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Metacognitions, Psychological Resilience and Fear of Recurrence in Cancer Process

Yıl 2021, , 693 - 706, 25.12.2021
https://doi.org/10.18863/pgy.859242

Öz

Cancer is a common life-threatening disease all over the world and can affect the people both physically and psychologically. Fear of recurrence is one of the most common psychological problems faced by individuals and their caregivers that is expressing the concern from diagnosis to the end of life that cancer may return or progress in cancer life even including the survivorship process. When the fear of recurrence reaches the clinical level, it can cause negative effects on individuals and their caregivers such as decreased quality of life, impaired functionality, and inadequate role performance. In this process, the concept of metacognition, which significantly increases the level of awareness of the individual, can have an effect on the individual’s perceptions and interpretations as well as the possibility of being positively or negatively affected by the disease process. In addition, the concept of resilience, which is a protective and enhancing factor in mental health, can make less harm to the person from the process and increase their well-being. In this way, the individual can use coping strategies more effectively and manage the process better. In this paper, we aimed to explain the relationship between the concepts of metacognitions, resilience and fear of recurrence, and to evaluate their effects on the cancer process in order to ensure that the individual suffers minimal damage from the process and provide well-being.

Kaynakça

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Kanser Sürecinde Üstbilişler, Psikolojik Sağlamlık ve Nüks Korkusu

Yıl 2021, , 693 - 706, 25.12.2021
https://doi.org/10.18863/pgy.859242

Öz

Kanser, tüm dünyada sıklıkla görülen, bireyi hem fiziksel hem de psikolojik olarak etkileyebilen yaşamı tehdit edici bir hastalıktır. Kanser tanısı konulmasından yaşamın sonuna kadar olan ve sağkalım sürecini de içeren kanser yaşantısında, kanserin geri dönebileceğine veya ilerleyebileceğine dair endişeyi ifade eden nüks korkusu, bireylerin ve bakım verenlerinin en sık karşı karşıya kaldığı psikolojik sorunlardan biridir. Nüks korkusu klinik düzeye ulaştığında, bireyler ve bakım verenler üzerinde yaşam kalitesinde azalma, işlevsellikte bozulma, rol performansında yetersizlik gibi olumsuz etkiler oluşturabilmektedir. Bu süreçte bireyin farkındalık düzeyini oldukça artıran üstbiliş kavramı, bireyin algılamaları ve yorumlamalarının yanı sıra hastalık sürecinden olumlu ya da olumsuz etkilenme olasılığını etkileyebilmektedir. Ayrıca ruh sağlığında koruyucu ve geliştirici bir faktör olan psikolojik sağlamlık kavramı da bu süreçte kişinin süreçten daha az zarar görmesini sağlayabilmekte ve iyi oluşluğunu artırabilmektedir. Bu sayede birey baş etme sistemlerini daha etkin kullanabilmekte ve süreci daha iyi yönetebilmektedir. Bu makalenin amacı, kanser sürecinde bireyin süreçten en az düzeyde zarar görmesini ve iyi oluşluğunu sağlamak üzere incelenmesi gereken üstbilişler, psikolojik sağlamlık ve nüks korkusu kavramlarının kanser süreci ile ilişkisinin açıklanması ve sürece etkilerinin değerlendirilmesidir.

