Subtypes of psychosocial adjustment to breast cancer
By means of cluster analytic techniques, four subtypes of psychosocial adjustment were identified in a sample of 122 breast cancer patients who completed the Psychosocial Adjustment to Illness Scale. Internal consistency and internal validity of the derived typology were suggested by the finding tha...
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| Veröffentlicht in: | Journal of behavioral medicine 1994-04, Vol.17 (2), p.127-141 |
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| container_end_page | 141 |
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| container_issue | 2 |
| container_start_page | 127 |
| container_title | Journal of behavioral medicine |
| container_volume | 17 |
| creator | NELSON, D. V FRIEDMAN, L. C BAER, P. E LANE, M SMITH, F. E |
| description | By means of cluster analytic techniques, four subtypes of psychosocial adjustment were identified in a sample of 122 breast cancer patients who completed the Psychosocial Adjustment to Illness Scale. Internal consistency and internal validity of the derived typology were suggested by the finding that two different hierarchical agglomerative clustering methods (average linkage between groups, Ward's) produced similar solutions. Three of the derived subtypes reported normal affect levels but different patterns of relative strengths and dysfunctions, while the fourth subtype appeared to be highly distressed and globally maladjusted. External validation was demonstrated by differentiating the subtypes on variables of negative affect, avoidance coping, and fighting spirit. The clinical and heuristic implications of these findings are discussed. The findings highlight the need for comprehensive assessment of psychosocial functioning of cancer patients. They demonstrate that even non-emotionally distressed patients can have very different profiles of adjustment and may benefit from correspondingly individually tailored psychosocial interventions. |
| doi_str_mv | 10.1007/BF01858101 |
| format | Article |
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The clinical and heuristic implications of these findings are discussed. The findings highlight the need for comprehensive assessment of psychosocial functioning of cancer patients. They demonstrate that even non-emotionally distressed patients can have very different profiles of adjustment and may benefit from correspondingly individually tailored psychosocial interventions.</description><identifier>ISSN: 0160-7715</identifier><identifier>EISSN: 1573-3521</identifier><identifier>DOI: 10.1007/BF01858101</identifier><identifier>PMID: 8035448</identifier><identifier>CODEN: JBMEDD</identifier><language>eng</language><publisher>New York, NY: Springer</publisher><subject>Adaptation, Psychological ; Adjustment ; Biological and medical sciences ; Breast Neoplasms - psychology ; Cancer ; Defense Mechanisms ; Female ; Females ; Follow-Up Studies ; Fundamental and applied biological sciences. Psychology ; Houston, Texas ; Humans ; Illness and personality ; Illness, stress and coping ; Middle Aged ; Personality Inventory - statistics & numerical data ; Psychology and medicine ; Psychology. Psychoanalysis. Psychiatry ; Psychology. 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V</creatorcontrib><creatorcontrib>FRIEDMAN, L. C</creatorcontrib><creatorcontrib>BAER, P. E</creatorcontrib><creatorcontrib>LANE, M</creatorcontrib><creatorcontrib>SMITH, F. E</creatorcontrib><title>Subtypes of psychosocial adjustment to breast cancer</title><title>Journal of behavioral medicine</title><addtitle>J Behav Med</addtitle><description>By means of cluster analytic techniques, four subtypes of psychosocial adjustment were identified in a sample of 122 breast cancer patients who completed the Psychosocial Adjustment to Illness Scale. Internal consistency and internal validity of the derived typology were suggested by the finding that two different hierarchical agglomerative clustering methods (average linkage between groups, Ward's) produced similar solutions. Three of the derived subtypes reported normal affect levels but different patterns of relative strengths and dysfunctions, while the fourth subtype appeared to be highly distressed and globally maladjusted. External validation was demonstrated by differentiating the subtypes on variables of negative affect, avoidance coping, and fighting spirit. The clinical and heuristic implications of these findings are discussed. The findings highlight the need for comprehensive assessment of psychosocial functioning of cancer patients. They demonstrate that even non-emotionally distressed patients can have very different profiles of adjustment and may benefit from correspondingly individually tailored psychosocial interventions.</description><subject>Adaptation, Psychological</subject><subject>Adjustment</subject><subject>Biological and medical sciences</subject><subject>Breast Neoplasms - psychology</subject><subject>Cancer</subject><subject>Defense Mechanisms</subject><subject>Female</subject><subject>Females</subject><subject>Follow-Up Studies</subject><subject>Fundamental and applied biological sciences. 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Psychophysiology</topic><topic>Psychometrics</topic><topic>Psychosocial Factors</topic><topic>Quality of Life</topic><topic>Reproducibility of Results</topic><topic>Sick Role</topic><topic>Social Adjustment</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>NELSON, D. V</creatorcontrib><creatorcontrib>FRIEDMAN, L. C</creatorcontrib><creatorcontrib>BAER, P. E</creatorcontrib><creatorcontrib>LANE, M</creatorcontrib><creatorcontrib>SMITH, F. 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| ispartof | Journal of behavioral medicine, 1994-04, Vol.17 (2), p.127-141 |
| issn | 0160-7715 1573-3521 |
| language | eng |
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| source | MEDLINE; Sociological Abstracts; SpringerLink Journals - AutoHoldings |
| subjects | Adaptation, Psychological Adjustment Biological and medical sciences Breast Neoplasms - psychology Cancer Defense Mechanisms Female Females Follow-Up Studies Fundamental and applied biological sciences. Psychology Houston, Texas Humans Illness and personality Illness, stress and coping Middle Aged Personality Inventory - statistics & numerical data Psychology and medicine Psychology. Psychoanalysis. Psychiatry Psychology. Psychophysiology Psychometrics Psychosocial Factors Quality of Life Reproducibility of Results Sick Role Social Adjustment |
| title | Subtypes of psychosocial adjustment to breast cancer |
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