Estoicismo frente al cáncerriesgo o protección

  1. Beatriz Castelo 1
  2. Angela Palao 1
  3. Alberto Carmona-Bayonas 4
  4. Paula Jiménez-Fonseca 2
  5. Carlos Jara 3
  6. Francisco Ayala 4
  7. Ismael Ghanem 1
  8. Oliver Higuera 1
  9. Raquel Hernández 5
  10. Caterina Calderón 6
  1. 1 Hospital Universitario La Paz, Madrid
  2. 2 Hospital Universitario Central de Asturias
    info

    Hospital Universitario Central de Asturias

    Oviedo, España

    ROR https://ror.org/03v85ar63

  3. 3 Fundación Hospital Alcorcón
    info

    Fundación Hospital Alcorcón

    Alcorcón, España

    ROR https://ror.org/01435q086

  4. 4 Hospital Universitario Morales Meseguer de Murcia
  5. 5 Hospital Universitario de Canarias
    info

    Hospital Universitario de Canarias

    San Cristóbal de La Laguna, España

    ROR https://ror.org/05qndj312

  6. 6 Universitat de Barcelona
    info

    Universitat de Barcelona

    Barcelona, España

    ROR https://ror.org/021018s57

Journal:
Psicooncología: investigación y clínica biopsicosocial en oncología

ISSN: 1696-7240

Year of publication: 2018

Volume: 15

Issue: 1

Pages: 11-22

Type: Article

DOI: 10.5209/PSIC.59171 DIALNET GOOGLE SCHOLAR lock_openOpen access editor

More publications in: Psicooncología: investigación y clínica biopsicosocial en oncología

Abstract

Detecting an attitude of stoic coping in patients with cancer is important because it can favor or hinder oncological treatment. Objective: In this work, we analyze whether depending on age, gender, the presence of pain and the time elapsed since the symptoms began to the diagnosis of cancer, we can assign a positive or negative value to the stoic behaviors as a factor of protection or risk in patients. Material and Methods: We evaluated 540 patients who attended the Medical Oncology consultation for evaluation of adjuvant treatment after oncological surgery, between June 2015 and December 2016. The clinical and demographic data were obtained through the medical interview and were: gender, age, marital status, educational level, occupational area, location of the tumor, stage and time elapsed since the presence of symptoms and consultation with the doctor. The following questionnaires were administered on paper and in person: Brief Pain Inventory, Brief Symptom Inventory and Liverpool Stoicism Scale. Results: The men in our sample are almost 5 times more likely to have high stoicism scores than women and 7 times more likely to be associated with a declining state of mind and advanced age. Stoicism was greater in older patients. No relationship has been found between stoicism and pain scales. Conclusion: The three characteristics that best discriminate between patients with high and / or low scores in stoicism are gender, age and depressed mood. The fact that stoicism is associated with elderly men with depression makes us think that the Stoicism should be considered more as a risk factor than as a protection factor. Age-related maturity inevitably leads to greater acceptance of losses and a propensity to hide pain, or not seeking help to avoid showing weakness. Given this situation, it is important to have the information provided by the family and recognize the importance of family support for these people who may be more vulnerable at the outset

