Relationship of Ambivalence Over Emotional Expression and Cancer-Related Fatigue with Adherence to Treatment in Cancer Patients
The relationship of AEE and CRF with adherence to treatment in cancer patients
Downloads
Background: In addition to the body, cancer affects the mental health of patients and can be associated with significant cognitive-emotional and behavioral effects. Among the vital behavioral factors in cancer patients is adherence to treatment, which is essential due to the length of the treatment process. On the other hand, different styles of expressing emotions and fatigue related to this disease can impact adherence to treatment orders in patients. Therefore, the present research investigates the relationship of ambivalence over emotional expression (AEE) and cancer-related fatigue (CRF) with adherence to treatment in cancer patients.
Methods: The present study was a correlational research. The statistical population included all cancer patients with files in the Iranian Cancer Control Center (MACSA), Isfahan branch. From among them, 206 people (men and women) were selected through convenience sampling. The data collection tools used included the Ambivalence over the Expression of Emotion Questionnaire (AEQ; King and Emmons, 1990), Cancer Fatigue Scale (CFS; Okuyama et al., 2000), and General Adherence Scale (GAS; Hays et al., 1994). The collected data were analyzed using Pearson's correlation and stepwise regression statistical methods in SPSS software.
Results: As the results showed, there was a significant negative relationship between the variable of AEE and treatment adherence (r = -0.184; P < 0.01) and between the variable of CRF and treatment compliance (r = -0.173; P < 0.05). The variables of cancer fatigue and AEE predict a total of 4% of treatment adherence in cancer patients (R2 = 0.048).
Discussion: The conflict in expressing or not expressing emotions the patients experience during the various stages of diagnosis and treatment, and the physical and psychological fatigue associated with the disease can significantly impact adherence to treatment in patients.
Downloads
Abachizadeh K., Keramatinia, A. A. (2016). Anticipating cancer rates of Iran in 2025. Community Health , 3(1), 66-73.
Al Hamid, A., Ghaleb, M., Aljadhey, H., & Aslanpour, Z. (2014). A systematic review of qualitative research on the contributory factors leading to medicine-related problems from the perspectives of adult patients with cardiovascular diseases and diabetes mellitus. BMJ Open., 4(9), e005992. doi:bmjopen-2014-005992 [pii];10.1136/bmjopen-2014-005992 [doi]. Retrieved from PM:25239295.
Alavi, K., Asgharimoghadam, M. A., Rahiminezhad, A., & Farahani, H. (2017). Psychometric properties of ambivalence over emotional expression questionnaire. Research in Psychological Health, 11(1), 74-91.
Amiri, S., Ghasemi Gheshlagh, M., & Abbas Zadeh, Z. (2018). Comparison of emotional structures (Ambivalence and Alexithymia) and personality traits based on brain-behavioral systems in patients and normal individuals. J Shahid Sadoughi Univ Med Sci, 26(1), 16-26.
Arch, J. J., Mitchell, J. L., Genung, S. R., Judd, C. M., Andorsky, D. J., Bricker, J. B. et al. (2021). Randomized trial of acceptance and commitment therapy for anxious cancer survivors in community clinics: Outcomes and moderators. J.Consult.Clin.Psychol., 89(4), 327-340. doi:2021-46305-007 [pii];10.1037/ccp0000630 [doi]. Retrieved from PM:34014694.
Bashiri Nejadian, A., Bayazi, M. h., Joharifard, R., & Rajaei, A. (2021). Relationship between ambivalence over emotional expression and depression with adherence treatment in cancer patients. Stud Med Sci, 32(3), 196-205.
Darandegan, K. (2015). The comparison of personality characteristics and ambivalence overemotional expressiveness in patients with gastrointestinal cancer and non-patient group. Iran J Surg, 23(1), 55-62.
Haghighat, S., Montazeri, A., Akbari, M. E., Holakouei Naeini, K., & Rahimi, A. (2008). Predictors of fatigue in patients with breast cancer. Iran J Breast Dis, 1(1), 17-24.
Hays, R. D., Kravitz, R. L., Mazel, R. M., Sherbourne, C. D., DiMatteo, M. R., Rogers, W. H. et al. (1994). The impact of patient adherence on health outcomes for patients with chronic disease in the Medical Outcomes Study. J Behav.Med, 17(4), 347-360. doi:10.1007/BF01858007 [doi]. Retrieved from PM:7966257.
Jacobs, J. M., Ream, M. E., Pensak, N., Nisotel, L. E., Fishbein, J. N., MacDonald, J. J. et al. (2019). Patient experiences with oral chemotherapy: adherence, symptoms, and quality of life. J Natl.Compr.Canc.Netw., 17(3), 221-228. doi:jnccn18136 [pii];10.6004/jnccn.2018.7098 [doi]. Retrieved from PM:30865917.
Ji, L. L., Tsai, W., Sun, X. L., Lu, Q., Wang, H. D., Wang, L. J. et al. (2019). The detrimental effects of ambivalence over emotional expression on well-being among Mainland Chinese breast cancer patients: Mediating role of perceived social support. Psychooncology., 28(5), 1142-1148. doi:10.1002/pon.5069 [doi]. Retrieved from PM:30903676.
King, L. A., & Emmons, R. A. (1990). Conflict over emotional expression: Psychological and physical correlates. J Pers.Soc.Psychol., 58(5), 864-877. doi:10.1037//0022-3514.58.5.864 [doi]. Retrieved from PM:2348373.
Kneeland, E. T., Dovidio, J. F., Joormann, J., & Clark, M. S. (2016). Emotion malleability beliefs, emotion regulation, and psychopathology: Integrating affective and clinical science. Clin.Psychol.Rev., 45, 81-88. doi:S0272-7358(15)30114-8 [pii];10.1016/j.cpr.2016.03.008 [doi]. Retrieved from PM:27086086.