Kaynakça

  • Allen JD, Savadatti S, Gurmankin Levy A (2009) The transition from breast cancer ‘patient’to ‘survivor’. Psychooncology, 18(1):71-78.
  • Allott R, Wells A, Morrison AP, Walker R (2005) Distress in Parkinson's disease: contributions of disease factors and metacognitive style. Br J Psychiatry, 187(2):182-183.
  • Baker F, Denniston M, Smith T, West MM (2005) Adult cancer survivors: how are they faring? Cancer, 104(11): 2565-76.
  • Basım HN, Çetin F (2011). Yetişkinler için psikolojik dayanıklılık ölçeği’nin güvenilirlik ve geçerlilik çalışması. Turk Psikiyatri Derg, 22(2):104-114.
  • Bekhet AK, Johnson NL, Zauszniewski JA (2012) Resilience in family members of persons with autism spectrum disorder: A review of the literature. Issues Ment Health Nurs, 33(10):650-656.
  • Bonanno GA, Wortman CB, Nesse RM (2004) Prospective patterns of resilience and maladjustment during widowhood. Psychol Aging, 19(2): 260.
  • Boehmer U, Tripodis Y, Bazzi AR, Winter M, Clark MA (2016) Fear of cancer recurrence in survivor and caregiver dyads: differences by sexual orientation and how dyad members influence each other. J Cancer Surviv, 10(5):802-813.
  • Butow P, Kelly S, Thewes B, Hruby G, Sharpe L, Beith J (2015). Attentional bias and metacognitions in cancer survivors with high fear of cancer recurrence. Psychooncology, 24(4):416-423.
  • Carcione A, Nicolò G, Pedone R, Popolo R, Conti L, Fiore D et al. (2011) Metacognitive mastery dysfunctions in personality disorder psychotherapy. Psychiatry Res, 190(1):60-71.
  • Cartwright-Hatton S, Wells A (1997) Beliefs about worry and intrusions: The Meta-Cognitions Questionnaire and its correlates. J Anxiety Disord,11(3):279-296.
  • Champagne A, Ivers H, Savard J (2018) Utilization of health care services in cancer patients with elevated fear of cancer recurrence. Psychooncology, 27(8):1958-1964.
  • Connor KM, Davidson JR, Lee LC (2003) Spirituality, resilience, and anger in survivors of violent trauma: A community survey. J Trauma Stress, 16(5):487-494.
  • Crist JV, Grunfeld EA (2013) Factors reported to influence fear of recurrence in cancer patients: a systematic review. Psychooncology, 22(5):978-986.
  • Cuhadar D, Tanrıverdi D, Pehlivan M, Kurnaz G, Alkan S (2016) Determination of the psychiatric symptoms and psychological resilience levels of hematopoietic stem cell transplant patients and their relatives. Eur J Cancer Care, 25(1):112-121.
  • Danhauer SC, Russell GB, Tedeschi RG, Jesse MT, Vishnevsky T, Daley K et al. (2013) A longitudinal investigation of posttraumatic growth in adult patients undergoing treatment for acute leukemia. J Clin Psychol Med Settings, 20(1):13-24.
  • Davydov DM, Stewart R, Ritchie K, Chaudieu I (2010) Resilience and mental health. Clin Psychol Rev, 30(5):479-495.
  • Dimaggio G, Semerari A, Carcione A, Nicolō G, Procacci M (2007) Psychotherapy of Personality Disorders: Metacognition, States of Mind and Interpersonal Cycles, New York, Routledge.
  • Doyle N (2008) Cancer survivorship: evolutionary concept analysis. J Adv Nurs, 62(4):499-509.
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  • Mellon S, Kershaw TS, Northouse LL, Freeman‐Gibb L (2007) A family‐based model to predict fear of recurrence for cancer survivors and their caregivers. Psychooncology, 16(3):214-223.
  • Mellon S, Northouse LL, Weiss LK (2006) A population-based study of the quality of life of cancer survivors and their family caregivers. Cancer Nurs, 29(2):120-131.
  • Min JA, Yoon S, Lee CU, Chae JH, Lee C, Song KY et al. (2013) Psychological resilience contributes to low emotional distress in cancer patients. Support Care Cancer, 21(9):2469-2476.
  • Mullens AB, McCaul KD, Erickson SC, Sandgren AK (2004) Coping after cancer: Risk perceptions, worry, and health behaviors among colorectal cancer survivors. Psychooncology, 13(6):367-376.
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  • Northouse L, Williams Al, Given B, McCorkle R (2012) Psychosocial care for family caregivers of patients with cancer. J Clin Oncol, 30(11):1227-1234.
  • Öcalan S, Üzar-Özçetin YS (2020) Kanser deneyiminde ruminasyon, tükenmişlik ve psikolojik sağlamlık. Psikiyatride Güncel Yaklaşımlar, 12(3):421-433.
  • Öz F, Yilmaz, EB (2009) Ruh sağlığının korunmasında önemli bir kavram: Psikolojik sağlamlık. Hacettepe Üniversitesi Hemşirelik Fakültesi Dergisi, 16(3):82-89.
  • Ries LAG, Harkins D, Krapcho M, Mariotto A, Miller B, Feuer EJ et al. (2006) SEER cancer statistics review, 1975-2003. National Cancer Institute, https://seer.cancer.gov/csr/1975_2003/. (Accessed 12.10.2020).
  • Ristevska-Dimitrovska G, Filov I, Rajchanovska D, Stefanovski P, Dejanova B (2015) Resilience and quality of life in breast cancer patients. Open Access Maced J Med Sci, 3(4):727.
