coping. New York: Springer Publishing.
• Lepine, J. P., Chignon, J. M., & Teherani, M. (1993). Suicide attempts in patients with panic disorder. Arch Gen Psychiatry, 50,144-149.
• Leventhal, H., Breland, J. Y., Mora, P. A., & Leventhal, E. A. (2010). Lay representations of ıllness and treatment: A framework for action. In A. Steptoe (Ed.), Handbook of behavioral medicine: Methods and applications (pp. 137-154). New York: Springer.
• Leventhal, H., Brissette, I., & Leventhal, E. A. (2003). The common-sense model of selfregulation in health and illness. In L. D. Cameron & H. Leventhal (Eds.), The self-regulation of health and illness behaviour (pp. 42-65). New York: Routledge.
• Leventhal, H., Halm, E., Horowitz, C., Leventhal, E. A., & Özakıncı, G. (2005). Living with chronic illness: A contextualized, self-regulation approach. In Sutton, S., Baum, A., & Johnston M. (Eds.), The Sage handbook of health psychology (pp.197-240). Thousand Oaks, CA: Sage Publications.
• Leventhal, H., Leventhal, E. A., & Contrada, R. J. (1998). Self-regulation, health, and behavior: a perceptual-cognitive approach. Psychology and Health, 13(4), 717-733.
• Leventhal, H., Leventhal, E. A., & Cameron, L. (2001). Representations, procedures, and affect in illness self-regulation: A perceptual-cognitive model. In A. Baum, T. A. Revenson, & J. E. Singer (Eds.), Handbook of health psychology (pp. 19-48). Mahwah, NJ: Lawrence Erlbaum.
• Mathew, A. R., Pettit, J. W., Lewinsohn, P. M., Seeley, J. R., & Roberts, R. E. (2011). Comorbidity between major depressive disorder and anxiety disorders: Shared or direct causation? Psychological Medicine, 41(10), 2023-2034.
• McAndrew, L. M., Musumeci-Szabo, T. J., Mora, P. A., Vileikyte, L., Burns, E., & Halm, E. A. (2008). Using the common sense model to design interventions for the prevention and management of chronic illness threats: From description to process. British Journal of Health Psychology, 13, 195-204.
• Merikangas, K.R., Zhang, H., Avenevoli, S., Acharyya, S., Neuenschwander, M., & Angst J. (2003). Longitudinal trajectories of depression and anxiety in a prospective community study: the Zurich Cohort Study. Arch Gen Psychiatry, 60, 993-1000.
• Moorey, S., & Greer, S. (2002). Cognitive behaviour therapy for people with cancer. Newyork: Oxford University Press.
• Moss-Morris, R., Weinman, J., Petrie, K. J., Horne, R., & Cameron, L. (2002). The revised illness perception questionnaire (IPQ-R). Psychology and Health, 17, 1-16.
• Moss-Morris, R., Petrie, K. J., & Weinman, J. (1996). Functioning in chronic fatigue syndrome: do illness perceptions play a regulatory role? British Journal of Health Psychology, 1, 15-25.
• National Institute for Health and Clinical Excellence (2010). Depression in adults with a chronic physical health problem: Treatment and management. Report No. 91. London, UK: NICE.
• Nerenz, D. R., Leventhal, H., & Love, R. R. (1982). Factors contributing to emotional distress duringcancer chemotherapy, Cancer, 50(5), 1020-1027.
• New Zealand Guidelines Group (2009). Management of early breast cancer. The Terrace, Wellington: New Zealand Guidelines Group.
• Ogden, J. (2004). Health psychology: A textbook. Berkshire: Open University Press.
• Ogden, J. (2010). Understanding breast cancer. West Sussex: Wiley & Sons.
• Özen, D. Ş. ve Temizsu, E. (2010). Anksiyete ve depresif bozukluklarda örtüşen ve ayrışan belirtiler. Psikiyatride Güncel Yaklaşımlar, 2(1), 1-14.
• Penley, J. A., Tomaka, J., & Wiebe, J. S. (2002). The association of coping to physical and psychological health outcomes: A meta-analytic review. Journal of Behavioral Medicine, 25, 551-603.
• Richardson E. M., Schüz, N., Sanderson, K., Scott, J. L., & Schüz, B. (2015). Illness representations, coping, and illness outcomes in people with cancer: A systematic review and meta‐analysis. Psycho‐Oncology, 26, 724-737.
• Roussi, P., Krikeli, V., Hatzidimitriou, C. & Koutri, I. (2007). Patterns of coping, flexibility in coping and psychological distress in women diagnosed V. Cognitive Theraphy Research , 31, 97-109.
