Skip to main content
Top
Gepubliceerd in: Journal of Behavioral Medicine 4/2007

01-08-2007

Attribution of Blame, Self-forgiving Attitude and Psychological Adjustment in Women with Breast Cancer

Auteurs: Lois C. Friedman, Catherine Romero, Richard Elledge, Jenny Chang, Mamta Kalidas, Mario F. Dulay, Garrett R. Lynch, C. Kent Osborne

Gepubliceerd in: Journal of Behavioral Medicine | Uitgave 4/2007

Log in om toegang te krijgen
share
DELEN

Deel dit onderdeel of sectie (kopieer de link)

  • Optie A:
    Klik op de rechtermuisknop op de link en selecteer de optie “linkadres kopiëren”
  • Optie B:
    Deel de link per e-mail

Abstract

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.
Literatuur
go back to reference Aiken, L. S., & West, S. G. (1991). Multiple regression: Testing and interpreting interactions. Newbury Park, CA: Sage. Aiken, L. S., & West, S. G. (1991). Multiple regression: Testing and interpreting interactions. Newbury Park, CA: Sage.
go back to reference Baker, F., Denniston, M., Zabora, J., Polland, A., & Dudley, W. N. (2002). A POMS short form for cancer patients: Psychometric and structural evaluation. Psycho-oncology, 11, 273–281.PubMedCrossRef Baker, F., Denniston, M., Zabora, J., Polland, A., & Dudley, W. N. (2002). A POMS short form for cancer patients: Psychometric and structural evaluation. Psycho-oncology, 11, 273–281.PubMedCrossRef
go back to reference 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 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
go back to reference Baron, R. M., & Kenny, D. A. (1986). The moderator-mediator variable distinction in social psychological research: Conceptual, strategic, and statistical considerations. Journal of Personality and Social Psychology, 51, 1173–1182.PubMedCrossRef Baron, R. M., & Kenny, D. A. (1986). The moderator-mediator variable distinction in social psychological research: Conceptual, strategic, and statistical considerations. Journal of Personality and Social Psychology, 51, 1173–1182.PubMedCrossRef
go back to reference Bennett, K. K., Compas, B. E., Beckjord, E., & Glinder, J. G. (2005). Self-blame and distress among women with newly diagnosed breast cancer. Journal of Behavioral Medicine, 28, 313–323.PubMedCrossRef Bennett, K. K., Compas, B. E., Beckjord, E., & Glinder, J. G. (2005). Self-blame and distress among women with newly diagnosed breast cancer. Journal of Behavioral Medicine, 28, 313–323.PubMedCrossRef
go back to reference 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 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
go back to reference 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 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
go back to reference 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. (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.
go back to reference 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 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
go back to reference 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 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
go back to reference 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. 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.
go back to reference Faller, H., Schilling, S., & Lang, H. (1995). Causal attribution and adaptation among lung cancer patients. Journal of Psychosomatic Research, 39, 619–627.PubMedCrossRef Faller, H., Schilling, S., & Lang, H. (1995). Causal attribution and adaptation among lung cancer patients. Journal of Psychosomatic Research, 39, 619–627.PubMedCrossRef
go back to reference Glinder, J. G., & Compas, B. E. (1999). Self-blame attributions in women with newly diagnosed breast cancer: A prospective study of psychological adjustment. Health Psychology, 18, 475–481.PubMedCrossRef Glinder, J. G., & Compas, B. E. (1999). Self-blame attributions in women with newly diagnosed breast cancer: A prospective study of psychological adjustment. Health Psychology, 18, 475–481.PubMedCrossRef
