Optimism and mastery are two cognitive traits that involve positive expectations for the future and that have been demonstrated to be important predictors of reduced anxiety as well as superior coping and physical health in many populations, including cancer survivors. There is limited research, however, examining the unique effects of these traits when examined simultaneously. The present cross-sectional study used structural equation modeling to examine the unique effects of optimism and mastery on emotion, coping, and health in 603 adult cancer survivors, and whether results were consistent in men and women. Results indicated that both optimism and mastery were associated with improved emotion, coping, and health and together accounted for a small to moderate amount of variance. Although the effects of optimism were generally greater, mastery also uniquely predicted most dependent variables and there was some evidence that gender influenced these effects, with optimism predicting health control more so in women and mastery predicting health control more so in men. These results demonstrate that it is important to examine both generalized positive expectancies such as optimism and positive expectancies regarding mastery when investigating resilience and emotional well-being in cancer survivors.
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Ai, A. L., Wink, P., & Shearer, M. (2012). Fatigue of survivors following cardiac surgery: Positive influences of preoperative prayer coping. British Journal of Health Psychology, 17(4), 724–742. https://doi.org/10.1111/j.2044-8287.2012.02068.x.
Alarcon, G. M., Bowling, N. A., & Khazon, S. (2013). Great expectations: A meta-analytic examination of optimism and hope. Personality and Individual Differences, 54(7), 821–827.
Allison, P. J., Guichard, C., Fung, K., & Gilain, L. (2003). Dispositional optimism predicts survival status 1 year after diagnosis in head and neck cancer patients. Journal of Clinical Oncology, 21(3), 543–548.
Allison, P. J., Guichard, C., & Gilain, L. (2000). A prospective investigation of dispositional optimism as a predictor of health-related quality of life in head and neck cancer patients. Quality of Life Research: An International Journal of Quality of Life Aspects of Treatment, Care & Rehabilitation, 9(8), 951–960. https://doi.org/10.1023/A:1008931906253.
American Psychiatric Association. (1987). Diagnostic and statistical manual of mental disorders (3rd ed.). Washington, DC: American Psychiatric Association.
Andrykowski, M. A., Lykins, E., & Floyd, A. (2008). Psychological health in cancer survivors. Seminars in Oncology Nursing, 24(3), 193–201. https://doi.org/10.1016/j.soncn.2008.05.007.
Applebaum, A. J., Stein, E. M., Lord-Bessen, J., Pessin, H., Rosenfeld, B., & Breitbart, W. (2014). Optimism, social support, and mental health outcomes in patients with advanced cancer. Psycho-Oncology, 23, 299–306.
Bandura, A. (1977). Self-efficacy: Toward a unifying theory of behavioral change. Psychological Review, 84, 191–215.
Bandura, A. (1988). Self-efficacy conception of anxiety. Anxiety Research, 1(2), 77–98. https://doi.org/10.1080/10615808808248222.
Bárez, M., Blasco, T., Fernández-Castro, J., & Viladrich, C. (2009). Perceived control and psychological distress in women with breast cancer: A longitudinal study. Journal of Behavioral Medicine, 32(2), 187.
Barlow, D. H. (2002). Anxiety and its disorder: The nature and treatment of anxiety and panic (2nd ed.). New York: The Guilford Press.
Baxter, A. J., Scott, K. M., Vos, T., & Whiteford, H. A. (2013). Global prevalence of anxiety disorders: A systematic review and meta-regression. Psychological Medicine, 43(5), 897–910.
Bhattacharjee, A., & Banerjee, A. (2016). State and trait anxiety among cancer patients: A comparative analysis. Journal of Psychosocial Research, 11(2), 427–436.
Billingsley, K. D., Waehler, C. A., & Hardin, S. L. (1993). Stability of optimism and choice of coping strategy. Perceptual and Motor Skills, 76, 91–97.
Blazer, D. G., Kessler, R. C., McGonagle, K. A., & Swartz, M. S. (1994). The prevalence and distribution of major depression in a national community sample: The National Comorbidity Survey. American Journal of Psychiatry, 151, 979–986.
