{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,20]],"date-time":"2026-10-20T02:34:39Z","timestamp":1792463679628,"version":"4.5.0"},"reference-count":50,"publisher":"MDPI AG","issue":"14","license":[{"start":{"date-parts":[[2024,7,10]],"date-time":"2024-07-10T00:00:00Z","timestamp":1720569600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"Faculty of Medicine of Wroc\u0142aw University of Science and Technology, Poland"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Nutrients"],"abstract":"<jats:p>Progressive cachexia and malnutrition severely impact the physical and mental condition of cancer patients. Pain is a prognostic factor for shorter survival in cancer patients, and coping strategies are crucial for adapting to treatment and dietary regimens. This study assessed pain levels, pain-related beliefs, and coping strategies as factors increasing malnutrition risk in 257 lung cancer patients. Sociodemographic and clinical data were collected from medical records. The Mini Nutritional Assessment (MNA), Visual Analog Scale (VAS), Beliefs about Pain Control Questionnaire (BPCQ), and Coping Strategies Questionnaire (CSQ) were used. Overall, 42.8% of patients were at risk of malnutrition, and 17.5% were malnourished. Nutritional status negatively correlated with CSQ domains: reinterpretation of pain (RP: rho = \u22120.194; p = 0.002), catastrophizing (CP: rho = \u22120.414; p = 0.001), ignoring pain (IP: rho = \u22120.198; p = 0.001), praying\/hoping (PH: rho = \u22120.253; p &lt; 0.001), and coping self-statements (CS: rho = \u22120.172; p = 0.006); and BPCQ domains: the power of doctors (PD: rho = \u22120.196; p = 0.002) and VAS (rho = \u22120.451; p &lt; 0.001). Nutritional status positively correlated with CSQ domains: pain control (PC: rho = 0.499; p &lt; 0.001) and the ability to reduce pain (AR: rho = 0.512; p &lt; 0.001). In multivariate regression analysis, a better nutritional status was associated with a younger age (\u03b2 = \u22120.094; p &lt; 0.001), non-small-cell lung cancer (NSCLC) (\u03b2 = 1.218; p = 0.037), a greater ability to reduce pain (CSQ-AR) (\u03b2 = 0.901; p &lt; 0.001), lower catastrophizing (CSQ-CP) (\u03b2 = \u22120.165; p = 0.001), and lower pain perceived (VAS) (\u03b2 = 0.639; p &lt; 0.001). Statistical analyses included Spearman\u2019s correlation and multivariate regression with a significance level of p &lt; 0.05. Patients with a normal nutritional status had reduced doctor involvement in pain control, less frequent negative coping strategies, and more common positive coping strategies. A normal nutritional status correlates with lower perceived pain. A better nutritional status is linked to a younger age, NSCLC, lower pain levels, greater pain reduction ability, and lower scores in pain catastrophizing.<\/jats:p>","DOI":"10.3390\/nu16142193","type":"journal-article","created":{"date-parts":[[2024,7,10]],"date-time":"2024-07-10T09:23:08Z","timestamp":1720603388000},"page":"2193","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":9,"title":["Pain and Coping Strategies as Determinants of Malnutrition Risk in Lung Cancer Patients: A Cross-Sectional Study"],"prefix":"10.3390","volume":"16","author":[{"given":"Jacek","family":"Pola\u0144ski","sequence":"first","affiliation":[{"name":"Department of Internal and Occupational Diseases, Hypertension and Clinical Oncology, Wroclaw Medical University, 50-556 Wroc\u0142aw, Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wojciech","family":"Ta\u0144ski","sequence":"additional","affiliation":[{"name":"Faculty of Medicine, Wroc\u0142aw University of Science and Technology, 50-376 Wroc\u0142aw, Poland"},{"name":"Department of Internal Medicine, 4th Military Clinical Hospital, 50-981 Wroc\u0142aw, Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9442-989X","authenticated-orcid":false,"given":"Krzysztof","family":"Dudek","sequence":"additional","affiliation":[{"name":"Faculty