Contextual life stress and coping strategies as predictors of adjustment to breast cancer survivorship |
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Authors: | Carissa A Low MA Annette L Stanton PhD Nicole Thompson MA Lorna Kwan MPH Patricia A Ganz MD |
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Institution: | (1) Department of Psychology, University of California, Los Angeles, 1285 Franz Hall, Box 951563, 90095-1563 Los Angeles, CA;(2) Division of Cancer Prevention and Control Research, Jonsson Comprehensive Cancer Center, UCLA, USA;(3) Department of Psychology, University of Kansas, USA;(4) Schools of Medicine and Public Health, University of California, Los Angeles |
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Abstract: | Background/Purpose: The study presented here examined the influence of contextual life stress and coping strategies on change in adjustment
over the year following completion of treatment for breast cancer. We also investigated whether contextual stressful life
events moderate the relationship between coping strategies and adjustment, such that cancer-specific emotional approach coping
processes would predict better psychosocial outcomes only in the context of lower life stress and would have less impact on
adaptation in the context of heightened life stress.Methods: In a sample of women (n = 558) who had recently completed treatment for nonmetastatic breast cancer and were part of a psychoeducational
intervention trial to facilitate the transition to survivorship, life stress in the year prior to study entry, cancer-specific
coping strategies, and general and cancer-specific adjustment were assessed at baseline, and adjustment outcomes (i.e., vitality,
depressive symptoms, cancer-specific distress, personal growth) also were assessed at 6-month (n = 417) and 12-month (n =
397) follow-up.Results/Conclusions: Although cross-sectional relationships between life stress and adjustment were demonstrated, findings suggest that contextual
life stress does not appear to have a direct influence on change in adjustment in the first year after breast cancer treatment.
Instead, life stress interacted with cancer-specific coping to predict adjustment, such that cancer-specific emotional approach
coping was adaptive only under conditions of low contextual life stress.
This research is supported by Public Health Service grant R01-CA63028 (to P. A. Ganz) from the National Cancer Institute,
National Institutes of Health, Department of Health and Human Services. |
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