Brody, L. R., & Hall, J. A. (2008). Gender and emotion in context. In M. Lewis, J. M. Haviland-Jones & L. F. Barrett (Eds.), Handbook of emotions (pp. 395–408). New York: Guilford Press.
Cabras, C., & Mondo, M. (2018). Coping strategies, optimism, and life satisfaction among first-year university students in Italy: Gender and age differences. Higher Education, 75, 643–654. https://doi.org/10.1007/s10734-017-0161-x.
Carver, C. S., Pozo, C., Harris, S. D., Noriega, V., Scheier, M. F., Robinson, D. S., et al. (1993). How coping mediates the effect of optimism on distress: A study of women with early stage breast cancer. Journal of Personality and Social Psychology, 65(2), 375–390. https://doi.org/10.1037/0022-35220.127.116.115.
Carver, C. S., Scheier, M. F., & Segerstrom, S. C. (2010). Optimism. Clinical Psychology Review, 30(7), 879–889. https://doi.org/10.1016/j.cpr.2010.01.006.
Carver, C. S., Scheier, M. F., & Weintraub, J. K. (1989). Assessing coping strategy: A theoretical based approach. Journal of Personality and Social Psychology, 56, 267–283.
Carver, C. S., Smith, R. G., Antoni, M. H., Petronis, V. M., Wiss, S., & Derhagopan, R. P. (2005). Optimistic personality and psychosocial well-being during treatment predict psychosocial wellbeing among long-term survivors of breast cancer. Health Psychology, 24, 508–516.
Chida, Y., Hamer, M., Wardle, J., & Steptoe, A. (2008). Do stress-related psychosocial factors contribute to cancer incidence and survival? Nature Reviews Clinical Oncology, 5(8), 466.
Ciarrocchi, J. W., & Deneke, E. (2005). Hope, optimism, pessimism, and spirituality as predictors of well-being controlling for personality. Research in the Social Scientific Study of Religion, 16, 161–183.
Coyne, J. C., & Racioppo, M. W. (2000). Closing the gap between coping research and clinical intervention research. American Psychologist, 55, 655–664
Crawford, J. R., & Henry, J. D. (2004). The positive and negative affect schedule (PANAS): construct validity, measurement properties and normative data in a large non-clinical sample. British Journal of Clinical Psychology, 43, 245–265.
Ettner, S. L., & Gryzywacz, J. S. (2001). Worker’s perception of how jobs affect health: A social ecological perspective. Journal of Occupational Health Psychology, 6, 101–113.
Ferlay, J., Soerjomataram, I., Dikshit, R., Eser, S., Mathers, C., Rebelo, M., et al. (2015). Cancer incidence and mortality worldwide: Sources, methods and major patterns in GLOBOCAN 2012. International Journal of Cancer, 135(5), E359–E386. https://doi.org/10.1002/ijc.29210.
Fischer, A. H., Mosquera, R., Van Vianen, A. E., & Manstead, A. S. (2004). Gender and culture differences in emotion. Emotion, 4, 87–94.
Fleishman, J. A. (1984). Personality characteristics and coping patterns. Journal of Health and Social Behavior, 25(2), 229–244. https://doi.org/10.2307/2136671.
Folkman, S. (1984). Personal control and stress and coping processes: A theoretical analysis. Journal of Personality and Social Psychology, 46, 839–852.
Fredrickson, B. L., & Branigan, C. (2005). Positive emotions broaden the scope of attention and thought-action repertoires. Cognition & Emotion, 19(3), 313–332.
Friborg, O., Sørlie, T., & Rosenvinge, J. H. (2005). Breast cancer: A manual for a proposed group treatment integrating evidence based resilience factors. Psychological Reports, 97(1), 77–97.
Friedman, L. C., Kalidas, M., Elledge, R., Chang, J., Romero, C., Husain, I., et al. (2006). Optimism, social support and psychosocial functioning among women with breast cancer. Psycho-Oncology, 15(7), 595–603. https://doi.org/10.1002/pon.992.
