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The Psychometric Properties of Cancer Behavior Inventory as a Predictor of Quality of Life in Turkish Cancer Patients

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Abstract

In the literature, studies showed that self-efficacy of cancer patients are related to their quality of life in different domains. Considering the need of a scale measuring cancer related self-efficacy in Turkish culture, the objective of the current study was to examine psychometric reliability and validity of Cancer Behavior Inventory (CBI) in Turkish cancer patients. One-hundred and twenty cancer patients participated in the study. In addition to CBI, participants were administered Beck Depression Inventory, Multidimensional Quality of Life Scale – Cancer, Ways of Coping Inventory, Life Orientation Test-Revised, and General Self-Efficacy Scale to test the validity of the adapted scale. The results showed that the CBI has a four-factor structure in Turkish culture. The internal consistency of the scale was .91 and the internal consistencies of subscales ranged between .70 and .90. The validity scores of the scale were also satisfactory. The regression analysis revealed that the CBI predicts the patients’ quality of life better than General Self-efficacy Scale. CBI is a valid and reliable measure. As compared to general self-efficacy measures, CBI provides more precise information about cancer patients' QOL. The results, directions for future studies and limitations were discussed in the light of the literature.

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References

  • Aydin, G., & Tezer, E. (1991). The relationship of optimism to health complaints and academic performance. Psikoloji Dergisi, 7, 2–9.

    Google Scholar 

  • Bandura, A. (1995). Exercise of personal and collective efficacy in changing societies. In A. Bandura (Ed.), Self-efficacy in changing societies (pp. 1–46). United Kingdom: Cambridge University Press.

    Chapter  Google Scholar 

  • Bandura, A. (1997). Self-efficacy: The exercise of control. New York: Freeman.

    Google Scholar 

  • Beck, A. T., Ward, C. H., Mendelson, M., Mock, J., & Erbaugh, J. K. (1961). An inventory for measuring depression. Archives of General Psychiatry, 4(6), 561–571.

    Article  PubMed  Google Scholar 

  • Beck, A. T., Rush, A. J., Shaw, B. F., & Emery, G. (1979). Cognitive therapy of depression. New York: Guilford.

    Google Scholar 

  • Beckham, J. C., Burker, E. J., Lytle, B. L., Feldman, M. E., & Costakis, M. J. (1997). Self- efficacy and adjustment in cancer patients: A preliminary report. Behavioral Medicine, 25(3), 138–142.

    Article  Google Scholar 

  • Bergner, M., Bobbitt, R. A., Carter, W. B., & Gilson, B. S. (1981). The sickness impact profile: Development and final revision of a health status measure. Medical Care, 19(8), 787–805.

    Article  PubMed  Google Scholar 

  • Cella, D. F., Tulsky, D. S., Gray, G., Sarafian, B., Linn, E., Bonomi, A., et al. (1993). The functional assessment of cancer therapy scale: Development and validation of the general measure. Journal of Clinical Oncology, 11(3), 570–579.

    Article  PubMed  Google Scholar 

  • Cheng, S., Lai, Y., Chen, S., Shum, S., Liao, Y., Tu, S., et al. (2011). Changes in quality of life among newly diagnosed breast cancer patients in Tawian. Journal of Clinical Nursing, 21, 70–79.

    Article  PubMed  Google Scholar 

  • Collie, K., Wong, P., Tilston, J., Butler, L. D., Turner-Cobb, J., Kreshka, M. A., et al. (2005). Self-efficacy, coping, and difficulties interacting with health care professionals among women living with breast cancer in rural communities. Psycho-Oncology, 14(10), 901–912.

    Article  PubMed  Google Scholar 

  • Diener, E. D., Emmons, R. A., Larsen, R. J., & Griffin, S. (1985). The satisfaction with life scale. Journal of Personality Assessment, 49(1), 71–75.

    Article  PubMed  Google Scholar 

  • Folkman, S., & Lazarus, R. S. (1980). An analysis of coping in a middle aged community sample. Journal of Health and Social Behavior, 21, 219–239.

    Article  PubMed  Google Scholar 

  • Folkman, S., & Lazarus, R. S. (1985). If it changes it must be a process: Study of emotion and coping during three stages of a college examination. Journal of Personality and Social Psychology, 48(1), 150–170.

    Article  PubMed  Google Scholar 

  • Gençöz, F., Gençöz, T., & Bozo, Ö. (2006). Hierarchical dimensions of coping styles: A study conducted with Turkish university students. Social Behavior and Personality, 34, 525–534.

