Szproch, Aleksandra (2020) Exploring Factors Associated with Regret Following Cancer Treatment. Masters thesis, National University of Ireland Maynooth.
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Abstract
Following a diagnosis of cancer, patients are often faced with important medical
decisions regarding their treatment. This decision-making process can be difficult as patients
may not receive sufficient information about their options or may struggle to interpret the
information they do receive. An unsatisfactory decision may lead to later decisional regret,
which has been linked to a lower quality of life in survivors. While some research has begun
to explore the factors that influence decisional regret, few studies have comprehensively
examined the role that psychological and social factors may play in this process. The aim of
the current project was to analyse and compare the factors associated with the emergence of
decisional regret in cancer survivors internationally and in Ireland.
Two studies were conducted. Study 1, a systematic review, analysed international
literature aimed at exploring factors associated with decisional regret in 27,982 cancer
patients and survivors. Study 2, a survey, explored factors associated with regret in 92 cancer
survivors in Ireland (the majority who were breast and prostate cancer survivors). In this
study, sociodemographic, health, psychological and social support information was analysed
in its ability to predict regret as measured by the Decision Regret Scale. Public and patient
involvement was used to aid the interpretation of the findings.
In Study 1, regret in cancer patients/survivors was associated with various sociodemographic factors, poorer physical health, a number of treatment types, an unsatisfactory
decision-making process, poorer mental health and lack of social support. More generally,
these factors were grouped into those which were modifiable and less modifiable from the
patient’s perspective. These results were mirrored in Study 2, with better physical and
psychological well-being, higher levels of shared-decision making and resilience being the 3
factors which most strongly predicted regret
Item Type: | Thesis (Masters) |
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Keywords: | Exploring Factors; Regret; Cancer Treatment; |
Academic Unit: | Faculty of Science and Engineering > Psychology |
Item ID: | 14916 |
Depositing User: | IR eTheses |
Date Deposited: | 13 Oct 2021 09:39 |
URI: | https://mural.maynoothuniversity.ie/id/eprint/14916 |
Use Licence: | This item is available under a Creative Commons Attribution Non Commercial Share Alike Licence (CC BY-NC-SA). Details of this licence are available here |
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