Department of Medical Oncology, Hospital Universitario Central of Asturias, IPSA, Oviedo, Spain.
Department of Hematology and Medical Oncology, Hospital Universitario Morales Meseguer, Instituto Murciano de Investigación Biosanitaria (IMIB), UMU, Murcia, Spain.
PLoS One. 2022 Jul 28;17(7):e0269712. doi: 10.1371/journal.pone.0269712. eCollection 2022.
Stoicism has been applied to describe a wide range of behaviors in the face of disease and influences an individual's use of coping strategies. This study tested the relationship between stoicism and social support, optimism, psychological distress, and coping strategies in patients with cancer.
NEOcoping is a multicenter, cross-sectional study. Participants' data were collected using a standardized, self-report form and LSS, MSPSS, Mini-MAC, BSI-18, and LOT-R questionnaires. Linear regression analyses were used to assess the association between stoicism and distress scores in both genders. A total of 932 individuals with non-metastatic, resected cancer were recruited.
Males perceived a higher risk of recurrence and toxicity with adjuvant chemotherapy and obtained higher stoic attitude scores than females. Women scored higher on somatization, depression, and anxiety. Patients with high stoicism scores were older and experienced more maladaptive coping (helplessness, anxious preoccupation), and depression, while those with lower stoicism scores had greater perceived social support, optimism, and positive attitude. In both males and females, stoicism correlated negatively with perceived social support, optimism, and positive attitude, and positively with helplessness, anxious preoccupation, and depression. In men, stoicism was directly and negatively associated with social support and optimism, and positively with anxious preoccupation. In women, stoicism was positively associated. In women, stoicism was directly and negatively associated with social support and positively with age and optimism. Stoicism was directly and positively associated with helplessness.
A stoic attitude was associated with lower social support, reduced optimism, and passive coping strategies (helplessness and anxious preoccupation) in this series of patients with cancer.
坚忍主义被用来描述面对疾病时的广泛行为，并影响个体应对策略的使用。本研究测试了坚忍主义与癌症患者的社会支持、乐观主义、心理困扰和应对策略之间的关系。
NEOcoping 是一项多中心、横断面研究。参与者的数据通过标准化的自我报告表和 LSS、MSPSS、Mini-MAC、BSI-18 和 LOT-R 问卷收集。线性回归分析用于评估两性中坚忍主义与困扰评分之间的关联。共招募了 932 名非转移性、可切除的癌症患者。
男性认为辅助化疗有更高的复发和毒性风险，并且比女性获得更高的坚忍态度评分。女性在躯体化、抑郁和焦虑方面得分较高。高坚忍评分的患者年龄较大，经历更多的适应不良应对（无助、焦虑关注）和抑郁，而低坚忍评分的患者则具有更大的感知社会支持、乐观和积极态度。在男性和女性中，坚忍主义与感知社会支持、乐观和积极态度呈负相关，与无助、焦虑关注和抑郁呈正相关。在男性中，坚忍主义与社会支持和乐观呈直接负相关，与焦虑关注呈正相关。在女性中，坚忍主义与社会支持和乐观呈正相关。在女性中，坚忍主义与社会支持呈直接负相关，与年龄和乐观呈正相关。坚忍主义与无助呈直接正相关。
在这一系列癌症患者中，坚忍主义与较低的社会支持、降低的乐观主义和被动应对策略（无助和焦虑关注）相关。
