Related Experiment Video
Updated: Jun 7, 2025
06:46
Competing-Risk Nomogram for Predicting Cancer-Specific Survival in Multiple Primary Colorectal Cancer Patients after Surgery
Published on: September 27, 2024
221
Perceived Control as a Potential Protective Factor for Suicidal Thoughts and Behaviors in Cancer Patients and
Judith Hirschmiller1, Jim Schmeckenbecher2,3, Tamara Schwinn1
1Department of Psychosomatic Medicine and Psychotherapy, University Medical Center of the Johannes Gutenberg-University Mainz, Mainz, Germany.
Psycho-Oncology
|November 19, 2024
Summary
Perceived control is crucial for reducing suicidal thoughts in cancer patients. Interventions targeting demoralization and hopelessness may help prevent suicide crises in this population.
Area of Science:
- Oncology
- Psychiatry
- Psychology
Background:
- Cancer patients face an elevated risk of suicidal crises.
- Perceived control, aligned with social-cognitive theories, may act as a protective factor.
- Modifiable aspects of perceived control offer potential for suicide prevention in cancer care.
Purpose of the Study:
- To systematically synthesize evidence on perceived control and its association with suicidal thoughts and behaviors in cancer patients.
- To explore the role of specific facets of perceived control, such as self-efficacy and hopelessness.
- To investigate potential moderators, like cancer stage and cancer-specific distress, in this relationship.
Main Methods:
- Systematic literature search across multiple databases (PubMed, CINAHL, PsycInfo, Web-of-Science, Cochrane) and grey literature.
- Inclusion of 36 studies for narrative review and 25 for meta-analysis, with PROSPERO registration.
- Calculation of pooled effect sizes, moderation, and subgroup analyses to quantify the relationship.
Main Results:
- A significant positive correlation (r=0.45) was found between perceived control facets (demoralization, hopelessness, self-efficacy) and suicidal ideation.
- Demoralization and hopelessness showed a stronger association with suicidal ideation than general self-efficacy.
- Cancer stage did not moderate the relationship, but cancer-specific distress variables were more strongly linked to suicidal ideation.
Conclusions:
- Perceived control plays a critical role in mitigating severe distress and suicidal ideation among cancer patients.
- Interventions focusing on enhancing perceived control, particularly addressing demoralization and hopelessness, are warranted.
- Further research is recommended to refine the understanding of perceived control in a more specific context within cancer care.
Related Concept Videos
01:26Stress Prevention and Stress Management Techniques I
37
Stress prevention and management are crucial for maintaining well-being and building resilience. Techniques to manage stress include cultivating qualities like conscientiousness, a sense of personal control, and self-efficacy. Each of these traits significantly reduces stress and promotes healthier lifestyle choices and outcomes.
Conscientiousness
Conscientious individuals tend to be organized, responsible, and disciplined. They prioritize completing tasks and following structured routines,...
Conscientiousness
Conscientious individuals tend to be organized, responsible, and disciplined. They prioritize completing tasks and following structured routines,...
37
01:21Cancer Survival Analysis
328
Cancer survival analysis focuses on quantifying and interpreting the time from a key starting point, such as diagnosis or the initiation of treatment, to a specific endpoint, such as remission or death. This analysis provides critical insights into treatment effectiveness and factors that influence patient outcomes, helping to shape clinical decisions and guide prognostic evaluations. A cornerstone of oncology research, survival analysis tackles the challenges of skewed, non-normally...
328
01:19Psychoneuroimmunology: Diabetes and Cancer
24
Chronic stress has been linked to both the onset and progression of serious health conditions, including Type 2 diabetes and cancer. Type 2 diabetes, a widespread chronic illness, is closely associated with obesity and insulin resistance, both of which often worsen under stress. Studies indicate that men experiencing high levels of chronic stress face a 45% higher risk of developing diabetes compared to those with minimal stress. Stress triggers physiological responses that elevate blood...
24
02:59Cancer Prevention
6.1K
Several factors can increase the risk of cancer in an individual. About 50% of cancer cases can be prevented by adopting a healthy lifestyle, regular exercise, eating healthy, and following a modest cancer prevention diet. Epidemiological studies have consistently shown that populations with vegetable and fruit-rich diets have reduced the incidence of cancer. On the other hand, populations who have a diet rich in animal fat, red meat, junk food, or high calories are predisposed to cancer.
Some...
Some...
6.1K
02:56Treatment Resistant Cancers
3.3K
Cancer is the second leading cause of death in the United States. A cancer cell is genetically unstable and hence can mutate faster. They can also modify their microenvironment and escape immune surveillance. The difficulties in treating cancer are further compounded by the emergence of rapid resistance to anticancer drugs. The most common ways to attain resistance in cancer cells include alteration in drug transport and metabolism, modification of drug target, elevated DNA damage response, or...
3.3K
01:20Lazarus's Cognitive Appraisal Theory
175
Cognitive psychologist Richard Lazarus proposed the cognitive-mediational theory of emotions, which emphasizes how individuals' assessments of stressors significantly affect their experience of stress. According to Lazarus, the stress response is determined by a two-step appraisal process: primary appraisal and secondary appraisal. These cognitive appraisals help individuals evaluate the potential impact of a stressor and determine the adequacy of their coping resources.
Primary Appraisal:...
Primary Appraisal:...
175