Volume 27, Issue 3 (7-2024)                   J Arak Uni Med Sci 2024, 27(3): 115-123 | Back to browse issues page


XML Persian Abstract Print


Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:

Mozafari H, Lotfi Kashani F, Vaziri S, Akbari M I. Focal Relationship Analysis of the Contribution of Mental Adaptation to Cancer, Health Literacy, and Perceived Threat in Predicting the Early Diagnosis of Breast Cancer in Patients Treated at Shohadaye Tajrish Hospital in 2023. J Arak Uni Med Sci 2024; 27 (3) :115-123
URL: http://jams.arakmu.ac.ir/article-1-7718-en.html
1- Department of Health Psychology, Islamic Azad University, Roudhen branch, Roudhen, Iran , hadid2122@gmail.com
2- Department of Health Psychology, Islamic Azad University, Roudhen branch, Roudhen, Iran
3- Cancer Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran
Abstract:   (445 Views)
Introduction: The present study was conducted to analyze the focal relationship of the contribution of mental adaptation to cancer, health literacy, and perceived threat in predicting the early diagnosis of breast cancer.
Methods: This study was a descriptive correlational research. The statistical population of the present study included all women with breast cancer under treatment at Shohadaye Tajrish Hospital Cancer Treatment Center in 2023, and 310 people were determined to participate in the research using G*Power software and the available sampling method. They responded to Williams, Templin, and Hines's breast cancer literacy questionnaires, Champion's perceived threat questionnaire, Watson's mental adaptation to cancer and early diagnosis questionnaire. The data were also analyzed using a focal correlation test and multiple regression.
Results: The results showed that there is a significant relationship between the contribution variables of mental adaptation, perceived threat, and health literacy with the components of early cancer diagnosis (knowledge, attitude, and actions) (P ≤ 0.01). Also, the results showed that health literacy was 4.8%, mental compatibility was 3.4 percent and perceived threat 18.7% alone predicted the variance of early diagnosis of breast cancer. The perceived threat share is 38.9%, higher than all other variables.
Conclusions: Based on the statistical results, it can be said that increasing mental adaptability, perceived threat, and health literacy play a role in early disease diagnosis, and the importance of perceived threat is more significant than mental adaptability and health literacy, which should be considered.
Full-Text [PDF 1278 kb]   (152 Downloads)    
Type of Study: Original Atricle | Subject: psychology
Received: 2024/05/20 | Accepted: 2024/06/19

