Implication incidence age groups in cancer patients who suffer from death rumination disorder and employed psychological defense styles


  • Minoo Sharbafshaaer Department of Psychology, University of Sistan and Baluchestan, Zahedan, Sistan and Baluchestan, Iran
  • Mohammad A. Mashhadi Department of Haematology and Oncology, Zahedan University of Medical Sciences, Zahedan, Sistan and Baluchestan, Iran



Age groups, Cancer patients, Death rumination, Psychological defense styles


Background: Cancer is malignant disease with high risk of incidences which disease lead to stressful and pressure condition. This study was done to analyse age groups in cancer patients who suffer from death rumination disorder and employed psychological defense styles.

Methods: The study was done using two questionnaires such as: death rumination questionnaire and defense style questionnaire-60 (DSQ-60). Study was conducted in 200 patients who after oncologist diagnosis bedded in hospital. Investigation used all data collected analysed by SPSS version 21 software, the MANOVA test was used.

Results: In particular, 46-55 years old was in high risk of age group in cancer population, there was a statistical significant difference on death rumination disorder and employing psychological defense styles with regard to age. Age groups correlated with death focus factor of death rumination disorder. Age rank correlated with sublimation, self-assertion, splitting-self, help-rejecting, undoing, affiliation factors of defense styles.

Conclusions: Findings of this study revealed that there is difference between age groups, death rumination disorder and psychological defense styles in cancer patients. Death rumination is response of distress and death thinking which make by cancer diseases, then defense styles in patients encounter for adaptive with pressure and stressful condition of diseases.


Adamo M, Dickie, L, Ruhl J. First course of therapy. In: National cancer institute, editor. SEER program coding and staging manual. 2015. 1st ed. Bethesda: Effective with cases diagnosed; 2015:119.

Abadan IR. Cancer is second cause of death. 2014. Available at fa/ News/81291147. Accessed 16 July 2016.

Taylor JB. Psychological adaptive mechanisms: ego defense recognition in Practice and Research. Psychosomatics. 2014;55:210-1.

Kasch KL, Klein DN, Lara ME. Construct validation study of the Response Styles Questionnaire Rumination scale in participants with a recent-onset major depressive episode. Psychological Assessment. 2001;13:375-83.

Broderick PC. Mindfulness and Coping with Dysphoric Mood: Contrasts with Rumination and Distraction. Cog Thera Rese. 2005;29:501-10.

Thygesen KL, Drapeau M, Trijsburg RW, Lecours S, Roten YD. Assessing defense styles: factor structure and psychometric Assessing defense styles: factor structure and psychometric properties of the new defense style questionnaire 60 (DSQ-60). Int J Psycho Psycho Ther. 2008;8:171-81.

Cancer Facts and Figures 2015. Atlanta: American Cancer Society. 2015. Available at research/ cancerfactsstatistics/ cancerfactsfigures2015/.

Siegel RL, Miller DK, Ahmedin J. Cancer Statistics 2015. Ca cancer J Clin. 2015;65:5-29.

Cancer projections for Ireland 2015-2040. Cork: National Cancer Registry, 2014. Available at publications/ cancer-trends-and-projections/ cancer-projections-ireland-2015-%E2%80%93-2040/. Accessed 16 July 2015.

Diet, Nutrition, Physical Activity and Liver Cancer 2015. London: World Cancer Research Fund International’s Continuous Update Project (CUP) 2015. Available at int/ research-we-fund/continuous-update-project-findings-reports/liver-cancer/.

Nolen-Hoeksema S, Wisco BE, and Lyubomirsky S. Rethinking Rumination. Perspect Psychol Sci 2008;3:400-24.

Davis RN, Nolen-Hoeksema S. Cognitive inflexibility among ruminators and nonruminators. Cogni Ther Rese. 2000;24:699-711.

Selby EA, Kranzler A, Panza E, Fehling KB. Bidirectional-Compounding effects of rumination and negative emotion in predicting impulsive behavior: implications for emotional cascades. J Pers. 2014.

