title: How do cancer patients manage unattainable personal goals and regulate their emotions?
abstract: OBJECTIVE
  This article addressed the role of goal adjustment (i.e. disengagement from unattainable goals and reengagement in alternative goals) and cognitive emotion-regulation strategies (i.e. rumination, catastrophizing, positive refocusing) in cancer patients' psychological well-being. We expected that patients who are better able to disengage from unattainable goals, identify alternative goals, and regulate their emotions by positive refocusing and not engaging in rumination and catastrophizing would experience less negative and more positive affect.
  
  
  METHODS
  In this cross-sectional study, data were collected using a self-report questionnaire.
  
  
  METHODS
  Cancer patients (N=108) were recruited on a psychoeducational meeting aimed to inform them about the illness and its consequences. To examine the relationships between goal adjustment, cognitive emotion-regulation strategies, and affect, Pearson correlations were calculated and regression analyses were performed.
  
  
  RESULTS
  Regression analyses showed that reengaging in meaningful goals and focusing on pleasant issues were significantly associated with more positive affect. Focusing on pleasant issues was also significantly associated with less negative affect, whereas rumination and catastrophizing were significantly associated with more negative affect.
  
  
  CONCLUSIONS
  Goal reengagement as well as cognitive emotion-regulation strategies seems to play an important role in cancer patients' psychological well-being. Health care professionals may assist patients in paying more attention to positive experiences in their daily life and in finding new meaningful goals. Techniques based on mindfulness may be used to assist cancer patients in decreasing the repetitive negative thinking about causes, meanings, and consequences of the illness and helping them to focus attention on the present moment.
authors.affiliation: Department of Clinical and Health Psychology, Leiden University, Leiden, The Netherlands. m.j.schroevers@med.umcg.nl
authors.forename: Maya
authors.initials: M
authors.lastname: Schroevers
authors.forename: Vivian
authors.initials: V
authors.lastname: Kraaij
authors.forename: Nadia
authors.initials: N
authors.lastname: Garnefski
mesh_terms: D000328:Adult; D000339:Affect; D000368:Aged; D003071:Cognition; D003430:Cross-Sectional Studies; D005260:Female; D006040:Goals; D015438:Health Behavior; D006801:Humans; D008297:Male; D008875:Middle Aged; D009369:Neoplasms / Q000453:epidemiology* / Q000523:psychology*; D012927:Social Control, Informal; D011795:Surveys and Questionnaires