Attachment style and perceived social support as predictors of biopsychosocial adjustment to cancer

Social support is associated with a decrease in psychological symptoms and a better quality of life in cancer patients. The aim of this study was to investigate the role of attachment dimensions on social and psychological adjustment to cancer and to explore the social and psychological adjustments, and medical adherence, among patients. Materials and methods: The study was conducted with 68 cancer patients, between 18 and 74 years of age. The measures taken were the Demographic Information Form, Multidimensional Scale of Perceived Social Support (MSPSS), Experiences in Close Relationships-Revised (ECR-R), and Psychosocial Adjustment to Illness Scale (PAIS-SR). Results: The results showed that an avoidant attachment style was related to difficulties in social relationships and an increase in psychological distress following cancer diagnosis. People who perceive more social support orient to health care more easily than people who perceive less social availability. It was shown that a higher level of perceived social support has a positive impact in adjustment to family relationships and leads to experiencing less psychological distress than in people who perceived less social support. Conclusion: Considering the complicated nature of cancer, a multi-perspective approach should be applied during the treatment process, and it is important to determine the psychosocial factors, and the causal pathways by which they lead to a better adjustment, in developing effective interventions.

Attachment style and perceived social support as predictors of biopsychosocial adjustment to cancer

Social support is associated with a decrease in psychological symptoms and a better quality of life in cancer patients. The aim of this study was to investigate the role of attachment dimensions on social and psychological adjustment to cancer and to explore the social and psychological adjustments, and medical adherence, among patients. Materials and methods: The study was conducted with 68 cancer patients, between 18 and 74 years of age. The measures taken were the Demographic Information Form, Multidimensional Scale of Perceived Social Support (MSPSS), Experiences in Close Relationships-Revised (ECR-R), and Psychosocial Adjustment to Illness Scale (PAIS-SR). Results: The results showed that an avoidant attachment style was related to difficulties in social relationships and an increase in psychological distress following cancer diagnosis. People who perceive more social support orient to health care more easily than people who perceive less social availability. It was shown that a higher level of perceived social support has a positive impact in adjustment to family relationships and leads to experiencing less psychological distress than in people who perceived less social support. Conclusion: Considering the complicated nature of cancer, a multi-perspective approach should be applied during the treatment process, and it is important to determine the psychosocial factors, and the causal pathways by which they lead to a better adjustment, in developing effective interventions.

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  • Carver CS, Smith RG, Antoni MH, Petronis VM, Weiss S, Derhagopian RP. Optimistic personality and psychosocial well-being during treatment predict psychosocial well-being among long-term survivors of breast cancer. Health Psychol 2005; 24: 508–16.
  • Weisman AD. Early diagnosis of vulnerability in cancer patients. Am J Medical Sci 1976; 271: 187–96.
  • Goldberg RJ, Cullen LO. Factors important to psychosocial adjustment to cancer: A review of the evidence. Soc Sci Med 1985; 20: 803–7.
  • Parker PA, Baile WF, DeMoor C, Cohen L. Psychosocial and demographic predictors of quality of life in a large sample of cancer patients. Psychooncology 2003; 12: 183–93.
  • Cohen S. Psychosocial models of the role of social support in the etiology of physical disease. Health Psychol 1988; 7: 269– 97.
  • Courtens AM, Stevens FC, Crebolder HF, Philipsen H. Longitudinal study on quality of life and social support in cancer patients. Cancer Nurs 1996; 19: 162–9.
  • Sammarco A. Perceived social support, uncertainty, and quality of life of younger breast cancer survivors. Cancer Nurs 2001; 24: 212–9.
  • Dahlem NW, Zimet GD, Walker RR. The multidimensional scale of perceived social support: a confirmation study. J Clin Psychol 1991; 47: 756–61.
  • Zimet GD, Powell SS, Farley GK, Werkman S, Berkoff KA. Psychometric characteristics of the multidimensional scale of perceived social support. J Pers Assess 1990; 55: 610–7.
  • Eker D, Arkar H. Perceived social support: psychometric properties of the MSPSS in normal and pathological groups in a developing country. Soc Psychiatry Psychiatr Epidemiol 1995; 30: 121–6.
  • Eker D, Arkar H, Yaldiz H. Generality of support sources and psychometric properties of a scale of perceived social support in Turkey. Soc Psychiatry Psychiatr Epidemiol 2000; 35: 228– 33.
  • Fraley RC, Waller NG, Brennan KA. An item response theory analysis of self-report measures of adult attachment. J Pers Soc Psychol 2000; 78: 350–65.
  • Selçuk E, Günaydın G, Sümer N, Uysal A. A new measure for adult attachment styles: The psychometric evaluation of experiences in close relationships - revised (ECR-R) on a Turkish sample. Turk Psychol Art 2005; 8: 1–11.
  • Derogatis LR. The psychosocial adjustment to illness scale (PAIS). J Psychosom Res 1986; 30: 77–91.
  • Adaylar M. Attitude, adaptation, perception and selfcare tendencies in people who are chronically ill. Master’s Theses, İstanbul University Institute of Health Science, İstanbul, Turkey, 1995.
  • Bartholomew K. Adult attachment processes: individual and couple perspectives. Br J Med Psychol 1997; 70: 249–63.
  • Mikulincer M, Orbach L, Iavnieli D. Adult attachment style and affect regulation: Strategic variations in subjective self- other similarity. J Pers Soc Psychol 1998; 75: 436–48.
  • Mikulincer M, Florian V. The relationship between adult attachment styles and emotional and cognitive reactions to stressful events. In: Simpson J, Rholes S, editors. Attachment theory and close relationships. New York, USA: Guilford Press; 1998. pp. 143–65.
  • Mikulincer M, Orbach I. Attachment styles and repressive defensiveness: The accessibility and architecture of affective memories. J Pers Soc Psychol 1995; 68: 917–25.
  • Helgeson VS, Cohen S. Social support and adjustment to cancer: reconciling descriptive, correlational, and intervention research. Health Psychol 1996; 15: 135–48.
  • DiMatteo MR. Social support and patient adherence to medical treatment: A meta-analysis. Health Psychol 2004; 23: 207–18.
  • Lepore SJ, Evans GW, Schneider ML. Dynamic role of social support in the link between chronic stress and psychological distress. J Pers Soc Psychol 1991; 61: 899–909.
  • Wei M, Russell DW, Mallinckrodt B, Vogel DL. The experiences in close relationship scale (ECR) - short form: reliability, validity, and factor structure. J Pers Assess 2007; 88: 187–204.
Turkish Journal of Medical Sciences-Cover
  • ISSN: 1300-0144
  • Yayın Aralığı: Yılda 6 Sayı
  • Yayıncı: TÜBİTAK
Sayıdaki Diğer Makaleler

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Single port thoracoscopic sympathectomy for primary palmar hyperhidrosis in adolescence

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Factors associated with the Pain Catastrophizing Scale and validation in a sample of the Turkish population

Mustafa SÜREN, İsmail OKAN, Aziz Mehmet GÖKBAKAN, Ziya KAYA, Ünal ERKORKMAZ, Semih ARICI, Serkan KARAMAN, Mürsel KAHVECİ