Antecedents, Appraisal, Coping Strategies and Psychosocial Adjustment Among Cervical Cancer Patients in Tikur Anbessa Specialized Hospital, Addis Ababa, Ethiopia: A Mixed-Method Study

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Addis Ababa University


Despite great developments in diagnostic and treatment modalities for cervical cancer, overall psychosocial adjustment difficulties lead to poor health outcomes and reduced adherence to therapy. Accordingly, this study assessed the antecedents, appraisal, coping strategies, and psychosocial adjustment among cervical cancer patients in Tikur Anbessa Specialized Hospital. A cross-sectional, mixed-method study design was employed. The quantitative study collected data from 299 women and analyzed using descriptive, correlation, multiple regression, and path analysis. The qualitative study collected data through in-depth interviews with 11 women and analyzed via thematic analysis. The quantitative study revealed that most women experienced significantly greater psychosocial adjustment difficulties. They appraise their illness as a threat and harm/loss than a challenge. The result indicated that uncertainty, self-efficacy, presence of meaning in life, harm/loss and challenge appraisal, problem-focused coping, and emotion focused coping strategies were significant predictors of psychosocial adjustment difficulty. Besides, the mediating role of cognitive appraisal and coping strategies in the association between antecedents and psychosocial adjustment was partially supported. The qualitative study findings indicated that women experienced a lack of satisfaction with health care, struggle in work and daily life, and financial difficulties. Women employed various strategies to cope with their illness such as accepting, diverting attention, and religiousness. They experienced delays in seeking medical care because of limited awareness and repeated practice of traditional rituals. Information and advice from health professionals were the most crucial support need identified. The integrated study findings show that women’s personal and environmental antecedents influence their appraisal and coping strategies, and consequently their psychosocial adjustment with diagnosis and treatment of cervical cancer. Finally, it was recommended that cervical cancer treatment needs to integrate the psychological and social components of health. Also, expanding diagnostic and treatment facilities should be considered to help women access timely and cost-effective care.



Cervical Cancer, Appraisal, Coping, Psychosocial Adjustment, Tikur Anbessa Specialized Hospital, Ethiopia