Abstract
Introduction. According to Self-Determination Theory (SDT), the satisfaction of basic psychological needs for autonomy, competence, and relatedness is associated with subjective well-being, treatment motivation, and adherence—particularly in cancer patients. The aim of this study was to validate the Scale of Satisfaction of Basic Psychological Needs in the Context of Treatment in cancer patients receiving chemotherapy and radiation therapy.
Methods. The study included 203 cancer patients undergoing systemic anticancer treatment. The assessment instruments were: the Scale of Satisfaction of Basic Psychological Needs in the Context of Treatment (Kovyazina et al., 2019), the Illness Perception Questionnaire–Revised (Moss-Morris et al., 2002; Rasskazova, 2016), and the Illness and Treatment Self-Regulation Questionnaire (Kovyazina et al., 2019).
Results. The scale demonstrated adequate internal consistency (with the exception of the Autonomy subscale, which requires further investigation) and acceptable factor validity. Higher satisfaction of basic psychological needs was associated with greater treatment self-efficacy and lower levels of health anxiety and helplessness. Patients receiving radiation therapy reported higher satisfaction of basic psychological needs compared to those undergoing chemotherapy.
Discussion. The findings support the use of this scale for assessing basic psychological needs satisfaction in cancer patients undergoing treatment. Such assessment may facilitate the development and implementation of psychological interventions aimed at enhancing treatment motivation and improving engagement in rehabilitation.
References
Бандаков, М. П., & Ковязина, Г. В. (2011). Обоснование содержания методики физической реабилитации последствий инсульта в различные периоды заболевания. Вестник ВятГУ, 1-3.
Гордеева, Т. О. (2015). Психология мотивации достижения (2-е перераб. и доп. изд.). Смысл.
Зинченко, Ю. П., Рассказова, Е. И., Шилко, Р. С., Ковязина, М. С., Черняев, А. П., Варзарь, С. М., Желтоножская, М. В., Лыкова, Е. Н., & Розанов, В. В. (2020). Эффективность лучевой терапии: исследование радиологических и психологических факторов риска. Наукоемкие технологии, 21(1), 50–62. https://doi.org/10.18127/j19998465-202001-08
Ковязина, М. С., & Варако, Н. А. (2016). К вопросу о природе "правополушарной" нейропсихологической симптоматики при инсультах в бассейне левой среднемозговой артерии. Consilium Medicum, 9.
Ковязина, М. С., Варако, Н. А., & Рассказова, Е. И. (2017). Психологические аспекты реабилитации в клинической практике. Вопросы психологии, 3, 40–50.
Ковязина, М. С., Варако, Н. А., Захарова, М. Н., & Астахова, Е. С. (2019). Опросник удовлетворенности базовых психологических потребностей в реабилитации: апробация на выборке пациентов, перенесших инсульт. Клиническая и специальная психология, 8(4), 16–36. https://doi.org/10.17759/cpse.2019080402
Рассказова, Е. И. (2016). Русскоязычная версия опросника восприятия болезни (IPQ-R): факторная структура и психометрические характеристики. Психологический журнал, 37(6), 72–85.
Тхостов, А. Ш. (2002). Психология телесности. М.: Смысл.
Тюляндин, С. А., Артамонова, Е. В., Жукова, Л. Г., Кислов, Н. В., Королева, И. А., Пароконная, А. А., и др. (2022). Практические рекомендации по лекарственному лечению рака молочной железы. Злокачественные опухоли: Практические рекомендации RUSSCO, 12(3s2), 155–197.
Шагарова, И. В. (2019). Ситуационные и личностные детерминанты совладающего поведения в ситуации онкологического заболевания. Омский научный вестник, 3, 84–88.
