title: Attitudes of cancer: psychometric properties of fighting spirit and denial.
abstract: Higher rates of recurrence-free survival at 5- and 10-year follow-up have been reported for breast cancer patients who initially responded to cancer with attitudes of "fighting spirit" or denial. We report here a factor analytic attempt, utilizing questionnaire data, to objectify these attitudes. A reliable factor structure replicated in breast and mixed cancer samples, yielding three factors: (1) Fighting Spirit or belief in the ability to fight back, conquer, and recover from cancer; (2) Information-Seeking behavior; and (3) Denial. Adequate 1-month test-retest correlations were obtained for Fighting Spirit and Information Seeking factor scores. A pattern of differential correlations with other measures (affect, coping, and optimism) distinguished Fighting Spirit and Information Seeking. The Denial factor appeared to be less stable and did not correlate significantly with other measures.
authors.affiliation: Department of Psychiatry, Baylor College of Medicine, Houston, Texas 77030.
authors.forename: D V
authors.initials: DV
authors.lastname: Nelson
authors.forename: L C
authors.initials: LC
authors.lastname: Friedman
authors.forename: P E
authors.initials: PE
authors.lastname: Baer
authors.forename: M
authors.initials: M
authors.lastname: Lane
authors.forename: F E
authors.initials: FE
authors.lastname: Smith
mesh_terms: D000223:Adaptation, Psychological; D000328:Adult; D000368:Aged; D001943:Breast Neoplasms / Q000523:psychology*; D003717:Denial, Psychological; D005260:Female; D015438:Health Behavior; D006801:Humans; D008875:Middle Aged; D010556:Personality Tests; D011379:Prognosis; D011594:Psychometrics; D012803:Sick Role