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Evid Based Nurs 6:88 doi:10.1136/ebn.6.3.88
  • Prognosis

Review: limited evidence exists on the effect of psychological coping styles on cancer survival or recurrence

Association between psychological coping styles and outcomes (survival and recurrence) at 8 weeks to 15 years in patients with cancer

Outcomes Coping style(number of studies) Results
Survival Fighting spirit (10) 2 small studies reported longer survival
Helplessness/hopelessness (12) 2 small studies reported reduced survival
Avoidance (10) No significant associations reported
Denial (5) 1 small study reported reduced survival
Stoic acceptance and fatalism (9) 4 high quality studies reported no association
Anxious or depressive (10) 2 studies reported reduced survival
Active or problem focused (8) 1 study reported longer survival up to 7 years
Emotional factors (eg, suppression) (6) 1 high quality study reported longer survival
Recurrence Fighting spirit (4) 3 small studies reported reduced risk of recurrence
Helplessness/hopelessness (5) Findings were inconsistent
Avoidance or denial (8) 1 small study reported increased risk of recurrence
Stoic acceptance and fatalism (4) 4 studies reported no association
Anxious or depressive (10) No significant associations reported
Active or problem focused (8) No significant associations reported

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