Factors influencing self-acceptance in cancer patients: A systematic review
DOI: https://doi.org/10.33024/minh.v8i8.1557
Cancer Disease Factors Psychosocial Self-Acceptance Sociodemographic Factors
Abstract
Background: A cancer diagnosis often has a significant impact on patients’ psychological aspects, particularly on self-acceptance.
Purpose: To identify and summarize various factors influencing self-acceptance in cancer patients.
Method: The selection process followed the PRISMA guidelines. Literature searches were conducted in PubMed, Scopus, and Google Scholar databases for studies published between 2010 and 2025, including English-language articles with quantitative study designs (cross-sectional, cohort, case-control, or case report), involving cancer patients aged ≥18 years.
Results: Nine studies met the criteria for further analysis. Factors influencing self-acceptance included sociodemographic factors (age, gender, education, income, residence, marital status, employment status, social support, educational level, economic status), disease-related factors (TNM stage, metastasis status, disease duration), and psychosocial factors (social support, meaning-making, fear of recurrence).
Conclusion: Self-acceptance in cancer patients is influenced by sociodemographic, disease-related, and psychosocial factors. These findings are important for developing more targeted psychosocial interventions to improve the well-being of cancer patients.
Downloads
References
Blank, T. O., & Bellizzi, K. M. (2006). After Prostate Cancer: Predictors of Well-Being among Long-Term Prostate Cancer Survivors. American Cancer Society, 106(10), 2128–2135.
Charnay-Sonnek, F., & Murphy, A. E. (2019). Principle of Nursing in Oncology New Challenges. Switzerland: Springer.
Chen, S. Q., Liu, J. E., Zhang, Z. X., & Li, Z. (2016). Self-Acceptance and Associated Factors among Chinese Women with Breast Cancer. Journal of Clinical Nursing, 26(11-12), 1516–1523.
Chittem, M. (2014). Understanding Coping with Cancer: How Can Qualitative Research Help? Journal of Cancer Research and Therapeutics, 10(1), 6–10.
Cipora, E., Konieczny, M., & Sobieszczański, J. (2018). Acceptance of Illness by Women with Breast Cancer. Annals of Agricultural and Environmental Medicine, 25(1), 167–171.
Czerw, A., Religioni, U., & Deptała, A. (2015). Assessment of Pain, Acceptance of Illness, Adjustment to Life with Cancer and Coping Strategies in Breast Cancer Patients. Breast Cancer, 23, 654–661.
Czerw, A. I., Bilińska, M., & Deptała, A. (2016). The Assessment of The Impact of Socio-Economic Factors in Accepting Cancer Using the Acceptance of Illness Scale (AIS)T. Contemp Oncol (Pozn), 20(3), 261–265.
Faidah, P. N., Allenidekania, A., & Wanda, D. (2023). Skills Based Interventions terhadap Psikososial Remaja dengan Penyakit Kronik. Journal of Telenursing (JOTING), 5(1), 352–362.
Han, J., Liu, J. E., Qiu, H., Nie, Z. H., & Su, Y. L. (2018). Illness Cognitions and The Associated Socio-Demographic and Clinical Factors in Chinese Women with Breast Cancer. European Journal of Oncology Nursing, 32, 33–39.
JBI Global. (2020). Critical Appraisal Checklist for Analytical Cross-Sectional Studies. Retrieved from: https://jbi.global/critical-appraisal-tools
Krajewski, W., Mazur, M., Poterek, Ad., Pastuszak, A., Halska, U., Tukiendorf, A., Rymaszewska, J., & Zdrojowy, R. (2018). Assessment of Pain Management, Acceptance of Illness, and Adjustment to Life with Cancer in Patients with Nonmuscle Invasive Bladder Cancer. BioMed Research International, 2018, 598632.
Krok, D., Telka, E., & Kocur, D. (2024). Perceived and Received Social Support and Illness Acceptance Among Breast Cancer Patients: The Serial Mediation of Meaning-Making and Fear of Recurrence. Annals of Behavioral Medicine, 58(3), 147–155.