of Mechanical Engineering, Wroclaw University of Science and Technology, 50-370 Wroc\u0142aw, Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Beata","family":"Jankowska-Pola\u0144ska","sequence":"additional","affiliation":[{"name":"Faculty of Medicine, Wroc\u0142aw University of Science and Technology, 50-376 Wroc\u0142aw, Poland"},{"name":"Centre for Research and Innovation, 4th Military Clinical Hospital, 50-981 Wroc\u0142aw, Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2024,7,10]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","unstructured":"Nooreldeen, R., and Bach, H. (2021). Current and Future Development in Lung Cancer Diagnosis. Int. J. Mol. Sci., 22.","DOI":"10.3390\/ijms22168661"},{"key":"ref_2","doi-asserted-by":"crossref","unstructured":"Muscaritoli, M., Corsaro, E., and Molfino, A. (2021). Awareness of Cancer-Related Malnutrition and Its Management: Analysis of the Results From a Survey Conducted Among Medical Oncologists. Front. Oncol., 11.","DOI":"10.3389\/fonc.2021.682999"},{"key":"ref_3","doi-asserted-by":"crossref","unstructured":"Mari\u00ebn, H., Derveaux, E., Vanhove, K., Adriaensens, P., Thomeer, M., and Mesotten, L. (2022). Changes in Metabolism as a Diagnostic Tool for Lung Cancer: Systematic Review. Metabolites, 12.","DOI":"10.3390\/metabo12060545"},{"key":"ref_4","doi-asserted-by":"crossref","unstructured":"Gouez, M., Delrieu, L., Bouleuc, C., Girard, N., Raynard, B., and Marchal, T. (2022). Association between Nutritional Status and Treatment Response and Survival in Patients Treated with Immunotherapy for Lung Cancer: A Retrospective French Study. Cancers, 14.","DOI":"10.3390\/cancers14143439"},{"key":"ref_5","doi-asserted-by":"crossref","first-page":"1043","DOI":"10.1111\/jhn.13009","article-title":"Prevalence of Hospital-acquired Malnutrition and Modifiable Determinants of Nutritional Deterioration during Inpatient Admissions: A Systematic Review of the Evidence","volume":"35","author":"Cass","year":"2022","journal-title":"J. Hum. Nutr. Diet."},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"90","DOI":"10.1186\/s12955-021-01735-7","article-title":"A Poorer Nutritional Status Impacts Quality of Life in a Sample Population of Elderly Cancer Patients","volume":"19","author":"Rios","year":"2021","journal-title":"Health Qual. Life Outcomes"},{"key":"ref_7","doi-asserted-by":"crossref","unstructured":"Fraile-Martinez, O., Alvarez-Mon, M.A., Garcia-Montero, C., Pekarek, L., Guijarro, L.G., Lahera, G., Saez, M.A., Monserrat, J., Motogo, D., and Quintero, J. (2022). Understanding the Basis of Major Depressive Disorder in Oncological Patients: Biological Links, Clinical Management, Challenges, and Lifestyle Medicine. Front. Oncol., 12.","DOI":"10.3389\/fonc.2022.956923"},{"key":"ref_8","doi-asserted-by":"crossref","unstructured":"Elma, \u00d6., Brain, K., and Dong, H.-J. (2022). The Importance of Nutrition as a Lifestyle Factor in Chronic Pain Management: A Narrative Review. J. Clin. Med., 11.","DOI":"10.3390\/jcm11195950"},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"457","DOI":"10.2147\/JPR.S105892","article-title":"A Review of Chronic Pain Impact on Patients, Their Social Environment and the Health Care System","volume":"9","author":"Ojeda","year":"2016","journal-title":"J. Pain Res."},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"6838","DOI":"10.3390\/curroncol30070500","article-title":"Cancer Pain Management: A Narrative Review of Current Concepts, Strategies, and Techniques","volume":"30","author":"Mestdagh","year":"2023","journal-title":"Curr. Oncol."},{"key":"ref_11","first-page":"1399","article-title":"Clinical Management of Emotions in Patients with Cancer: Introducing the Approach \u201cEmotional Support and Case Finding\u201d","volume":"10","author":"Dekker","year":"2020","journal-title":"Transl. Behav. Med."