The Relationship Among Rumination, Coping Strategies, and Subjective Well-being in Chinese Patients With Breast Cancer: A Cross-sectional study

Liu, Yu; Jiang, Tongtong; Shi, Tieying

doi:10.1016/j.anr.2020.07.005

Cited by 15 publications

(13 citation statements)

References 41 publications

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“…The mean SWB score for the patients included in this study was lower than that reported among breast cancer patients by Liu et al. [ 9 ]. The scale used in this study is used to evaluate the well-being status of patients in the previous month.…”

Section: Discussioncontrasting

confidence: 80%

“…However, few studies on SWB among CHD patients have been conducted from the perspective of patients’ families. Coping strategies have been considered an important variable in the mediation of SWB in other studies [ 9 ]. Few studies have reported correlations between family care, coping strategies, and the SWB of patients with CHD after PCI.…”

Section: Introductionmentioning

confidence: 99%

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Family care and subjective well-being of coronary heart disease patients after percutaneous coronary intervention: Mediating effects of coping strategies

Liang

Liu

Shi

et al. 2022

International Journal of Nursing Sciences

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Objectives To analyze the correlations between family care, coping strategies and the subject well-being (SWB) of patients with coronary heart disease (CHD) after percutaneous coronary intervention (PCI). Methods From November 2019 to October 2020, 264 CHD patients who had undergone PCI were enrolled in this questionnaire survey. The research tools applied included General Information Questionnaire, the Adaptation, Partnership, Growth, Affection and Resolve, Medical Coping Modes Questionnaire, and the General Well-being Schedule. SPSS 24.0 and Amos 23.0 software packages were used for statistical analysis. Results The mean scores for family care, confrontation, avoidance, acceptance-resignation and SWB, were 7.59 ± 2.24, 20.03 ± 3.78, 16.49 ± 2.70, 10.42 ± 2.01, and 73.31 ± 11.63, respectively. Subgroup analysis showed that the path coefficient between family care and subjective well-being was higher in males than females. Family care was directly related to coping strategies. The coping strategies were directly related to SWB, while family care showed an indirect association with SWB via coping strategies. Conclusions Family care can improve CHD patients’ SWB post-PCI, and coping strategies are important for the link between family care and SWB. Also, men received more family care than women. Based on a patient's characteristics, healthcare providers can promote patients’ positive coping strategies, increase their perceived family care, and improve the patient's SWB.

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Section: Discussioncontrasting

confidence: 80%

Section: Introductionmentioning

confidence: 99%

Family care and subjective well-being of coronary heart disease patients after percutaneous coronary intervention: Mediating effects of coping strategies

Liang

Liu

Shi

et al. 2022

International Journal of Nursing Sciences

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“…Patients with cancer were found to exhibit more negative metacognitive beliefs compared to healthy individuals [10]. Previous studies have shown that the prevalence of rumination is also high in women with BC [11][12][13].…”

Section: Introductionmentioning

confidence: 99%

“…Based on the estimation by the World Health Organization (WHO), the extent of psychological problems and concerns in patients with cancer is estimated to be 8 times higher than that in healthy people [14]; moreover, 80% of these patients feel concerned and frustrated and experience rumination in the first stages of their treatment [15]. Long-term rumination can harm health and well-being, which can lead to psychological distress and self-punishment behaviors [12]. According to the American Cancer Society, one of the most important factors in the survival of patients with BC is the assessment and management of long-term physical and mental health conditions related to the disease and its complications [16].…”