References
1. Khalili S, Tavousi M, Moghaddam Banaem L. Health literacy for women with breast cancer (HELBA): development and psychometric properties [in Persian]. Payesh. 2017;16(3):359-66.
2. Westhoff CL, Pike MC. Hormonal contraception and breast cancer. Contraception. 2018;98(3):171-3. pmid: 30193687 doi: 10.1016/j.contraception.2018.05.002
3. Chalasani P. Breast cancer. Available at: https://emedicine.medscape.com/article/1947145-overview?form=fpf
4. Jamshidifar Z, Mortezaei Shemirani S, Ahramian A, Ahmadi A, Shamsedini Lory S, Moradi-Joo M. The effectiveness of positive psychotherapy on the psychological well-being of breast cancer patients. Ciência eNatura, Santa Maria. 2015;37(Part 1):432-6.
5. Mohaghegh P, Rozbahani N, Vakilian K, Radpour M. Investigating the relationship between perceived social support and health-promoting lifestyle in women participating in the breast cancer early detection program. Middle East Curr Psychiatry 2019;26(4):464-77. doi: 10.1186/s43045-021-00165-x
6. Hirokawa, K, Suzuki, S. Adjustment ability and associated factors of outpatients living with cancer. Nurs Open. 2019;6(2):408-17. pmid: 30918691 doi: 10.1002/nop2.221
7. Brandão T, Tavares R, Schulz MS, Matos PM. Measuring emotion regulation and emotional expression in breast cancer patients: A systematic review. Clin Psychol Rev. 2016; 43:114-27. pmid: 26520599 doi: 10.1016/j.cpr.2015.10.002
8. Patoo M, Allahyari AA, Moradi A R, Payandeh M, Hassani L. Studying the relation between mental adjustment to cancer and health-related quality of life in breast cancer patients. Int J Cancer Manag. 2018;11(7):e8407. doi: 10.5812/ijcm.8407
9. Religion U, Czerw A, Deptała A. Patient mental adjustment to selected types of cancer [in English, Polish]. Psychiatry Pol. 2018;52(1):129-41. pmid: 29704420 doi: 10.12740/PP/OnlineFirst/44732
10. Ching SSY, Martinson IM, Wong TKS. Meaning making: Psychological adjustment to breast cancer by Chinese women. Qual Health Res. 2012;22(2):250-62.‏ pmid: 21911506 doi: 10.1177/1049732311421679
11. Walters R, Leslie SJ, Polson R, Cusack T, Gorely T. Establishing the efficacy of interventions to improve health literacy and health behaviors: a systematic review. BMC Public Health. 2020;20(1):1040. pmid: 32605608 doi: 10.1186/s12889-020-08991-0
12. Borji M, Tarjoman A, Otaghi M, Khodarahmi Z, Ali Sharifi A. The relationship between health literacy and general health status of patients with type II diabetes. Biosc Biotech Res Comm. 2017;10(3). DOI: 10.21786/bbrc/10.2/24
13. Feng GC, Lin Z, Ou W, Su X, Yan Q. A Model-based meta-analysis of willingness to participate in cancer screening. Int J Environ Res Public Health. 2021;18(5):2580. pmid: 33806652 doi: 10.3390/ijerph18052580
14. Alvarado-Little W. Health literacy initiatives and lessons learned within public health agencies. Stud Health Technol Inform. 2020;269:294-302. pmid: 32594004 doi: 10.3233/SHTI200044
15. Livaudais JC, Franco R, Fei K, Bickell NA. Breast cancer treatment decision–making: are we asking too much of patients? J Gen Intern Med 28(5):630-6. pmid: 23229908 doi: 10.1007/s11606-012-2274-3
16. Fernandez DM, Larson JL, Zikmund-Fisher BJ. Associations between health literacy and preventive health behaviors among older adults: findings from the health and retirement study. BMC Public Health. 2016;16:596. doi: 10.1186/s12889-016-3267-7
17. Giroux M, Park J, Kim JE, Choi YK, Lee JC, Kim S, et al. The impact of communication information on the perceived threat of COVID-19 and stockpiling intention. Australasian Marketing Journal. 2024;31(1):60-70. doi: 10.1177/18393349211028670
18. Stoyanova S, Miteva S, Ivantchev N. Perceived threat of COVID-19, self-assessment of physical health and mental resilience. Philos Psychol. 2022;37(2):428-54. doi: 10.1080/09515089.2022.2086456
19. Kim J. Impact of the perceived threat of COVID-19 on variety-seeking. Australasian Marketing Journal. 2020;28(3):108-16. doi: 10.1016/j.ausmj.2020.07.001
