Coping styles as predictors of survival time in bladder cancer


The role of coping in the survival of cancer is a controversial topic. To specifiy the influence of coping on survival time, we conducted a longitudinal, prospective and observational study. In a preoperative interview, 105 patients with primary bladder cancer were asked about their active and depressive coping strategies. Ten years later, the survival rate was recorded; in cases of death, it was noted whether or not it was in consequence of the bladder cancer. Kaplan-Meier analyses of the collected data revealed a mean survival rate of about 60% after 10 years. Cox regression demonstrated no significant effect for active or depressive coping when tumour stage was controlled for. Patients who presented with high values for either of the coping strategies lived only slightly longer than those with low values. Therefore, it can be concluded that preoperative coping does not seem to demonstrate an important role for survival in bladder cancer.

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Hardt, J. , Gillitzer, R. , Schneider, S. , Fischbeck, S. and Thüroff, J. (2010) Coping styles as predictors of survival time in bladder cancer. Health, 2, 429-434. doi: 10.4236/health.2010.25064.

Conflicts of Interest

The authors declare no conflicts of interest.


[1] Spiegel, D. (1997) Psychosocial aspects of breast cancer treatment. Seminars in Oncology, 24, 36-47.
[2] Petticrew, M., Bell, R. and Hunter, D. (2002) Influence of psychological coping on survival and recurrence in people with cancer: Systematic review. British Medical Journal, 325, 1066-1075.
[3] Fawzy, F.I., Fawzy, N.W., Hyun, C.S., Elashoff, R., Guthrie, D., Fahey, J.L. and Morton, D.L. (1993) Malignant melanoma. Effects of an early structured psychiatric intervention, coping, and affective state on recurrence and survival 6 years later. Archives of General Psychiatry, 50(9), 681-689.
[4] Blake-Mortimer, J., Gore-Felton, C., Turner-Cobb, J.M. and Spiegel, D. (1999) Improving the quality and quantity of life among patients with cancer: A review of the effectiveness of group psychotherapy. European Journal of Cancer, 35(11), 1581-1586.
[5] Fox, B.H. (1998) A Hypothesis about Spiegel et al.’s 1989 paper on psychosocial intervention and breast cancer survival. Psycho-Oncology, 7, 361-370.
[6] Spiegel, D., Bloom, J.R., Kraemer, H.C. and Gottheil, E. (1989) Effect of psychosocial treatment on survival of patients with metastatic breast cancer. Lancet, 2, 888- 891.
[7] Boesen, C. and Johansen, C. (2008) Impact of psychotherapy on cancer survival: Time to move on? Current Opinion in Oncology, 20(4), 372-377.
[8] Stephen, J.E., Rahn, M., Verhoef, M. and Leis, A. (2007) What is the state of the evidence on the mind-cancer survival question, and where do we go from here? A point of view. Support Care Cancer, 15(8), 923-930.
[9] Andersen, B.L., Yang, H.C., Farrar, W.B., Golden-Kreutz,D.M., Emery, C.F., Thornton, L.M., Young, D.C. and Carson, W.E., 3rd (2008) Psychologic intervention improves survival for breast cancer patients: A randomized clinical trial. Cancer, 113(12), 3450-3458.
[10] Kuchler, T., Bestmann, B., Rappat, S., Henne-Bruns, D. and Wood-Dauphinee, S. (2007) Impact of psychotherapeutic support for patients with gastrointestinal cancer undergoing surgery: 10-year survival results of a randomized trial. Journal of Clinical Oncology, 25, 2702- 2708.
[11] Grulke, N., Bailer, H., Hertenstein, B., Kachele, H., Arnold, R., Tschuschke, V. and Heimpel, H. (2005) Coping and survival in patients with leukemia undergoing allogeneic bone marrow transplantation—long-term follow-up of a prospective study. Journal of Psychosomatic Research, 59(5), 337-346.
[12] Palesh, O., Butler, L.D., Koopman, C., Giese-Davis, J., Carlson, R. and Spiegel, D. (2007) Stress history and breast cancer recurrence. Journal of Psychosomatic Research, 63(3), 233-239.
[13] Beresford, T.P., Alfers, J., Mangum, L., Clapp, L. and Martin, B. (2006) Cancer survival probability as a function of ego defense (adaptive) mechanisms versus depressive symptoms. Psychosomatics, 47, 247-253.
[14] Jones, D., Goldblatt, P.O. and Leon, D.A. (1984) Bereavement and cancer: Some results using data on deaths of spouses from the OPCD longitudinal study. British Medical Journal, 284, 461-464.
[15] Johansen, C., Schou, G., Soll-Johanning, H., Mellemgaard, A. and Lynge, E. (1998) Marital status and survival in colorectal cancer. Ugeskr Laeger, 160(5), 635- 638.
[16] Faller, H., Bülzebruck, H., Drings, P. and Lang, H. (1999) Coping, distress, and survival among patients with lung cancer. Archives of General Psychiatry, 56, 756-762.
[17] Riehl-Emde, A., Buddeberg, C., Muthny, F.A., Landolt-Ritter, C., Steiner, R. and Richter, D. (1989) Causal attribuation and coping with the disease in breast cancer patients. Psychother Psychological Medicine, 39, 232-238.
[18] Akechi, T., Okamura, H., Okuyama, T., Furukawa, T.A., Nishiwaki, Y. and Uchitomi, Y. (2009) Psychosocial factors and survival after diagnosis of inoperable non-small cell lung cancer. Psychooncology, 18(1), 23-29.
[19] Johansen, C. and Olsen, J.H. (1997) Psychosocial stress, cancer incidence and mortality from non-malignant diseases. British Journal of Cancer, 75(1), 144-148.
[20] Leissner, J., Hohenfellner, R., Thüroff, J.W. and Wolf, H.K. (2000) Lymphadenektomie in patients with transitional cell carcinoma of the urinary bladder: Significance for staging and prognosis. BMU Int, 85, 817-823.
[21] Hardt, J., Petrak, F., Filipas, D. and Egle, U.T. (2004) Adaptation to life after surgical removal of the bladder— an application of Graphical Markov Models for analysing longitudinal data. Statistics in Medicine, 23, 649-666.
[22] Muthny, F.A. and Koch, U. (1998) Spezifität der Krankheitsverarbeitung bei Krebs. In: Koch, U. and Weis, J., Eds., Krankheitsbewältigung bei Krebs und Möglichkeiten der Unterstützung, Stuttgart, Schattauer, 49-58.
[23] R Development Core Team: R: A language and environment for statistical computing. Vienna, R Foundation for Statistical Computing, 2007.
[24] Golka, K., Goebell, P.J. and Rettenmeier, A.W. (2007) Ätiologie und Prävention des Harnblasenkarzinoms. Deutsches Ärzteblatt, 104, 719-723.
[25] Wolfson, C., Wolfson, D.B., Ashgarian, M., M'lan, C.E., Ostby, T., Rockwood, K. and Hogan, D.B. (2001) A reevaluation of the duration of survival after the onset of dementia. New England Journal of Medicine, 344(15), 1111-1116.

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