Coping strategies and self-esteem in women with breast cancer
Abstract
Coping with a breast cancer diagnosis and the use of different strategies is key to overcoming this stressful situation. Various psychological variables are related to how patients cope with the disease, one of which is self-esteem. The current study analyses the how age influences patients with breast cancer in terms of the coping strategies used to deal with the disease, exploring whether self-esteem influences the use of such strategies, along with the possible interrelation between these variables. Self-esteem is studied using the Rosenberg Self-Esteem scale and coping strategies were assessed using the COPE-28 scale, both in their Spanish versions. The sample consisted of 121 women (with breast cancer), aged between 30 and 77 years (M = 49.33, SD = 8.90). The results indicate that active coping is the strategy with the highest score. We found significant, age-mediated relationships between self-esteem scores and active coping strategies such as positive reframing, acceptance, or use of emotional support. Knowing how to cope with the disease will help in the development of psychological interventions that improve the quality of life in these patients throughout the oncological disease process.
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Avis, N. E., Levine, B., Naughton, M. J., Case, L. D., & Naftalis, E. (2013). Age-related longitudinal changes in depressive symptoms following breast cancer diagnosis and treatment. Breast Cancer Re-search Treatment, 139(1), 199-206. doi: 10.1007/s10549-013-2513-2
Browall, M., Kenne, S. E., Persson, L. O., Wengström, Y., & Gaston-Johansson, F. (2016). Patient-reported stressful events and coping strategies in post-menopausal women with breast cancer. European Journal of Cancer Care, 25(2), 324-333. doi: 10.1111/ecc.12294
Brunault, P., Champagne, A. L., Huguet, G., Suzanne, I., Senon, J. L., Body, G., Rusch, E.,…Camus, V. (2016). Major depressive disorder, personality disorders, and coping strategies are independent risk factors for lower quality of life in non-metastatic breast cancer patients. Psycho-Oncology, 25(5), 513-520. doi:10.1002/pon.3947
Boyle, C. C., Stanton, A. N., Ganz, P. A., & Bower, J. E. (2017). Post-traumatic growth in breast cancer survivors: does age matter?. Psy-cho-Oncology, 26(6), 800-807. doi: 10.1002/pon.4091
Cao, W., Qi, X., Cai, D. A., & Han, X. (2018). Modeling posttraumatic growth among cancer patients: The roles of social support, ap-praisals, and adaptive coping. Psycho-Oncology, 27(1), 208-215. doi: 10.1002/pon.4395
Cardenal, M. C., & Cruzado, J. A. (2014). Estrategias de afrontamiento y malestar emocional en mujeres con resultados dudosos de su mamografía de cribado. Psicooncología, 11, (2), 285-299. doi: 10.5209/rev_PSIC.2014.v11.n2-3.47389
Cardona, E. J., Jaramillo, A. C., & Díaz, V. E. (2013). Relación entre la personalidad tipo c y el cáncer. Psicoespacios: Revista Virtual de la In-stitución Universitaria de Envigado, 7(10), 66-92. doi: 10.25057/21452776.140
Carver, C. S. (1997). You want to measure coping but your protocol´s too long: Consider the Brief COPE. International Journal of Behavioral Medicine, 4(1), 92-100. doi: 10.1207/s15327558ijbm0401_6
Cieslak, K., & Golusinski, W. (2018). Coping with loss of ability vs. emotional control and self-esteem in women after mastectomy. Reports of Practical Oncology and Radiotherapy, 23(3), 168-174. doi: 10.1016/j.rpor.2018.02.002
Compas, B. E., Stoll, M. F., Thomsen, A. H., Oppedisan, G., Epping-Jordan, J. E., & Krag, D. N. (1999). Adjustment to breast cancer: age-related differences in coping and emotion distress. Breast Can-cer Research, 54(3), 195-203. doi: 10.1023/A:1006164928474
Danhauer, S. C., Douglas-Case, L., Tedeschi, R., Russell, G., Vishnev-sky, T., Triplett, K.,…Avis, N. E. (2013). Predictors of posttraumat-ic growth in women with breast cancer. Psycho-Oncology, 22(12), 2676-2683. doi: 10.1002/pon.3298
De Haro-Rodríguez, M. A., Gallardo-Vidal, L. S., Martínez-Martínez, M. L., Camacho-Calderón, N., Velázquez-Tlapanco, J., & Paredes, E. (2014). Factores relacionados con las diferentes estrategias de afrontamiento al cáncer de mama en pacientes de recién di-agnóstico. Psicooncología, 11(1), 87-99. doi: 10.5209/rev_PSIC.2014.v11.n1.44919
Dumalaon-Canaria, J. A., Trichard, I., Hutchinson, A. D., & Wilson, C. (2018). Fear of cancer recurrence and psychological well‐being in women with breast cancer: The role of causal cancer attributions and optimism. European Journal of Cancer Care, 27(1), 1-12. doi: 10.1111/ecc.12579
Dunnill, C. J., Al-Tameemi, W., Collett, A., Haslam, I. S., & Georgopou-los, N. T. (2018). A Clinical and Biological Guide for Understand-ing Chemotherapy-Induced Alopecia and Its Prevention. The On-cologist, 23(1), 84-96. doi:10.1634/theoncologist.2017-0263
Elumelu, T. N., Asuzu, C. C., & Akin-Odanye, E. O. (2015). Impact of active coping, religion and acceptance on quality of life of pa-tients with breast cancer in the department of radiotherapy, UCH. BMJ Support Palliat Care, 5, 175-180. doi: 10.1136/bmjspcare-2012-000409.