Nasuuna, E. M., Nanyeenya, N., Kibirige, D., Izudi, J., Chikwari, C. D., Kalyesubula, R., Castelnuovo, B., Tomlinson, L. A., & Weiss, H. A. (2024). Prevalence of Chronic Kidney Disease among Young People Living with HIV in Sub Saharan Africa: A Systematic Review and Meta-Analysis. PLOS ONE, 19(11).
Nowicki, A., Marciniak, J., Farbicka, P., & Banaszkiewicz, Z. (2015). Satisfaction with Life and Disease Acceptance by Patients with A Stomy Related to Surgical Treatment of The Rectal Cancer - Determinants of Quality of Life? Polski Przeglad Chirurgiczny/ Polish Journal of Surgery, 87(9), 434–442.
Nuraini, T., Yusuf, Y. R., Rahmi S. F., & Gayatri, D. (2024). The Comfort Level in Breast Cancer Patients’ Based on Patients’ Characteristics During The COVID-19 Pandemic OPEN ACCESS. Jurnal Keperawatan Padjadjaran, 12(1), 23–33.
Page, M. J., McKenzie, J. E., Bossuyt, P. M., Boutron, I., Hoffmann, T. C., Mulrow, C. D., Shamseer, L., Tetzlaff, J. M., Akl, E. A., Brennan, S. E., Chou, R., Glanville, J., Grimshaw, J., Hróbjartsson, A., Lalu, M. M., Li, T., Loder, E. W., Mayo-Wilson, E., McDonald, S., … Moher, D. (2021). The PRISMA 2020 Statement: An Updated Guideline for Reporting Systematic Reviews. BMJ, 372.
Piotrkowska, R., Kruk, A., Krzemińska, A., Mędrzycka-Dąbrowska, W., & Kwiecień-Jaguś, K. (2023). Factors Determining the Level of Acceptance of Illness and Satisfaction with Life in Patients with Cancer. Healthcare (Switzerland), 11(8), 1168.
Potter, P. A., Perry, A. G., Stockert, P. A., & Hall, A. M. (2017). Fundamentals of nursing (9th ed.). US: Elsevier.
Rahmiwati, R. (2021). Korelasi Karakteristik Pasien terhadap Penerimaan Diagnosa Kanker Payudara. REAL in Nursing Journal (RNJ), 3(3), 200–209.
Secinti, E., Tometich, D. B., Johns, S. A., & Mosher, C. E. (2019). The Relationship between Acceptance of Cancer and Distress: A Meta-analytic Review. In Clinical Psychology Review, 71, 27–38.
Shu, Y. C. C., Lau, K. T., & Ho, C. S. H. (2024). Prevalence of Homosexual and Bisexual Orientation in Patients with Borderline Personality Disorder and Associated Factors – A Systematic Review and Meta-analysis. Frontiers in Psychiatry, 15.
Siegel, R. L., Miller, K. D., Wagle, N. S., & Jemal, A. (2022). Cancer Statistics, 2023. CA: A Cancer Journal for Clinicians, 73(1), 17–48.
Susanti, E. (2017). Gambaran Penerimaan Pasien Awaln Terdiagnosa Kanker Serviks di Poli Onkologi Satu Atap (POSA) RSUD Dr. Soetomo Surabaya. Universitas Airlangga.
Szpilewska, K., Juzwiszyn, J., Bolanowska, Z., Milan, M., Chabowski, M., & Janczak, D. (2018). Acceptance of Disease and The Quality of Life in Patients with Enteric Stoma. Polish Journal of Surgery, 90(1), 13–17.
World Health Organization. (2022). Global Cancer Observatory. Retrieved from: https://gco.iarc.who.int/media/globocan/factsheets/populations/360-indonesia-fact-sheet.pdf
Widianti, M. O., Yona, S., Masfuri, M., & Waluyo, A. (2019). Body Image, Social Support, Effects of Chemotherapy, and Sexual Desire. Journal of International Dental and Medical Research, 12(1), 323–330.
Zhou, Y., & Xu, W. (2018). Short Report: The Mediator Effect of Meaning in Life in The Relationship Between Self-Acceptance and Psychological Wellbeing among Gastrointestinal Cancer Patients. Psychology, Health and Medicine, 24(6), 725–731.
Downloads
Published
Issue
Section
License
Copyright (c) 2025 Bergita, Allenidekania, Agung , Dewi
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.