Fujita, F., Diener, E., & Sandvik, E. (1991). Gender differences in negative affect and well-being: The case for emotional intensity. Journal of Personality and Social Psychology, 61, 427–434.
Gallagher, M. W., & Lopez, S. J. (2009). Positive expectancies and mental health: Identifying the unique contributions of hope and optimism. The Journal of Positive Psychology, 4(6), 548–556. https://doi.org/10.1080/17439760903157166.
Gallagher, M. W., Schoemann, A., & Pressman, S. (2011). Mastery beliefs and intraindividual variability of anxiety. Cognitive Therapy and Research, 35(3), 227–231. https://doi.org/10.1007/s10608-010-9327-x.
Garland, E. L., Fredrickson, B., Kring, A. M., Johnson, D. P., Meyer, P. S., & Penn, D. L. (2010). Upward spirals of positive emotions counter downward spirals of negativity: Insights from the broaden-and-build theory and affective neuroscience on the treatment of emotion dysfunctions and deficits in psychopathology. Clinical Psychology Review, 30(7), 849–864.
Grossman, M., & Wood, W. (1993). Sex differences in intensity of emotional experience: A social role interpretation. Journal of Personality and Social Psychology, 65, 1010–1022.
Gruber-Baldini, A. L., Ye, J., Anderson, K. E., & Shulman, L. M. (2009). Effects of optimism/pessimism and locus of control on disability and quality of life in Parkinson’s disease. Parkinsonism & Related Disorders, 15(9), 665–669. https://doi.org/10.1016/j.parkreldis.2009.03.005.
Hagger, M. S., Koch, S., Chatzisarantis, N. D., & Orbell, S. (2017). The common sense model of self-regulation: Meta-analysis and test of a process model. Psychological Bulletin, 143(11), 1117–1154. https://doi.org/10.1037/bul0000118.
Harrison, J., & Maguire, P. (1994). Predictors of psychiatric morbidity in cancer patients. British Journal of Psychiatry, 165, 593–598.
Hart, S. L., Vella, L., & Mohr, D. C. (2008). Relationships among depressive symptoms, benefit-finding, optimism and positive affect in multiple sclerosis patients after psychotherapy for depression. Health Psychology, 27(2), 230–238.
Hinnen, C., Ranchor, A. V., Baas, P. C., Sanderman, R., & Hagedoorn, M. (2009). Partner support and distress in women with breast cancer: The role of patients’ awareness of support and level of mastery. Psychology & Health, 24(4), 439–455. https://doi.org/10.1080/08870440801919513.
Hodges, K., & Winstanley, S. (2012). Effects of optimism, social support, fighting spirit, cancer worry and internal health locus of control on positive affect in cancer survivors: A path analysis. Stress and Health: Journal of the International Society for the Investigation of Stress, 28(5), 408–415. https://doi.org/10.1002/smi.2471.
Jenkins, R., Lewis, G., Bebbington, P., Brugha, T., Farrell, M., Gill, B., et al. (2003). The National Psychiatric morbidity surveys of Great Britain–initial findings from the household survey. International Review of Psychiatry, 15(1–2), 29–42.
Kessler, R. C., Andrews, A., Mroczek, D., Ustun, B., & Wittchen, H. U. (1998). The World Health Organization Composite International Diagnostic Interview short-form (CIDI-SF). International Journal of Methods in Psychiatric Research, 7, 171–185. https://doi.org/10.1002/mpr.47.
Khallad, Y. (2013). Dispositional optimism and physical wellbeing: The relevance of culture, gender, and socioeconomic status. International Journal of Psychology, 48(5), 978–985. https://doi.org/10.1080/00207594.2012.695795.
Korkeila, J. A., Kovess, V., Dalgard, O., Madianos, M., Salize, H., & Lehtinen, V. (2007). Piloting mental health indicators for Europe. Journal of Mental Health, 16(3), 401–413. https://doi.org/10.1080/09638230701299152.
