Health Psychology Perspectives on Stress and Coping Strategies Among Cancer Survivors

Authors

  • Lestari Putri Department of Psychology, Faculty of Health Sciences, Universitas Pelita Harapan, Tangerang, Indonesia
  • Andika Rahman Department of Health Psychology, Faculty of Psychology, Universitas Tarumanagara, Jakarta, Indonesia

DOI:

https://doi.org/10.37899/mjdh.v2i4.264

Keywords:

Cancer Survivorship Stress, Adolescent Mental Health

Abstract

This study explores stress and coping strategies among cancer survivors from a health psychology perspective. Using a qualitative phenomenological approach, in-depth interviews were conducted with 25 adult survivors from metropolitan hospitals and support groups. The study identifies multiple sources of stress, including emotional distress, fear of recurrence, social isolation, and financial challenges. Coping strategies were categorized into problem-focused, emotion-focused, and meaning-focused approaches. Problem-focused strategies, such as organizing treatment schedules and lifestyle adjustments, enhanced perceived control. Emotion-focused strategies, including mindfulness and social support, reduced psychological distress, while meaning-focused coping promoted resilience and post-traumatic growth. Findings highlight the interdependence of coping strategies and the importance of tailored psychosocial interventions that address both individual and social dimensions of stress. The study contributes to health psychology literature by integrating survivors’ lived experiences with theoretical frameworks on stress and coping, offering practical implications for designing comprehensive support programs that enhance psychological well-being and quality of life in cancer survivorship.

References

Ahmadi, F., Khodayarifard, M., Rabbani, M., Zandi, S., & Sabzevari, M. (2022). Existential meaning-making coping in Iran: A qualitative study among patients with cancer. Social Sciences, 11(2), 80. https://doi.org/10.3390/socsci11020080

Alotiby, A. (2024). Immunology of stress: A review article. Journal of clinical medicine, 13(21), 6394. https://doi.org/10.3390/jcm13216394

Baker, J. P., & Berenbaum, H. (2007). Emotional approach and problem-focused coping: A comparison of potentially adaptive strategies. Cognition and emotion, 21(1), 95-118. https://psycnet.apa.org/doi/10.1080/02699930600562276

Braun, V., & Clarke, V. (2006). Using thematic analysis in psychology. Qualitative research in psychology, 3(2), 77-101. https://doi.org/10.1191/1478088706qp063oa

Coppens, C. M., de Boer, S. F., & Koolhaas, J. M. (2010). Coping styles and behavioural flexibility: towards underlying mechanisms. Philosophical Transactions of the Royal Society B: Biological Sciences, 365(1560), 4021-4028. https://doi.org/10.1098/rstb.2010.0217

Davidsen, A. S. (2013). Phenomenological approaches in psychology and health sciences. Qualitative research in psychology, 10(3), 318-339. https://doi.org/10.1080/14780887.2011.608466

Dong, R., Aun, N. S. M., Amin, A. S., & Hassan, N. (2024). Risk Coping Strategies Among Chinese Breast Cancer Survivors: A Qualitative Study. Journal of Ecohumanism, 3(6), 732-742. https://doi.org/10.62754/joe.v3i6.4042

Durosini, I., Triberti, S., Savioni, L., Sebri, V., & Pravettoni, G. (2022). The role of emotion-related abilities in the quality of life of breast cancer survivors: a systematic review. International Journal of Environmental Research and Public Health, 19(19), 12704. https://doi.org/10.3390/ijerph191912704

Feng, Y. C., Krahé, C., Koster, E. H., Lau, J. Y., & Hirsch, C. R. (2022). Cognitive processes predict worry and anxiety under different stressful situations. Behaviour research and therapy, 157, 104168. https://doi.org/10.1016/j.brat.2022.104168

Gan, Y., Guo, M., & Tong, J. (2013). Scale development of meaning-focused coping. Journal of Loss and Trauma, 18(1), 10-26. https://psycnet.apa.org/doi/10.1080/15325024.2012.678780

Gianotti, C. J. (2017). Distress to growth: Impact of religious coping as a moderator on meaning making, posttraumatic stress symptoms, and posttraumatic growth in Veterans. Northcentral University.

Goh, Y. W., Sawang, S., & Oei, T. P. (2010). The Revised Transactional Model (RTM) of occupational stress and coping: An improved process approach. The Australasian Journal of Organisational Psychology, 3, 13-20. https://doi.org/10.1375/ajop.3.1.13

Juszczyk, G., Mikulska, J., Kasperek, K., Pietrzak, D., Mrozek, W., & Herbet, M. (2021). Chronic stress and oxidative stress as common factors of the pathogenesis of depression and Alzheimer’s disease: The role of antioxidants in prevention and treatment. Antioxidants, 10(9), 1439. https://doi.org/10.3390/antiox10091439

Knezevic, E., Nenic, K., Milanovic, V., & Knezevic, N. N. (2023). The role of cortisol in chronic stress, neurodegenerative diseases, and psychological disorders. Cells, 12(23), 2726. https://doi.org/10.3390/cells12232726

