Posttraumatic Growth and Coping Strategies Among Patients With Head and Neck Cancer: Do Approach Coping and Avoidant...

Area of Science:

• Oncology
• Psychology
• Longitudinal Studies

Background:

• Limited research exists on how coping strategies influence posttraumatic growth (PTG) in head and neck cancer (HNC) patients over time.
• Understanding these dynamics is crucial for developing effective supportive care strategies for HNC survivors.

Purpose of the Study:

• To investigate the longitudinal trends of PTG and coping strategies in HNC patients.
• To determine the association between specific coping mechanisms and PTG over a 5-7 month period.
• To identify which coping strategies positively or negatively impact PTG in this population.

Main Methods:

• A longitudinal study involving 200 HNC patients within the first year post-diagnosis.
• Utilized Malay versions of the Posttraumatic Growth Inventory-Short Form (PTGI-SF) and the Brief Coping Orientation to Problems Experienced Inventory (Brief COPE).
• Data collected at baseline and 5-7 month follow-up, controlling for socio-demographic and clinical factors.

Main Results:

• HNC patients showed an increasing trend in PTG and approach coping (active coping, planning, positive reframing, acceptance, emotional support, instrumental support).
• Avoidant coping strategies (self-distraction, denial) showed a decreasing trend over time.
• Acceptance and planning significantly increased PTG, while denial significantly decreased PTG.

Conclusions:

• Psychosocial interventions should aim to enhance approach coping strategies like acceptance and planning in HNC patients.
• Reducing avoidant coping strategies, particularly denial, is essential for fostering PTG.
• Integrating these tailored interventions into HNC treatment plans can improve patient outcomes and well-being.