Eun, H. H., & Young, K. C. (2014). The Mediating Effects of Self-Esteem and Optimism on the Relationship between Quality of Life and Depressive Symptoms of Breast Cancer Patients. Psychia-try Investigation, 11(4), 437-445. doi:10.4306/pi.2014.11.4.437
Falo, C., Villar, H., Rodríguez, E., Mena, M., & Font, A. (2014). Calidad de vida en cáncer de mama metastásico de larga evolución: la opinión de las pacientes. Psicooncología, 11(2-3), 313-331. doi: 10.5209/rev_psic.2014.v11.n2-3.47391
Figueroa, M., Contini, N., Lacunza, A., Levin, M., & Suedan, A. (2005). Las estrategias de afrontamiento y su relación con el nivel de bienestar psicológico. Un estudio con adolescentes de nivel soci-oeconómico bajo de Tucumán (Argentina). Anales de Psicología, 21(1), 66-72. Recuperado de http://revistas.um.es/analesps/article/view/27171
Finck, C., Barradas, S., Zenger, M., & Hinz, A. (2018). Quality of life in breast cancer patients: Associations with optimism and social support. International Journal of Clinical and Health Psychology, 17, 27-34. doi: 10.1016/j.ijchp.2017.11.002
García-Torres, F., & Alós, F. J. (2013). Identification of different de-pressive symptoms after mastectomy. Psycho-Oncology, 22(12), 2857-2859. doi: 10.1002/pon.3349
George, D., & Mallery, P. (2003). Spss for Windows step by step: A Simple Guide and Reference. 11.0 Update (4.ª ed.). Boston: Allyn & Bacon.
Gómez, P., Bragado, C., & Hernández, M. J. (2014). Psychological dis-tress in women with breast and gynecological cancer treated with radical surgery. Psycho-Oncology, 23(4), 459-466. doi: 10.1002/pon.3439
González, M., Ibáñez, I., & Barrera, A. (2017). Rumiación, pre-ocupación y orientación negativa al problema: procesos transdi-agnósticos de los trastornos de ansiedad, de la conducta alimen-taria y del estado de ánimo. Acta Colombiana de Psicología, 20(2), 42-52. doi: http://www.dx.doi.org/10.14718/ACP.2017.20.2.3
Granero-Molina, J., Díaz, M. M., Márquez, J., Castro-Sánchez, A. M., López, O. M., & Fernández-Sola, C. (2014). Religious faith in cop-ing with terminal cancer: what is the nursing experience?. Europe-an Journal of Cancer Care, 23(3), 300-309. doi: 10.1111/ecc.12150
Hamama-Raz, Y. (2012). Does psychological adjustment of melanoma survivors differs between genders?. Psycho-Oncology, 21(3), 255-263. doi: 10.1002/pon.1889
Henneghan, A. M., Carter, P. Stuifbergan, A., Parmelee, B., & Kesler, S. (2018). Relationships between self‐reported sleep quality compo-nents and cognitive functioning in breast cancer survivors up to 10 years following chemotherapy. Psycho-Oncology, 27(8), 1937-1943. doi: 10.1002/pon.4745
Hopman, P., & Rijken, M. (2014). Illness perceptions of cancer pa-tients: relationships with illness characteristics and coping. Psycho-Oncology, 24(1), 11-18. doi: 10.1002/pon.3591
Kangas, M. (2013). DSM-5 trauma and stress-related disorders: implica-tions for screening for cancer-related stress. Frontiers in Psychiatry, 4(122), 1-3. doi: [10.3389/fpsyt.2013.00122]
Lan, M., Zhang, L., Zhang, Y., & Yan, J. (2018). The relationship among illness perception, coping and functional exercise adherence in Chinese breast cancer survivors. Journal of Advanced Nursing, 1-10. doi: 10.1111/jan.13832
Morán, C., Landero, R., & González, M. T. (2010). COPE-28: un análi-sis psicométrico de la versión en español del Brief COPE. Univer-sitas Psychologica, 9 (2), 543-552. ISSN 1657-9267.