Kostka, T., & Jachimowicz, V. (2010). Relationship of quality of life to dispositional optimism, health locus of control and self-efficacy in older subjects living in different environments. Quality Of Life Research: An International Journal of Quality of Life Aspects of Treatment, Care & Rehabilitation, 19(3), 351–361. https://doi.org/10.1007/s11136-010-9601-0.
Krokavcova, M., Nagyova, I., van Dijk, J. P., Rosenberger, J., Gavelova, M., Middel, B., et al. (2008). Mastery, functional disability and perceived health status in patients with multiple sclerosis. European Journal of Neurology, 15, 1237–1244.
Kurtz, M. E., Kurtz, J. C., Given, C. W., & Given, B. A. (2008). Patient optimism and mastery—Do they play a role in cancer patients’ management of pain and fatigue? Journal of Pain and Symptom Management, 36(1), 1–10. https://doi.org/10.1016/j.jpainsymman.2007.08.010.
Lachman, M. E., & Prenda Firth, K. M. (2004). The adaptive value of feeling in control during midlife. In O. G. Brim, C. D. Ryff & R. C. Kessler (Eds.), How healthy are we? A national study of wellbeing at midlife (pp. 320–349). Chicago: University of Chicago Press.
Lachman, M. E., & Weaver, S. L. (1998). The sense of control as a moderator of social class differences in health and well-being. Journal of Personality and Social Psychology, 74, 763–773.
Lauver, D., & Tak, Y. (1995). Optimism and coping with a breast cancer symptom. Nursing Research, 44(4), 202–207. https://doi.org/10.1097/00006199-199507000-00003.
Lee, M. S., Love, S. B., Mitchell, J. B., Parker, E. M., Rubens, R. D., Watson, J. P., et al. (1992). Mastectomy or conservation for early breast cancer: Psychological morbidity. European Journal of Cancer, 28A, 1340–1344. https://doi.org/10.1016/0959-8049(92)90514-3.
Lelorain, S., Bonnaud-Antignac, A., & Florin, A. (2010). Long term posttraumatic growth after breast cancer: Prevalence, predictors and relationships with psychological health. Journal of Clinical Psychology in Medical Settings, 17(1), 14–22.
Linden, W., Vodermaier, A., MacKenzie, R., & Greig, D. (2012). Anxiety and depression after cancer diagnosis: Prevalence rates by cancer type, gender, and age. Journal of Affective Disorders, 141(2), 343–351.
Little, T. D., Cunningham, W. A., Shahar, G., & Widaman, K. F. (2002). To parcel or not to parcel: Exploring the question, weighing the merits. Structural Equation Modeling, 9(2), 151–173.
Mausbach, B. T., Patterson, T. L., Von Känel, R., Mills, P. J., Dimsdale, J. E., Ancoli-Israel, S., et al. (2007). The attenuating effect of personal mastery on the relations between stress and Alzheimer caregiver health: A five-year longitudinal analysis. Aging & Mental Health, 11(6), 637–644. https://doi.org/10.1080/13607860701787043.
McCaul, K. D., Sandgren, A. K., O’Neill, H. K., & Hinsz, V. B. (1993). The value of the theory of planned behavior, perceived control, and self-efficacy expectations for predicting health-protective behaviors. Basic and Applied Social Psychology, 14(2), 231–252.
McGregor, B. A., Bowen, D. J., Ankerst, D. P., Andersen, M. R., Yasui, Y., & McTiernan, A. (2004). Optimism, perceived risk of breast cancer, and cancer worry among a community-based sample of women. Health Psychology, 23(4), 339–344.
McLean, C. P., Asnaani, A., Litz, B. T., & Hofmann, S. G. (2011). Gender differences in anxiety disorders: Prevalence, course of illness, comorbidity and burden of illness. Journal of Psychiatry Research, 45, 1027–1035. https://doi.org/10.1016/j.jpsychires.2011.03.006.