Section: Introductionmentioning

confidence: 99%

Effects of mindfulness-based stress reduction training on rumination in patients with breast cancer

et al. 2022

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Background Breast cancer has been a serious public health dilemma for women worldwide, with not only physical and social impairments but also psychological stress responses such as rumination. Rumination is a constant preoccupation with thoughts. The present study aimed to investigate the effectiveness of mindfulness-based stress reduction training in lowering rumination among women diagnosed with breast cancer. Method This randomized controlled trial with a pretest, posttest, control group, and one-month follow-up design included 46 female breast cancer survivors, recruited from the clinics and hematology wards of Bushehr, Iran. The inclusion criterion was that at least three months should have passed since the last chemotherapy/radiotherapy. The participants were randomly assigned to two experimental and control groups. The experimental group received eight sessions of mindfulness-based stress reduction training. A demographic information form and a rumination questionnaire were used for data collection, and the participants completed the questionnaire in the pretest, posttest, and follow-up stages. Chi-square, Mann–Whitney U, and repeated-measures ANOVA were used to analyze the data. P < 0.05 was considered statistically significant. Results There was no significant difference in the rumination scores of the experimental group at three measurement stages. For the control group, the mean rumination scores on the posttest and follow-up were both significantly higher than on the pre-test (P < 0.001). The control group's mean follow-up rumination score was significantly higher than that of the post-test (P = 0.02). A comparison of the two groups adjusted for the baseline showed a significant difference between them in terms of the mean rumination score on the post-test (P = 0.01) and follow-up (P < 0.001). Conclusion The experimental group was more successful in avoiding increased rumination than the control group, an ability that can be attributed to the effect of mindfulness training. The use of this method is recommended because it is non-invasive, non-pharmacological, free from complications, and can be easily performed by women. However, future studies should consider larger samples and long-term follow-ups.

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“…Whilst intrusive rumination has a critical role in the initiation and maintenance of Post Traumatic Stress Disorder (PTSD) symptoms in women living with a diagnosis of breast cancer ( Ogińska-Bulik and Michalska, 2020 ), worry has been shown to be more strongly associated with depression and anxiety in cancer survivors ( Brown et al, 2018 ). Ruminative thinking can jeopardize well-being in patients diagnosed with primary breast cancer ( Liu et al, 2020 ). Further, a recent study by Renna et al (2020) indicated that both rumination and worry increase cancer-related distress and indirectly result in more self-reported physical complaints in women with a history of breast cancer.…”

Section: Introductionmentioning

confidence: 99%

The Impact of COVID-19 Outbreak on Emotional and Cognitive Vulnerability in Iranian Women With Breast Cancer

et al. 2021

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The psychological cost on emotional well-being due to the collateral damage brought about by COVID-19 in accessing oncological services for breast cancer diagnosis and treatment has been documented by recent studies in the United Kingdom. The current study set out to examine the effect of delays to scheduled oncology services on emotional and cognitive vulnerability in women with a breast cancer diagnosis in Iran, one of the very first countries to be heavily impacted by COVID-19. One hundred thirty-nine women with a diagnosis of primary breast cancer answered a series of online questionnaires to assess the current state of rumination, worry, and cognitive vulnerability as well as the emotional impact of COVID-19 on their mental health. Results indicated that delays in accessing oncology services significantly increased COVID related emotional vulnerability. Regression analyses revealed that after controlling for the effects of sociodemographic and clinical variables, women’s COVID related emotional vulnerability explained higher levels of ruminative response and chronic worry as well as poorer cognitive function. This study is the first in Iran to demonstrate that the effects of COVID-19 on emotional health amongst women affected by breast cancer can exaggerate anxiety and depressive related symptoms increasing risks for clinical levels of these disorders. Our findings call for an urgent need to address these risks using targeted interventions exercising resilience.

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The Relationship Among Rumination, Coping Strategies, and Subjective Well-being in Chinese Patients With Breast Cancer: A Cross-sectional study

Cited by 15 publications

References 41 publications

Family care and subjective well-being of coronary heart disease patients after percutaneous coronary intervention: Mediating effects of coping strategies

Family care and subjective well-being of coronary heart disease patients after percutaneous coronary intervention: Mediating effects of coping strategies

Effects of mindfulness-based stress reduction training on rumination in patients with breast cancer

The Impact of COVID-19 Outbreak on Emotional and Cognitive Vulnerability in Iranian Women With Breast Cancer

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