go back to reference Hall, J. H., & Fincham, F. D. (2005). Self-forgiveness: The stepchild of forgiveness research. Journal of Social and Clinical Psychology, 24, 621–637.CrossRef Hall, J. H., & Fincham, F. D. (2005). Self-forgiveness: The stepchild of forgiveness research. Journal of Social and Clinical Psychology, 24, 621–637.CrossRef
go back to reference Harris, A. H., Luskin, F., Norman, S. B., Standard, S., Bruning, J., Evans, S., & Thoresen, C. E. (2006). Effects of a group forgiveness intervention on forgiveness, perceived stress, and trait-anger. Journal of Clinical Psychology, 62, 715–733.PubMedCrossRef Harris, A. H., Luskin, F., Norman, S. B., Standard, S., Bruning, J., Evans, S., & Thoresen, C. E. (2006). Effects of a group forgiveness intervention on forgiveness, perceived stress, and trait-anger. Journal of Clinical Psychology, 62, 715–733.PubMedCrossRef
go back to reference Holmbeck, G. N. (1997). Toward terminological, conceptual, and statistical clarity in the study of mediators and moderators: Examples from the child-clinical and pediatric psychology literatures. Journal of Consulting and Clinical Psychology, 65, 599–610.PubMedCrossRef Holmbeck, G. N. (1997). Toward terminological, conceptual, and statistical clarity in the study of mediators and moderators: Examples from the child-clinical and pediatric psychology literatures. Journal of Consulting and Clinical Psychology, 65, 599–610.PubMedCrossRef
go back to reference Houldin, A. D., Jacobsen B., & Lowery B. J. (1996). Self-blame and adjustment to breast cancer. Oncology Nursing Forum, 23, 75–79.PubMed Houldin, A. D., Jacobsen B., & Lowery B. J. (1996). Self-blame and adjustment to breast cancer. Oncology Nursing Forum, 23, 75–79.PubMed
go back to reference Janoff-Bulman, R. (1979). Characterological versus behavioral self-blame: Inquires into depression and rape. Journal of Personality and Social Psychology, 37, 1798–1809.PubMedCrossRef Janoff-Bulman, R. (1979). Characterological versus behavioral self-blame: Inquires into depression and rape. Journal of Personality and Social Psychology, 37, 1798–1809.PubMedCrossRef
go back to reference Janoff-Bulman, R. (1992). Shattered assumptions: Towards a new psychology of trauma. New York: Free Press. Janoff-Bulman, R. (1992). Shattered assumptions: Towards a new psychology of trauma. New York: Free Press.
go back to reference 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 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
go back to reference Lin, W. F., Mack, D., Enright, R. D., Krahn, D., & Baskin, T. W. (2004). Effects of forgiveness therapy on anger, mood, and vulnerability to substance use among inpatient substance-dependent clients. Journal of Consulting and Clinical Psychology, 72, 1114–1121.PubMedCrossRef Lin, W. F., Mack, D., Enright, R. D., Krahn, D., & Baskin, T. W. (2004). Effects of forgiveness therapy on anger, mood, and vulnerability to substance use among inpatient substance-dependent clients. Journal of Consulting and Clinical Psychology, 72, 1114–1121.PubMedCrossRef
go back to reference Malcarne, V. L., Compas, B. E., Epping-Jordan, J. E., & Howell, D. C. (1995). Cognitive factors in adjustment to cancer: Attributions of self-blame and perceptions of control. Journal of Behavioral Medicine, 18, 401–417.PubMedCrossRef Malcarne, V. L., Compas, B. E., Epping-Jordan, J. E., & Howell, D. C. (1995). Cognitive factors in adjustment to cancer: Attributions of self-blame and perceptions of control. Journal of Behavioral Medicine, 18, 401–417.PubMedCrossRef
go back to reference 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. 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.
go back to reference Nosarti, C., Roberts, J. V., Crayford, T., McKenzie, K., & David, A. S. (2002). Early psychological adjustment in breast cancer patients: A prospective study. Journal of Psychosomatic Research, 53, 1123–1130.PubMedCrossRef Nosarti, C., Roberts, J. V., Crayford, T., McKenzie, K., & David, A. S. (2002). Early psychological adjustment in breast cancer patients: A prospective study. Journal of Psychosomatic Research, 53, 1123–1130.PubMedCrossRef