},{"key":"ref_12","doi-asserted-by":"crossref","first-page":"66","DOI":"10.5603\/RPOR.a2023.0012","article-title":"Coping with Cancer and a History of Health-Related Events","volume":"28","author":"Homa","year":"2023","journal-title":"Rep. Pract. Oncol. Radiother."},{"key":"ref_13","doi-asserted-by":"crossref","first-page":"e146","DOI":"10.1016\/j.cllc.2020.09.010","article-title":"Coping Strategy Influences Quality of Life in Patients With Advanced Lung Cancer by Mediating Mood","volume":"22","author":"Derijcke","year":"2021","journal-title":"Clin. Lung Cancer"},{"key":"ref_14","doi-asserted-by":"crossref","first-page":"166","DOI":"10.1093\/oncolo\/oyad253","article-title":"Coping Strategies and Associated Symptom Burden Among Patients With Advanced Cancer","volume":"29","author":"Dev","year":"2024","journal-title":"Oncologist"},{"key":"ref_15","doi-asserted-by":"crossref","first-page":"1703","DOI":"10.1200\/JCO.2013.54.4825","article-title":"Psychological and Behavioral Approaches to Cancer Pain Management","volume":"32","author":"Syrjala","year":"2014","journal-title":"J. Clin. Oncol."},{"key":"ref_16","doi-asserted-by":"crossref","first-page":"111970","DOI":"10.1016\/j.nut.2022.111970","article-title":"Effect of Nutritional Status on Psychological Functioning and Coping in Patients with Lung Cancer","volume":"109","author":"Dudek","year":"2023","journal-title":"Nutr. Burbank"},{"key":"ref_17","doi-asserted-by":"crossref","first-page":"2303","DOI":"10.21037\/jtd.2018.03.108","article-title":"Is Nutritional Status Associated with the Level of Anxiety, Depression and Pain in Patients with Lung Cancer?","volume":"10","author":"Chabowski","year":"2018","journal-title":"J. Thorac. Dis."},{"key":"ref_18","doi-asserted-by":"crossref","first-page":"4085","DOI":"10.2147\/CMAR.S175210","article-title":"The Effect of Coping Strategy on Quality of Life in Patients with NSCLC","volume":"10","author":"Chabowski","year":"2018","journal-title":"Cancer Manag. Res."},{"key":"ref_19","doi-asserted-by":"crossref","first-page":"586","DOI":"10.5993\/AJHB.38.4.12","article-title":"Negative and Positive Beliefs Related to Mood and Health","volume":"38","author":"Ownby","year":"2014","journal-title":"Am. J. Health Behav."},{"key":"ref_20","doi-asserted-by":"crossref","unstructured":"M\u00e4ntyselk\u00e4, P., Kautiainen, H., and Miettola, J. (2019). Beliefs and Attitudes towards Lifestyle Change and Risks in Primary Care\u2014A Community-Based Study. BMC Public Health, 19.","DOI":"10.1186\/s12889-019-7377-x"},{"key":"ref_21","doi-asserted-by":"crossref","first-page":"43","DOI":"10.1007\/5584_2019_429","article-title":"Strategies of Coping with Pain: Differences Associated with the Histological Type of Lung Cancer","volume":"1222","author":"Mazur","year":"2019","journal-title":"Adv. Exp. Med. Biol."},{"key":"ref_22","doi-asserted-by":"crossref","unstructured":"Osowiecka, K., Kieszkowska-Grudny, A., \u015aroda, R., Olejniczak, D., and Ruci\u0144ska, M. (2022). Identification of Cognitive Strategies Used by Cancer Patients as a Basis for Psychological Self-Support during Oncological Therapy. Int. J. Environ. Res. Public Health, 19.","DOI":"10.3390\/ijerph19159243"},{"key":"ref_23","doi-asserted-by":"crossref","unstructured":"Torbahn, G., Strauss, T., Sieber, C.C., Kiesswetter, E., and Volkert, D. (2020). Nutritional Status According to the Mini Nutritional Assessment (MNA)\u00ae as Potential Prognostic Factor for Health and Treatment Outcomes in Patients with Cancer\u2014A Systematic Review. BMC Cancer, 20.","DOI":"10.1186\/s12885-020-07052-4"},{"key":"ref_24","first-page":"1999","article-title":"Psychometric Properties of a Single Item Visual Analog Scale Measuring Goals of Care in Patients with Advanced Cancer","volume":"29","author":"Douglas","year":"2020","journal-title":"Qual. Life Res. Int. J. Qual. Life Asp. Treat. Care Rehabil."