Koutrouli, N., Anagnostopoulos, F., Griva, F., Gourounti, K., Kolokotroni, F., Efstathiou, V., ... & Potamianos, G. (2016). Exploring the relationship between posttraumatic growth, cognitive processing, psychological distress, and social constraints in a sample of breast cancer patients. Women & health, 56(6), 650-667. https://psycnet.apa.org/doi/10.1080/03630242.2015.1118725

Lind, A. B., Risoer, M. B., Nielsen, K., Delmar, C., Christensen, M. B., & Lomborg, K. (2014). Longing for existential recognition: a qualitative study of everyday concerns for people with somatoform disorders. Journal of Psychosomatic Research, 76(2), 99-104. https://doi.org/10.1016/j.jpsychores.2013.11.005

Maheu, C., Singh, M., Tock, W. L., Eyrenci, A., Galica, J., Hébert, M., ... & Estapé, T. (2021). Fear of cancer recurrence, health anxiety, worry, and uncertainty: A scoping review about their conceptualization and measurement within breast cancer survivorship research. Frontiers in psychology, 12, 644932. https://doi.org/10.3389/fpsyg.2021.644932

Marziliano, A., Tuman, M., & Moyer, A. (2020). The relationship between post‐traumatic stress and post‐traumatic growth in cancer patients and survivors: A systematic review and meta‐analysis. Psycho‐Oncology, 29(4), 604-616. https://doi.org/10.1002/pon.5314

Moen, P. (2022). The uneven stress of social change: Disruptions, disparities, and mental health. Society and Mental Health, 12(2), 85-98. https://doi.org/10.1177/21568693221100171

Moos, R. H., & Holahan, C. J. (2003). Dispositional and contextual perspectives on coping: Toward an integrative framework. Journal of clinical psychology, 59(12), 1387-1403. https://doi.org/10.1002/jclp.10229

Morris, J. N., Turnbull, D., Martini, A., Preen, D., & Zajac, I. (2020). Coping and its relationship to post-traumatic growth, emotion, and resilience among adolescents and young adults impacted by parental cancer. Journal of psychosocial oncology, 38(1), 73-88. https://doi.org/10.1080/07347332.2019.1637384

O’Connor, K. M., Arnold, J. A., & Maurizio, A. M. (2010). The prospect of negotiating: Stress, cognitive appraisal, and performance. Journal of Experimental Social Psychology, 46(5), 729-735. https://psycnet.apa.org/doi/10.1016/j.jesp.2010.04.007

Ovsiannikova, Y., Pokhilko, D., Kerdyvar, V., Krasnokutsky, M., & Kosolapov, O. (2024). Peculiarities of the impact of stress on physical and psychological health. Multidisciplinary Science Journal, 6.

Öztekin, G. G., Gómez-Salgado, J., & Yıldırım, M. (2025). Future anxiety, depression and stress among undergraduate students: Psychological flexibility and emotion regulation as mediators. Frontiers in Psychology, 16, 1517441. https://doi.org/10.3389/fpsyg.2025.1517441

Park, C. L., Riley, K. E., & Snyder, L. B. (2012). Meaning making coping, making sense, and post-traumatic growth following the 9/11 terrorist attacks. The Journal of Positive Psychology, 7(3), 198-207. https://psycnet.apa.org/doi/10.1080/17439760.2012.671347

Riley, K. E., & Park, C. L. (2014). Problem-focused vs. meaning-focused coping as mediators of the appraisal-adjustment relationship in chronic stressors. Journal of Social and Clinical Psychology, 33(7), 587-611. https://doi.org/10.1521/jscp.2014.33.7.587

Silva, S. M., Crespo, C., & Canavarro, M. C. (2012). Pathways for psychological adjustment in breast cancer: A longitudinal study on coping strategies and posttraumatic growth. Psychology & health, 27(11), 1323-1341. https://doi.org/10.1080/08870446.2012.676644

Simonelli, L. E., Siegel, S. D., & Duffy, N. M. (2017). Fear of cancer recurrence: a theoretical review and its relevance for clinical presentation and management. Psycho‐oncology, 26(10), 1444-1454. https://doi.org/10.1002/pon.4168

Steptoe, A., & Ayers, S. (2004). Stress, health and illness. The Sage handbook of health psychology, 169-196.

Torres, L. A., Paradela, R. S., Martino, L. M., da Costa, D. I., & Irigoyen, M. C. (2022). Higher perceived stress as an independent predictor for lower use of emotion-focused coping strategies in hypertensive individuals. Frontiers in Psychology, 13, 872852. https://doi.org/10.3389/fpsyg.2022.872852

Zhu, P., Liu, X., Shang, X., Chen, Y., Chen, C., & Wu, Q. (2023). Mindfulness-based stress reduction for quality of life, psychological distress, and cognitive emotion regulation strategies in patients with breast cancer under early chemotherapy—a randomized controlled trial. Holistic Nursing Practice, 37(3), 131-142. https://doi.org/10.1097/hnp.0000000000000580

Downloads

Published

2025-12-11