A systematic review of the factors associated with regret post-cancer treatment.

PROBLEM IDENTIFICATION: Expanding on previous work in specific cancer populations, this review aimed to explore factors associated with decisional regret following treatment for a range of cancer types. LITERATURE SEARCH: A systematic search of four databases identified 1747 studies, using search terms relating to cancer survivors and decisional regret. Following quality appraisal, correlates of regret were abstracted and analyzed using narrative synthesis. DATA EVALUATION/SYNTHESIS: Seventy-two studies met the inclusion criteria. Factors associated with treatment regret were categorized as being either modifiable or less modifiable. Regret was associated with various sociodemographic factors, physical health, treatment type, an unsatisfactory decision-making process, poorer mental health and lack of social support. CONCLUSION: Results highlight the complex nature of regret and illustrate how this can be experienced following a range of cancer treatments. As regret can be an obstacle to full-recovery from cancer, this review suggests some ways in which the emergence of regret may be mitigated.

[Sense of coherence, style of coping and adaptation after hysterectomy]. / Poczucie koherencji, style radzenia sobie a adaptacja po zabiegu histerektomii.

AIM: This article is devoted to analysis of factors favourable for adaptation after hysterectomy procedure. The consequence of expressing the hysterectomy as a stress situation is laying a great emphasis on analysis of coping with yourself and the factors affecting this process. We suggest the model where the sense of coherence affect indirectly thought the styles of coping on the level of health. METHOD: Overall we examine 71 woman, 35 of them 10 days after the operation and 36 having this procedure 24-36 months earlier. The applied methods were: SOC-29, CISS, BDI, STAI and the Kuppermann Index. RESULTS: We obtain results that confirm significant impact of the sense of coherence and the style of coping to women's health. CONCLUSIONS: The results challenge proposed model as the only explanation. The sense of coherence influence the health not only thought the styles of coping. Discrepancies that were obtained thought the researches suggest the necessity of examining other possible relationships between those variables.