20. Williams KP, Templin TN, Hines RD. Answering the call: a tool that measures functional breast cancer literacy. J Health Commun. 2013;18(11):1310-25.‏ pmid: 23905580 doi: 10.1080/10810730.2013.778367
21. Karimi P. Social determinants of breast cancer health behavior in women over 35 years old in Tehran in 2016 [in Persian]. [PhD Thesis]. University of Rehabilitation Sciences and Social Health; 2017.
22. Champion VL. Instrument refinement for breast cancer screening behaviors. Nurs Res. 1993;42(3):139-43. PMID: 8506161
23. Umeh K, Rogan‐Gibson J. Perceptions of threat, benefits, and barriers in breast self‐examination amongst young asymptomatic women. Br J Health Psychol. 2001;6(4):361-72.‏ pmid: 12614510 doi: 10.1348/135910701169269
24. Greer S, Moorey S, Watson M. Patients' adjustment to cancer: the Mental Adjustment to Cancer (MAC) scale vs clinical ratings. J Psychosom Res. 1989;33(3):373-7. pmid: 2795510 doi: 10.1016/0022-3999(89)90027-5
25. Akhigbe AO, Omuemu VO. Knowledge, attitudes, and practice of breast cancer screening among female health workers in a Nigerian urban city. BMC Cancer. 2009;9:203. pmid: 19555506 doi: 10.1186/1471-2407-9-203
26. Baker DW, Gazmararian JA, Sudano J, Patterson M. The association between age and health literacy among elderly persons. J Gerontol B Psychol Sci Soc Sci. 2000;55(6):S368-74. pmid: 11078114 doi: 10.1093/geronb/55.6.s368
27. Goto E, Ishikawa H, Okuhara T, Kiuchi T. Relationship of health literacy with utilization of health-care services in a general Japanese population. Prev Med Rep. 2019;14:100811. pmid: 30815332 doi: 10.1016/j.pmedr.2019.01.015
28. Yılmazel G. Health literacy, mammogram awareness and screening among tertiary hospital women patients. J Canc Educ. 2018;33(1):89-94. pmid: 27236309 doi: 10.1007/s13187-016-1053-y
29. Parker PD, Heiney SP, Friedman DB, Adams SA, Dawson RM. The experience of chemotherapy teaching and readability of chemotherapy educational materials for women with breast cancer. Journal of Cancer Education. 2021;36(1):47-55. pmid: 31392598 DOI: 10.1007/s13187-019-01596-1
30. Khoury T, Chen X, Wang D, Kumar P, Qin M, Liu S, et al. Nomogram to predict the likelihood of upgrade of atypical ductal hyperplasia diagnosed on a core needle biopsy in mammographically detected lesions. Histopathology. 2015;67(1):106-20.‏ pmid: 25529860 doi: 10.1111/his.12635
31. Kickbusch I, Pelikan JM, Apfel F, Tsouros AD‎. Health literacy: The solid facts. Geneva: World Health Organization; 2013.
32. Smith SK, Nutbeam D, McCaffery KJ. Insights into the concept and measurement of health literacy from a study of shared decision-making in a low literacy population. J Health Psychol. 2013;18(8):1011-22. pmid: 23676466 doi: 10.1177/1359105312468192
33. Tojal C, Costa R. Depressive symptoms and mental adjustment in women with breast cancer. Psychooncology. 2014;24(9):1060-5. pmid: 25645194 doi: 10.1002/pon.3765
34. Johansson M, Rydén A, Finizia C. Mental adjustment to cancer and its relation to anxiety, depression, HRQL and survival in patients with laryngeal cancer - A longitudinal study. BMC Cancer. 2011;11:283. pmid: 21718478 doi: 10.1186/1471-2407-11-283
35. Sayılan AA, Doğan MD. Illness perception, perceived social support and quality of life in patients with a diagnosis of cancer. Eur J Cancer Care (Engl). 2020;29(4):e13252. pmid: 32495471 doi: 10.1111/ecc.13252
36. Moore KS, Hemmer CR, Taylor JM, Malcom AR. Nursing professionals’ stress level during coronavirus disease 2019: A looming workforce issue. J Nurse Pract. 2021;17(6):702-6. pmid: 33642956 doi: 10.1016/j.nurpra.2021.02.024
37. Champion VL, Skinner CS. The health belief model. 4th ed. In: Glanz K, Rimer BK, Viswanath K. Editors. Health behavior and health education: Theory, research, and practice. 2008. P. 45-65.

Add your comments about this article : Your username or Email:
CAPTCHA

Send email to the article author


Rights and permissions
Creative Commons License This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

© 2025 CC BY-NC 4.0 | Journal of Arak University of Medical Sciences

Designed & Developed by : Yektaweb