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Choice of psychological coping in laryngectomized, head and neck squamous cell carcinoma patients versus multiple sclerosis patients

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dc.contributor.author Aarstad, Anne Kari Hersvik eng
dc.contributor.author Lode, Kirsten eng
dc.contributor.author Larsen, Jan Petter eng
dc.contributor.author Bru, Edvin eng
dc.contributor.author Aarstad, Hans Jørgen eng
dc.date.accessioned 2011-03-11T09:12:49Z
dc.date.available 2011-03-11T09:12:49Z
dc.date.issued 2010-11-18 eng
dc.identifier.citation European Archives of Oto-Rhino-Laryngology 1-9 en_US
dc.identifier.issn 0937-4477 eng
dc.identifier.uri http://hdl.handle.net/1956/4566
dc.description.abstract To be treated for cancer must be a frightening experience. Yet quality of life (QoL) of successfully treated cancer patients seems to be relatively similar in comparison with QoL of a general population, with psychological coping partly responsible for this finding. When measuring choice of coping, the nature of coping score levels constituting appropriate scores, and whether score levels rely on the context of the disease has not been settled. We have studied the COPE coping responses as related to disease in successfully treated head and neck squamous cell carcinoma (HNSCC) patient groups (general and laryngectomized), as well as compared to multiple sclerosis (MS) patients. The COPE response patterns have also been compared to the Beck depression inventory (BDI) scores. Age and gender of patients were not directly associated with choice of coping. Within the problem-focused coping indexes, the coping index “active coping” was reported to be most utilized among HNSCC patients, whereas “coping by suppression” and “coping by social support” were most utilized among MS patients. Emotional-focused coping was most prevalent among HNSCC patients and lowest among the MS patients. Level of avoidance coping was similar between the groups. The coping of the general HNSCC patients differed most from the MS patients. An association was shown between increased coping efforts and lowered mood. In particular, avoidance coping was associated with lowered mood. These associations were stronger among the MS patients than HNSCC patients. Drinking to cope was most prevalent among the laryngectomized group, and was correlated with BDI scores in all groups. Furthermore, adequate coping seems to be to limit avoidance coping and promote coping by acceptance. The response pattern of the COPE inventory seems to be valid among HNSCC and MS patients. en_US
dc.language.iso eng eng
dc.publisher Springer eng
dc.rights Attribution-NonCommercial CC BY-NC eng
dc.rights.uri http://creativecommons.org/licenses/by-nc/2.5/ eng
dc.subject Neoplasms eng
dc.subject Head and neck cancer eng
dc.subject Multiple sclerosis eng
dc.subject Psychological coping eng
dc.subject Drinking to cope eng
dc.subject Depression eng
dc.title Choice of psychological coping in laryngectomized, head and neck squamous cell carcinoma patients versus multiple sclerosis patients eng
dc.type Peer reviewed eng
dc.type Journal article eng
dc.subject.nsi VDP::Medical disciplines: 700 eng
dc.rights.holder Copyright The Author(s) 2010. This article is published with open access at Springerlink.com
dc.rights.holder The Author(s) 2010 eng
dc.type.version publishedVersion eng
bora.peerreviewed Peer reviewed eng
bora.cristinID 627300 eng
bibo.doi http://dx.doi.org/10.1007/s00405-010-1417-6 eng
dc.identifier.cristinID 627300 eng
dc.identifier.doi http://dx.doi.org/10.1007/s00405-010-1417-6


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