go back to reference Peterson, C., Schwartz, S. M., & Seligman, M. E. (1981). Self-blame and depressive symptoms. Journal of Personality and Social Psychology, 41, 253–259.PubMedCrossRef Peterson, C., Schwartz, S. M., & Seligman, M. E. (1981). Self-blame and depressive symptoms. Journal of Personality and Social Psychology, 41, 253–259.PubMedCrossRef
go back to reference Reed, G. L., & Enright, R. D. (2006). The effects of forgiveness therapy on depression, anxiety, and posttraumatic stress for women after spousal emotional abuse. Journal of Consulting and Clinical Psychology, 74, 920–929.PubMedCrossRef Reed, G. L., & Enright, R. D. (2006). The effects of forgiveness therapy on depression, anxiety, and posttraumatic stress for women after spousal emotional abuse. Journal of Consulting and Clinical Psychology, 74, 920–929.PubMedCrossRef
go back to reference Romero, C., Friedman, L. C., Kalidas, M., Elledge, R., Chang, J., & Liscum, K. R. (2006). Self-forgiveness, spirituality, and psychological adjustment in women with breast cancer. Journal of Behavioral Medicine, 29, 29–36.PubMedCrossRef Romero, C., Friedman, L. C., Kalidas, M., Elledge, R., Chang, J., & Liscum, K. R. (2006). Self-forgiveness, spirituality, and psychological adjustment in women with breast cancer. Journal of Behavioral Medicine, 29, 29–36.PubMedCrossRef
go back to reference Rye, M. S., Pargament, K. I., Pan, W., Yingling, D. W., Shogren, K. A., & Ito, M. (2005). Can group interventions facilitate forgiveness of an ex-spouse? A randomized clinical trial. Journal of Consulting and Clinical Psychology, 73, 880–892.PubMedCrossRef Rye, M. S., Pargament, K. I., Pan, W., Yingling, D. W., Shogren, K. A., & Ito, M. (2005). Can group interventions facilitate forgiveness of an ex-spouse? A randomized clinical trial. Journal of Consulting and Clinical Psychology, 73, 880–892.PubMedCrossRef
go back to reference 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 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
go back to reference Servaes, P., Verhagen, S., & Bleijenberg, G. (2002). Determinants of chronic fatigue in disease-free breast cancer patients: A cross-sectional study. Annals of Oncology, 13, 589–598.PubMedCrossRef Servaes, P., Verhagen, S., & Bleijenberg, G. (2002). Determinants of chronic fatigue in disease-free breast cancer patients: A cross-sectional study. Annals of Oncology, 13, 589–598.PubMedCrossRef
go back to reference Shacham, S. (1983). A shortened version of the profile of mood states. Journal of Personality Assessment, 47, 305–306.PubMedCrossRef Shacham, S. (1983). A shortened version of the profile of mood states. Journal of Personality Assessment, 47, 305–306.PubMedCrossRef
go back to reference 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. 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.
go back to reference Stewart, D. E., Cheung, A. M., Duff, S., Wong, F., McQuestion, M., Cheng, T., Purdy, L., & Bunston, T. (2001). Attributions of cause and recurrence in long-term breast cancer survivors. Psycho-oncology, 10, 179–183.PubMedCrossRef Stewart, D. E., Cheung, A. M., Duff, S., Wong, F., McQuestion, M., Cheng, T., Purdy, L., & Bunston, T. (2001). Attributions of cause and recurrence in long-term breast cancer survivors. Psycho-oncology, 10, 179–183.PubMedCrossRef
go back to reference Timko, C., & Janoff-Bulman, R. (1985). Attributions, vulnerability, and psychological adjustment: The case of breast cancer. Health Psychology, 4, 521–544.PubMedCrossRef Timko, C., & Janoff-Bulman, R. (1985). Attributions, vulnerability, and psychological adjustment: The case of breast cancer. Health Psychology, 4, 521–544.PubMedCrossRef
Metagegevens
Titel
Attribution of Blame, Self-forgiving Attitude and Psychological Adjustment in Women with Breast Cancer
Auteurs
Lois C. Friedman
Catherine Romero
Richard Elledge
Jenny Chang
Mamta Kalidas
Mario F. Dulay
Garrett R. Lynch
C. Kent Osborne
Publicatiedatum
01-08-2007
Gepubliceerd in
Journal of Behavioral Medicine / Uitgave 4/2007
Print ISSN: 0160-7715
Elektronisch ISSN: 1573-3521
DOI
https://doi.org/10.1007/s10865-007-9108-5

Andere artikelen Uitgave 4/2007

Journal of Behavioral Medicine 4/2007 Naar de uitgave