• Rozema, H., Völink, T., & Lechner, L. (2009). The role of illness representations in coping and health of patients treated for breast cancer. Psycho-Oncology 18, 849-857.
• Rutter, C. L., & Rutter, D. R. (2002). Illness representation, coping and outcome in irritable bowel syndrome (IBS). British Journal of Health Psychology, 7, 377-391.
• Saniah, A., & Zainal, M. (2010). Early anxiety, depression and coping strategies in breast cancer. Malaysian Journal of Psychiatry, 19(2), 1-6.
• Schlegela, R. J., Talleya, A. E., Molixb, L. A., & Bett, B. A. (2009). Rural breast cancer patients, coping and depressive symptoms: A prospective comparison study. Psychology and Health, 24(8), 933-948.
• Schroeversa, M., Ranchor, A. V., & Sanderman, R. (2006). Adjustment to cancer in the 8 years following diagnosis: A longitudinal study comparing cancer survivors with healthy individuals. Social Science & Medicine, 63, 598-610.
• Schoon, I., Sacker, A., & Bartley, M. (2003). Socio-economic adversity and psychosocial adjustment: A developmental-contextual perspective. Social Science and Medicine, 57, 1001- 1015.
• Schumacker, R. E., & Lomax, R. G. (2010). A beginner’s guide to structural equation modeling. New York: Routledge.
• Sperry, L. (2009). Treatment of chronic medical conditions: Cognitive-behavioral therapy strategies and ıntegrative treatment protocols. Washington: American Psychological Association.
• Steiger, J. H. (1990). Structural model evaluation and modification: An interval estimation approach. Multivariate Behavioral Research, 25, 173-180
• Sümer, N. (2000). Yapısal eşitlik modelleri: Temel kavramlar ve örnek uygulamalar. Türk Psikoloji Yazıları, 3(6), 49-74.
• Sütçü, G. (2010). Tanı ameliyat süresi yakın zamanlı olan hastaların öfke, depresyon, stresle başa çıkma ve sosyal destek değişkenleri açısından incelenmesi. Yayınlanmamış yüksek lisans tezi, Ankara Üniversitesi, Ankara.
• Swendsen, J. D. (1997). Anxiety, depression, and their comorbidity: an experience sampling test of the helplessness-hopelessness theory. Cognitive Therapy and Research, 2(1), 97-114.
• Şahin, N. H. ve Durak, A. (1995). Stresle Başa Çıkma Tarzları Ölçeği: Üniversite öğrencileri için uyarlanması. Psikoloji Dergisi, 10(34), 56-73.
• Penley, J. A., Tomaka, J., & Wiebe, J. S. (2002). The association of coping to physical and psychological health outcomes: A meta-analytic review. Journal of Behavioral Medicine, 25, 551-603. doi:10.1023/A:1020641400589.
• Tünel, M. (2011). Meme kanserli hastalarda cerrahi tedavi öncesi ve sonrası anksiyete ve depresyon düzeyi. Tıpta uzmanlık tezi, Çukurova Üniversitesi, Adana.
• Türkçapar, H. (2009). Depresyon. Ankara: HYB.
• Ulusoy, M., Şahin, N. T., & Erkmen, H. (1998). Turkish version of Beck anxiety inventory: Psychometric propeties. Journal of Cognive Psychotherapy, 12, 193-172.
• Vaughan, R., Morrison, L., & Miller, E. (2003). The illness representations of multiple sclerosis and their relations to outcome. British Journal of Health Psychology, 8, 287-301.
• Wang, X., Wang, S., Peng, R., Qin, T., Shi, & Teng, X. (2012). Interaction of coping styles and psychological stress on anxious and depressive symptoms in Chinese breast cancer patients. Asian Pacific Journal of Prevention, 13(4), 1645-1649.
• Warner, D. E., & Hauser, S. T. (2009). Unique considerations when treating adolescents with chronic illness. In W. T. O’Donohue (Ed.), Behavioral Approaches to Chronic Disease in Adolescence (pp.15-28). Springer New York.
• Watson, M. , Homewood, J., Haviland, J., & Bliss, J. M. (2005). Influence of psychological response on breast cancer survival: 10-year follow-up of a population-based cohort. European Journal of Cancer, 41(12), 1710-1714.
• Weinman, J., Petrie, K. J., Moss-Morris, R., & Horne, R. (1996). The Illness Perception Questionnaire: A new method for assessing the cognitive representations of illness. Psychology and Health, 11, 431–445.
• Wittchen, H-U., Kessler, R. C., Pfister, H. & Lieb, M. (2000). Why anxiety disorders become depressed? A prospective-1 community study. Acta Psychiatr Scand, 102, 14-23.