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Empirical research

A path to healing.

Cancer is not solely a biomedical disease. It is a complex life event that disrupts the physical, psychological, social and existential dimensions of a person's life (Engel, 1977; Grassi et al., 2017; Mehnert et al., 2018).

This page summarises an empirical project by Konstantinos Vlogiaris, supervised by Dr Sidra Afzal, at the University of Sunderland's School of Psychology — exploring the psychological burden of cancer patients from a student perspective.

In press · forthcomingVlogiaris, K., & Afzal, S. (forthcoming). The psychological burden of cancer: a biopsychosocial review. University of Sunderland.Citation details and DOI will be added once published. To cite the working version, please email the author.

The burdens carried.

Globally, cancer causes ~10 million deaths a year. But for those who live, survival rarely equals recovery. These are the burdens the research keeps surfacing:

Depression & anxiety

Roughly 1 in 2 cancer patients experience clinically significant distress; depression and anxiety are the most common (Mehnert et al., 2018; Mitchell et al., 2011).

Trauma & PTSD

Diagnosis and treatment can be experienced as a traumatic stressor, producing intrusive memories, avoidance and hypervigilance (Kangas et al., 2002).

Fear of recurrence

Survival is not recovery — many survivors live with persistent fear of relapse (Simard et al., 2013; Lebel et al., 2016).

Existential distress

Cancer confronts patients with mortality, meaning, identity and purpose (Breitbart et al., 2015; Yalom, 1980).

Social isolation & stigma

Help-seeking is often suppressed by stigma; relationships strain under shifting roles (Else-Quest et al., 2009; Hagedoorn et al., 2008).

Financial & occupational strain

Treatment costs, lost income and reduced work capacity compound psychological suffering (Carreira et al., 2018; de Boer et al., 2009).

What the study found.

78 undergraduate psychology students (55 female, 23 male) completed adapted cancer knowledge and attitudes items and the Toronto Empathy Questionnaire (Spreng et al., 2009).

Pillai's = .108

MANOVA showed a significant multivariate effect of gender.

F(1,76) = 4.80

Females reported significantly more positive attitudes, p = .032.

F(1,76) = 5.71

Females scored significantly higher on empathy, p = .019.

Theoretical knowledge of cancer was broadly similar across genders, but affective and evaluative engagement with patient suffering differed meaningfully — shaped by biology, socialisation (Oakley, 1972), cognitive schemas (Bartlett, 1932) and masculinity norms (Gough & Novikova, 2020).

Pain, suffering, trauma and adversity are normal aspects of life. Existential meaning and hope may act as psychological antidotes. Healing takes time and practice — but it is achievable.

Download the research

Read the full empirical project and academic poster.