الفهرس 
AbstractOnly 14 pages are availabe for public view
 |  | from | 267 |  |  |
| | | from | 267 | | |
Abstract
Background: Life threatening chronic illnesses such as cancer is associated with physical, psychosocial and educational challenges. Coping strategies are indeed crucial assessment components in cancer to effectively navigate these challenges and adjust the quality of life.
Aim of the study: To compare some psychosocial factors for cancer patients and control groups. To determine the patients’ satisfaction with the received health care and stigmatization. To identify coping strategies and the association of psychosocial factors with coping for cancer patients.
Research methodology: This is an observational case-control study includes 200 cases of cancer attending Minia Oncology Center age and sex-matched with 200 community-based controls during the period from November 2021 till November 2022.
Results: Almost half of participants are females and the educational level among cases is significantly lower compared to controls. The most common cancers are breast (28.5%) and colon (20.5%). Psychiatric disorders, negative affect and marital dissatisfaction scores are significantly higher among cases compared to controls while social support and positive affect scores are significantly lower among cases. The majority of cases (69.0%) are stigmatized. The overall mean adaptive coping scale is higher among cancer patients (2.38 ± 0.55) with religious is the most utilized adaptive coping style while venting is the most utilized maladaptive coping style. The predictors of adaptive coping with cancer are higher educational level 0.374 (0.257 – 0.491), advanced cancer stage and positive cancer family history while maladaptive coping is significantly affected by positive smoking status 0.129 (0.028 – 0.23) and positive metastasis. About 28% of the total effect of patient satisfaction on adaptive coping is significantly mediated by depression.
Conclusion: A significant positive relation of adaptive coping with marital relationship satisfaction, social support, health services satisfaction and positive affect state while maladaptive coping is significantly associated with high scores of psychiatric disorders, negative affect state and stigma.