Social network, autonomy, and adherence correlates of future time perspective in patients with head and neck cancer
| Autor: | Lauri Wessel, Nina Knoll, Linda Baldensperger, Amelie U. Wiedemann, Ulrich Keilholz |
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| Rok vydání: | 2017 |
| Předmět: |
Adult
Male media_common.quotation_subject Experimental and Cognitive Psychology Disease Structural equation modeling Social Networking 03 medical and health sciences 0302 clinical medicine Germany Surveys and Questionnaires Humans 030212 general & internal medicine Cognitive skill Disease management (health) media_common Aged Aged 80 and over Social network Socioemotional selectivity theory business.industry Cognition Middle Aged Models Theoretical Treatment Adherence and Compliance Psychiatry and Mental health Oncology Head and Neck Neoplasms 030220 oncology & carcinogenesis Personal Autonomy Time Perception Female business Psychology Autonomy Clinical psychology |
| Zdroj: | Psycho-oncology. 27(6) |
| ISSN: | 1099-1611 |
| Popis: | Objective Socioemotional selectivity theory proposes that, with more limited future time perspective (FTP), the meaning of individual life goals shifts from instrumental and long-term goals, such as autonomy, to emotionally meaningful and short-term life goals, especially concerning meaningful social relationships. Adverse side effects of cancer therapy may conflict with the realization of emotionally meaningful goals leading to nonadherence. In line with the theoretical assumptions, this study aimed to investigate (a) associations among disease symptoms, physical and cognitive limitations, and FTP and (b) among FTP, family network size, striving for autonomy, and treatment adherence. Method One hundred fifty-seven patients (43-90 years; 75% male) with head and/or neck cancer of a German University Medical Centre completed a questionnaire measuring FTP, age, disease symptoms, physical and cognitive functioning, family network size, and treatment adherence. Autonomy was assessed with a card sort task. Results A structural equation model yielded an acceptable fit χ2 (28) = 44.41, P = .025, χ2 /df = 1.59, root mean square error of approximation = 0.06 (90% CI = 0.02, 0.09), Tucker-Lewis Index = 0.92, and Comparative Fit Index = 0.96. An increased level of disease symptoms and physical and cognitive limitations was related to a shorter subjective FTP. Furthermore, individuals with a limited FTP reported a smaller family network, a lowered quest for autonomy, and lower treatment adherence. Conclusions Hypotheses derived from socioemotional selectivity theory were supported by the data. Longitudinal investigations should follow to corroborate findings and to focus on underlying mechanisms as improving patients FTP may play a crucial role in future disease management programs. |
| Databáze: | OpenAIRE |
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