A longitudinal investigation of coping strategies and quality of life among younger women with breast cancer
- 820 Downloads
It is generally assumed that coping strategies impact quality of life (QOL). It is plausible that QOL determines use of coping strategies. This research examines coping strategies over time and the reciprocal relationship between coping strategies and QOL among younger women with breast cancer. Women with breast cancer (N = 267; mean age = 43 years) completed surveys within 6 months of diagnosis and 6 weeks and 6 months later. Surveys included questions on coping strategies, QOL, medical factors, and sociodemographics. Positive cognitive restructuring was the most frequently used strategy. Over time, use of seeking social support, spirituality, and wishful thinking declined, while detachment increased. Prior QOL predicted three subsequent coping strategies (seeking social support, keeping feelings to self, wishful thinking). Coping strategies were minimally related to subsequent QOL. Coping strategies and QOL are dynamic processes. QOL may predict coping strategies equally or more than vice versa.
KeywordsCoping Quality of life Breast cancer Psychosocial oncology
- Antoni, M. H., Wimberly, S. R., Lechner, S. C., et al. (2006). Reduction of cancer-specific thought intrusions and anxiety symptoms with a stress management intervention among women undergoing treatment for breast cancer. The American Journal of Psychiatry, 163, 1791–1797. doi: 10.1176/appi.ajp.163.10.1791. Google Scholar
- Avis, N. E., Crawford, S., Li, D., et al. (1999). Younger women with breast cancer: A videotape intervention. Presentation as part of symposium at the annual meeting of the American Psychological Association, Boston, MA.Google Scholar
- Buddeberg, C., Wolf, C., Sieber, M., et al. (1991). Coping strategies and course of disease of breast cancer patients: Results of a 3-year longitudinal study. Psychotherapy & Psychosomatics, 55, 151–157.Google Scholar
- Cimprich, B., Ronis, D. L., & Martinez-Ramos, G. (2002). Age at diagnosis and quality of life in breast cancer survivors. Cancer Practice, 10, 85–93. doi: 10.1046/j.1523-5394.2002.102006.x.
- Culver, J. L., Arena, P. L., Antoni, M. H., et al. (2002). Coping and distress among women under treatment for early stage breast cancer: Comparing African Americans, Hispanics, and non-hispanic Whites. Psycho-Oncology, 11, 495–504. doi: 10.1002/pon.615.
- David, D., Montgomery, G. H., & Bovbjerg, D. H. (2006). Relations between coping responses and optimism-pessimism in predicting anticipatory psychological distress in surgical breast cancer patients. Personality and Individual Differences, 40, 203–213. doi: 10.1016/j.paid.2005.05.018.
- Diggle, P. J., Liang, K.-Y., & Zeger, S. L. (1994). Analysis of longitudinal data. Oxford: Clarendon Press.Google Scholar
- Dunkel-Schetter, C., Feinstein, L. G., Taylor, S. E., et al. (1992). Patterns of coping with cancer. Health Psychology, 11, 79–87. doi: 10.1037/0278-622.214.171.124.
- Dunn, J., & Steginga, S. K. (2000). Young women’s experience of breast cancer: Defining young and identifying concerns. Psycho-Oncology, 9, 137–146. doi: 10.1002/%28SICI%291099-1611%28200003%2F04%299%3A2<137%3A%3AAID-PON442>3.0.CO%3B2-0.
- Helgeson, V. S., Cohen, S., Schulz, R., et al. (2000). Group support interventions for women with breast cancer: Who benefits from what? Health Psychology, 19, 107–114. doi: 10.1037/0278-6126.96.36.199.
- Lazarus, R. S., & Folkman, S. (1984). Stress, appraisal, and coping. New York: Springer.Google Scholar
- Lipsitz, S. R., Leong, T., Ibrahim, J., et al. (2001). A partial correlation coefficient and coefficient of determination for multivariate normal repeated measures data. The Statistician, 50, 87–95. doi: 10.1111/1467-9884.00263.
- McCaul, K. D., Sandgren, A. K., King, B., et al. (1999). Coping and adjustment to breast cancer. Psycho-Oncology, 8, 230–236. doi: 10.1002/%28SICI%291099-1611%28199905%2F06%298%3A3<230%3A%3AAID-PON374>3.0.CO%3B2-%23.
- Munro, B. H. (2001). Statistical methods for health care research (4th ed.). Philadelphia: Lippincott Williams & Wilkins.Google Scholar
- Naughton, M. J., & Shumaker, S. A. (1998). Assessment of health-related quality of life. In L. M. Friedman, C. D. Furburg, & D. L. DeMets (Eds.), Fundamentals of clinical trials (3rd ed., pp. 185–203). New York: Springer-Verlag.Google Scholar
- Scheier, M. F., & Carver, C. S. (1985). Optimism, coping, and health: Assessment and implications of generalized outcome expectancies. Health Psychology, 4, 219–247. doi: 10.1037/0278-6188.8.131.52.
- Sears, S. R., Stanton, A. L., & Danoff-Burg, S. (2003). The yellow brick road and the emerald city: Benefit finding, positive reappraisal coping and posttraumatic growth in women with early-stage breast cancer. Health Psychology, 22, 487–497. doi: 10.1037/0278-6184.108.40.2067.
- Sehlen, S., Song, R., Fahmüller, H., et al. (2003). Coping of cancer patients during and after radiotherapy—a follow-up of 2 years. Onkologie, 26, 557–563. doi: 10.1159/000074151.
- Walsh, S. R., Manuel, J. C., & Avis, N. E. (2005). The impact of breast cancer on younger women’s relationships with their partner and children. Family, Systems, & Health, 23, 80–93. doi: 10.1037/1091-75220.127.116.11.
- Wenzel, L. B., Fairclough, D. L., Brady, M. J., et al. (1999). Age-related differences in the quality of life of breast carcinoma patients after treatment. Cancer, 86, 1768–1774. doi: 10.1002/%28SICI%291097-0142%2819991101%2986%3A9<1768%3A%3AAID-CNCR19>3.0.CO%3B2-O.