Nadrian, H., Hosseini, N. Y., Basiri, Z., & Tahamoli, R. A. (2019). Development and psychometric properties of a self-care behaviors scale (SCBS) among patients with rheumatoid arthritis. BMC.Rheumatol., 3, 4. doi:69 [pii];10.1186/s41927-019-0069-4 [doi]. Retrieved from PM:31245787.
Oh, C. M., Lee, D., Kong, H. J., Lee, S., Won, Y. J., Jung, K. W. et al. (2020). Causes of death among cancer patients in the era of cancer survivorship in Korea: Attention to the suicide and cardiovascular mortality. Cancer Med, 9(5), 1741-1752. doi:CAM42813 [pii];10.1002/cam4.2813 [doi]. Retrieved from PM:31960609.
Okuyama, T., Akechi, T., Kugaya, A., Okamura, H., Shima, Y., Maruguchi, M. et al. (2000). Development and validation of the cancer fatigue scale: a brief, three-dimensional, self-rating scale for assessment of fatigue in cancer patients. J Pain.Symptom.Manage., 19(1), 5-14. doi:S0885-3924(99)00138-4 [pii];10.1016/s0885-3924(99)00138-4 [doi]. Retrieved from PM:10687321.
Ramesh, S., Ghazian, M., Rafiepoor, A., & Safari, A. R. (2018). The Mediator Role of Depression and Anxiety in the Relationship between Cognitive Emotional Regulation and Self-care in Type 2 Diabetes. umsha-psj, 16(4), 37-45. doi:10.21859/psj.16.4.37 [doi].
Schottker, B., Kuznia, S., Laetsch, D. C., Czock, D., Kopp-Schneider, A., Caspari, R. et al. (2020). Protocol of the VICTORIA study: personalized vitamin D supplementation for reducing or preventing fatigue and enhancing quality of life of patients with colorectal tumor - randomized intervention trial. BMC.Cancer, 20(1), 739. doi:10.1186/s12885-020-07219-z [pii];7219 [pii];10.1186/s12885-020-07219-z [doi]. Retrieved from PM:32770972.
Seyedtabaee, R., Rahmatinejad, P., Mohammadi, S., & Etemad, A. (2017). The role of coping strategies and cognitive emotion regulation in well-being of patients with cancer. Journal of Inflammatory Diseases, 21(2), 41-49.
Shariati, F. (2021). The structural effect of disease characteristics and treatment factors on cognitive function in breast cancer patients: the mediating role of cancer-related fatigue and psychological disturbance[MSc Thesis]. Semnan, Iran: Semnan University, New Sciences and Technologies Campus, Department of Cognitive Sciences.
Shun, S. C., Beck, S. L., Pett, M. A., & Berry, P. H. (2006). Psychometric testing of three Chinese fatigue instruments in Taiwan. J Pain.Symptom.Manage., 32(2), 155-167. doi:S0885-3924(06)00322-8 [pii];10.1016/j.jpainsymman.2006.02.011 [doi]. Retrieved from PM:16877183.
Tabatabaeinejad, F., Golparvar, M., & Aghaei, A. (2019). The effect of positive mindfulness therapy, mindfulness based cognitive therapy and cognitive-behavioral therapy on aggression and mood states of female students with depression. J Res Behav Sci, 16(3), 285-298. doi:10.52547/rbs.16.3.285 [doi].
Tabibzadeh, F., soleimani, E., & Ghorban Shiroodi, s. (2022). Effectiveness of emotional schema therapy on cancer related fatigue and self-care behaviors in patients with breast cancer. Sci J Kurdistan Univ Med Sci, 27(2), 113-127. doi:10.52547/sjku.27.2.113 [doi].
Te Paske R., Vervloet, M., Linn, A. J., Brabers, A. E. M., van Boven, J. F. M., & van, Djik. L. (2023). The impact of trust in healthcare and medication, and beliefs about medication on medication adherence in a Dutch medication-using population. J Psychosom.Res, 174, 111472. doi:S0022-3999(23)00329-X [pii];10.1016/j.jpsychores.2023.111472 [doi]. Retrieved from PM:37741115.
Vorobiof, D. A., Malki, E., Deutsch, I., & Bivasbenita, M. (2018). Fatigue prevalence and adherence to treatment: A real-world data survey and mathematical model application. Annals of Oncology, 29, viii631. doi: 10.1093/annonc/mdy300.090 [doi].
Wandell, P., Ljunggren, G., Wahlstrom, L., & Carlsson, A. C. (2014). Diabetes and psychiatric illness in the total population of Stockholm. J Psychosom.Res, 77(3), 169-173. doi:S0022-3999(14)00246-3 [pii];10.1016/j.jpsychores.2014.06.012 [doi]. Retrieved from PM:25149026.
Warwick, D. P., & Lininger, C. A. (1975). The sample survey: Theory and practice. New York, NY: McGraw-Hill.
Weis, J., & Horneber, M. (2015). Definition and prevalence of cancer-related fatigue. In J. Weis & M. Horneber (Eds.), Cancer-related fatigue (pp. 1-10). Tarporley, UK: Springer Healthcare Ltd.
Zarani, F., Zamani, R., Besharat, M. A., Ehsan, H. B., Rahiminejad, A., & Sadeghian, S. (2010). Effectiveness of the information-motivation-behavioral skills model in the adherence rate of coronary artery bypass grafting patients. Psychological Research, 12(3-4), 24-43.
Copyright (c) 2024 International Journal of Body, Mind and Culture
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
