Cognitive, emotional, and behavioral mediators of the impact of coping self-efficacy on adaptation to breast cancer: An international prospective study

Evangelos C. Karademas, Panagiotis Simos, Ruth Pat-Horenczyk, Ilan Roziner, Ketti Mazzocco, Berta Sousa, Albino J. Oliveira-Maia, Georgios Stamatakos, Fatima Cardoso, Diana Frasquilho, Eleni Kolokotroni, Chiara Marzorati, Johanna Mattson, Greta Pettini, Paula Poikonen-Saksela

Research output: Contribution to journalArticlepeer-review

1 Citation (Scopus)

Abstract

Objective: The main objective of this prospective multicenter study was to examine whether illness representations of control, affect, and coping behaviors mediate the effects of self-efficacy to cope with cancer on psychological symptoms and overall quality of life, in breast cancer patients. Method: Data from 413 women (Mean age = 54.87; SD = 8.01), coming from four countries (i.e., Finland, Israel, Italy, Portugal), who received medical therapy for their early breast cancer, were analyzed. Coping self-efficacy was assessed at baseline. Potential mediators were assessed three months later, and outcomes after six months. Results: Coping self-efficacy was related to all mediators and outcomes. Illness representations of treatment control, positive and negative affect, and certain coping behaviors (mostly, anxiety preoccupation) mediated the effects of coping self-efficacy. Coping self-efficacy was related to each outcome through a different combination of mediators. Conclusions: Coping self-efficacy is a major self-regulation factor which is linked to well-being through multiple cognitive, emotional, and behavioral pathways. Enhancement of coping self-efficacy should be a central intervention goal for patients with breast cancer, towards promotion of their well-being.

Original languageEnglish
Pages (from-to)1555-1562
JournalPsycho-Oncology
Early online date16 May 2021
DOIs
Publication statusPublished - Sep 2021

Keywords

  • adaptation to cancer
  • breast cancer
  • coping self-efficacy
  • oncology

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