Social status of a cancer patient: predictors of loss and strategies for coping with psychotrauma
DOI:
https://doi.org/10.31558/2786-8745.2026.1(8).8Keywords:
cancer patients, social status, psychotrauma, stigmatization, psycho-oncology, coping strategies, social support, quality of life, psychological rehabilitation, stress, adaptation, financial burden, social reintegrationAbstract
The article examines the problem of social status loss in cancer patients and analyzes the main psychological, social, and economic predictors that influence the development of psychotraumatic experiences during oncological disease. It is emphasized that cancer affects not only the physical condition of a person but also destroys habitual social ties, professional roles, communication patterns, and self-perception within society. The study highlights the relationship between psychological well-being, quality of life, social support, and treatment effectiveness. Particular attention is paid to the role of stigmatization, financial burden, uncertainty of the future, and changes in social interaction in modern Ukrainian realities under conditions of war. The author analyzes coping strategies used by cancer patients and demonstrates that social support significantly reduces stress and increases adaptation to treatment and rehabilitation. It is substantiated that restoration or preservation of social status is an important component of psychological recovery and successful reintegration of cancer patients into social life. The necessity of developing long-term psycho-oncological support programs aimed at maintaining social functioning, resilience, and quality of life is emphasized.
References
Alcaraz, K. I., Wiedt, T. L., Daniels, E. C., Yabroff, K. R., Guerra, C. E., & Wender, R. C. (2020). Understanding and addressing social determinants to advance cancer health equity in the United States: a blueprint for practice, research, and policy. CA: a cancer journal for clinicians, 70(1), 31-46. https://doi.org/10.3322/caac.21586
Canella, C., Inderbitzin, M., Oehler, M., Witt, C. M., & Barth, J. (2023). Cancer survival stories: Perception, creation, and potential use case. Health Expectations. https://doi.org/10.1111/hex.13760
Ciążyńska, M., Pabianek, M., Szczepaniak, K., Ułańska, M., Skibińska, M., Owczarek, W., & Lesiak, A. (2020). Quality of life of cancer patients during coronavirus disease (COVID‐19) pandemic. Psycho-oncology, 29(9), 1377. https://doi.org/10.1002%2Fpon.5434
Coughlin, S. S. (2019). Social determinants of breast cancer risk, stage, and survival. Breast cancer research and treatment, 177, 537-548. https://doi.org/10.1007/s10549-019- 05340-7
Desai, A., Gupta, R., Advani, S., Ouellette, L., Kuderer, N. M., Lyman, G. H., & Li, A. (2021). Mortality in hospitalized patients with cancer and coronavirus disease 2019: a systematic review and meta‐analysis of cohort studies. Cancer, 127(9), 1459- 1468. https://doi.org/10.1002/cncr.33386
Eylem, O., De Wit, L., Van Straten, A., Steubl, L., Melissourgaki, Z., Danışman, G. T., & Cuijpers, P. (2020). Stigma for common mental disorders in racial minorities and majorities a systematic review and meta-analysis. BMC Public health, 20(1), 1- 20. https://doi.org/10.1186/s12889-020-08964-3
Friedman, S. R., Williams, L. D., Guarino, H., Mateu‐ Gelabert, P., Krawczyk, N., Hamilton, L., & Earnshaw, V. A. (2022). The stigma system: How sociopolitical domination, scapegoating, and sti gma shape public health. Journal of community psychology, 50(1), 385-408. https://doi.org/10.1002/jcop.22581
Haraldstad, K., Wahl, A., Andenæs, R., Andersen, J. R., Andersen, M. H., Beisland, E., & LIVSFORSK network. (2019). A systematic review of quality of life research in medicine and health sciences. Quality of life Research, 28, 2641-2650. https://doi.org/10.1007/s11136-019-02214-9
Lapshova N. S. (2021). Social-psychological correlates of sociometric status of students in a group. [Unpublished candidate dissertation]. Kyiv National University named after Taras Shevchenko.
Niedzwiedz, C. L., Knifton, L., Robb, K. A., Katikireddi, S. V., & Smith, D. J. (2019). Depression and anxiety among people living with and beyond cancer: a growing clinical and research priority. BMC cancer, 19(1), 1-8. https://doi.org/10.1186/s12885- 019-6181-4
Pham, H., Torres, H., & Sharma, P. (2019, February). Mental health implications in bladder cancer patients: a review. In Urologic Oncology: Seminars and Original Investigations (Vol. 37, No. 2, pp. 97-107). Elsevier. https://doi.org/10.1016/j.urolonc.2018.12.006
Sekse, R. J. T., Dunberger, G., Olesen, M. L., Østerbye, M., & Seibæk, L. (2019). Lived experiences and quality of life after gynaecological cancer—An integrative review. Journal of clinical nursing, 28(9-10), 1393-1421. https://doi.org/10.1111/jocn.14721
Shrestha, A., Martin, C., Burton, M., Walters, S., Collins, K., & Wyld, L. (2019). Quality of life versus length of life considerations in cancer patients: a systematic literature review. Psycho‐oncology, 28(7), 1367-1380. https://doi.org/10.1002/pon.5054
Smith, G. L., Lopez-Olivo, M. A., Advani, P. G., Ning, M. S., Geng, Y., Giordano, S. H., & Volk, R. J. (2019). Financial burdens of cancer treatment: a systematic review of risk factors and outcomes. Journal of the National Comprehensive Cancer Network, 17(10), 1184-1192. https://doi.org/10.6004/jnccn.2019.7305
Tian, X., Jin, Y., Chen, H., Tang, L., & Jiménez-Herrera, M. F. (2021). Relationships among social support, coping style, perceived stress, and psychological distress in Chinese lung cancer patients. Asia-Pacific journal of oncology nursing, 8(2), 172-179. https://doi.org/10.4103/apjon.apjon_59_20