Ortiz, E., Méndez, L., Camargo, J., Chavarro, S., Toro, G., & Vernaza, M. (2014). Relación entre las estrategias de afrontamiento, an-siedad, depresión y autoestima, en un grupo de adultos con di-agnóstico de cáncer. Psychologia: Avances de la Disciplina, 8(1), 77-83
Park, C. L., Waddington, E., & Abraham, R. (2018). Different dimen-sions of religiousness/spirituality are associated with health be-haviors in breast cancer survivors. Psycho-Oncology, 27(10), 2466-2472. doi: 10.1002/pon.4852
Pereira, M. G., Figueiredo, A. P., & Fincham, F. D. (2012). Anxiety, de-pression, traumatic stress and quality of life in colorectal cancer after different treatments: a study with Portuguese patients and their partners. European Journal of Oncology Nursing: The official Journal of European Oncology Nursing Society, 16(3), 227-232. doi: 10.1016/j.ejon.2011.06.006
Philips, S. M., & McAuley, E. (2015). Associations between self-reported post-diagnosis physical activity changes, body weight changes, and psychosocial well-being in breast cancer survivors. Support Care Cancer, 23(1), 159–167. doi: 10.1007/s00520-014-2346-5
Pintado, S. (2017). Self-concept and emotional well-being in patients with breast cancer. Revista Iberoamericana de Psicología y Salud, 8(2), 76-84. doi: 10.23923/j.rips.2017.08.007
Ringwald, J., Wochnowski, C., Bosse, K., Giel, E., Schäffeler, N., Zipfel, S., & Teufel, M. (2016). Psychological distress, anxiety, and depression of cancer-affected BRCA1/2 mutation carriers: a sys-tematic review. Journal of Genetic Counseling, 25(5), 880-891. doi: 10.1007/s10897-016-9949-6
Robert, R., Torfinn, G., Roy, B., Olav, D., Arnstein, F., Sophie, D.,… Alv, A. (2010). A study of coping in long-term testicular cancer survivors. Psychology, Health & Medicine, 15(2), 146-158. doi: 10.1080/13548501003623955
Rosen, A., Rodriguez-Wallberg, K. A., & Rosenzweig, L. (2009). Psycho-social distress in young cancer survivors. Seminars in Oncology Nurs-ing, 25(4), 268–277. doi: 10.1016/j.soncn.2009.08.004
Rosenberg, M. (1965). Society and adolescent self-image. Princenton, N.J: Princenton University Press. doi: 10.1515/9781400876136
Segura, M., García, R., & Saúl, L. A. (2014). Imagen corporal y autoes-tima en mujeres mastectomizadas. Psicooncología, 11(1), 45-57. doi: 10.5209/rev_PSIC.2014.v11.n1.44916
Sun, L., Ang, E., Darryl, W. H., & López, V. (2018). Losing the breast: A meta‐synthesis of the impact in women breast cancer survivors. Psycho-Oncology, 27(2), 376-385. doi: 10.1002/pon.4460
Teo, I., Fingeret, M. C., Liu, J., & Chang, D. W. (2016). Coping and qual-ity of life of patients following microsurgical treatment for breast cancer-related lymphedema. Journal of Health Psychology, 21(12), 2983-2993. doi: 10.1177/1359105315589801
Vargas, S., Herrera, G. P., Rodríguez, L., & Sepúlveda, G. J. (2011). Con-fiabilidad del cuestionario Brief COPE Inventory en versión en español para evaluar estrategias de afrontamiento en pacientes con cáncer de seno. Investigación en Enfermería: Imagen y Desarrollo, 12(1), 7-24.
Vázquez, A. J., Jiménez, R., & Vázquez-Morejón, R. (2004). Escala de autoestima de Rosenberg: fiabilidad y validez en población clí-nica española. Apuntes de Psicología, 22(2), 247-255.
Yang, H., Brand, J. S., Fang, F., Chiesa, F., Johansson, A. L. V., Hall, P., & Czene, K. (2016). Time‐dependent risk of depression, anxiety, and stress‐related disorders in patients with invasive and in situ breast cancer. International Journal of Cancer, 140(4), 841-852. doi: 10.1002/ijc.30514
You, J., Wang, C., Rodríguez, L., Wang, X., & Lu, Q. (2018). Personality, coping strategies and emotional adjustment among Chinese can-cer patients of different ages. European Journal of Cancer Care, 27(1), 1-9. doi: 10.1111/ecc.12781
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