Bibliographic References

  • 1. Wagstaff G, Fowledge AM. Stoicism: Its Relation to Gender, Attitudes Toward Poverty, and reactions to emotive material. J Soc Psychol 1995; 135: 181-4. doi: 10.1080/00224545.1995.9711421
  • 2. Becker LC. Human health and stoic moral norms. J Med Philos 2003;28: 221-38. doi: 10.1076/jmep.28.2.221.14206
  • 3. Addis ME, Mahalik, JR. Men, masculinity, and the contexts of help seeking. Am Psychol 2003; 58: 5-14. doi: 10.1037/0003-066X.58.1.5
  • 4. Murray G, Judd F, Jackson H, Fraser C, Komiti A, Pattison P, et al. Big boys don’t cry: An investigation of stoicism and its mental health outcomes. Pers Individ Dif 2008;44:1369– 81. doi:10.1016/j.paid.2007.12.005
  • 5. Calderón C, Ferrando PJ, Urbano Lorenzo-Seva U, Carmona-Bayonas A, Jara C, Ayala de la Peña F, et al. Psychometric properties of Liverpool Stoicism Scale (LSS) in a cohort of patients with resected cancer in adjuvant treatment. Ann Psychol 2017;33: 621-9. doi: 10.6018/analesps.33.3.277061
  • 6. Buckley J, Ó Tuama S. “I send the wife to the doctor”– Men’s behaviour as health consumers. Int J Consum Stud 2010;34:587-95. doi: 10.1111/j.1470-6431.2010.00908.x
  • 7. Gaitniece-Putane A. Gender and age differences in in emotional intelligence, stoicism and aggression. Baltic J Psychol 2006;7:26-42.
  • 8. Moore A, Grime J, Campbell P, Richardson J. Troubling stoicism: Sociocultural influences and applications to health and illness behaviour. Health (London) 2013;17: 159-73. doi: 10.1177/1363459312451179
  • 9. Yong HH. Can attitudes of stoicism and cautiousness explain observed age-related variation in levels of self-rated pain, mood disturbance and functional interference in chronic pain patients? Eur J Pain 2006;10: 399-407. doi. 10.1016/j.ejpain.2005.05.004
  • 10. Cleeland CS, Ryan KM. Pain assessment: global use of the Brief Pain Inventory. Ann Acad Med 1994; 23:129-38. [Acceso 15 de enero de 2018] Disponible en: http://www. ncbi.nlm.nih.gov/pubmed/8080219
  • 11. Kumar SP. Utilization of brief pain inventory as an assessment tool for pain in patients with cancer: a focused review. Indian J Palliat Care 2011;17:108-15. doi: 10.4103/09731075.84531
  • 12. Badia X, Muriel C, Gracia A, Núñez-Olarte JM, Perulero N, Gálvez R et al. Validation of the Spanish version of the Brief Pain Inventory in patients with oncological pain. Med Clin (Barc) 2003; 120: 52–9. [Acceso 15 de enero de 2018]. Disponible en: http://www. ncbi.nlm.nih.gov/pubmed/12570914
  • 13. Derogatis LR. BSI 18, Brief Symptom Inventory 18: Administration, scoring and procedures manual. Minneapolis, MN : NCS Pearson, Inc., ©2001.
  • 14. Recklitis CJ, Blackmon JE, Chang G. Validity of the Brief Symptom Inventory-18 (BSI18) for identifying depression and anxiety in young adult cancer survivors: comparison with a structured clinical diagnostic interview. Psychol Assess 2017; 29: 1189-200. doi: 10.1037/pas0000427
  • 15. International ethical guidelines for biomedical research involving human subjects CIOMS Geneva 2002. [Acceso el 15 de enero de 2018] Disponible en: http://www.cioms. ch/publications/layout_guide2002.pdf
  • 16. Moore A, Grime J, Campbell P, Richardson J. Troubling stoicism: Sociocultural influences and applications to health and illness behaviour. Health (London) 2012;17:159-73. doi: 10.1177/1363459312451179
  • 17. Judd F, Komiti A, Jackson H. How does being female assist help-seeking for mental health problems?. Aust N Z J Psychiatry 2008;42:24-9. doi: 10.1080/00048670701732681
  • 18. Wrigley S, Jackson H, Judd F, Komiti A. Role of stigma and attitudes toward helpseeking from a general practitioner for mental health problems in a rural town. Aust N Z J Psychiatry 2005;39:514-21. doi: 10.1111/j.1440-1614.2005.01612.x
  • 19. Corboy D, McLaren S, Jenkins M, McDonald J. The relationship between geographic remoteness and intentions to use a telephone support service among Australian men following radical prostatectomy. Psychooncology 2014; 23: 1259–66. doi: 10.1002/ pon.3559
  • 20. Stewart D, Harmon K. Mental health services responding to men and their anger. Int J Ment Health Nurs 2004; 13: 249-54. doi: 10.1111/j.1440-0979.2004.00341.x
  • 21. Witte TK, Gordon KH, Smith, PN. Stoicism and Sensation Seeking: Male vulnerabilities for the acquired capability for suicide. J Res Pers 2012;46:384-92. doi: 10.1016/j. jrp.2012.03.004
  • 23. Bao Y, Li L, Guan Y, Wang W, Liu Y, Wang P et al. Prevalence and associated positive psychological variables of anxiety and depression among patients with central nervous system tumors in China : a cross-sectional study. Psychooncology 2017; 26: 262-9. doi: 10.1002/pon.4128
  • 24. Sharpley CF, Christie DR. H, Bitsika V, Miller BJ. Trajectories of total depression and depressive symptoms in prostate cancer patients receiving six months of hormone therapy. Psychooncology 2017;26:60-6. doi: 10.1002/pon.4100
  • 25. Yeung NC, Lu Q. Affect as a mediator between self-efficacy and quality of life among Chinese cancer survivors in China. Eur J Cancer Care 2014; 23:149-55. doi: 10.1111/ ecc.12123
  • 26. Helme RD, Gibson SJ. The epidemiology of pain in elderly people. Clin Geriatr Med 2001;17:417-31.
  • 27. Johansson M, Rydén A, Finizia C. Mental adjustment to cancer and its relation to anxiety, depression, HRQL and survival in patients with laryngeal cancer a longitudinal study. BMC Cancer 2011;11: 283. doi:10.1186/1471-2407-11-283
  • 28. Oh YS. Communications with health professionals and psychological distress in family caregivers to cancer patients: A model based on stress-coping theory. Appl Nurs Res 2017;33:5-9. doi: 10.1016/j.apnr.2016.09.008