Gynecologic cancer as crisis: Predictors of adjustment

 
 
 
 

Gynecologic cancer as crisis: Predictors of adjustment

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dc.contributor.advisor Wykle, May H. en_US
dc.contributor.author Keane, Sarah McDermott en_US
dc.date.accessioned 2008-07-10T15:00:19Z
dc.date.available 2008-07-10T15:00:19Z
dc.date.created 1990 en_US
dc.date.issued 2008-07-10T15:00:19Z
dc.identifier.uri http://rave.ohiolink.edu/etdc/view?acc_num=case1055187590 en_US
dc.identifier.uri http://hdl.handle.net/2374.OX/17308
dc.description This exploratory prospective study examined adjustment and life satisfaction for 91 newly diagnosed gynecologic cancer patients within two months and four months after diagnosis. Subjects rated a series of items on standardized questionnaires which included a Symptom Distress Scale by McCorkle and Young, the Index of Sex Role Orientation, the Multidimensional Health Locus of Control Scale, the Purpose in Life Scale, Derogatis' Psychosocial Adjustment to Illness Scale, and Cantril's Self-Anchoring Scale. Selected sociodemographic and illness-related data were also used. Results were consistent with Fitzpatrick's (1983) theoretical model that acknowledges the multidimensional process of adjustment to life crises. There was a statistically significant improvement in total adjustment over time. No difference in mean adjustment between those with cervical, endometrial, ovarian or other gynecologic cancers was found. Women's present life satisfaction did not improve significantly over time. Results indicated significant positive relationships between psychosocial adjustment and present life satisfaction and the predictor variables (age, role orientation, health locus of control, purpose in life, cancer site, cancer stage, and symptom distress). Purpose in life and symptom distress were both significant predict ors of total adjustment. Purpose in life was the main significant predictor of present life satisfaction. Study data provide further evidence that the majority of patients with cancer adjust successfully. Three factors, purpose in life, symptom distress, and stage of disease, that may be amenable to intervention were identified. en_US
dc.format application/pdf en_US
dc.format 158p. en_US
dc.rights unrestricted en_US
dc.rights Copyright and permissions information available at the source archive en_US
dc.subject Gynecologic cancer crisis Predictors adjustment en_US
dc.title Gynecologic cancer as crisis: Predictors of adjustment en_US
dc.type Electronic Thesis or Dissertation en_US
dc.degree.name PhD en_US
dc.degree.level doctoral en_US
dc.degree.discipline Nursing en_US
dc.degree.grantor Case Western Reserve University en_US
dc.contributor.publisher Case Western Reserve University / OhioLINK en_US

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