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Long-term effects of goal disturbance and adjustment on well-being in cancer patients
PURPOSE: To investigate the impact of personal goal disturbance after cancer diagnosis on well-being over time, and a possible moderating role of goal adjustment tendencies and actual goal adjustment strategies. METHODS: Participants (n = 186) were interviewed three times: within a month, 7 months (...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Springer International Publishing
2015
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4830851/ https://www.ncbi.nlm.nih.gov/pubmed/26446093 http://dx.doi.org/10.1007/s11136-015-1139-8 |
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author | Janse, Moniek Sprangers, Mirjam A. G. Ranchor, Adelita V. Fleer, Joke |
author_facet | Janse, Moniek Sprangers, Mirjam A. G. Ranchor, Adelita V. Fleer, Joke |
author_sort | Janse, Moniek |
collection | PubMed |
description | PURPOSE: To investigate the impact of personal goal disturbance after cancer diagnosis on well-being over time, and a possible moderating role of goal adjustment tendencies and actual goal adjustment strategies. METHODS: Participants (n = 186) were interviewed three times: within a month, 7 months (treatment period), and 18 months (follow-up period) after being diagnosed with colorectal cancer. Participants were asked to freely mention three to ten personal goals. Goal disturbance was assessed by the patients’ ratings of the amount of hindrance experienced in goal achievement. Goal adjustment tendencies were assessed using the Goal Disengagement and Re-engagement Scale and actual goal adjustment (i.e. goal flexibility) by the number of goal adjustment strategies used. Outcome measures were overall quality of life and emotional functioning, assessed with the cancer-specific EORTC QLQ-C30. RESULTS: Hierarchical regression analyses showed that goal disturbance predicted well-being over both the treatment and the follow-up period. Additionally, the negative effect of goal disturbance on well-being was less for patients who scored higher on goal disengagement and not significant for patients who were more flexible in their use of actual goal adjustment strategies. CONCLUSIONS: The present study is the first to test the theoretical assumption that goal adjustment is beneficial after goal disturbance. Whereas these findings need to be confirmed in future research, the possibly beneficial role of goal disengagement and actual goal adjustment strategies can be used for psychological interventions. |
format | Online Article Text |
id | pubmed-4830851 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2015 |
publisher | Springer International Publishing |
record_format | MEDLINE/PubMed |
spelling | pubmed-48308512016-04-22 Long-term effects of goal disturbance and adjustment on well-being in cancer patients Janse, Moniek Sprangers, Mirjam A. G. Ranchor, Adelita V. Fleer, Joke Qual Life Res Article PURPOSE: To investigate the impact of personal goal disturbance after cancer diagnosis on well-being over time, and a possible moderating role of goal adjustment tendencies and actual goal adjustment strategies. METHODS: Participants (n = 186) were interviewed three times: within a month, 7 months (treatment period), and 18 months (follow-up period) after being diagnosed with colorectal cancer. Participants were asked to freely mention three to ten personal goals. Goal disturbance was assessed by the patients’ ratings of the amount of hindrance experienced in goal achievement. Goal adjustment tendencies were assessed using the Goal Disengagement and Re-engagement Scale and actual goal adjustment (i.e. goal flexibility) by the number of goal adjustment strategies used. Outcome measures were overall quality of life and emotional functioning, assessed with the cancer-specific EORTC QLQ-C30. RESULTS: Hierarchical regression analyses showed that goal disturbance predicted well-being over both the treatment and the follow-up period. Additionally, the negative effect of goal disturbance on well-being was less for patients who scored higher on goal disengagement and not significant for patients who were more flexible in their use of actual goal adjustment strategies. CONCLUSIONS: The present study is the first to test the theoretical assumption that goal adjustment is beneficial after goal disturbance. Whereas these findings need to be confirmed in future research, the possibly beneficial role of goal disengagement and actual goal adjustment strategies can be used for psychological interventions. Springer International Publishing 2015-10-07 2016 /pmc/articles/PMC4830851/ /pubmed/26446093 http://dx.doi.org/10.1007/s11136-015-1139-8 Text en © The Author(s) 2015 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. |
spellingShingle | Article Janse, Moniek Sprangers, Mirjam A. G. Ranchor, Adelita V. Fleer, Joke Long-term effects of goal disturbance and adjustment on well-being in cancer patients |
title | Long-term effects of goal disturbance and adjustment on well-being in cancer patients |
title_full | Long-term effects of goal disturbance and adjustment on well-being in cancer patients |
title_fullStr | Long-term effects of goal disturbance and adjustment on well-being in cancer patients |
title_full_unstemmed | Long-term effects of goal disturbance and adjustment on well-being in cancer patients |
title_short | Long-term effects of goal disturbance and adjustment on well-being in cancer patients |
title_sort | long-term effects of goal disturbance and adjustment on well-being in cancer patients |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4830851/ https://www.ncbi.nlm.nih.gov/pubmed/26446093 http://dx.doi.org/10.1007/s11136-015-1139-8 |
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