The role of coping in the relationship between stressful life events and quality of life in persons with cancer

Merluzzi, Thomas V.; Chirico, Andrea; Serpentini, Samantha; Yang, Miao; Philip, Errol J.

doi:10.1080/08870446.2018.1545905

Cited by 19 publications

(20 citation statements)

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“…These findings not only suggested the different protective mechanisms for quality of life dimensions but also mirrored previous suggestions as to the variabilities in the effect of a given coping strategy in various situations, especially during the course of cancer ( Reddick et al, 2005 ; Ahlstedt Karlsson et al, 2020 ). In terms of behavioral disengagement, some studies suggested that when aggregated with denial to form disengagement coping, behavioral disengagement could contribute to heightening emotional distress and physical wellbeing, respectively, in higher states of functional impairment ( Merluzzi et al, 2021 ) and lifetime stressful events ( Langford et al, 2017 ; Merluzzi et al, 2019 ). Some other studies also suggested venting to be a function of maladaptive mental processes of pessimism in evoking cancer distress ( David et al, 2006 ), which also showed its lower levels to be functional in terms of arm subscale in the current patients with mastectomy ( n = 153).…”

Section: Discussionmentioning

confidence: 99%

Stigma and Quality of Life in Women With Breast Cancer: Mediation and Moderation Model of Social Support, Sense of Coherence, and Coping Strategies

et al. 2022

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ObjectivesThe breast cancer stigma affects Health-related quality of life (HRQoL), while general resilience resources (GRRs), namely, sense of coherence (SOC), social support, and coping skills, are thought to alleviate this effect. The study aimed to explore the mediating/moderation role of GRRs in the relationship between stigma and HRQoL and its dimensions in Iranian patients with breast cancer.MethodsIn this cross-sectional study, Stigma Scale for Chronic Illness 8-item version (SSCI-8), SOC-13, Medical Outcome Survey- Social Support Scale (MOS-SSS), Brief COPE, and Functional Assessment of Cancer Therapy-Breast (FACT-B) were investigated in a convenience sample of Iranian women with confirmed non-metastatic breast cancer. Following the establishment of correlations using Pearson’s correlation, single and parallel mediation analysis and moderation analysis were conducted to determine the extent to which each GRR might be impacted by stigma or decrease the adverse impact of stigma on HRQoL.ResultsAn analysis of 221 women (response rate of 87.5%) with the mean age of 47.14 (9.13) showed that stigma was negatively correlated to all HRQoL’s dimensions (r = −0.27∼0.51, p < 0.05), SOC (r = −0.26∼0.35, p < 0.01), social support (r = −0.23∼0.30, p < 0.01), and the bulk of coping skills. In the single mediation analysis, stigma affected all facets of SOC, all subscales of social support, and positive reframing, which partially reduced breast cancer HRQoL. Stigma affects general HRQoL through damaging meaningfulness, social support (except for tangible), and positive reframing. Meaningfulness was marked as the most impacted GRR in terms of all domains of HRQoL. In parallel mediation, reduced meaningfulness, total social support, and positive reframing were highlighted as the pathways of diminished breast cancer HRQoL. Moderation analysis indicated the higher levels of humor, behavioral disengagement, and use of instrumental support behaviors to be functional in protecting different dimensions of HRQoL, while the results were mixed for venting, especially in patients with mastectomy surgery.ConclusionWhile GRRs may be impacted by stigma, they exert a relatively small protective effect against the impact of stigma on HRQoL. This study provides some novel findings, but longitudinal studies are needed to further verify these before any causal conclusion or recommendations for health policy can be drawn.

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Section: Discussionmentioning

confidence: 99%

Stigma and Quality of Life in Women With Breast Cancer: Mediation and Moderation Model of Social Support, Sense of Coherence, and Coping Strategies

et al. 2022

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Section: Current Studymentioning

confidence: 99%

“…Disengagement coping has been linked with worse physical symptoms and more emotional distress (i.e., symptoms of clinical depression and anxiety), while the use of engagement coping among women with breast cancer is often associated with less emotional distress across the disease experience (Brunault et al, 2016; De Feudis et al, 2015; Merluzzi et al, 2019; Yu & Sherman, 2015). Still, classification of individual coping responses into higher-order categories of disengagement and engagement coping remains ambiguous, as many research groups have utilized different composites to reflect these constructs in various samples (Compas et al, 2006; Hoyt et al, 2014; Merluzzi et al, 2019; Nahlen Bose et al, 2015). Moreover, research investigating the influence of disengagement and engagement coping on physical and psychological symptoms among women with breast cancer has yielded mixed findings, especially with regard to the directionality and longitudinal nature of these effects (Bonnaud-Antignac et al, 2017; Langford et al, 2017; Merluzzi et al, 2019; A.…”

Section: Current Studymentioning

confidence: 99%

“…Still, classification of individual coping responses into higher-order categories of disengagement and engagement coping remains ambiguous, as many research groups have utilized different composites to reflect these constructs in various samples (Compas et al, 2006; Hoyt et al, 2014; Merluzzi et al, 2019; Nahlen Bose et al, 2015). Moreover, research investigating the influence of disengagement and engagement coping on physical and psychological symptoms among women with breast cancer has yielded mixed findings, especially with regard to the directionality and longitudinal nature of these effects (Bonnaud-Antignac et al, 2017; Langford et al, 2017; Merluzzi et al, 2019; A. W. Wang et al, 2020).…”

