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Quality of Life Research
Gepubliceerd in: Quality of Life Research 6/2010

01-08-2010

Self-efficacy, adjustment style and well-being in breast cancer patients: a longitudinal study

Auteurs: Nina Rottmann, Susanne O. Dalton, Jane Christensen, Kirsten Frederiksen, Christoffer Johansen

Gepubliceerd in: Quality of Life Research | Uitgave 6/2010

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Abstract

Purpose

As many patients experience distress after breast cancer, we investigated whether perceived self-efficacy predicts breast cancer patients’ emotional, physical and social well-being and whether mental adjustment styles mediate this association.

Methods

A sample of 684 women with breast cancer completed a questionnaire including the general self-efficacy scale at baseline, the Mini-MAC at 1-month follow-up and the EORTC QLQ-C30 at 12-month follow-up. Multiple linear regression was used to assess associations between self-efficacy, mental adjustment style and well-being. Disease-related and sociodemographic factors were examined as confounders.

Results

Greater self-efficacy at baseline was associated with emotional well-being after 12 months (β = 0.59; 95% CI, 0.35–0.82). Fighting spirit, anxious preoccupation and helplessness–hopelessness partly mediated the effect of self-efficacy, but self-efficacy also had a direct effect on emotional functioning (β = 0.26; 95% CI, 0.02–0.51). No association was found between self-efficacy and physical and social well-being. Significant associations were observed between self-efficacy and education and time since diagnosis and also between well-being and age, education, relapse and time since diagnosis.

Conclusion

Self-efficacy was a significant predictor of an active adjustment style and emotional well-being in breast cancer patients. Hence, it could be a valuable target of rehabilitation programs.
vorige artikel Health-related quality of life and disability in patients with rheumatoid, early rheumatoid and early psoriatic arthritis treated with etanercept
volgende artikel Needs assessments can identify scores on HRQOL questionnaires that represent problems for patients: an illustration with the Supportive Care Needs Survey and the QLQ-C30
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Metagegevens
Titel
Self-efficacy, adjustment style and well-being in breast cancer patients: a longitudinal study
Auteurs
Nina Rottmann
Susanne O. Dalton
Jane Christensen
Kirsten Frederiksen
Christoffer Johansen
Publicatiedatum
01-08-2010
Uitgeverij
Springer Netherlands
Gepubliceerd in
Quality of Life Research / Uitgave 6/2010
Print ISSN: 0962-9343
Elektronisch ISSN: 1573-2649
DOI
https://doi.org/10.1007/s11136-010-9653-1

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