Journal
PSYCHO-ONCOLOGY
Volume 19, Issue 12, Pages 1239-1249Publisher
JOHN WILEY & SONS LTD
DOI: 10.1002/pon.1704
Keywords
fighting spirit; positive attitude; coping; adjustment; cancer; palliative care; terminal illness
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'Fighting spirit' in early-stage cancer comprises optimism about prognosis, a belief that the disease and/or its effects are controllable, and a determination to cope with the situation using various active coping methods. It is associated with better adjustment. In advanced cancer, the usefulness of this coping style is contentious. This systematic review identified eight studies that investigated these qualities in advanced cancer. They provided some evidence that positive attitude and self-efficacy may be associated with better emotional adjustment; active, problem-focused coping appears to be adaptive and avoidant coping maladaptive. However, major methodological flaws make any conclusions highly speculative. Further research in this area using larger samples and longitudinal design is required. Copyright (C) 2010 John Wiley & Sons, Ltd.
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