The relation between depression, coping and health locus of control: Differences between older and younger patients, with and without cancer

Aarts, Jurian W. F., Deckx, Laura, van Abbema, Doris L., Tjan-Heijnen, Vivianne C. G., van den Akker, Marjan and Buntinx, Frank (2015) The relation between depression, coping and health locus of control: Differences between older and younger patients, with and without cancer. Psycho-Oncology, 24 8: 950-957. doi:10.1002/pon.3748


Author Aarts, Jurian W. F.
Deckx, Laura
van Abbema, Doris L.
Tjan-Heijnen, Vivianne C. G.
van den Akker, Marjan
Buntinx, Frank
Title The relation between depression, coping and health locus of control: Differences between older and younger patients, with and without cancer
Journal name Psycho-Oncology   Check publisher's open access policy
ISSN 1057-9249
1099-1611
Publication date 2015-08-01
Year available 2015
Sub-type Article (original research)
DOI 10.1002/pon.3748
Volume 24
Issue 8
Start page 950
End page 957
Total pages 8
Place of publication Chichester, West Sussex, United Kingdom
Publisher John Wiley and Sons
Collection year 2016
Language eng
Formatted abstract
Objective
Depression is an important health issue in cancer patients. People use different coping strategies and health locus of control to manage stressful situations, which relate to different risks of depression. Coping strategies and health locus of control can be changed by cognitive behavioral interventions.

Methods
In a cohort study, we investigated differences in coping strategy and health locus of control in older (≥70 years) and middle-aged (50–69 years) cancer patients, and older patients without cancer (≥70 years), and their association with presence of depression. We also investigated how these factors interact. We used the short version of the Utrecht Coping List, the Multidimensional Health Locus of Control scale, and the 15-item Geriatric Depression Scale.

Results
Data were available from 1317 participants. Overall prevalence of depression was 12%. Older cancer patients tended to use an avoiding coping strategy more frequently than middle-aged cancer patients. This was associated with higher risk of depression. Older cancer patients less often used an active coping strategy, in comparison with middle-aged cancer patients, which was associated with a lower risk of depression. Especially in women using a seeking social support strategy, there was a lower risk of depression. Overall, the internal health locus of control was associated with higher and the external ‘powerful others’ locus with lower risk of depression.

Conclusions
Older cancer patients strongly differ from middle-aged cancer patients, in particular with respect to coping. Interventions to prevent or alleviate depression should incorporate these differences
Q-Index Code C1
Q-Index Status Provisional Code
Institutional Status Non-UQ

Document type: Journal Article
Sub-type: Article (original research)
Collections: Discipline of General Practice Publications
Non HERDC
 
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Citation counts: TR Web of Science Citation Count  Cited 3 times in Thomson Reuters Web of Science Article | Citations
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Created: Thu, 17 Sep 2015, 10:07:55 EST by Anthony Yeates on behalf of Discipline of General Practice