The relationship between acceptance of cancer and distress

A meta-analytic review

Ekin Secinti, Danielle B. Tometich, Shelley Johns, Catherine E. Mosher

Research output: Contribution to journalReview article

Abstract

Acceptance of cancer has long been recognized as playing a critical role in psychological adjustment to the illness, but its associations with distress outcomes have not been quantitatively reviewed. Informed by coping theory and third wave conceptualizations of acceptance, we first propose an integrated model of acceptance of cancer. Then we examine the strength of the relationships between acceptance of cancer and general and cancer-specific distress in cancer patients and potential moderators of these relationships. CINAHL, Embase, MEDLINE, PsycINFO, PsycARTICLES, and Web of Science databases were searched. Random-effects meta-analyses were conducted on 78 records (N = 15,448). Small-to-moderate, negative, and significant relationships were found between acceptance of cancer and general distress (r = −0.31; 95% CI: −0.36 to −0.26, k = 75); cancer-specific distress (r = −0.18; 95% CI: −0.21 to −0.14, k = 13); depressive symptoms (r = −0.25; 95% CI: −0.31 to −0.19, k = 41); and anxiety symptoms (r = −0.22; 95% CI: −0.30 to −0.15, k = 29). Age, marital status, and stage of cancer were identified as significant moderators. Findings suggest that acceptance of cancer may be important to target in interventions to reduce general and cancer-specific distress in cancer patients. Future research should focus on developing multifaceted measures of acceptance and identifying theory-based psychological and social processes that lead to greater acceptance.

Original languageEnglish (US)
Pages (from-to)27-38
Number of pages12
JournalClinical Psychology Review
Volume71
DOIs
StatePublished - Jul 1 2019

Fingerprint

Neoplasms
Psychological Theory
Marital Status
MEDLINE
Meta-Analysis
Anxiety
Databases
Depression

Keywords

  • Acceptance
  • Anxiety
  • Cancer
  • Depressive symptoms
  • Meta-analysis
  • Psychological distress

ASJC Scopus subject areas

  • Clinical Psychology
  • Psychiatry and Mental health

Cite this

The relationship between acceptance of cancer and distress : A meta-analytic review. / Secinti, Ekin; Tometich, Danielle B.; Johns, Shelley; Mosher, Catherine E.

In: Clinical Psychology Review, Vol. 71, 01.07.2019, p. 27-38.

Research output: Contribution to journalReview article

Secinti, Ekin ; Tometich, Danielle B. ; Johns, Shelley ; Mosher, Catherine E. / The relationship between acceptance of cancer and distress : A meta-analytic review. In: Clinical Psychology Review. 2019 ; Vol. 71. pp. 27-38.
@article{2b0410e60d724c9bba2dede32354d4fd,
title = "The relationship between acceptance of cancer and distress: A meta-analytic review",
abstract = "Acceptance of cancer has long been recognized as playing a critical role in psychological adjustment to the illness, but its associations with distress outcomes have not been quantitatively reviewed. Informed by coping theory and third wave conceptualizations of acceptance, we first propose an integrated model of acceptance of cancer. Then we examine the strength of the relationships between acceptance of cancer and general and cancer-specific distress in cancer patients and potential moderators of these relationships. CINAHL, Embase, MEDLINE, PsycINFO, PsycARTICLES, and Web of Science databases were searched. Random-effects meta-analyses were conducted on 78 records (N = 15,448). Small-to-moderate, negative, and significant relationships were found between acceptance of cancer and general distress (r = −0.31; 95{\%} CI: −0.36 to −0.26, k = 75); cancer-specific distress (r = −0.18; 95{\%} CI: −0.21 to −0.14, k = 13); depressive symptoms (r = −0.25; 95{\%} CI: −0.31 to −0.19, k = 41); and anxiety symptoms (r = −0.22; 95{\%} CI: −0.30 to −0.15, k = 29). Age, marital status, and stage of cancer were identified as significant moderators. Findings suggest that acceptance of cancer may be important to target in interventions to reduce general and cancer-specific distress in cancer patients. Future research should focus on developing multifaceted measures of acceptance and identifying theory-based psychological and social processes that lead to greater acceptance.",
keywords = "Acceptance, Anxiety, Cancer, Depressive symptoms, Meta-analysis, Psychological distress",
author = "Ekin Secinti and Tometich, {Danielle B.} and Shelley Johns and Mosher, {Catherine E.}",
year = "2019",
month = "7",
day = "1",
doi = "10.1016/j.cpr.2019.05.001",
language = "English (US)",
volume = "71",
pages = "27--38",
journal = "Clinical Psychology Review",
issn = "0272-7358",
publisher = "Elsevier Inc.",

