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The association of self-blame with treatment preferences in a multi-country cohort of advanced cancer patients from the APPROACH study.

Publication ,  Journal Article
Doble, B; Lau, E; Malhotra, C; Ozdemir, S; Teo, I; Finkelstein, EA; APPROACH Study Group,
Published in: J Psychosom Res
December 2020

OBJECTIVE: To understand the prevalence of behavioral and characterological self-blame and their associations with stated preferences for life-extension and the use of pain-relief medication in a multi-country cohort of advanced cancer patients. METHODS: The prevalence of self-blame and reasons participants attributed to their diagnosis was assessed in a sample of 968 advanced cancer patients enrolled in one of five sites from four Asian countries of the multi-country cross-sectional survey titled APRROACH. Ordered probit and Firth logistic regressions were used to determine associations between each type of self-blame and two treatment-related outcomes: participants' stated preference for life-extension and the use of pain-relief medication in the last 24 h. RESULTS: Behavioral and characterological self-blame were reported by 41% and 49% of the participants respectively, with only 19% and 2% of participants providing a logically consistent reason for the two types of self-blame. We observed no statistically significant differences in stated preferences for life-extension for either type of self-blame and in the use of pain-relief medication for participants reporting behavioral self-blame. However, participants reporting characterological self-blame were 9.7% (95% CI, 2.0% to 17.3%; p = 0.014) more likely to report using pain-relief medication compared to participants not reporting characterological self-blame. CONCLUSIONS: A substantial proportion of patients report self-blame and those reporting characterological self-blame appear more likely to use pain medication. Therefore, developing interventions aimed at reducing characterological self-blame might help patients receive only appropriate treatments as opposed to treatments pursued in response to feelings of self-blame.

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Published In

J Psychosom Res

DOI

EISSN

1879-1360

Publication Date

December 2020

Volume

139

Start / End Page

110284

Location

England

Related Subject Headings

  • Young Adult
  • Psychiatry
  • Neoplasms
  • Middle Aged
  • Male
  • Humans
  • Guilt
  • Female
  • Cross-Sectional Studies
  • Cohort Studies
 

Citation

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ICMJE
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Doble, B., Lau, E., Malhotra, C., Ozdemir, S., Teo, I., Finkelstein, E. A., & APPROACH Study Group, . (2020). The association of self-blame with treatment preferences in a multi-country cohort of advanced cancer patients from the APPROACH study. J Psychosom Res, 139, 110284. https://doi.org/10.1016/j.jpsychores.2020.110284
Doble, Brett, Eden Lau, Chetna Malhotra, Semra Ozdemir, Irene Teo, Eric A. Finkelstein, and Eric A. APPROACH Study Group. “The association of self-blame with treatment preferences in a multi-country cohort of advanced cancer patients from the APPROACH study.J Psychosom Res 139 (December 2020): 110284. https://doi.org/10.1016/j.jpsychores.2020.110284.
Doble B, Lau E, Malhotra C, Ozdemir S, Teo I, Finkelstein EA, et al. The association of self-blame with treatment preferences in a multi-country cohort of advanced cancer patients from the APPROACH study. J Psychosom Res. 2020 Dec;139:110284.
Doble, Brett, et al. “The association of self-blame with treatment preferences in a multi-country cohort of advanced cancer patients from the APPROACH study.J Psychosom Res, vol. 139, Dec. 2020, p. 110284. Pubmed, doi:10.1016/j.jpsychores.2020.110284.
Doble B, Lau E, Malhotra C, Ozdemir S, Teo I, Finkelstein EA, APPROACH Study Group. The association of self-blame with treatment preferences in a multi-country cohort of advanced cancer patients from the APPROACH study. J Psychosom Res. 2020 Dec;139:110284.
Journal cover image

Published In

J Psychosom Res

DOI

EISSN

1879-1360

Publication Date

December 2020

Volume

139

Start / End Page

110284

Location

England

Related Subject Headings

  • Young Adult
  • Psychiatry
  • Neoplasms
  • Middle Aged
  • Male
  • Humans
  • Guilt
  • Female
  • Cross-Sectional Studies
  • Cohort Studies