PREDICTORS OF PATIENTS' MENTAL ADJUSTMENT TO CANCER AMONG BREAST CANCER WOMEN IN YEMEN
Introduction The breast cancer is an extremely stressful experience and having a serious impact on many aspects of women’ life. Which make women prone to psychological and emotional disturbances. Some studies have appeared an important role for the personal factors in determining the level of mental adjustment of women with the diagnosed of breast cancer. Therefore, the study aims to identify the potential predictors that influence the mental adjustment in women who are diagnosed with breast cancer.
Methods: A cross-sectional survey as a part of PhD experimental thesis out among 112 participants. The participants were selected using two random sampling technique (SRS) for 56 participants and group matching for the others (56) participants. The selected from the three national oncology centers in Sana'a, Hadhramaut and Aden. The personal characteristics were collected through a pretest questionnaire and mental adjustment was measured by using Mini-MAC scale -29. The multiple regression analysis was used to detect the significant predictors.
Results: The analysis had been conducted on 112 participants. The results showed that the personal characteristics were significant predictors of the mental adjustment; the personal characteristics explained 85% of changes in the cognitive avoidance scores (F (7, 94) = 34.77, p < 0.001, R2 = 0.85), explained 78% of changes in the anxious preoccupation scores (F (8, 93) = 18.26, p < 0.001, R2 = 0.78), explained 73% of changes in the helplessness / hopelessness scores (F (8, 93) = 31.87, p < 0.001, R2 = 0.73), while the relationships was very week (14%) with the fighting spirit (F (3, 98) = 5.19, p < 0.05, R2 = .14) and was no significant with the fatalism domain.
Conclusion: The study indicated that there was strength of relationship between the clinical and sociodemographic factors and mental adjustment in breast cancer women. The age was the greater predictor for the mental adjustment to cancer, as well as, the level of education, income, marital status, and type of surgery were significant predictors for the mental adjustment among women with breast cancer in Yemen.
Keywords: mental adjustment; coping; predictor; sociodemographic factors; clinical characteristics