Relationships between psychosocial factors and health behavior change in cancer survivors: An integrative review
Open Access
- 1 June 2007
- journal article
- review article
- Published by Oxford University Press (OUP) in Annals of Behavioral Medicine
- Vol. 34 (2), 115-134
- https://doi.org/10.1007/bf02872667
Abstract
Background: Adaptive health behavior changes following cancer diagnosis and treatment are associated with better psychological and physical well-being. However, little is known about the roles that psychosocial factors play in facilitating or inhibiting these changes. A better understanding of health behavior change will allow the development of more effective interventions.Purpose: Our goal was to conduct a systematic and exhaustive review of research examining relationships among psychosocial factors and health behavior change in cancer survivors.Method: We searched electronic databases and reference sections of relevant article and chapters to locate all studies that met our criteria (i.e., examined at least one psychosocial variable and one health behavior change in a sample of cancer survivors).Results: We located 30 studies that met criteria. Social support, locus of control, and distress were the focus of most of this literature. Although findings are inconsistent, social support appears to be helpful in making adaptive changes, particularly in exercise; internal locus of control facilitates positive health behavior changes but may depend on survivors’ perceptions of links between behaviors and cancer or recurrence, and cancer-related distress may facilitate adaptive changes although more general distress may impede them. Studies based on theoretical models of health behavior change have demonstrated that stage of readiness to change, intentions, and self-efficacy may be powerful determinants of improvements in health behaviors.Conclusions: Much remains to be learned about the influence of psychosocial factors in survivors’ health behavior change. We describe the limitations of the current state of the research and conclude with suggestions for future research and intervention.Keywords
This publication has 86 references indexed in Scilit:
- Cancer Survival: Time to Get Moving? Data Accumulate Suggesting a Link Between Physical Activity and Cancer SurvivalJournal of Clinical Oncology, 2006
- A process evaluation of a telephone-based peer-delivered smoking cessation intervention for adult survivors of childhood cancer: The partnership for health studyPreventive Medicine, 2006
- Riding the Crest of the Teachable Moment: Promoting Long-Term Health After the Diagnosis of CancerJournal of Clinical Oncology, 2005
- The epidemiology, pathophysiology, and management of psychosocial risk factors in cardiac practiceJournal of the American College of Cardiology, 2005
- Predictors of adherence and contamination in a randomized trial of exercise in colorectal cancer survivorsPsycho‐Oncology, 2004
- Coping after cancer: Risk perceptions, worry, and health behaviors among colorectal cancer survivorsPsycho‐Oncology, 2003
- Physical exercise and quality of life in postsurgical colorectal cancer patientsPsychology, Health & Medicine, 1999
- Relationship Between Exercise During Treatment and Current Quality of Life Among Survivors of Breast CancerJournal of Psychosocial Oncology, 1997
- Psychological and sexual well‐being, philosophical/spiritual views, and health habits of long‐term cancer survivorsHealth Care for Women International, 1995
- The Triad of Control: Concepts and Application to CaregivingInternational Journal of Behavioral Development, 1993