48P - Determination of the association between continuous anger, anger expression and hope–hopelessness levels in patients with lung cancer

Date 15 April 2016
Event European Lung Cancer Conference 2016 (ELCC) 2016
Session Poster lunch
Topics Psychosocial Aspects of Cancer
Thoracic Malignancies
Presenter Zeliha Koç
Citation Journal of Thoracic Oncology (2016) 11 (supplement 4): S57-S166. S1556-0864(16)X0004-4
Authors Z. Koç1, T. Çınarlı2, Z. Sağlam1, P. Çelebi1, B. Ersoy1
  • 1Health High School, Ondokuz Mayıs University(19 Mayis University), 55139 - Samsun/TR
  • 2Health Science Institution, Ondokuz Mayıs University(19 Mayis University), 55139 - Samsun/TR



The purpose of this study was to find out the association between hope-hopelessness level and continuous anger and ways of expressing anger in patients with lung cancer.


A total of 132 patients who were getting inpatient treatment in a hospital between the dates 08.06.2014 and 18.12.2015 were included in the study. The data was collected by using a questionnaire form which consisted of 29 questions to find out the socio-demographic and clinical features of patients and Continuous Anger and Anger Expression Style Scale and Beck Hopelessness Scale. Continuous Anger and Anger Expression Style Scale consists of 34 items and quadruplet rating was used in its responding. Total point cannot be obtained from the scale but grading can be made according to sub dimensions (controlled anger, externalized anger, suppressed anger). Beck Hopelessness Scale is a self-assessment scale consisting of 20 items and 3 sub dimensions (feelings and expectations about the future, motivation loss and hope). One can get a score of between 0 and 20 and high scores show that the individual has high levels of hopelessness.


12.9% of the patients were women, while 87.1% were men and the average age of the patients was 62.29±8.85. It was found that 30.3% of the patients were stage IV, 80.3% were receiving chemotherapy; based on the treatment and prognosis of the disease, 79.7% were found to experience exhaustion and 57.8% were found to experience dyspnea. The patients' Continuous Anger level point average was detected as 22.97±7.97, controlled anger sub dimension average of anger style scale was detected as 22.65±6.20, externalized anger sub dimension point average was detected as 16.41±6.03, suppressed anger sub dimension point average was detected as 16.24±4.75. Total score averages of Beck Hopelessness Scale was 8.42±6.86, average scores were 1.88±2.03 for feelings and expectations about the future sub dimension, 4.12±2.93 for motivation loss sub dimension and 2.42±2.32 for hope sub dimension.


It was found that the higher hopeless level people had, the higher anger levels they had and the more they expressed or repressed their anger and the lower hopelessness level they had, the more they could control themselves.

Legal entity responsible for the study

Associate Professor Zeliha Koç, Ondokuz Mayıs University


Foundation or academic group WITHOUT funding from a pharmaceutical, biotech, or other commercial company


All authors have declared no conflicts of interest.