BMJ 2003;326:598 ( 15 March )

Letters

Psychological coping and cancer

    Study results should not have been dismissed
    Search strategy used is inadequate
    Authors' reply

Study results should not have been dismissed

The first 150 words of the full text of this article appear below.

EDITOR---The review by Petticrew et al is flawed.1

Firstly, they do not compare like with like and ignore differing methods. Different instruments assess coping styles differently and may not be comparable. Thus conclusions cannot be drawn convincingly. Out of 28 studies, 13 had less than three years' follow up (shortest eight weeks). However, in relation to early breast cancer less than five years of follow up produces inconclusive results.

Secondly, our study was relegated to the realms of irrelevance by saying that the recent large UK study (n=578), while of higher quality, reported mixed findings: helplessness or hopelessness predicted recurrence when patients with high and low scores were compared but not when it was the predominant coping style.2 The main importance of our clearly stated findings concerning helplessness and hopelessness was missed. Mixed findings were not reported.

Although predominant coping style was arbitrarily defined, helplessness or hopelessness is robust across . . . [Full text of this article]


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Related Article

Influence of psychological coping on survival and recurrence in people with cancer: systematic review
Mark Petticrew, Ruth Bell, and Duncan Hunter
BMJ 2002 325: 1066. [Abstract] [Full Text] [PDF]




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