Papa A, Rummel C, Garrison-Diehn C, Sewell MT. Behavioral activation for pathological grief. Death Studies. 2013;37:913-36.

Milazzo AC, Ng B, Jiang H, Shirer W, Varoquaux G, Poline JB, et al. Identification of mood-relevant brain connections using a continuous, subject-driven rumination paradigm. Cereb Cortex. 2014;24:255.

Borders A, Rothman DJ, McAndrew LM. Sleep problems may mediate associations between rumination and PTSD and depressive symptoms among OIF/OEF veterans. Psychological Trauma: Theory, Research, Practice, and Policy. 2015;7:76-84.

Ruscio AM, Gentes EL, Jones JD, Hallion LS, Coleman ES, Swendsen J. Rumination predicts heightened responding to stressful life events in major depressive disorder and generalized anxiety disorder. J Abnor Psycho. 2015;124:17-26.

Michl LC, McLaughlin KA, Shepherd K, Nolen-Hoeksema S. Rumination as a mechanism linking stressful life events to symptoms of depression and anxiety: longitudinal evidence in early adolescents and adults. Abnormal Psychology. 2013;122:339-52.

Lu Y, Tang C, Liow CS, Ng WW, Ho CS, Ho RC. Regressional analysis of maladaptive rumination, illness perception and negative emotional outcomes in Asian patients suffering from depressive disorder. Asian J Psych. 2014;13:1-15.

Laurent A, Aubert L, Chahraoui KH, Bioy A, Mariage A, Quenot JP. Error in intensive care: psychological repercussions and defense mechanisms among health professionals. Critical Care Medicine. 2014;42:2370-8.

Cramer P. Defense mechanisms in psychology today: Further processes for adaptation. American Psychol. 2000;55:637-46.

Cramer P. Defense Mechanisms: 40 Years of Empirical Research. Journal of Personality Assessment. 2014;57:114-22.

Rezki M, Bangun YR. Create the EQ modelling instrument based on Goleman and Bar-on models and psychological defense mechanisms. Social and Behavioral Sciences. 2014;115:394-406.

Carvalho AF, Ramírez SP, Macêdo DS, Sales PM, Rebouças JC, Daher EF, et al. The psychological defensive profile of hemodialysis patients and its relationship to health-related quality of life. J Nerv Ment Dis. 2013;201:621-8.

Pervichko E, Zinchenko Y. Ego defense mechanisms in patients with “hypertension at work” and patients with essential hypertension: a comparative analysis. Nervous and Mental Disease. 2013;201:621-8.

Ortiz-Rivas MK, Moreno-Pérez NE, Vega-Macías HD, Jiménez-González Mde J Navarro-Elías Mde G. Adaptation of self-image level and defense mechanisms in elderly patients with complicated stoma. Enferm Clin J. 2014;24:339-44.

Beresford TP, Alfers J, Mangum L, Clapp L, Martin B. Cancer survival probability as a function of ego defense (adaptive) mechanisms versus depressive symptoms. Psychosomatics. 2006;47:247-53.

Hyphantis T, Katsoudas S, Voudiclari S. Ego mechanisms of defense are associated with patients’ preference of treatment modality independent of psychological distress in end-stage renal disease. Patient Prefer Adherence. 2010;4:25-32.

Stepanchuk E, Zhirkov A, Yakovleva A. The coping strategies, psychological defense mechanisms and emotional response to the disease in Russian patients with chronic leukemia. Social and Behavioral Sciences. 2013;86:248-55.

Olson TR, Perry JC, Janzen JI, Petraglia J, Presniak MD. Addressing and interpreting defense mechanisms in psychotherapy: general considerations. Psychiatry. 2011;74:142-65.




How to Cite

Sharbafshaaer, M., & Mashhadi, M. A. (2016). Implication incidence age groups in cancer patients who suffer from death rumination disorder and employed psychological defense styles. International Journal of Research in Medical Sciences, 4(12), 5372–5376.



Original Research Articles