},{"key":"ref_25","doi-asserted-by":"crossref","first-page":"677","DOI":"10.5604\/12321966.1220212","article-title":"Application of the BPCQ Questionnaire to Assess Pain Management in Selected Types of Cancer","volume":"23","author":"Czerw","year":"2016","journal-title":"Ann. Agric. Environ. Med. AAEM"},{"key":"ref_26","doi-asserted-by":"crossref","first-page":"33","DOI":"10.1016\/0304-3959(83)90125-2","article-title":"The Use of Coping Strategies in Chronic Low Back Pain Patients: Relationship to Patient Characteristics and Current Adjustment","volume":"17","author":"Rosenstiel","year":"1983","journal-title":"Pain"},{"key":"ref_27","doi-asserted-by":"crossref","first-page":"43","DOI":"10.3322\/canjclin.57.1.43","article-title":"Cancer Statistics, 2007","volume":"57","author":"Jemal","year":"2007","journal-title":"CA Cancer J. Clin."},{"key":"ref_28","doi-asserted-by":"crossref","unstructured":"Bossi, P., De Luca, R., Ciani, O., D\u2019Angelo, E., and Caccialanza, R. (2022). Malnutrition Management in Oncology: An Expert View on Controversial Issues and Future Perspectives. Front. Oncol., 12.","DOI":"10.3389\/fonc.2022.910770"},{"key":"ref_29","doi-asserted-by":"crossref","first-page":"392","DOI":"10.1016\/j.athoracsur.2012.06.023","article-title":"Nutritional Status and Postoperative Outcome after Pneumonectomy for Lung Cancer","volume":"95","author":"Bagan","year":"2013","journal-title":"Ann. Thorac. Surg."},{"key":"ref_30","doi-asserted-by":"crossref","first-page":"835","DOI":"10.1093\/annonc\/mdq440","article-title":"Baseline Nutritional Evaluation in Metastatic Lung Cancer Patients: Mini Nutritional Assessment versus Weight Loss History","volume":"22","author":"Gioulbasanis","year":"2011","journal-title":"Ann. Oncol. Off. J. Eur. Soc. Med. Oncol."},{"key":"ref_31","first-page":"3357","article-title":"The Relationship between Nutritional Status and Prognosis in Patients with Locally Advanced and Advanced Stage Lung Cancer","volume":"29","author":"Gul","year":"2021","journal-title":"Support. Care Cancer Off. J. Multinatl. Assoc. Support. Care Cancer"},{"key":"ref_32","first-page":"152","article-title":"Association between Malnutrition and Anxiety in Cancer Patients-a Retrospective Study","volume":"32","author":"Nardi","year":"2024","journal-title":"Support. Care Cancer Off. J. Multinatl. Assoc. Support. Care Cancer"},{"key":"ref_33","doi-asserted-by":"crossref","first-page":"8697","DOI":"10.1038\/s41598-023-35894-y","article-title":"Non-Linear Association between Body Weight and Functional Outcome after Acute Ischemic Stroke","volume":"13","author":"Wakisaka","year":"2023","journal-title":"Sci. Rep."},{"key":"ref_34","unstructured":"(2002). PDQ Adult Treatment Editorial Board Breast Cancer Treatment (PDQ\u00ae): Health Professional Version. PDQ Cancer Information Summaries, National Cancer Institute (US)."},{"key":"ref_35","doi-asserted-by":"crossref","first-page":"1223","DOI":"10.2147\/JPR.S247472","article-title":"Nerve Growth Factor Signaling and Its Contribution to Pain","volume":"13","author":"Barker","year":"2020","journal-title":"J. Pain Res."},{"key":"ref_36","doi-asserted-by":"crossref","unstructured":"Duitama, M., Moreno, Y., Santander, S.P., Casas, Z., Sutachan, J.J., Torres, Y.P., and Albarrac\u00edn, S.L. (2021). TRP Channels as Molecular Targets to Relieve Cancer Pain. Biomolecules, 12.","DOI":"10.3390\/biom12010001"},{"key":"ref_37","doi-asserted-by":"crossref","first-page":"21240","DOI":"10.1002\/cam4.6703","article-title":"Development of a Nutritional Screening and Assessment Indicator System for Patients with Esophageal Cancer in China: Findings from the Delphi Method","volume":"12","author":"Shang","year":"2023","journal-title":"Cancer Med."