Department of Psychology, University of Crete, and Foundation for Research and Technology - Hellas, Rethymno, Greece.
Medical School, University of Crete, and Foundation for Research and Technology - Hellas, Heraklion, Greece.
J Clin Psychol Med Settings. 2023 Mar;30(1):119-128. doi: 10.1007/s10880-022-09872-x. Epub 2022 Apr 30.
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.
本研究考察了应对乳腺癌的自我效能感在特质韧性与生活质量和心理症状之间的关系中的中介和/或调节作用。该研究使用了 BOUNCE 项目的数据（https://www.bounce-project.eu/）。来自四个国家的被诊断患有乳腺癌并正在接受治疗的女性（N=484）参与了这项研究。特质韧性和应对自我效能感在基线时（系统治疗开始后不久）进行评估，而结果（生活质量、心理症状）则在 3 个月后进行评估。采用层次回归、中介、调节、条件（调节）中介和调节分析来检验研究假设。应对自我效能感中介了特质韧性的影响。此外，较高水平的韧性与较高水平的应对自我效能感相结合与更好的结果相关。研究结果与原产国无关。总的来说，应对自我效能感似乎是癌症研究和干预工作中应考虑的关键因素。