Section: Current Studymentioning

confidence: 99%

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Greater Post-Surgical Pain Predicts Long-Term Depressed Affect in Breast Cancer Patients

Fisher

Taub

Lechner³

et al. 2021

European Journal of Health Psychology

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Abstract. Background: Depressed affect is observed during primary treatment for early-stage breast cancer and often persists into survivorship. Pain can influence the long-term emotions of women with breast cancer. Behavioral mechanisms explaining this relationship are less clear. Coping during primary treatment may play a role in the association between pain and depressed affect. Aims: Our observational study examined a longitudinal mediation model testing whether post-surgical pain intensity predicted depressed affect 5 years later via disengagement and/or engagement coping at the end of treatment. Method: Women ( N = 240) with stage 0–III breast cancer completed measures of pain, coping, and depressed affect 4–10 weeks post-surgery, and 12 months and 5 years later. Results: Structural modeling yielded measurement models of 12-month disengagement and engagement coping. Direct effects emerged between post-surgical pain intensity and 12-month disengagement (β = .37, p < .001) and engagement coping (β = .16, p < .05). Post-surgical pain intensity was also related to 5-year depressed affect (β = .25, p < .05). Disengagement and engagement coping were not associated with depressed affect at 5-year follow-up, and there was no evidence of mediation. Limitations: This is a secondary analysis of data from a trial conducted several years ago, and may not generalize due to a homogenous sample with attrition at long-term follow-up. Conclusions: Greater post-surgical pain intensity predicts more disengagement and engagement coping at the end of primary treatment, as well as depressed affect during survivorship. Managing post-surgical pain may influence the emotions of survivors of breast cancer up to 5 years later, possibly through coping or non-coping processes.

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“…Specifically, while active coping was positively correlated with caregivers' FACT-G social well-being in both RCTs and with the FACT-G total score in the Advanced Cancer RCT, active coping was not consistently related to other FACT-G subscales. Other studies have also reported mixed findings between QOL and active coping [46][47][48], suggesting that this variable warrants further exploration. We also found strong discriminant validity of the Caregiver FACT-G.…”

Section: Psychometric Properties Of the Caregiver Fact-gmentioning

confidence: 99%

Psychometric properties of the FACT-G quality of life scale for family caregivers of cancer patients

Song

Tan²,

Bredle³

et al. 2020

Qual Life Res

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Purpose This study aimed to examine psychometric properties of a caregiver version of the well-established Functional Assessment of Cancer Therapy-General Scale (FACT-G) after conducting focus groups and obtaining expert input. Methods We made minor wording modifications to the Patient FACT-G to enable caregivers to report how the illness affected their overall quality of life (QOL) and well-being on four subscales (physical, social, emotional, functional). We tested the acceptability, precision, factor structure, reliability and validity of the Caregiver FACT-G among partners of prostate cancer patients (N = 263) and caregivers (spouses, siblings, adult children) of patients with advanced cancer (breast, lung, colorectal, prostate) (N = 484) using data from two Randomized Clinical Trials (RCTs). Results With a factor structure similar to the Patient FACT-G, Caregiver FACT-G was acceptable and precise in measuring caregiver QOL, with high inter-factor correlations and internal consistency reliability (Cronbach's alphas 0.81-0.91). The Caregiver FACT-G had strong convergent validity demonstrated by significant positive correlations with caregiver selfefficacy (0.25-0.63), dyadic communication (0.18-0.51), and social support (0.18-0.54) in both samples. It also had strong discriminant validity evidenced by significant inverse correlations with negative appraisal of caregiving (− 0.37 to − 0.69), uncertainty (− 0.28 to − 0.53), hopelessness (− 0.25 to − 0.60), and avoidant coping (− 0.26 to − 0.58) in both samples. Caregivers' baseline FACT-G scores were significantly associated with their physical (0.23) and mental well-being (0.54; 4-month follow-up) and their depression (− 0.69; 3-month follow-up), indicating strong predictive validity. Conclusion This is the first study evaluating the psychometric properties of the Caregiver FACT-G. More psychometric testing is warranted, especially among caregivers of diverse sociocultural backgrounds.

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The role of coping in the relationship between stressful life events and quality of life in persons with cancer

Abstract: Objective: Stressful life events (SLEs) impact the quality of life (QOL) of cancer patients. This study investigated the mediation of the relationship between SLEs and QOL

Cited by 19 publications

References 54 publications

Stigma and Quality of Life in Women With Breast Cancer: Mediation and Moderation Model of Social Support, Sense of Coherence, and Coping Strategies

Stigma and Quality of Life in Women With Breast Cancer: Mediation and Moderation Model of Social Support, Sense of Coherence, and Coping Strategies

Greater Post-Surgical Pain Predicts Long-Term Depressed Affect in Breast Cancer Patients

Psychometric properties of the FACT-G quality of life scale for family caregivers of cancer patients

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