    Article  Google Scholar 

  • Graves, K. D. (2003). Social cognitive theory and cancer patients’ quality of life: A meta-analysis of psychosocial intervention components. Health Psychology, 22(2), 210–219.

    Article  PubMed  Google Scholar 

  • Haas, B. K. (2011). Fatigue, self-efficacy, physical activity, and quality of life in women with breast cancer. Cancer Nursing, 34(4), 322–334.

    Article  PubMed  Google Scholar 

  • Heitzmann, C. A., Merluzzi, T. V., Jean-Pierre, P., Roscoe, J. A., Kirsh, K. L., & Passik, S. D. (2011). Assessing self-efficacy for coping with cancer: Development and psychometric analysis of the brief version of the cancer behavior inventory (CBI-B). Psycho-Oncology, 20, 302–312.

    Article  PubMed  Google Scholar 

  • Hisli, N. (1988). Beck Depresyon Envanteri’nin geçerliği üzerine bir çalışma. Psikoloji Dergisi, 6, 118–122.

    Google Scholar 

  • Hofman, M., Morrow, G. R., Roscoe, J. A., Hickok, J. T., Mustian, K. M., Moore, D. F., et al. (2004). Cancer patients' expectations of experiencing treatment-related side effects. Cancer, 101(4), 851–857.

    Article  PubMed  Google Scholar 

  • Imamoğlu, E. O., & Karakitapoğlu-Aygün, Z. (2007). Relatedness of identities and emotional closeness with parents across and within cultures. Asian Journal of Social Psychology, 10(3), 145–161.

    Article  Google Scholar 

  • Jensen, C. G., Elsass, P., Neustrup, L., Bihal, T., Flyger, H., Kay, S. M., et al. (2014). What to listen for in the consultation. Breast cancer patients’ own focus on talking about acceptance-based psychological coping predicts decreased psychological distress and depression. Patient Education and Counseling, 97(2), 165–172.

    Article  PubMed  Google Scholar 

  • Karanci, N. A., Alkan, N., Aksit, B., Sucuoglu, H., & Balta, E. (1999). Gender differences in psychological distress, coping, social support and related variables following the 1995 dinar (Turkey) earthquake. North American Journal of Psychology, 1(2), 189–204.

    Google Scholar 

  • Kreitler, S., Peleg, D., & Ehrenfeld, M. (2007). Stress, self-efficacy and quality of life in cancer patients. Psycho-Oncology, 16, 329–341.

    Article  PubMed  Google Scholar 

  • Manne, S. L., Ostroff, J. S., Norton, T. R., Fox, K., Grana, G., & Goldstein, L. (2006). Cancer-specific self-efficacy and psychosocial and functional adaptation to early stage breast cancer. Annals of Behavioral Medicine, 31(2), 145–154.

    Article  PubMed  Google Scholar 

  • Merluzzi, T. V., & Sanchez, M. A. M. (1997). Assessment of self-efficacy and coping with cancer: Development and validation of the cancer behavior inventory. Health Psychology, 16(2), 163–170.

    Article  PubMed  Google Scholar 

  • Merluzzi, T. V., Nairn, R. C., Hegde, K., Sanchez, M. A. M., & Dunn, R. (2001). Self-efficacy for coping with cancer revision of the cancer behavior inventory (version 2.0). Psycho-Oncology, 10, 206–217.

    Article  PubMed  PubMed Central  Google Scholar 

  • Mosher, C. H., Duhamel, K. N., Egert, J., & Smith, M. Y. (2010). Self-efficacy for coping with cancer in a multiethnic sample of breast cancer patients: Associations with barriers to pain management and distress. Clinical Journal of Pain, 26(3), 227–234.

    Article  PubMed  Google Scholar 

  • Padilla, G. V., Mishel, M. H., & Grant, M. M. (1992). Uncertainty, appraisal and quality of life. Quality of Life Research, 1(3), 155–165.

    Article  PubMed  Google Scholar 

  • Parkinson, B., & Totterdell, P. (1999). Classifying affect-regulation strategies. Cognition & Emotion, 13(3), 277–303.

    Article  Google Scholar 

  • Parle, M., Jones, B., & Maguire, P. (1996). Maladaptive coping and affective disorders among cancer patients. Psychological Medicine, 26(4), 735–744.

