The mutual determination of self-efficacy to cope with cancer and cancer-related coping over time: a prospective study in women with breast cancer

E. C. Karademas, I. Roziner, K. Mazzocco, R. Pat-Horenczyk, B. Sousa, A. J. Oliveira-Maia, G. Stamatakos, F. Cardoso, D. Frasquilho, E. Kolokotroni, R. Lemos, C. Marzorati, J. Mattson, G. Pettini, E. Spyropoulou, P. Poikonen-Saksela, P. Simos

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1 Citation (Scopus)

Abstract

Objective: The aim of this study was to examine the longitudinal impact of self-efficacy to cope with cancer on the cancer-related coping reactions of breast cancer patients and vice versa. Design and main outcomes measures: Data from the BOUNCE Project (https://www.bounce-project.eu/) were used to address the hypotheses. Participants (N = 403) were enrolled in the study a few weeks after surgery or biopsy. Coping self-efficacy was assessed at baseline and six months later (M6). Cancer-related coping was assessed three (M3) and nine months (M9) after baseline. The analyses were performed using structural equation modeling with Mplus 8.6. Results: Baseline coping self-efficacy predicted all M3 coping reactions, while M6 coping self-efficacy also predicted changes in all but one M9 coping reaction. Moreover, one of the M3 coping reactions, that is, hopelessness/helplessness, predicted the changes in M6 coping self-efficacy. The relation between coping self-efficacy and one coping reaction (i.e. cognitive avoidance) was rather weak. Stability paths from M3 to M9 coping reactions were moderate to high. Conclusion: The relationship between self-efficacy to cope with cancer and cancer-related coping is complex. New theoretical models are needed to more accurately describe the diverse aspects of this association.

Original languageEnglish
JournalPsychology and Health
DOIs
Publication statusE-pub ahead of print - 11 Feb 2022

Keywords

  • adaptation to breast-cancer
  • BOUNCE
  • Breast cancer
  • coping
  • coping self-efficacy
  • self-efficacy

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