title: [Psychosocial adjustment in colorectal cancer patients undergoing chemotherapy or chemoradiotherapy].
abstract: BACKGROUND
  Psychosocial adaptation is a measurement that represents the patient's adjustment to those changes involved in their illness. We undertook this study to search for individual characteristics and clinical aspects associated with successful psychosocial adjustment in patients with colorectal cancer (CRC) undergoing (CT) chemotherapy or chemoradiotherapy (CRT).
  
  
  METHODS
  Seventy-five patients with CRC treated with CT or CRT in a cancer center were included. Psychosocial Adjustment to Illness Scale Self-Reporting (PAIS-SR) questionnaire was used as a measurement of psychosocial adjustment.
  
  
  RESULTS
  Psychosocial adaptation was successful in 18 patients (24%) and unsuccessful in 57 patients (76%). Young patients, married patients and males showed lower psychosocial adaptation to disease. This is associated with the decrease in sexual relations, economic resources and psychological symptoms. Patients complained that they were unsatisfied due to the lack of disease and treatment information offered by the heath care team.
  
  
  CONCLUSIONS
  In the process of adaptation, clinical features such as tumor location and treatment scheme are considered basic, as well as age, education, marital status. Areas such as sexuality, interpersonal and family relationships, economic status and emotional state of patients affected by the disease and treatments provide a deep complexity in the study of the psychosocial adaptation process in patients with CRC.
authors.affiliation: Servicio de Psicooncología, Instituto Nacional de Cancerología, México, D. F., Mexico.
authors.forename: Salvador
authors.initials: S
authors.lastname: Alvarado-Aguilar
authors.forename: Hilda Griselda
authors.initials: HG
authors.lastname: Guerra-Cruz
authors.forename: Aura Lizbet
authors.initials: AL
authors.lastname: Cupil-Rodríguez
authors.forename: Germán
authors.initials: G
authors.lastname: Calderillo-Ruiz
authors.forename: Luis Fernando
authors.initials: LF
authors.lastname: Oñate-Ocaña
mesh_terms: D000203:Activities of Daily Living; D000223:Adaptation, Psychological; D000230:Adenocarcinoma / Q000188:drug therapy / Q000191:economics / Q000523:psychology* / Q000628:therapy; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D059248:Chemoradiotherapy / Q000523:psychology; D017024:Chemotherapy, Adjuvant / Q000523:psychology; D015179:Colorectal Neoplasms / Q000188:drug therapy / Q000191:economics / Q000523:psychology* / Q000628:therapy; D017281:Cost of Illness; D003430:Cross-Sectional Studies; D004358:Drug Therapy / Q000523:psychology; D005260:Female; D006801:Humans; D008297:Male; D008800:Mexico; D008875:Middle Aged; D020360:Neoadjuvant Therapy / Q000523:psychology; D010166:Palliative Care / Q000523:psychology; D010353:Patient Education as Topic; D017060:Patient Satisfaction; D012494:Sampling Studies; D012725:Sexual Behavior; D012944:Social Support; D055815:Young Adult