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The Interplay Between Trait Resilience and Coping Self-efficacy in Patients with Breast Cancer: An International Study

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Abstract

The role of self-efficacy to cope with breast cancer as a mediator and/or moderator in the relationship of trait resilience to quality of life and psychological symptoms was examined in this study. Data from the BOUNCE Project (https://www.bounce-project.eu/) were used. Women diagnosed with and in treatment for breast cancer (N = 484), from four countries, participated in the study. Trait resilience and coping self-efficacy were assessed at baseline (soon after the beginning of systemic treatment), and outcomes (quality of life, psychological symptoms) 3 months later. Hierarchical regression, mediation, moderation, and conditional (moderated) mediation and moderation analyses were performed to examine the study hypotheses. Coping self-efficacy mediated the impact of trait resilience. In addition, higher levels of resilience in combination with higher levels of coping self-efficacy were associated with better outcomes. Country of origin had no impact on these results. Overall, it seems that coping self-efficacy is a key factor that should be taken into account for research and intervention efforts in cancer.

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Funding

This study was funded by the European Union’s Horizon 2020 research and innovation programme under Grant agreement No. 777167.

Author information

Authors and Affiliations

  1. Department of Psychology, University of Crete, and Foundation for Research and Technology – Hellas, Rethymno, Greece

    E. C. Karademas

  2. Medical School, University of Crete, and Foundation for Research and Technology – Hellas, Heraklion, Greece

    P. Simos

  3. Department of Communication Disorders, Sackler Faculty of Medicine, University of Tel Aviv, Tel Aviv, Israel

    R. Pat-Horenczyk

  4. Department of Communication Disorders, Sackler Faculty of Medicine, University of Tel Aviv, Tel Aviv, Israel

    I. Roziner

  5. Applied Research Division for Cognitive and Psychological Science, European Institute of Oncology & Department of Oncology and Hemato-Oncology, University of Milan, Milan, Italy

    K. Mazzocco

  6. Breast Unit, Champalimaud Clinical Centre/Champalimaud Foundation, Champalimaud Research, Lisbon, Portugal

    B. Sousa

  7. Institute of Communication and Computer Systems, School of Electrical and Computer Engineering, National Technical University of Athens, Athens, Greece

    G. Stamatakos & E. Kolokotroni

  8. SingularLogic S.A, Athens, Greece

    G. Tsakou & K. Perakis

  9. Breast Unit, Champalimaud Clinical Centre/Champalimaud Foundation, Lisbon, Portugal

    F. Cardoso

  10. Champalimaud Research and Clinical Centre, Champalimaud Centre for the Unknown, Champalimaud Foundation, Lisbon, Portugal

    D. Frasquilho

  11. Applied Research Division for Cognitive and Psychological Science, European Institute of Oncology, Milan, Italy

    C. Marzorati & G. Pettini

  12. Helsinki University Hospital Comprehensive Cancer Center, Helsinki University, Helsinki, Finland

    J. Mattson, L. Vehmanen & P. Poikonen-Saksela

  13. Champalimaud Research and Clinical Centre, Champalimaud Centre for the Unknown, and NOVA Medical School, NMS, Universidade Nova de Lisboa, Lisbon, Portugal

    A. J. Oliveira-Maia

Authors
  1. E. C. Karademas
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  2. P. Simos
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  3. R. Pat-Horenczyk
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  4. I. Roziner
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  5. K. Mazzocco
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  6. B. Sousa
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  7. G. Stamatakos
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  8. G. Tsakou
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  9. F. Cardoso
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  11. E. Kolokotroni
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  12. C. Marzorati
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  13. J. Mattson
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  14. A. J. Oliveira-Maia
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  15. K. Perakis
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  16. G. Pettini
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  17. L. Vehmanen
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  18. P. Poikonen-Saksela
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Contributions

All authors contributed to the study conception and design. Material preparation, data collection and analysis were performed by all authors. The first draft of the manuscript was written by ECK and PS and all authors commented on previous versions of the manuscript. All authors read and approved the final manuscript.

Corresponding author

Correspondence to E. C. Karademas.

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Conflict of interest

E. C. Karademas, P. Simos, R. Pat-Horenczyk, I. Roziner, K. Mazzocco, B. Sousa, G. Stamatakos, G. Tsakou, F. Cardoso, D. Frasquilho, E. Kolokotroni, C. Marzorati, J. Mattson, A. J. Oliveira-Maia, K. Perakis, G. Pettini, L. Vehmanen and, P. Poikonen-Saksela have no relevant financial or non-financial interests to disclose. In addition, the authors have no conflicts of interest to declare that are relevant to the content of this article.

Ethical Approval

The entire study was approved by the European Institute of Oncology, Applied Research Division for Cognitive and Psychological Science (Approval No R868/18 – IEO 916) and the ethical committees of each participating hospital. The study was performed in accordance with the ethical standards as laid down in the 1964 Declaration of Helsinki and its later amendments.

Human and Animal Rights

The study was performed in accordance with the ethical standards as laid down in the 1964 Declaration of Helsinki and its later amendments in 2000 and 2008.

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

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Karademas, E.C., Simos, P., Pat-Horenczyk, R. et al. The Interplay Between Trait Resilience and Coping Self-efficacy in Patients with Breast Cancer: An International Study. J Clin Psychol Med Settings 30, 119–128 (2023). https://doi.org/10.1007/s10880-022-09872-x

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