Erschienen in:
08.06.2016 | Original Article
Longitudinal Reciprocal Relationships Between Quality of Life and Coping Strategies Among Women with Breast Cancer
verfasst von:
Min-So Paek, PhD, Edward H. Ip, PhD, Beverly Levine, PhD, Nancy E. Avis, PhD
Erschienen in:
Annals of Behavioral Medicine
|
Ausgabe 5/2016
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Abstract
Background
Research on quality of life (QoL) among women with breast cancer has often examined the impact of coping strategies on QoL. However, the transactional model of stress and coping would argue that QoL can impact coping. This reciprocal relationship between QoL and coping has been inadequately studied.
Purpose
This study examined reciprocal relationships over 18 months between QoL and coping (positive and negative coping) among women with breast cancer.
Methods
Three-wave cross-lagged structural equation modelling (SEM) analysis was used over three timepoints post-diagnosis (T1–T3; N = 637, 577, 553, respectively).
Results
SEM results revealed a significant reciprocal relationship between negative coping and QoL, indicating that negative coping predicted subsequent QoL, which in turn predicted later negative coping. Although QoL at cancer diagnosis predicted subsequent positive coping, we did not find a reciprocal relation between QoL and positive coping.
Conclusion
Findings expand our knowledge of the relation between QoL and coping by suggesting the reciprocal relationship between negative coping and QoL among women with breast cancer.