Coping self-efficacy, perceived helpfulness of coping, and distress: a longitudinal investigation of breast and gynecologic cancer patients undergoing chemotherapy.

Tytuł:: Coping self-efficacy, perceived helpfulness of coping, and distress: a longitudinal investigation of breast and gynecologic cancer patients undergoing chemotherapy.
Autorzy:: Panjwani AA; Department of Supportive Care, Princess Margaret Cancer Centre, University Health Network, Toronto, Canada. .
Southward MW; Department of Psychology, University of Kentucky, Lexington, Kentucky, United States.
Fugate-Laus K; Department of Psychology, Virginia Commonwealth University, Richmond, Virginia, United States.
Carpenter KM; Department of Psychiatry & Behavioral Health, The Ohio State University, Columbus, Ohio, United States.
Źródło:: Journal of behavioral medicine [J Behav Med] 2022 Dec; Vol. 45 (6), pp. 868-881. Date of Electronic Publication: 2022 Aug 20.
Typ publikacji:: Journal Article; Research Support, Non-U.S. Gov't
Język:: English
Imprint Name(s):: Publication: <2008->: New York, NY : Springer Science + Business Media
Original Publication: New York, Plenum Press.
MeSH Terms:: Self Efficacy*
Neoplasms*
Female ; Humans ; Adaptation, Psychological ; Educational Status
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Contributed Indexing:: Keywords: Breast cancer; Chemotherapy; Coping; Gynecologic cancer; Perceived stress; depressive symptoms; Self-efficacy
Entry Date(s):: Date Created: 20220820 Date Completed: 20221122 Latest Revision: 20221216
Update Code:: 20240104
DOI:: 10.1007/s10865-022-00345-y
PMID:: 35986872
: Czasopismo naukowe

Pełny tekst

We examined changes in coping self-efficacy (CSE) pre- and post-chemotherapy and whether these changes predicted depressive symptoms and perceived stress after chemotherapy among women breast and gynecological cancers. We further tested whether perceived helpfulness of coping strategies used during chemotherapy influenced these effects. In a longitudinal design, participants (n = 79) provided data on CSE, depressive symptoms, and perceived stress pre-chemotherapy, post-chemotherapy (~ 4 months later), and at 8 and 12-month follow-up. During chemotherapy, participants completed a one-week daily diary on use and helpfulness of coping strategies in managing side effects. CSE decreased during chemotherapy, returning to baseline levels at follow-up. Higher problem-focused CSE pre- and post-chemotherapy predicted increases in distress among women who appraised their coping strategies as low or average in helpfulness during chemotherapy; problem-focused CSE was unrelated to changes in distress at high levels of perceived helpfulness. Increases in coping self-efficacy without concomitant helpful coping strategies may be markers for poor adjustment post-chemotherapy and identify patients who could benefit from psychosocial services. Combined education and skills-based interventions to align self-efficacy beliefs with coping strategies may reduce psychological burden.
(© 2022. The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature.)

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