Montani, F., Marzi, M. J., Dezi, F., Dama, E., Carletti, R. M., Bonizzi, G., et al. (2015). miR-Test: A blood test for lung cancer early detection. JNCI: Journal of the National Cancer Institute, 107(6), 1–5.
Mroczek, D. K. (2004). Positive and negative affect at midlife. In O. G. Brim, C. D. Ryff & R. C. Kessler (Eds.), How healthy are we?: A national study of well-being at midlife (pp. 205–226). Chicago: University of Chicago Press.
Mroczek, D. K., & Kolarz, C. M. (1998). The effect of age on positive and negative affect: A developmental perspective on happiness. Journal of Personality and Social Psychology, 75(5), 1333–1349. https://doi.org/10.1037/0022-3518.104.22.1683.
Muthén, B. O., Muthén, L. K., & Asparouhov, T. (Eds.). (2016). Regression and mediation analysis using Mplus. Los Angeles: Muthén & Muthén.
Nes, L. S., & Segerstrom, S. C. (2006). Dispositional optimism and coping: A meta-analytic review. Personality and Social Psychology Review, 10(3), 235–251. https://doi.org/10.1207/s15327957pspr1003_3.
Pardoll, D. M. (2012). Immunology beats cancer: A blueprint for successful translation. Nature Immunology, 13(12), 1129–1132.
Park, E., & Kim, J. (2015). Predictors of sexual adjustment in cancer patients receiving chemotherapy. Journal of Psychosocial Oncology, 33(5), 488–503. https://doi.org/10.1080/07347332.2015.1067278.
Parker, S. L., Jimmieson, N. L., Walsh, A. J., & Loakes, J. L. (2015). Trait resilience fosters adaptive coping when control opportunities are high: Implications for the motivating potential of active work. Journal of Business and Psychology, 30(3), 583–604. https://doi.org/10.1007/s10869-014-9383-4.
Pearlin, L. I., & Bierman, A. (2013). Current issues and future directions in research into the stress process. In C. S. Aneshensel, J. C. Phelan, A. Bierman, C. S. Aneshensel, J. C. Phelan & A. Bierman (Eds.), Handbook of the sociology of mental health (pp. 325–340). New York: Springer. https://doi.org/10.1007/978-94-007-4276-5_16.
Pearlin, L. I., Menaghan, E. G., Lieberman, M. A., & Mullan, J. T. (1981). The stress process. Journal of Health and Social Behavior, 22(4), 337–356. https://doi.org/10.2307/2136676.
Pearlin, L. I., & Schooler, C. (1978). The structure of coping. Journal of Health and Social Behavior, 19, 2–21. https://doi.org/10.2307/2136319.
Penley, J. A., Tomaka, J., & Wiebe, J. S. (2002). The association of coping to physical and psychological health outcomes: A meta-analytic review. Journal of Behavioral Medicine, 25(6), 551–603.
Pinquart, M., & Fröhlich, C. (2009). Psychosocial resources and subjective well-being of cancer patients. Psychology & Health, 24(4), 407–421. https://doi.org/10.1080/08870440701717009.
Prati, G., & Pietrantoni, L. (2009). Optimism, social support, and coping strategies as factors contributing to posttraumatic growth: A meta-analysis. Journal of Loss and Trauma, 14(5), 364–388.
Prenda, K. M., & Lachman, M. E. (2001). Planning for the future: A life management strategy for increasing control and life satisfaction in adulthood. Psychology and Aging, 16, 206–216.
Raeifar, E., Halkett, A., Lohman, M. C., & Sirey, J. (2017). The relationship between mastery, anticipated stigma and depression among older adults in a primary care setting. The Journal of Nervous and Mental Disease, 205(10), 801–804.
Rasmussen, H. N., O’Byrne, K. K., Vandamente, M., & Cole, B. P. (2017). Hope and physical health. In M. W. Gallagher & S. Lobes (Eds.), The oxford handbook of hope (pp. 159–168). New York: Oxford University Press.
Rasmussen, H. N., Scheier, M. F., & Greenhouse, J. B. (2009). Optimism and physical health: A meta-analytic review. Annals of Behavioral Medicine, 37(3), 239–256. https://doi.org/10.1007/s12160-009-9111-x.
