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Cognitive, emotional, and behavioral mediators of the impact of coping self‐efficacy on adaptation to breast cancer: An international prospective study

2021; Wiley; Volume: 30; Issue: 9 Linguagem: Inglês

10.1002/pon.5730

1099-1611

Evangelos C. Karademas, Panagiotis G. Simos, Ruth Pat‐Horenczyk, Ilan Roziner, Ketti Mazzocco, Berta Sousa, Albino J. Oliveira‐Maia, Georgios Stamatakos, Fátima Cardoso, Diana Frasquilho, Eleni Kolokotroni, Chiara Marzorati, Johanna Mattson, Greta Pettini, Paula Poikonen‐Saksela,

Childhood Cancer Survivors' Quality of Life

The main objective of this prospective multicenter study was to examine whether illness representations of control, affect, and coping behaviors mediate the effects of self-efficacy to cope with cancer on psychological symptoms and overall quality of life, in breast cancer patients.Data from 413 women (Mean age = 54.87; SD = 8.01), coming from four countries (i.e., Finland, Israel, Italy, Portugal), who received medical therapy for their early breast cancer, were analyzed. Coping self-efficacy was assessed at baseline. Potential mediators were assessed three months later, and outcomes after six months.Coping self-efficacy was related to all mediators and outcomes. Illness representations of treatment control, positive and negative affect, and certain coping behaviors (mostly, anxiety preoccupation) mediated the effects of coping self-efficacy. Coping self-efficacy was related to each outcome through a different combination of mediators.Coping self-efficacy is a major self-regulation factor which is linked to well-being through multiple cognitive, emotional, and behavioral pathways. Enhancement of coping self-efficacy should be a central intervention goal for patients with breast cancer, towards promotion of their well-being.