title: Long-term trajectories of psychological adaptation among women diagnosed with gynecological cancers.
abstract: OBJECTIVE
  Women diagnosed with gynecological cancers may cope with a difficult treatment regimen that includes multiple abdominal surgeries and courses of chemotherapy and/or radiation. Little attention has been paid to identifying what factors place women at risk for long-term problems with psychological adaptation. The goal of the present study was to identify a set of demographic, medical, and predisposing factors as well as cognitive and social processing strategies that predict the trajectory of psychological distress and well-being among women diagnosed with gynecological cancer.
  
  
  METHODS
  One hundred thirteen women on active treatment for gynecological cancer completed measures at baseline, 3, 6, and 9 months afterward.
  
  
  RESULTS
  Women with poorer physician-rated performance status and self-reported functional impairment, women who were Caucasian, women who have received previous psychological treatments, women who were less expressive of positive emotions, women who had unsupportive friends and family, and women who were less able to find something positive in the cancer experience reported poorer adaptation.
  
  
  CONCLUSIONS
  This study identified a set of risk factors for poor long-term psychological adaptation among women diagnosed with gynecological cancers. Healthcare professionals working with these women can use these risk factors to screen for patients who may require additional psychological services.
authors.affiliation: Fox Chase Cancer Center, 510 Township Line Road, First Floor, Cheltenham, PA 19012, USA. Sharon.Manne@fccc.edu
authors.forename: Sharon
authors.initials: S
authors.lastname: Manne
authors.forename: Christine
authors.initials: C
authors.lastname: Rini
authors.forename: Stephen
authors.initials: S
authors.lastname: Rubin
authors.forename: Norman
authors.initials: N
authors.lastname: Rosenblum
authors.forename: Cynthia
authors.initials: C
authors.lastname: Bergman
authors.forename: Mitchell
authors.initials: M
authors.lastname: Edelson
authors.forename: Enrique
authors.initials: E
authors.lastname: Hernandez
authors.forename: John
authors.initials: J
authors.lastname: Carlson
authors.forename: Thomas
authors.initials: T
authors.lastname: Rocereto
mesh_terms: D000223:Adaptation, Psychological; D000339:Affect; D000367:Age Factors; D001294:Attitude to Health; D003071:Cognition; D003866:Depressive Disorder / Q000175:diagnosis / Q000209:etiology / Q000523:psychology; D005006:Ethnicity / Q000523:psychology / Q000706:statistics & numerical data; D019260:Expressed Emotion; D005260:Female; D005500:Follow-Up Studies; D005833:Genital Neoplasms, Female / Q000523:psychology*; D006304:Health Status; D006801:Humans; D008137:Longitudinal Studies; D008875:Middle Aged; D011237:Predictive Value of Tests; D011569:Psychiatric Status Rating Scales; D012307:Risk Factors; D012720:Severity of Illness Index; D012944:Social Support; D013315:Stress, Psychological / Q000209:etiology / Q000523:psychology; D013995:Time