Ross, C. E., & Mirowsky, J. (2013). The sense of personal control: Social structural causes and emotional consequences. In C. S. Aneshensel, J. C. Phelan & A. Bierman (Eds.), Handbook of the sociology of mental health (pp. 379–402). Dordrecht: Springer. https://doi.org/10.1007/978-94-007-4276-5_19.
Scheier, M. F., & Carver, C. S. (1992). Effects of optimism on psychological and physical well-being: Theoretical overview and empirical update. Cognitive Therapy and Research, 16(2), 201–228.
Scheier, M. F., Carver, C. S., & Bridges, M. W. (1994). Distinguishing optimism from neuroticism (and trait anxiety, self-mastery, and self-esteem): A re-evaluation of the life orientation test. Journal of Personality and Social Psychology, 67(6), 1063–1078.
Schwarzer, R. (2014). Self-efficacy: Thought control of action. New York: Taylor & Francis.
Singer, S., Das-Munshi, J., & Brähler, E. (2009). Prevalence of mental health conditions in cancer patients in acute care—A meta-analysis. Annals of Oncology, 21(5), 925–930.
Snyder, C. R. (2002). Hope theory: Rainbows in the mind. Psychological Inquiry, 13(4), 249.
Soederberg Miller, L. M., & Lachman, M. E. (2000). Cognitive performance and the role of control beliefs in midlife. Aging, Neuropsychology, and Cognition, 7, 69–85.
Spencer, S. M., & Patrick, J. H. (2009). Social support and personal mastery as protective resources during emerging adulthood. Journal of Adult Development, 16(4), 191–198.
Stanton, A. L., & Franz, R. (1999). Focusing on emotion: An adaptive coping strategy? In C. R. Synder (Ed.), Coping: The psychology of what works (pp. 90–118). New York: Oxford University Press.
Stark, D. P. H., & House, A. (2000). Anxiety in cancer patients. British Journal of Cancer, 83(10), 1261–1267. https://doi.org/10.1054/bjoc.2000.1405.
Stephens, T., Dulberg, C., & Joubert, N. (1999). Mental health of the Canadian population: A comprehensive analysis. Chronic Diseases in Canada, 20(3), 118–126.
Steward, B. W., & Wild, C. P. (2014). World cancer report 2014. Lyon: International Agency for Research on Cancer, World Health Organization.
Stewart, D. E., & Yuen, T. (2011). A systematic review of resilience in the physically ill. Psychosomatics, 52(3), 199–209.
Sumpio, C., Jeon, S., Northouse, L. L., & Knobf, M. T. (2017). Optimism, symptoms distress, illness appraisal, and coping in patients with advanced-stage cancer diagnoses undergoing chemotherapy treatment. Oncology Nursing Forum, 44(3), 384–392. https://doi.org/10.1188/17.ONF.384-392.
Swartzman, S., Booth, J. N., Munro, A., & Sani, F. (2017). Posttraumatic stress disorder after cancer diagnosis in adults: A meta-analysis. Depression and Anxiety, 34(4), 327–339.
Taber, J. M., Klein, W. P., Ferrer, R. A., Kent, E. E., & Harris, P. R. (2016). Optimism and spontaneous self-affirmation are associated with lower likelihood of cognitive impairment and greater positive affect among cancer survivors. Annals of Behavioral Medicine, 50(2), 198–209. https://doi.org/10.1007/s12160-015-9745-9.
Tamres, L. K., Janicki, D., & Helgeson, V. S. (2002). Sex differences in coping behavior: A meta-analytic review and an examination of relative coping. Personality and Social Psychology Review, 6(1), 2–30. https://doi.org/10.1207/S15327957PSPR0601_1.
Tan, S. H., Tang, C., Ng, W. N., Ho, C. H., & Ho, R. M. (2015). Determining the quality of life of depressed patients in Singapore through a multiple mediation framework. Asian Journal of Psychiatry, 18, 22–30. https://doi.org/10.1016/j.ajp.2015.10.010.
