Psychosocial Adjustment During the Post-Radiation Treatment Transition
- To describe psychosocial adjustment after radiotherapy in patients with stage I, II, or
III breast, colorectal, lung, or prostate cancer.
- To determine if cognitive appraisal of health predicts psychosocial adjustment of these
patients after radiotherapy.
- To examine whether social support moderates the relationship between cognitive
appraisal of health and psychosocial adjustment of these patients after radiotherapy.
- To examine whether self-efficacy for coping with cancer moderates the relationship
between cognitive appraisal of health and psychosocial adjustment of these patients
- To measure the effect of symptom distress, uncertainty, medical factors, and personal
factors on cognitive appraisal of health of these patients before ending radiotherapy.
OUTLINE: Two weeks before completing planned radiotherapy, patients undergo assessment of
stress appraisal and other factors predictive of post-radiotherapy psychosocial adjustment.
Patients complete psychosocial assessments, including measures of patient perceptions of
their illness (i.e., cognitive appraisal) and of the factors influencing their perceptions
(i.e., uncertainty by the Mishel Uncertainty in Illness Scale-Community Form; symptom
distress by the Memorial Symptom Assessment Scale Short Form; and comorbidity by the
Charlson Comorbidity Index). Measures of patient social support and self-efficacy for coping
are also assessed. At 1 month after completion of radiotherapy, patients undergo repeat
assessment of stress appraisal and psychosocial adjustment.
Observational Model: Cohort, Time Perspective: Prospective
Relationship between stress appraisal (as assessed by CAHS at baseline) and psychosocial adjustment (as assessed by PAIS-SR at 1 month after radiotherapy)
one month after radiotherapy
Barbara Daly, PhD, RN
Case Medical Center, University Hospitals Seidman Cancer Center, Case Comprehensive Cancer Center
United States: Institutional Review Board
|Case Medical Center, University Hospitals Seidman Cancer Center, Case Comprehensive Cancer Center||Cleveland, Ohio 44106-5065|