The adaptive role of perceived control before and after cancer diagnosis: A prospective study |
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| Authors: | Adelita V. Ranchor Jane Wardle Andrew Steptoe Inge Henselmans Johan Ormel Robbert Sanderman |
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| Affiliation: | 1. Department of Health Sciences, Graduate School of Medical Sciences, University Medical Center Groningen, University of Groningen, P. O. Box 196, Ant Deusinglaan 1, 9700 AD, Groningen, Netherlands;2. Department of Epidemiology and Public Health, Health Behaviour Research Centre, University College London, London, United Kingdom;3. Department of Epidemiology and Public Health, University College London, London, United Kingdom;4. Interdisciplinary Center for Psychiatric Epidemiology and Groningen Graduate School Medical Sciences, University Medical Center Groningen, University of Groningen |
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| Abstract: | Cancer is generally considered a low-control situation. Stability of perceptions of control before and after cancer was examined, as well as the adaptive value of maintenance versus relinquishment of control in the psychological adjustment to cancer. This study, conducted in the northern Netherlands, was carried out in a prospective design with four assessment points (one pre-morbid and three post-morbid assessments) involving semi-structured interviews and self-report questionnaires. Ninety-nine newly diagnosed cancer patients all aged over 57 years completed all four assessment points. We found that perceptions of control declined before and after disease, possibly as a consequence of the diagnosis of cancer. Further, maintenance of control after cancer diagnosis was related to lower levels of psychological distress 6 and 12 months after diagnosis. These results suggest that maintenance of perceptions of control is beneficial to the psychological adjustment to cancer. |
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| Keywords: | Perceived control Adaptation Distress Mastery Coping Cancer Prospective study The Netherlands |
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