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Coping Styles and Life Satisfaction in Palliative Care
Rajat Garg1, Vinay Chauhan1, B Sabreen1
1Department of Psychiatry, Armed Forces Medical College, Pune, Maharashtra, India.
Indian Journal of Palliative Care
|November 10, 2018
Summary
Problem-focused coping strategies, including religious coping and acceptance, significantly enhance life satisfaction in terminally ill cancer patients. Training in these methods can improve patient well-being and perceived control during palliative care.
Area of Science:
- Palliative Care Research
- Oncology
- Psychosocial Oncology
Background:
- Palliative care patients often experience unmet needs and suboptimal interventions, impacting their quality of life.
- Limited access to palliative care exacerbates suffering among terminally ill cancer patients.
- Identifying effective coping mechanisms is crucial for improving life satisfaction in this population.
Purpose of the Study:
- To identify effective coping strategies that contribute to life satisfaction among terminally ill cancer patients.
- To explore the relationship between various coping mechanisms and overall life satisfaction in palliative care settings.
Main Methods:
- Observational, cross-sectional study involving terminally ill cancer patients undergoing palliative care (aged 18+).
- Exclusion criteria included cognitive deficits, delirium, or psychosis.
- Data collected using the COPE scale, Temporal Satisfaction with Life Scale, and sociodemographic Performa; analyzed with Pearson's r correlation and multiple linear regression.
Main Results:
- Religious coping and acceptance were the most utilized strategies.
- Females employed more problem-focused and religious coping; males used more emotion-focused and avoidant coping.
- Problem-focused coping (religious coping, acceptance), income, and social support positively correlated with quality of life; denial, substance use, and venting negatively correlated with life satisfaction.
Conclusions:
- Problem-focused coping strategies, specifically religious coping and acceptance, are more effective in enhancing life satisfaction.
- Instruction in problem-focused coping techniques can empower palliative care patients.
- Training in these strategies may improve patients' sense of control over their illness trajectory and overall well-being.
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