Seminars in Oncology Nursing
Volume 24, Issue 3 , Pages 193-201, August 2008

Psychological Health in Cancer Survivors

  • Michael A. Andrykowski

      Affiliations

    • Corresponding Author InformationAddress correspondence to Michael A. Andrykowski, PhD, Department of Behavioral Science, 133 College of Medicine Office Building, University of Kentucky College of Medicine, Lexington, KY 40536-0086
  • ,
  • Emily Lykins
  • ,
  • Andrea Floyd

Objectives

The prevalence of both negative (distress) and positive responses (growth, well-being) to the cancer experience is examined and difficulties in establishing the prevalence of these responses discussed. A conceptual framework for understanding factors associated with psychological health in cancer survivors is presented. Finally, strategies for promoting psychological health in cancer survivors are examined.

Data Sources

Review of the literature.

Conclusion

Psychological health in cancer survivors is defined by the presence or absence of distress as well as the presence or absence of positive well-being and psychological growth. Furthermore, psychological health in cancer survivors is determined by the balance between two classes of factors: the stress and burden posed by the cancer experience and the resources available for coping with this stress and burden.

Implications for Nursing Practice

In general, promotion of psychological health is based on the prevention or treatment of distress as well as the encouragement of growth and well-being. Periodic screening for psychological distress across the cancer trajectory is critical to appropriate management of distress.

Keywords: Adjustment, well-being, quality of life

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PII: S0749-2081(08)00031-4

doi:10.1016/j.soncn.2008.05.007

Seminars in Oncology Nursing
Volume 24, Issue 3 , Pages 193-201, August 2008