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The purpose of this study was to examine relationships among self-blame for developing breast cancer, a self-forgiving attitude, mood, and quality of life among women with breast cancer. In this cross-sectional study, 123 women with Stages 0–III breast cancer completed questionnaires measuring demographic and medical characteristics, self-blame, self-forgiveness, mood, and quality of life. Women who blamed themselves reported more mood disturbance (p ≤ .001) and poorer quality of life (p < .001) than those who did not blame themselves. Mediational analyses revealed that self-blame for cancer partially mediated the relationships between a self-forgiving attitude and both mood disturbance and quality of life (Z = −2.72, p = .006 and Z = −2.89, p = .004, respectively). Patients may benefit from a discussion with their oncologists and other healthcare providers about self-forgiveness and the potential benefits of reducing self-blame to facilitate adjustment to breast cancer.
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Aiken, L. S., & West, S. G. (1991). Multiple regression: Testing and interpreting interactions. Newbury Park, CA: Sage.
Bardwell, W. A., Natarajan, L., Dimsdale, J. E., Rock, C. L., Mortimer, J. E., Hollenbach, K., & Pierce, J. P. (2006). Objective cancer-related variables are not associated with depressive symptoms in women treated for early-stage breast cancer. Journal of Clinical Oncology, 24, 2420–2427. PubMedCrossRef
Berckman, K. L., & Austin, J. K. (1993). Causal attribution, perceived control, and adjustment in patients with lung cancer. Oncology Nursing Forum, 20, 23–30. PubMed
Block, K. I., Dafter, R., & Greenwald, H. P. (2006). Cancer, the mind, and the problem of self-blame. Integrative Cancer Therapies, 5, 123–130. CrossRef
Cella D. F. (1997). Manual of the functional assessment of chronic illness therapy (quality of life) scales (version 4). Evanston, IL: Center on outcomes, research and education, Evanston Northwestern Healthcare and Northwestern University.
Cella, D. F., Tross, S., Orav, J. E., Holland, J. J., Silberfarb, P., & Rafla, S. (1989). Mood states of patients after the diagnosis of cancer. Journal of Psychosocial Oncology, 7, 45–54. CrossRef
Costanzo, E. S., Lutgendorf, S. K., Bradley, S. L., Rose, S. L., & Anderson, B. (2005). Cancer attributions, distress, and health practices among gynecologic cancer survivors. Psychosomatic Medicine, 7, 972–980. CrossRef
Enright, R. D., & The Human Development Study Group. (1996). Counseling within the forgiveness triad: On forgiving, receiving forgiveness, and self-forgiveness. Counseling and Values, 40, 107–126.
Hall, J. H., & Fincham, F. D. (2005). Self-forgiveness: The stepchild of forgiveness research. Journal of Social and Clinical Psychology, 24, 621–637. CrossRef
Houldin, A. D., Jacobsen B., & Lowery B. J. (1996). Self-blame and adjustment to breast cancer. Oncology Nursing Forum, 23, 75–79. PubMed
Janoff-Bulman, R. (1992). Shattered assumptions: Towards a new psychology of trauma. New York: Free Press.
Kraemer, H. C., Stice, E., Kazdin, A., Offord, D., & Kupfer, D. (2001). How do risk factors work together? Mediators, moderators, and independent, overlapping, and proxy risk factors. The American Journal of Psychiatry, 158, 848–856. PubMed
Mauger, P. A., Perry, J. E., Freeman, T., Grove, D. C., McBride, A. G., & McKinney, K. (1992). The measurement of forgiveness: Preliminary research. Journal of Psychology and Christianity, 11, 170–180.
Scharloo, M., Baatenburg de Jong, R. J., Langeveld, T. P., van Velzen-Verkaik, E., Doom-op den Akker, M. M., & Kaptein, A. A. (2005). Quality of life and illness perceptions in patients with recently diagnosed head and neck cancer. Head & Neck, 27, 857–863. CrossRef
Sobel, M. E. (1982). Asymptotic intervals for indirect effects in structural equations models. In S. Leinhart (Ed.), Sociological methodology (pp. 290–312). San Francisco: Jossey-Bass.
- Attribution of Blame, Self-forgiving Attitude and Psychological Adjustment in Women with Breast Cancer
Lois C. Friedman
Mario F. Dulay
Garrett R. Lynch
C. Kent Osborne
- Kluwer Academic Publishers-Plenum Publishers