Document Detail


Gender differences in psychosocial responses to lung cancer.
MedLine Citation:
PMID:  20435276     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: Although biologically based sex differences in the smoking patterns, epidemiology, biomedical markers, and survival rates associated with lung cancer are well documented, examinations of psychosocial gender differences are scarce.
OBJECTIVE: This cross-sectional study examined gender differences in psychosocial factors that are important in the medical management of lung cancer.
METHODS: A convenience sample of patients who were attending a multidisciplinary lung cancer treatment center (Markey Cancer Center, Lexington, Kentucky) were invited to complete a psychosocial needs assessment. Eligibility criteria included primary diagnosis of lung cancer, age > or =18 years, and being cognitively intact. Measures focused on psychosocial resources, treatment decision-making, social consequences of treatments, and treatment outcomes. Data were collected between the fall of 2005 and the summer of 2006.
RESULTS: A total of 47 women and 53 men (mean [SD] age, 62.81 [12.01] years; 95% white) completed the needs assessment. Gender was not found to be associated with demographic characteristics, time until diagnosis, treatment, or survival rate. Smoking histories differed significantly in the proportion of women and men who smoked or were former smokers (P = 0.01) as well as the age when they began to smoke (P = 0.02). There were no significant gender differences in social support networks, general coping, information needs, treatment decision satisfaction, functional health, life satisfaction, financial impact, or service needs. However, significant gender differences did indicate that women favored spiritual practices (P = 0.02) and religious coping (P = 0.04), and were more likely to endorse having a life mission (P = 0.03) and being part of a divine plan (P = 0.01).
CONCLUSIONS: Previous research has found that religiousness and spirituality improved depressive symptoms and may ease end-of-life despair. In the present study of patients with lung cancer, gender differences in religiousness and spirituality suggest that this may be especially true for women, and that interventions should be directed toward their religious practices and coping.
Authors:
Joy M Jacobs-Lawson; Mitzi M Schumacher; Travonia Hughes; Susanne Arnold
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Publication Detail:
Type:  Comparative Study; Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Gender medicine     Volume:  7     ISSN:  1878-7398     ISO Abbreviation:  Gend Med     Publication Date:  2010 Apr 
Date Detail:
Created Date:  2010-05-03     Completed Date:  2010-07-23     Revised Date:  2011-01-24    
Medline Journal Info:
Nlm Unique ID:  101225178     Medline TA:  Gend Med     Country:  United States    
Other Details:
Languages:  eng     Pagination:  137-48     Citation Subset:  IM    
Copyright Information:
2010 Excerpta Medica Inc. All rights reserved.
Affiliation:
University of Kentucky, Lexington, 40536-0200, USA. jjaco4@uky.edu <jjaco4@uky.edu>
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MeSH Terms
Descriptor/Qualifier:
Adaptation, Psychological
Attitude to Death
Attitude to Health*
Cross-Sectional Studies
Decision Making
Depression / etiology,  prevention & control
Female
Health Services Needs and Demand
Humans
Kentucky / epidemiology
Lung Neoplasms / complications,  epidemiology,  psychology*,  therapy
Male
Men / psychology*
Middle Aged
Personal Satisfaction
Questionnaires
Religion and Psychology
Sex Factors
Smoking / epidemiology
Social Support
Spirituality
Treatment Outcome
Women / psychology*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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