Gerotranscendence, attitudes towards the future and adherence to treatment in patients with cancer
https://doi.org/10.25016/2782-652X-2022-0-83-29-39
Abstract
Relevance. Increased life expectancy and improved diagnosis contribute to an increase in the number of oncological diseases, which are the second most fatal diseases in the world. An average age at diagnosis is 64.5 years. They lead to severe emotional disturbances, a decrease in the quality of life, thus decreasing treatment effectiveness.
Intention. To study the emotional sphere, gerotranscendence, attitudes towards one’s future and their relationship with adherence to treatment in elderly and senile patients suffering from oncological diseases.
Methodology. Patients of elderly and senile age were examined. The following tests were used: the “Questionnaire of gerotranscendental changes” by O.Yu. Strizhitskaya; “Semantic time differential” by L.I. Wasserman to diagnose the subjective perception of the time of one’s life; the Geriatric Depression Scale (GDS-30); “Russian universal questionnaire for the quantitative assessment of adherence to treatment”.
Results and Discussion. Affective disorders, namely depression manifestations, were revealed in oncological patients aged 76–90 years. The risk group is patients aged 76–90 years with an established oncological diagnosis (the lowest scores on all gerotranscendence scales, low scores on life time perception, low adherence to treatment). Adherence to treatment in cancer patients has stable direct relationships with all components of gerotranscendence and the perception of the magnitude of one’s past time.
Conclusion. Patients aged 76–90 years with oncological diseases are at risk of potentially decreased effectiveness of therapeutic intervention and rehabilitation. Therefore, patients of this age group need psychological support in the rehabilitation process.
About the Author
T. V. Demchenko
First Pavlov State Medical University of St. Petersburg
Russian Federation
Russian Federation
Tatiana Vladimirovna Demchenko – assistant of the Department of General and Clinical psychology
6–8, L’va Tolstogo Str., St. Petersburg, 107002
References
1. Bergfeld A.Yu. Dinamika zhiznennykh tsennostey zhenshchin s onkologicheskim diagnozom: opyt aprobatsii programmy psikhologicheskogo soprovozhdeniya [Dynamics of life values of cancer diagnosed women: testing the program of psychological support]. Zdorov’e i obrazovanie v XXI veke [Online scientific & educational bulletin Zdorove i obrazovanie v XXI veke]. 2019; 21(5):5–10. DOI: 10.26787/nydha-2226-7417-2019-21-5-5-10. (In Russ.)
2. Demchenko T.V., Isaeva E.R. Gerontologicheskie aspekty somaticheskikh zabolevaniy: obzor sovremennogo sostoyaniya issledovaniy [Gerontological aspects of somatic diseases: overview of the current state of research]. Lichnost’ v menyayushchemsya mire: zdorov’e, adaptatsiya, razvitie [Personality in a changing world: health, adaptation, development]. 2020; (4):379–388. DOI: 10.23888/humJ20204379-388. (In Russ.)
3. Zotov P.B., Lyubov E.B. Suitsidal’noe povedenie pri somaticheskikh i nevrologicheskikh boleznyakh [Suicidal behavior in the medical patients]. Tyumenskiy meditsinskiy zhurnal [Tyumen medical journal]. 2017; 19(1):3–24. (In Russ.)
4. Stilidi I.S.,Kotyukova A.Yu., Lyadov V.K. Trevozhnost’ i kognitivnaya disfunktsiya u pozhilykh patsientov s opukholyami bryushnoy polosti [Anxiety and cognitive impairment in elderly patients with gastrointestinal cancers]. Sovremennaya onkologiya [Journal of modern oncology]. 2017; 19(1):61–63. (In Russ.)
5. Strizhitskaya O.Yu. Gerotranstsendentnost’: psikhologicheskoe soderzhanie i teoreticheskie modeli [Gerotranscendence: psychological content and theoretical models]. Vestnik Sankt-Peterburgskogo universiteta. Seriya: Psikhologiya i pedagogika [Vestnik of Saint Petersburg University. Psychology]. 2017; (3):268–280. DOI: 10.21638/11701/spbu16.2017.306. (In Russ.)
6. Strizhitskaya O.Yu. Psikhologiya pozitivnogo stareniya: usloviya, faktory i sotsial’nye effekty gerotranstsendentnosti [Psychology of positive aging: conditions, factors and social effects of gerotranscendence]: Abstract dissertation PhD Med. Sci. St. Petersburg. 2018. 50 p. (In Russ.)
7. Napoles A.M., Ortiz C., O’Bries H. Coping resources and self-rated health among Latina breast cancer survivors. Oncology Nursing Forum. 2011; 38(5):523–531. DOI: 10.1188/11.ONF.523-531
8. Pudrovska T. What makes you stronger: age and cohort differences in personal growth after cancer. Journal of Health and Social Behavior. 2019; 51(N 3):260–273. DOI: 10.1177/0022146510378239.
9. Saracino R.M., Rosenfeld B., Nelson C.J. Towards a new conceptualization of depression in older cancer patients: a review of the literature. Aging and Mental Health. 2016; 20(12):1230–1242. DOI: 10.1080/13607863.2015.1078278.
10. Schroyen S., Missotten P., Jerusalem G. [et al.]. Association between self-perception of aging, view of cancer and health of older patients in oncology: a one-year longitudinal study. BMC Cancer. 2017; 8(1):3–11. DOI: 10.1016/j.jgo.2016.09.001.
11. Siegel R.L., Miller K.D., Jemal A. Cancer statistics. CA: a cancer journal for clinicians. 2020; 70(1):7–30. DOI: 10/3322/caac.21590.
Review
For citations:
Demchenko T.V. Gerotranscendence, attitudes towards the future and adherence to treatment in patients with cancer. Bulletin of psychotherapy. 2022;1(83):29-39. (In Russ.) https://doi.org/10.25016/2782-652X-2022-0-83-29-39
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