Andrykowski, M. A., Lykins, E., & Floyd, A. (2008). Psychological health in cancer survivors. Seminars in Oncology Nursing, 24(3), 193–201. https://doi.org/10.1016/j.soncn.2008.05.007
Bonetti, L., Tolotti, A., Anderson, G., Nania, T., Vignaduzzo, C., Sari, D., & Barello, S. (2022). Nursing interventions to promote patient engagement in cancer care: A systematic review. International Journal of Nursing Studies, 133, 104289. https://doi.org/10.1016/j.ijnurstu.2022.104289
Hu, L., & Bentler, P. M. (1999). Cutoff criteria for fit indexes in covariance structure analysis: Conventional criteria versus new alternatives. Structural Equation Modeling: A Multidisciplinary Journal, 6(1), 1–55. https://doi.org/10.1080/10705519909540118
Hulbert-Williams, N. J., Beatty, L., & Dhillon, H. M. (2018). Psychological support for patients with cancer: Evidence review and suggestions for future directions. Current Opinion in Supportive and Palliative Care, 12(3), 276–292. https://doi.org/10.1097/SPC.0000000000000360
Ionescu, C. M., Mun, C. J., & Burns, J. W. (2023). The role of self-determination theory in pain management: A systematic review and meta-analysis. The Journal of Pain, 24(5), 757–772. https://doi.org/10.1016/j.jpain.2022.12.006
Kim, C.-J., Yun, H.-W., Kang, H. S., Jung, J.-Y., & Schlenk, E. A. (2023). Predicting physical activity and sarcopenia-related health outcomes in women with rheumatoid arthritis: A test of the self-determination theory. Nursing Open, 10, 6369–6380. https://doi.org/10.1002/nop2.1885
Kroemeke, A., & Sobczyk-Kruszelnicka, M. (2022). Daily analysis of autonomy support and well-being in patient-caregiver dyads facing haematopoietic cell transplantation. British Journal of Health Psychology, 27(3), 789–801. https://doi.org/10.1111/bjhp.12573
Leow, K., Lynch, M. F., & Lee, J. (2021). Social support and well-being in older cancer survivors. International Journal of Aging and Human Development, 92(1), 100–114. https://doi.org/10.1177/0091415019887688
Leventhal, H., Phillips, L. A., & Burns, E. (2016). The Common-Sense Model of Self-Regulation (CSM): A dynamic framework for understanding illness self-management. Journal of Behavioral Medicine, 39(6), 935–946. https://doi.org/10.1007/s10865-016-9782-2
Lewandowska, A., Rudzki, G., Lewandowski, T., Stryjkowska-Góra, A., & Rudzki, S. (2022). Risk factors for the diagnosis of colorectal cancer. Cancer Control, 29. https://doi.org/10.1177/10732748211056692
Lynch, M. F., & Lee, C. S. (2021). The contribution of social support and psychological needs to social well-being in older adult cancer survivors. Journal of Psychosocial Oncology, 39(5), 666–680. https://doi.org/10.1080/07347332.2020.1870642
Mehnert, A., Hartung, T. J., Friedrich, M., Vehling, S., Brähler, E., Härter, M., Keller, M., Schulz, H., Wegscheider, K., Weis, J., Koch, U., & Faller, H. (2018). One in two cancer patients is significantly distressed: Prevalence and indicators of distress. Psycho-oncology, 27(1), 75–82. https://doi.org/10.1002/pon.4464
Moss-Morris, R., Weinman, J., Petrie, K. J., Horne, R., Cameron, L. D., & Buick, D. (2002). The Revised Illness Perception Questionnaire (IPQ-R). Psychology and Health, 17(1), 1–16. https://doi.org/10.1080/08870440290001494
Ntoumanis, N., Ng, J. Y. Y., Prestwich, A., Quested, E., Hancox, J. E., Thøgersen-Ntoumani, C., Deci, E. L., Ryan, R. M., Lonsdale, C., & Williams, G. C. (2021). A meta-analysis of self-determination theory-informed intervention studies in the health domain: effects on motivation, health behavior, physical, and psychological health. Health Psychology Review, 15(2), 214–244. https://doi.org/10.1080/17437199.2020.1718529
Rivera-Rivera, J. N., Badour, C. L., & Burris, J. L. (2021). The association between psychological functioning and social support and social constraint after cancer diagnosis: a 30-day daily diary study. Journal of Behavioral Medicine, 44, 355–367. https://doi.org/10.1007/s10865-021-00200-6
Ryan, R. M., & Deci, E. L. (2000). Self-determination theory and the facilitation of intrinsic motivation, social development, and well-being. American Psychologist, 55(1), 68–78. https://doi.org/10.1037/0003-066X.55.1.68
Schroevers, M. J., Helgeson, V. S., Sanderman, R., & Ranchor, A. V. (2010). Type of social support matters for prediction of posttraumatic growth among cancer survivors. Psycho-Oncology, 19(1), 46–53.
Secinti, E., Tometich, D. B., Johns, S. A., & Mosher, C. E. (2019). The relationship between acceptance of cancer and distress: A meta-analytic review. Clinical Psychology Review, 71, 27–38. https://doi.org/10.1016/j.cpr.2019.05.001
Sheldon, K. M., Williams, G., & Joiner, T. (2003). Self-determination theory in the clinic: Motivating physical and mental health. Yale University Press.
Stefánsdóttir, G., Björnsdóttir, K., & Stefánsdóttir, Á. (2018). Autonomy and people with intellectual disabilities who require more intensive support. Scandinavian Journal of Disability Research, 20(1), 162–171. https://doi.org/10.16993/sjdr.21
Tauber, N. M., O’Toole, M. S., Dinkel, A., Galica, J., Humphris, G., Lebel, S., & Maheu, C. (2019). Effect of psychological intervention on fear of cancer recurrence: A systematic review and meta-analysis. Journal of Clinical Oncology, 37(31), 2899–2915. https://doi.org/10.1200/JCO.19.00572
Xia, Q., Kularatna, M., Virdun, C., Button, E., Close, E., & Carter, H. E. (2023). Preferences for palliative and end-of-life care: A systematic review of discrete choice experiments. Value in Health, 26(12), 1795–1809. https://doi.org/10.1016/j.jval.2023.07.005
This work is licensed under a Creative Commons Attribution 4.0 International License.
Copyright (c) 2025 Russian Psychological Journal