Karademas E C, Roziner I, Simos P, Mazzocco K, Pat-Horenczyk R, Sousa B, Oliveira-Maia A J, Stamatakos G, Cardoso F, Kolokotroni E, Lemos R, Marzorati C, Mattson J, Greta Pettini, Travado L, Poikonen-Saksela P
Department of Psychology, University of Crete, and Foundation for Research and Technology, Hellas, Greece.
Department of Communication Disorders, Sackler Faculty of Medicine, University of Tel Aviv, Israel.
Psychol Health. 2025 Jan;40(1):141-154. doi: 10.1080/08870446.2023.2202205. Epub 2023 Apr 26.
This study aimed to examine whether self-efficacy to cope with cancer changes over time in patients with breast cancer and whether these potential changes are similar across patients. It also aimed to examine whether these trajectories are related to patient psychological well-being and overall quality of life.
Participants ( = 404) from four countries (i.e. Finland, Israel, Italy, and Portugal) were enrolled in the study few weeks after breast surgery or biopsy. Self-efficacy to cope with cancer was assessed at baseline, six and 12 months later. Well-being indices were assessed at baseline, 12 and 18 months later.
Using Latent Class Growth Analysis, two groups of patients were identified. The majority of patients reported high levels of self-efficacy to cope, which increased over time. For almost 15% of the patients, however, self-efficacy declined over time. Diminishing levels of self-efficacy to cope predicted worse levels of well-being. The pattern of self-efficacy changes and their relationships to well-being was consistent across countries.
Monitoring self-efficacy to cope with cancer is probably important in order to detect alarming changes in its levels, as a declining self-efficacy to cope may serve as a signal of the need for intervention to prevent adaptation difficulties.
本研究旨在探讨乳腺癌患者应对癌症的自我效能感是否随时间变化，以及这些潜在变化在患者中是否相似。研究还旨在探讨这些轨迹是否与患者的心理健康和总体生活质量相关。
来自四个国家（即芬兰、以色列、意大利和葡萄牙）的404名参与者在乳房手术或活检后几周参加了该研究。在基线、6个月和12个月后评估应对癌症的自我效能感。在基线、12个月和18个月后评估幸福感指标。
使用潜在类别增长分析，识别出两组患者。大多数患者报告应对自我效能感较高，且随时间增加。然而，近15%的患者自我效能感随时间下降。应对自我效能感水平降低预示着幸福感较差。自我效能感变化模式及其与幸福感的关系在各国之间是一致的。
监测应对癌症的自我效能感可能很重要，以便发现其水平的惊人变化，因为应对自我效能感下降可能表明需要进行干预以预防适应困难。
