Cognitive factors in adjustment to cancer: Attributions of self-blame and perceptions of control
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We examined attributions of behavioral and characterological self-blame and perceptions of control over disease progression and recurrence as predictors of symptoms of psychological distress in a sample of adult men and women with cancer. Data were obtained near the time of diagnosis and at 4-month follow-up. Initial levels of behavioral and characterological self-blame were unrelated to concurrent psychological distress. Initial characterological self-blame as well as the interaction of characterological and behavioral self-blame was predictive of psychological distress 4 months later. Perceptions of control over cancer recurrence were unrelated to psychological distress near diagnosis or at follow-up, and control beliefs did not function as a mediator of self-blame. Initial levels of psychological distress predicted characterological but not behavioral self-blame at follow-up, suggesting a reciprocal relationship between characterological self-blame and distress.
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Journal of Behavioral Medicine
Volume 18, Issue 5 , pp 401-417
- Cover Date
- Print ISSN
- Online ISSN
- Kluwer Academic Publishers-Plenum Publishers
- Additional Links
- control beliefs
- psychological distress
- Author Affiliations
- 1. Joint Doctoral Program in Clinical Psychology, San Diego State University, 6363 Alvarado Court, Suite 103, 92120-4913, San Diego, California
- 2. Department of Psychology, University of Vermont, 05405, Burlington, Vermont