Physical activity and quality of life in breast cancer survivors: the role of self-efficacy and health status: Physical activity and QOL in breast cancer survivors
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OBJECTIVE: Mechanisms underlying the relationship between physical activity and quality of life (QOL) in breast cancer survivors are not well understood. The purpose of the present study was to longitudinally test a model examining self-efficacy and health status as potential mediators of this relationship. METHODS: At baseline and 6 months, breast cancer survivors (n = 1527) completed physical activity, self-efficacy, health status, and QOL measures, and a subsample (n = 370) wore an accelerometer. Panel analysis within a covariance modeling framework was used to test the hypothesis that physical activity indirectly influences QOL across time. RESULTS: The hypothesized model provided a good fit in the full sample (χ(2) = 409.06; d.f. = 91, p < 0.001; comparative fit index (CFI) = 0.98; standardized root mean residual (SRMR) = 0.04) and the accelerometer subsample (χ(2) = 320.96, d.f. = 134, p < 0.001; CFI = 0.95; SRMR = 0.05), indicating that physical activity indirectly, via self-efficacy and health status indicators, influences QOL across time. CONCLUSIONS: Physical activity may influence QOL in breast cancer survivors through more proximal, modifiable factors.
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Psychological flexibility and self-efficacy may contribute to differences in pain severity and the impact of persistent post-surgical pain.
“Two additional psychosocial variables that may contribute to differences in the experience of pain severity and the impact of PSP are: 1) psychological flexibility18–20, a flexible behavior pattern broadly oriented toward ones chosen personal values, even in the presence of discomforts (such as pain), and 2) self-efficacy21–25, the belief in one’s ability to effectively manage pain.”
From Improving well-being for individuals with persistent pain after surgery for breast cancer, lobular carcinoma in situ, or ductal carcinoma in situ: A randomized clinical trial (2022) · cites this paper as [25]
The Self-efficacy and Full sample sections describe exercise-related self-efficacy and its association with well-being in breast cancer survivors. They do not establish that confidence in managing pain contributes to post-surgical pain severity or impact. This citation is attached to self-efficacy, not to the separate psychological-flexibility claim. (LLM, conf=0.78)
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- Authors
- Phillips, S. M., & McAuley, E.
- Affiliations
- University of Illinois Urbana-Champaign (US)
- Corresponding author
- Phillips, Siobhan M.
- Venue
- Psycho-Oncology
- Publisher
- Wiley
- Published
- 2013-09-04
- Volume
- 23
- Issue
- 1
- Pages
- 27-34
- ISSN
- 1057-9249 (ISSN-L)
- PMC
- PMC4762278
- OpenAlex
- W1553270004
- Cited by
- 60
- References
- 46
- Citations by year
- 2026: 1 · 2025: 2 · 2024: 3 · 2023: 6 · 2022: 6 · 2021: 5 · 2020: 5 · 2019: 6 · 2018: 8 · 2017: 4 · 2016: 6 · 2015: 3 · 2014: 5
- FWCI
- 2.50
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Psycho-Oncology (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institutes of Health
- National Institute on Aging (R56AG020118, F31AG034025, R01AG020118, AG020118)
- Topics
- Health Sciences › Medicine › Oncology › Cancer survivorship and care
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Women's cancer prevention and management
- Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Childhood Cancer Survivors' Quality of Life
- Keywords
- physical activity, quality of life, breast cancer survivors, self-efficacy, health status, mediation, accelerometer-measured activity, longitudinal change
- MeSH terms
- Breast Neoplasms, Female, Health Status, Humans, Middle Aged, Motor Activity, Psychological Tests, Quality of Life, Surveys and Questionnaires, Survivors, Self Efficacy, Accelerometry
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