Karademas E C, Roziner I, Mazzocco K, Pat-Horenczyk R, Sousa B, Oliveira-Maia A J, Stamatakos G, Cardoso F, Frasquilho D, Kolokotroni E, Lemos R, Marzorati C, Mattson J, Pettini G, Spyropoulou E, Poikonen-Saksela P, Simos P
Department of Psychology, University of Crete, Rethymno, Greece.
Foundation for Research and Technology - Hellas, Heraklion, Greece.
Psychol Health. 2023 Nov-Dec;38(12):1635-1648. doi: 10.1080/08870446.2022.2038157. Epub 2022 Feb 11.
The aim of this study was to examine the longitudinal impact of self-efficacy to cope with cancer on the cancer-related coping reactions of breast cancer patients and vice versa.
Data from the BOUNCE Project (https://www.bounce-project.eu/) were used to address the hypotheses. Participants ( = 403) were enrolled in the study a few weeks after surgery or biopsy. Coping self-efficacy was assessed at baseline and six months later (M6). Cancer-related coping was assessed three (M3) and nine months (M9) after baseline. The analyses were performed using structural equation modeling with Mplus 8.6.
Baseline coping self-efficacy predicted all M3 coping reactions, while M6 coping self-efficacy also predicted changes in all but one M9 coping reaction. Moreover, one of the M3 coping reactions, that is, hopelessness/helplessness, predicted the changes in M6 coping self-efficacy. The relation between coping self-efficacy and one coping reaction (i.e. cognitive avoidance) was rather weak. Stability paths from M3 to M9 coping reactions were moderate to high.
The relationship between self-efficacy to cope with cancer and cancer-related coping is complex. New theoretical models are needed to more accurately describe the diverse aspects of this association.
本研究旨在探讨应对癌症的自我效能感对乳腺癌患者癌症相关应对反应的纵向影响，反之亦然。
使用来自BOUNCE项目（https://www.bounce-project.eu/）的数据来验证假设。参与者（n = 403）在手术或活检后几周纳入研究。在基线和六个月后（M6）评估应对自我效能感。在基线后三个月（M3）和九个月（M9）评估癌症相关应对。使用Mplus 8.6进行结构方程模型分析。
基线应对自我效能感预测了所有M3应对反应，而M6应对自我效能感也预测了除一种M9应对反应外的所有变化。此外，M3应对反应之一，即绝望/无助，预测了M6应对自我效能感的变化。应对自我效能感与一种应对反应（即认知回避）之间的关系相当弱。从M3到M9应对反应的稳定性路径为中度到高度。
应对癌症的自我效能感与癌症相关应对之间的关系很复杂。需要新的理论模型来更准确地描述这种关联的不同方面。