},{"key":"ref_38","doi-asserted-by":"crossref","first-page":"189","DOI":"10.1097\/ALN.0b013e31821b1ac5","article-title":"Antagonism of Nerve Growth Factor-TrkA Signaling and the Relief of Pain","volume":"115","author":"Mantyh","year":"2011","journal-title":"Anesthesiology"},{"key":"ref_39","doi-asserted-by":"crossref","first-page":"7397","DOI":"10.1016\/j.vaccine.2021.12.071","article-title":"Healthcare Professional and Professional Stakeholders\u2019 Perspectives on Vaccine Mandates in Switzerland: A Mixed-Methods Study","volume":"40","author":"Dietrich","year":"2022","journal-title":"Vaccine"},{"key":"ref_40","first-page":"1823","article-title":"Nutritional Status, Acute Phase Response and Depression in Metastatic Lung Cancer Patients: Correlations and Association Prognosis","volume":"20","author":"Giannousi","year":"2012","journal-title":"Support. Care Cancer Off. J. Multinatl. Assoc. Support. Care Cancer"},{"key":"ref_41","doi-asserted-by":"crossref","first-page":"1407","DOI":"10.2147\/CMAR.S287551","article-title":"Relationship Between Nutritional Status and Quality of Life in Patients with Lung Cancer","volume":"13","author":"Mazur","year":"2021","journal-title":"Cancer Manag. Res."},{"key":"ref_42","doi-asserted-by":"crossref","first-page":"300060519863497","DOI":"10.1177\/0300060519863497","article-title":"Correlation between Malnutrition and Health-Related Quality of Life (HRQOL) in Elderly Iranian Adults","volume":"48","author":"Khatami","year":"2020","journal-title":"J. Int. Med. Res."},{"key":"ref_43","doi-asserted-by":"crossref","first-page":"15","DOI":"10.1007\/5584_2017_23","article-title":"Malnutrition and Quality of Life in Patients with Non-Small-Cell Lung Cancer","volume":"1021","author":"Uchmanowicz","year":"2017","journal-title":"Adv. Exp. Med. Biol."},{"key":"ref_44","first-page":"190","article-title":"GLIM Diagnosed Malnutrition Predicts Clinical Outcomes and Quality of Life in Patients with Non-Small Cell Lung Cancer","volume":"42","author":"Landgrebe","year":"2023","journal-title":"Clin. Nutr. Edinb. Scotl."},{"key":"ref_45","doi-asserted-by":"crossref","first-page":"e213","DOI":"10.1136\/bmjspcare-2020-002838","article-title":"Nutritional Status and Symptom Burden in Advanced Non-Small Cell Lung Cancer: Results of the Dietetic Assessment and Intervention in Lung Cancer (DAIL) Trial","volume":"13","author":"Phillips","year":"2023","journal-title":"BMJ Support. Palliat. Care"},{"key":"ref_46","doi-asserted-by":"crossref","first-page":"296","DOI":"10.1016\/j.jtcme.2016.09.001","article-title":"Psychological Interventions Influence Patients\u2019 Attitudes and Beliefs about Their Chronic Pain","volume":"8","author":"Vanhaudenhuyse","year":"2017","journal-title":"J. Tradit. Complement. Med."},{"key":"ref_47","doi-asserted-by":"crossref","unstructured":"Pola\u0144ski, J., Misi\u0105g, W., and Chabowski, M. (2022). Impact of Loneliness on Functioning in Lung Cancer Patients. Int. J. Environ. Res. Public Health, 19.","DOI":"10.3390\/ijerph192315793"},{"key":"ref_48","first-page":"45","article-title":"Evaluation of beliefs about pain control in patients after physicaltherapy treatment","volume":"7","author":"Sztandera","year":"2017","journal-title":"J. Educ. Health Sport"},{"key":"ref_49","doi-asserted-by":"crossref","first-page":"397","DOI":"10.1097\/NJH.0b013e31825f3470","article-title":"Management of Anorexia-Cachexia in Late Stage Lung Cancer Patients","volume":"14","author":"Grant","year":"2012","journal-title":"J. Hosp. Palliat. Nurs."},{"key":"ref_50","doi-asserted-by":"crossref","first-page":"e321","DOI":"10.3747\/co.20.1431","article-title":"Exercise and Nutrition Interventions in Advanced Lung Cancer: A Systematic Review","volume":"20","author":"Payne","year":"2013","journal-title":"Curr. Oncol. Tor. 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