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Gepubliceerd in: Journal of Behavioral Medicine 1/2021

13-06-2020

Transitions in coping profiles after breast cancer diagnosis: implications for depressive and physical symptoms

Auteurs: Jacqueline H. J. Kim, Emma E. Bright, Timothy J. Williamson, Jennifer L. Krull, Karen L. Weihs, Annette L. Stanton

Gepubliceerd in: Journal of Behavioral Medicine | Uitgave 1/2021

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Abstract

The objective of this study was to determine whether: (a) cancer-related coping profiles change across time; (b) coping profile transition types predict changes in depressive and physical symptoms. Latent transition analysis was conducted with repeated measures of seven cancer-related coping processes from 460 women recently diagnosed with breast cancer. In multilevel models, coping profile transition groups were entered as predictors of symptoms across 12 months. Three coping profiles emerged at study entry, with two profiles at later assessments. Forty-eight percent of women maintained high-moderate approach-oriented coping over time. Specific factors (e.g., age, acceptance of emotions) differentiated the transition groups. Women who increased and then maintained high-moderate approach-oriented coping had relatively high initial depressive symptoms that declined steeply. When cancer-related acceptance predominated, women experienced increasing physical symptoms. Distinct cancer-related coping patterns are related to the level of and change in depressive and physical symptoms longitudinally. Early intervention to increase approach-oriented coping strategies could yield favorable outcomes.
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Voetnoten
1
As often conceptualized for evaluating quality of life in cancer survivors (e.g., Burkett & Cleeland, 2007; Dow et al., 1996).
 
2
Demographic (e.g., age, SES, employment status), medical (e.g., weeks since diagnosis), and chronic life stress variables (from the UCLA Life Stress Interview (LSI); Hammen, 1991).
 
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Metagegevens
Titel
Transitions in coping profiles after breast cancer diagnosis: implications for depressive and physical symptoms
Auteurs
Jacqueline H. J. Kim
Emma E. Bright
Timothy J. Williamson
Jennifer L. Krull
Karen L. Weihs
Annette L. Stanton
Publicatiedatum
13-06-2020
Uitgeverij
Springer US
Gepubliceerd in
Journal of Behavioral Medicine / Uitgave 1/2021
Print ISSN: 0160-7715
Elektronisch ISSN: 1573-3521
DOI
https://doi.org/10.1007/s10865-020-00159-w