}

TY - JOUR

T1 - The relationship between acceptance of cancer and distress

T2 - A meta-analytic review

AU - Secinti, Ekin

AU - Tometich, Danielle B.

AU - Johns, Shelley

AU - Mosher, Catherine E.

PY - 2019/7/1

Y1 - 2019/7/1

N2 - Acceptance of cancer has long been recognized as playing a critical role in psychological adjustment to the illness, but its associations with distress outcomes have not been quantitatively reviewed. Informed by coping theory and third wave conceptualizations of acceptance, we first propose an integrated model of acceptance of cancer. Then we examine the strength of the relationships between acceptance of cancer and general and cancer-specific distress in cancer patients and potential moderators of these relationships. CINAHL, Embase, MEDLINE, PsycINFO, PsycARTICLES, and Web of Science databases were searched. Random-effects meta-analyses were conducted on 78 records (N = 15,448). Small-to-moderate, negative, and significant relationships were found between acceptance of cancer and general distress (r = −0.31; 95% CI: −0.36 to −0.26, k = 75); cancer-specific distress (r = −0.18; 95% CI: −0.21 to −0.14, k = 13); depressive symptoms (r = −0.25; 95% CI: −0.31 to −0.19, k = 41); and anxiety symptoms (r = −0.22; 95% CI: −0.30 to −0.15, k = 29). Age, marital status, and stage of cancer were identified as significant moderators. Findings suggest that acceptance of cancer may be important to target in interventions to reduce general and cancer-specific distress in cancer patients. Future research should focus on developing multifaceted measures of acceptance and identifying theory-based psychological and social processes that lead to greater acceptance.

AB - Acceptance of cancer has long been recognized as playing a critical role in psychological adjustment to the illness, but its associations with distress outcomes have not been quantitatively reviewed. Informed by coping theory and third wave conceptualizations of acceptance, we first propose an integrated model of acceptance of cancer. Then we examine the strength of the relationships between acceptance of cancer and general and cancer-specific distress in cancer patients and potential moderators of these relationships. CINAHL, Embase, MEDLINE, PsycINFO, PsycARTICLES, and Web of Science databases were searched. Random-effects meta-analyses were conducted on 78 records (N = 15,448). Small-to-moderate, negative, and significant relationships were found between acceptance of cancer and general distress (r = −0.31; 95% CI: −0.36 to −0.26, k = 75); cancer-specific distress (r = −0.18; 95% CI: −0.21 to −0.14, k = 13); depressive symptoms (r = −0.25; 95% CI: −0.31 to −0.19, k = 41); and anxiety symptoms (r = −0.22; 95% CI: −0.30 to −0.15, k = 29). Age, marital status, and stage of cancer were identified as significant moderators. Findings suggest that acceptance of cancer may be important to target in interventions to reduce general and cancer-specific distress in cancer patients. Future research should focus on developing multifaceted measures of acceptance and identifying theory-based psychological and social processes that lead to greater acceptance.

KW - Acceptance

KW - Anxiety

KW - Cancer

KW - Depressive symptoms

KW - Meta-analysis

KW - Psychological distress

UR - http://www.scopus.com/inward/record.url?scp=85065252818&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85065252818&partnerID=8YFLogxK

U2 - 10.1016/j.cpr.2019.05.001

DO - 10.1016/j.cpr.2019.05.001

M3 - Review article

VL - 71

SP - 27

EP - 38

JO - Clinical Psychology Review

JF - Clinical Psychology Review

SN - 0272-7358

ER -