Self-efficacy for coping with symptoms moderates the relationship between physical symptoms and well-being in breast cancer survivors taking adjuvant endocrine therapy
Abstract
Purpose This study examined the relationships between physical symptoms, self-efficacy for coping with symptoms, and functional, emotional, and social well-being in women who were taking adjuvant endocrine therapy for breast cancer. Methods One hundred and twelve women who were taking adjuvant endocrine therapy (tamoxifen or an aromatase inhibitor) for breast cancer completed measures of physical symptoms, self-efficacy for coping with symptoms, and functional, social, and emotional well-being at the time of routine medical follow-up (women were on average 3.4 years post-surgery; range 3 months to 11 years). Results Multiple linear regression analyses showed that higher self-efficacy for coping with symptoms was associated with greater functional, emotional, and social well-being after controlling for physical symptoms (p Conclusions Self-efficacy for coping with symptoms may reduce the negative impact of physical symptoms and contribute to well-being in breast cancer survivors taking adjuvant endocrine therapy. Future studies could examine whether psychosocial interventions aimed at increasing self-efficacy for managing symptoms help women better cope with treatment side effects and improve quality of life.
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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.”
Cites
Development and evaluation of a scale to measure perceived self‐efficacy in people with arthritis
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“Menopausal symptoms, such as hot flushes, night sweats, and vaginal symptoms, are common side effects of all adjuvant endocrine therapy medications [11].”
BackgroundPatient Centered Experiences in Breast Cancer: Predicting Long-Term Adherence to Tamoxifen Use
Kahn, K. L., Schneider, E. C., Malin, J. L., Adams, J. L., & Epstein, A. M. (2007) · Medical Care · doi:10.1097/01.mlr.0000257193.10760.7f · Cited by 245 · see citing works
Stanton, A. L., Luecken, L. J., MacKinnon, D. P., & Thompson, E. H. (2013) · Journal of Consulting and Clinical Psychology · doi:10.1037/a0028833 · Cited by 114 · see citing works
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Wang, C., Schmid, C. H., Fielding, R. A., Harvey, W. F., Reid, K. F., Price, L. L., Driban, J. B., Kalish, R., Rones, R., & McAlindon, T. (2018) · BMJ · doi:10.1136/bmj.k851 · Cited by 285 · see citing works
Testing a behavioral intervention to improve adherence to adjuvant endocrine therapy (AET)
Shelby, R. A., Dorfman, C. S., Bosworth, H. B., Keefe, F., Sutton, L., Owen, L., Corsino, L., Erkanli, A., Reed, S. D., Arthur, S. S., et al. (2019) · Contemporary Clinical Trials · doi:10.1016/j.cct.2018.11.010 · Cited by 18 · see citing works
Self-citationStalls, J. M., Bovbjerg, D. H., Somers, T. J., Plumb Vilardaga, J. C., Kimmick, G. G., McAuliffe, P. F., Keefe, F. J., Posluszny, D. M., Sullivan, M. J. L., Erkanli, A., et al. (2022) · Contemporary Clinical Trials · doi:10.1016/j.cct.2022.106934 · Cited by 4 · see citing works
Self-citation
- Authors
- Shelby, R. A., Edmond, S. N., Wren, A. A., Keefe, F. J., Peppercorn, J. M., Marcom, P. K., Blackwell, K. L., & Kimmick, G. G.
- Affiliations
- Duke University (US)
- Corresponding author
- Shelby, Rebecca A.
- ORCID
- Venue
- Supportive Care in Cancer
- Published
- 2014-05-13
- Volume
- 22
- Issue
- 10
- Pages
- 2851-2859
- ISSN
- 0941-4355 (ISSN-L)
- 1433-7339
- OpenAlex
- W1984399073
- Cited by
- 76
- References
- 4
- Citations by year
- 2026: 5 · 2025: 8 · 2024: 7 · 2023: 9 · 2022: 8 · 2021: 9 · 2020: 7 · 2019: 6 · 2018: 5 · 2017: 6 · 2016: 5 · 2015: 1
- FWCI
- 1.92
- Type
- journal article
- Language
- en
- Open access
- closed
- Licence
- www.springer.com/tdm (tdm)
- Locations
- Supportive Care in Cancer (publishedVersion)
- PubMed (publishedVersion)
- 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 › Pulmonary and Respiratory Medicine › Cancer-related cognitive impairment studies
- Keywords
- self-efficacy, somatic symptoms, breast cancer survivors, adjuvant endocrine therapy, tamoxifen, aromatase inhibitors, well-being, functional well-being, emotional well-being, social well-being, treatment side effects, quality of life
- MeSH terms
- Adaptation, Psychological, Adjuvants, Pharmaceutic, Aged, Aged, 80 and over, Breast Neoplasms, Female, Humans, Middle Aged, Personal Satisfaction, Quality of Life, Tamoxifen, Survivors, Self Efficacy, Aromatase Inhibitors
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