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Anuja Sarode Dissertation 4-24.pdf (803.87 KB)

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THE RELATIONSHIP BETWEEN PSYCHIATRIC OUTCOMES, POST-TRAUMATIC GROWTH, AND COPING STRATEGY AMONG COLORECTAL CANCER SURVIVORS

Sarode, Anuja
http://rave.ohiolink.edu/etdc/view?acc_num=kent1713985858839774

Abstract Details

2024, PHD, Kent State University, College of Public Health.
This study focused on evaluating the patient-reported psychological outcomes (PRPOs), including anxiety, depression, cancer-related post-traumatic stress disorder symptoms (CR-PTSD), fear of cancer recurrence (FCR), and post-traumatic growth (PTG), among surgically treated colorectal cancer (CRC) patients. Additionally, this study examined the association between coping strategies and these PRPOs. The research involved 23 CRC patients undergoing curative surgery. With the exception of FCR, which was measured only post-surgery, the study conducted assessments of all PRPOs and coping strategies at two crucial points: before and after the surgical intervention. Results demonstrated a significant reduction in anxiety levels post-surgery, while depression scores remained unchanged. PTG, particularly in the dimensions of Relating to Others and Appreciation of Life, showed significant increases, indicating potential positive psychological adaptation following surgery. In contrast, CR-PTSD symptoms were minor and exhibited negligible changes that were not statistically significant. For coping strategies, there was a significant improvement in problem-focused coping post-surgery, whereas emotion-focused and avoidant coping strategies remained unchanged. Despite improvements in certain psychological outcomes and coping strategies, the study identified a high frequency of FCR among participants post-surgery, with 70% reporting elevated levels (≥12). Regression analysis showed that problem-focused coping strategies were significantly associated with reduced anxiety levels and positively correlated with PTG factors over time. These findings highlight the importance of adaptive coping mechanisms in affecting psychological outcomes after CRC surgery. The persistent high levels of FCR post-surgery underline the need for targeted psychosocial interventions to address this prevalent concern among CRC survivors. In conclusion, this research underscores the complexity of psychological responses and the role of coping strategies following CRC surgery. The findings suggest that while certain psychological outcomes improve post-surgery, the significant prevalence of FCR remains a challenge, pointing to the need for comprehensive psychosocial support tailored to the specific needs of CRC survivors. Future studies should adopt longitudinal approaches to better understand the long-term impact of coping strategies on PRPOs, facilitating the development of targeted interventions aimed at improving the psychological well-being of CRC survivors.
Melissa Zullo (Committee Chair)
Joel Hughes (Committee Member)
Lynette Phillips (Committee Member)
Vinay Cheruvu (Committee Member)
Epidemiology; Health Care; Health Care Management; Oncology; Psychology; Public Health; Statistics; Surgery
Colorectal Cancer, Anxiety, Depression, PTSD, Post Traumatic Growth, FCR, Coping Mechanism, Surgery, Oncology, Mental Health, Rectal Cancer, Colon Cancer, Fear of Cancer Recurrence

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Citations

  • Sarode, A. (2024). THE RELATIONSHIP BETWEEN PSYCHIATRIC OUTCOMES, POST-TRAUMATIC GROWTH, AND COPING STRATEGY AMONG COLORECTAL CANCER SURVIVORS [Doctoral dissertation, Kent State University]. OhioLINK Electronic Theses and Dissertations Center. http://rave.ohiolink.edu/etdc/view?acc_num=kent1713985858839774

    APA Style (7th edition)

  • Sarode, Anuja. THE RELATIONSHIP BETWEEN PSYCHIATRIC OUTCOMES, POST-TRAUMATIC GROWTH, AND COPING STRATEGY AMONG COLORECTAL CANCER SURVIVORS. 2024. Kent State University, Doctoral dissertation. OhioLINK Electronic Theses and Dissertations Center, http://rave.ohiolink.edu/etdc/view?acc_num=kent1713985858839774.

    MLA Style (8th edition)

  • Sarode, Anuja. "THE RELATIONSHIP BETWEEN PSYCHIATRIC OUTCOMES, POST-TRAUMATIC GROWTH, AND COPING STRATEGY AMONG COLORECTAL CANCER SURVIVORS." Doctoral dissertation, Kent State University, 2024. http://rave.ohiolink.edu/etdc/view?acc_num=kent1713985858839774

    Chicago Manual of Style (17th edition)

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© 2024, all rights reserved.
This open access ETD is published by Kent State University and OhioLINK.