  • Rosenberg AR, Baker KS, Syrjala KL, Back AL, Wolfe J (2013) Promoting resilience among parents and caregivers of children with cancer. J Palliat Med, 16(6):645-652.
  • Rosenberg AR, Wolfe J, Bradford MC, Shaffer ML, Yi‐Frazier JP, Curtis JR. et al. (2014) Resilience and psychosocial outcomes in parents of children with cancer. Pediatr Blood Cancer, 61(3):552-557.
  • Savard J, Ivers H (2013) The evolution of fear of cancer recurrence during the cancer care trajectory and its relationship with cancer characteristics. J Psychosom Res, 74(4):354-360.
  • Schmidt SD, Blank TO, Bellizzi KM, Park CL (2012). The relationship of coping strategies, social support, and attachment style with posttraumatic growth in cancer survivors. J Health Psychol, 17(7):1033-1040.
  • Seiler A, Jenewein J (2019) Resilience in cancer patients. Front Psychiatry, 10:208.
  • Semerari A, Carcione A, Dimaggio G, Falcone M, Nicolò G, Procacci M et al. (2003) How to evaluate metacognitive functioning in psychotherapy? The metacognition assessment scale and its applications. Clin Psychol Psychother, 10(4):238-261.
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  • Simard S, Savard J (2015) Screening and comorbidity of clinical levels of fear of cancer recurrence. J Cancer Surviv, 9(3):481-491.
  • Simard S, Savard J, Ivers H (2010) Fear of cancer recurrence: Specific profiles and nature of intrusive thoughts. J Cancer Surviv, 4(4):361-371.
  • Simard S, Thewes B, Humphris G, Dixon M, Hayden C, Mireskandari S et al. (2013) Fear of cancer recurrence in adult cancer survivors: A systematic review of quantitative studies. J Cancer Surviv, 7(3):300-322.
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  • Simonelli LE, Siegel SD, Duffy NM (2017) Fear of cancer recurrence: A theoretical review and its relevance for clinical presentation and management. Psychooncology, 26(10):1444-1454.
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  • Üzar-Özçetin YS, Hiçdurmaz D (2017) Kanser Deneyiminde Travma Sonrası Büyüme ve Psikolojik Sağlamlık. Psikiyatride Güncel Yaklaşımlar, 9(4):388-398.
  • Üzar-Özçetin YS, Hiçdurmaz D (2019) Effects of an empowerment program on resilience and posttraumatic growth levels of cancer survivors: A randomized controlled feasibility trial. Cancer Nurs, 42(6):E1-E13.
  • van de Wal M, Langenberg S, Gielissen M, Thewes B, van Oort I, Prins J (2017) Fear of cancer recurrence: A significant concern among partners of prostate cancer survivors. Psychooncology, 26(12):2079-2085.
  • van den Beuken‐van Everdingen MH, Peters ML, de Rijke JM, Schouten HC, van Kleef M, Patijn J (2008) Concerns of former breast cancer patients about disease recurrence: A validation and prevalence study. Psychooncology, 17(11):1137-1145.
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  • Walton M (2017) Lived experience of adult female cancer survivors to discover common protective resilience factors to cope with cancer experience and to identify potential barriers to resilience. J Cancer Ther Res, 13:373-375.
  • Wells A (2000). Emotional Disorders and Metacognition: Innovative Cognitive Therapy. Chichester, UK: Wiley.
  • Wells A, Cartwright-Hatton S (2004) A short form of the metacognitions questionnaire: properties of the MCQ-30. Behav Res Ther, 42(4):385-396.
  • Wells A, Matthews G (1996) Modelling cognition in emotional disorder: The S-REF model. Behav Res Ther, 34(11-12):881-888.
  • Wells A, Fisher P, Myers S, Wheatley J, Patel T, Brewin CR (2009) Metacognitive therapy in recurrent and persistent depression: A multiple-baseline study of a new treatment. Cognit Ther Res, 33(3):291-300.
  • Wu G, Feder A, Cohen H, Kim J, Calderon S, Charney D et al. (2013) Understanding resilience. Front Behav Neurosci, 7:1-15.
  • Wu LM, McGinty H, Amidi A, Bovbjerg K, Diefenbach MA (2019) Longitudinal dyadic associations of fear of cancer recurrence and the impact of treatment in prostate cancer patients and their spouses. Acta Oncol, 58(5):708-14.
  • Zauszniewski JA, Bekhet AK, Suresky MJ (2010) Resilience in family members of persons with serious mental illness. Nurs Clin, 45(4):613-626.
  • Zuardin AR, Maidin MA, Tamar M, Yani A (2019) Patterns of family support in cervical cancer survivors with high resilience. International Journal of Innovative Technology and Exploring Engineering, 9(1):1604-1606.
Toplam 104 adet kaynakça vardır.

Ayrıntılar

Birincil Dil Türkçe
Konular Psikiyatri
Bölüm Derleme
Yazarlar

Mehtap Ağaç 0000-0001-7853-2443

Yeter Sinem Üzar Özçetin 0000-0003-3744-1398

Yayımlanma Tarihi 25 Aralık 2021
Kabul Tarihi 4 Mart 2021
Yayımlandığı Sayı Yıl 2021

Kaynak Göster

AMA Ağaç M, Üzar Özçetin YS. Kanser Sürecinde Üstbilişler, Psikolojik Sağlamlık ve Nüks Korkusu. Psikiyatride Güncel Yaklaşımlar. Aralık 2021;13(4):693-706. doi:10.18863/pgy.859242

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