Tang, C. S., Lai, B. P. Y., & Chung, T. K. H. (2010). Influences of mastery, spousal support, and adaptive coping on sexual drive and satisfaction among Chinese gynecologic cancer survivors. Archive of Sexual Behavior, 39, 1191–1200.
Taylor, S. E., Lichtman, R. R., & Wood, J. V. (1984). Attributions, beliefs about control, and adjustment to breast cancer. Journal of Personality and Social Psychology, 46(3), 489–502. https://doi.org/10.1037/0022-3522.214.171.1249.
Tennstedt, S. L. (2000). Empowering older patients to communicate more effectively in the medical encounter. Clinics in Geriatric Medicine, 16(1), 61–70.
Vodermaier, A., Esplen, M. J., & Maheu, C. (2010). Can self-esteem, mastery and perceived stigma predict long-term adjustment in women carrying a BRCA1/2-mutation? Evidence from a multi-center study. Familial Cancer, 9(3), 305–311. https://doi.org/10.1007/s10689-010-9325-x.
Walker, J., Holm Hansen, C., Martin, P., Sawhney, A., Thekkumpurath, P., Beale, C., et al. (2012). Prevalence of depression in adults with cancer: A systematic review. Annals of Oncology, 24(4), 895–900.
Wang, Z., Liu, L., Shi, M., & Wang, L. (2016). Exploring correlations between positive psychological resources and symptoms of psychological distress among hematological cancer patients: A cross-sectional study. Psychology, Health, & Medicine, 21(5), 571–582. https://doi.org/10.1080/13548506.2015.1127396.
Watson, D., Clark, L. A., & Tellegen, A. (1988). Development and validation of brief measures of positive and negative affect: The PANAS scales. Journal of Personality and Social Psychology, 54(6), 1063.
Wittchen, H. U. (1994). Reliability and validity studies of the WHO Composite International Diagnostic Interview (CIDI): A critical review. Psychiatric Research, 28, 57–84.
World Health Organization. (1990). Composite international diagnostic interview, CIDI, Version 10. Geneva: World Health Organization.
Wu, A. S., Tang, C. S., & Kwok, T. Y. (2004). Physical and psychosocial factors associated with health-promoting behaviors among elderly Chinese with type-2 diabetes. Journal of Health Psychology, 9(6), 731–740. https://doi.org/10.1177/1359105304045371.
Younger, J., Marsh, K. J., & Grap, M. J. (1995). The relationship of health locus of control and cardiac rehabilitation to mastery of illness-related stress. Journal of Advanced Nursing, 22(2), 294–299. https://doi.org/10.1046/j.1365-2648.1995.22020294.x.
Zajac, L. E., Klein, W. P., & McCaul, K. D. (2006). Absolute and comparative risk perceptions as predictors of cancer worry: Moderating effects of gender and psychological distress. Journal of Health Communication, 11(Suppl1), 37–49. https://doi.org/10.1080/10810730600637301.
Zenger, M., Brix, C., Borowski, J., Stolzenburg, J. U., & Hinz, A. (2010). The impact of optimism on anxiety, depression and quality of life in urogenital cancer patients. Psycho-Oncology, 19(8), 879–886.
Ziner, K. W., Sledge, G. W., Bell, C. J., Johns, S., Miller, K. D., & Champion, V. L. (2012). Predicting fear of breast cancer recurrence and self-efficacy in survivors by age at diagnosis. Oncology Nursing Forum, 39(3), 287–295.
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Matthew W. Gallagher, Laura J. Long, Angela Richardson and Johann M. D’Souza declare that they have no conflict of interest.
Informed consent was obtained from all individual participants included in the study.
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Gallagher, M.W., Long, L.J., Richardson, A. et al. Resilience and Coping in Cancer Survivors: The Unique Effects of Optimism and Mastery. Cogn Ther Res 43, 32–44 (2019). https://doi.org/10.1007/s10608-018-9975-9