    Article  PubMed  Google Scholar 

  • Philip, E. J., Merluzzi, T. V., Zhang, Z., & Heitzmann, C. A. (2013). Depression and cancer survivorship: Importance of coping self-efficacy in post-treatment survivors. Psycho-Oncology, 22(5), 987–994.

    Article  PubMed  Google Scholar 

  • Pınar, R. (2002). A study on the reliability and validity of the Turkish version of the MQOLS-CA2 in people with cancer. Turkish Journal of Cancer, 10(4), 148–163.

    Google Scholar 

  • Porter, L. S., Keefe, F. J., Garst, J., McBride, C. M., & Baucom, D. (2008). Self-efficacy for managing pain, symptoms, and function in patients with lung cancer and their informal caregivers: Associations with symptoms & distress. Pain, 132(2), 306–315.

    Article  Google Scholar 

  • Rottmann, N., Dalton, S. O., Christensen, J., Frederiksen, K., & Johansen, C. (2010). Self-efficacy, adjustment style and well-being in breast cancer patients: A longitudinal study. Quality of Life Research, 19, 827–836.

    Article  PubMed  Google Scholar 

  • Sahin, N. H., & Durak, A. (1995). Stresle başaçıkma tarzları ölçeği: Üniversite öğrencileri için uyarlanması [A brief coping styles inventory for university students]. Türk Psikoloji Dergisi, 10, 56–73.

  • Scheier, M. F., & Carver, C. S. (1985). Optimism, coping, and health: Assessment and implications of generalized outcome expectancies. Health Psychology, 4(3), 219–247.

    Article  PubMed  Google Scholar 

  • Scheier, M. F., Carver, C. S., & Bridges, M. W. (1994). Distinguishing optimism from neuroticism (and traitanxiety, self-mastery, and self-esteem): A reevaluation of the life orientation test. Journal of Personality and Social Psychology, 67, 1063–1078.

    Article  PubMed  Google Scholar 

  • Schwarzer, R., Boehmer, S., Luszczynska, A., Mohamed, N. E., & Knoll, N. (2005). Dispositional self-efficacy as a personal factor in coping after surgery. Personality and Individual Differences, 39, 807–818.

    Article  Google Scholar 

  • Sherer, M., Maddux, J. E., Mercandante, B., Prentice-Dunn, S., Jacobs, B., & Rogers, R. W. (1982). The self-efficacy scale: Construction and validation. Psyhological Reports, 51, 663–671.

    Article  Google Scholar 

  • Siva, A. N. (1991). Infertilite’de stres¸le basetme, ög˘renilmis güçlülük ve depresyonun incelenmesi [Coping with stress, learned powerfulness, and depression among infertile people]. Unpublished doctoral dissertation, Hacettepe University, Ankara

  • Stanton, A. L., Danoff-Burg, S., Cameron, C. L., Bishop, M., Collins, C. A., Kirk, S. B., et al. (2000). Emotionally expressive coping predicts psychological and physical adjustment to breast cancer. Journal of Consulting and Clinical Psychology, 68(5), 875–882.

    Article  PubMed  Google Scholar 

  • Tegin, B. (1980). Depresyonda bilişsel bozukluklar: Beck modeline göre bir inceleme. In Yayınlanmamış doktora tezi. Ankara: H. Ü. Psikoloji Bölümü.

    Google Scholar 

  • Türküm, A. S. (2001). Development of a coping with stress scale: Reliability and validity studies. Journal of Turkish Counseling and Guidance, 2, 19–31.

    Google Scholar 

  • Yıldırım, F., & İlhan, İ. Ö. (2010). The validity and reliability of general self-efficacy scale Turkish form. Turkish Journal of Psychiatry, 21(4), 301–308.

    PubMed  Google Scholar 

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Authors and Affiliations

  1. Department of Psychology, Middle East Technical University, Üniversiteler Mah., Dumlupınar Blv., No:1, 06800, Ankara, Turkey

    Özlem Bozo, İrem Akıncı & Cansu Akyüz

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  1. Özlem Bozo
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  2. İrem Akıncı
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  3. Cansu Akyüz
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Correspondence to Özlem Bozo.

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All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

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Informed consent was obtained from all individual participants included in the study.

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Bozo, Ö., Akıncı, İ. & Akyüz, C. The Psychometric Properties of Cancer Behavior Inventory as a Predictor of Quality of Life in Turkish Cancer Patients. Curr Psychol 38, 229–238 (2019). https://doi.org/10.1007/s12144-017-9609-5

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