Reappraisal in the eighth life cycle stage: A theoretical psychoeducational intervention in elderly patients with cancer Journal Article


Authors: Holland, J.; Poppito, S.; Nelson, C.; Weiss, T.; Greenstein, M.; Martin, A.; Thirakul, P.; Roth, A.
Article Title: Reappraisal in the eighth life cycle stage: A theoretical psychoeducational intervention in elderly patients with cancer
Abstract: Elderly patients with cancer face unique physical and psychiatric challenges in coping with their illness. Optimal psychosocial therapy for older cancer patients requires recognizing certain enhanced psychological capacities such as coping better with illness, which is associated with older age. This strength can be combined with the most appropriate cognitive coping strategies to develop a model intervention. This paper describes such a model, which integrates Erik Erikson's eighth and final psychosocial developmental life stage, in which the task is to achieve ego integrity (equanimity) or to experience despair (sadness, regrets), with Susan Folkman's cognitive coping paradigm, which utilizes reappraisal. This theoretical model addresses older cancer patients who are struggling with depression, isolation, and despair related to aging and illness, and utilizes cognitive reappraisal in a group setting to foster relatedness, acceptance of illness, and a sense of meaningful integration. © 2009 Cambridge University Press.
Keywords: aged; neoplasm; neoplasms; quality of life; patient education; patient education as topic; age factors; social environment; age; adaptive behavior; psychological aspect; adaptation, psychological; depression; anxiety disorder; cognitive therapy; sick role; patient attitude; psychotherapy, group; elderly; erikson; folkman; reappraisal; group therapy; life event; loneliness; social isolation; anxiety disorders; depressive disorder; life change events
Journal Title: Palliative and Supportive Care
Volume: 7
Issue: 3
ISSN: 1478-9515
Publisher: Cambridge University Press  
Date Published: 2009-09-01
Start Page: 271
End Page: 279
Language: English
DOI: 10.1017/s1478951509990198
PUBMED: 19788768
PROVIDER: scopus
DOI/URL:
Notes: --- - "Cited By (since 1996): 1" - "Export Date: 30 November 2010" - "Source: Scopus"
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MSK Authors
  1. Anne H Martin
    8 Martin
  2. Shannon Rose Poppito
    12 Poppito
  3. Talia Weiss
    17 Weiss
  4. Andrew J Roth
    105 Roth
  5. Christian Nelson
    392 Nelson
  6. Jimmie C B Holland
    379 Holland