Affective differentiation in breast cancer patients
Abstract
Fifty-three breast cancer patients completed an Internet-based diary measuring daily negative affect and positive affect and daily negative and positive events for seven consecutive evenings shortly after surgery. The authors used Hierarchical Linear Modeling (Raudenbush and Bryk in Hierarchical linear models: applications and data analysis methods. Sage, Thousand Oaks, CA, 2002) to examine moderators of affective differentiation, or the daily relationship between the patients' negative affect and positive affect. Strong affective differentiation is characterized by the relative independence of negative and positive affect. There were no significant Level 1 (within-subject) moderators of affective differentiation. However, at Level 2 (between-subject), as predicted, increased age was associated with stronger affective differentiation, as was greater use of planning to cope with breast cancer. Also as predicted, increased anxiety and greater use of behavioral disengagement and denial coping were associated with weaker affective differentiation. The results suggest the value of the affective differentiation construct, and a daily diary methodology, for research on the daily lives of breast cancer patients.
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
Earlier studies found that higher acceptance of cancer was linked to lower cancer-specific distress, depression, and anxiety symptoms.
“studies have shown that greater acceptance of cancer is related to reduced symptoms of cancer-specific distress, depression, and anxiety; however, effect sizes for these relationships vary from small to large”
From The relationship between acceptance of cancer and distress: A meta-analytic review (2019) · cites this paper as Dasch et al., 2010
Cites
The Hospital Anxiety and Depression Scale
Zigmond, A. S., & Snaith, R. P. (1983) · Acta Psychiatrica Scandinavica · doi:10.1111/j.1600-0447.1983.tb09716.x · Cited by 47,139 · see citing works
Hierarchical Linear Models: Applications and Data Analysis Methods.
Longford, N. T., Bryk, A. S., & Raudenbush, S. W. (1993) · Contemporary Sociology A Journal of Reviews · doi:10.2307/2075823 · Cited by 18,768 · see citing works
Depression and quality of life in older persons: A review
Sivertsen, H., Bjørkløf, G. H., Engedal, K., Selbæk, G., & Helvik, A.-S. (2015) · Dementia and Geriatric Cognitive Disorders · doi:10.1159/000437299 · Cited by 14,152 · see citing works
Hierarchical Linear Models: Applications and Data Analysis Methods
Davidian, M. (2003) · Journal of the American Statistical Association · doi:10.1198/jasa.2003.s288 · Cited by 13,820 · see citing works
Missing data: our view of the state of the art
Schafer, J. L., & Graham, J. W. (2002) · Psychological Methods · doi:10.1037/1082-989x.7.2.147 · Cited by 11,638 · see citing works
You want to measure coping but your protocol’ too long: Consider the brief cope
Carver, C. S. (1997) · International Journal of Behavioral Medicine · doi:10.1207/s15327558ijbm0401_6 · Cited by 7,361 · see citing works
Multilevel analysis : an introduction to basic and advanced multilevel modeling
Snijders, T. A. B., & Bosker, R. (1999) · Cited by 6,830 · see citing works
Diary Methods: Capturing Life as it is Lived
Bolger, N., Davis, A., & Rafaeli, E. (2003) · Annual Review of Psychology · doi:10.1146/annurev.psych.54.101601.145030 · Cited by 3,843 · see citing works
The PANAS-X: Manual for the Positive and Negative Affect Schedule - Expanded Form
Watson, D., & Clark, L. A. (1994) · doi:10.17077/48vt-m4t2 · Cited by 3,697 · see citing works
Folkman, S., & Moskowitz, J. T. (2004) · Annual Review of Psychology · doi:10.1146/annurev.psych.55.090902.141456 · Cited by 3,485 · see citing works
Park, C. L. (2010) · Psychological Bulletin · doi:10.1037/a0018301 · Cited by 3,174 · cited 1× · see citing works
“Although we did not hypothesize this finding, it is quite consistent with some of the literature on coping with cancer, which has suggested the beneficial effects of religious coping and attempts at meaning-making more broadly (e.g., Park 2010; Urcuyo et al. 2005).”
ResultSalovey, P., Mayer, J. D., Goldman, S. L., Turvey, C., & Palfai, T. P. (1995) · Emotion, disclosure, & health. · doi:10.1037/10182-006 · Cited by 2,375 · see citing works
How to Use a Monte Carlo Study to Decide on Sample Size and Determine Power
Muthén, L. K., & Muthén, B. O. (2002) · Structural Equation Modeling: A Multidisciplinary Journal · doi:10.1207/s15328007sem0904_8 · Cited by 2,362 · see citing works
McCrae, R. R., & Costa, P. T. (2010) · Medical Entomology and Zoology · Cited by 2,345 · see citing works
Positive psychological states and coping with severe stress
Folkman, S. (1997) · Social Science & Medicine · doi:10.1016/s0277-9536(97)00040-3 · Cited by 1,848 · cited 1× · see citing works
“Our interpretation is consistent with research by Felton and Revenson (1984), Zautra et al. (1995), and Folkman (1997) , who found that active forms of coping increase positive affect but do not reduce negative affect, a pattern which would promote the independence of the two affects and thus affective differentiation.”
ResultCarver, C. S., Pozo-Kaderman, C., Harris, S. D., Noriega, V., Scheier, M. F., Robinson, D. S., Ketcham, A. S., Moffat, F. L., & Clark, K. C. (1993) · Journal of Personality and Social Psychology · doi:10.1037//0022-3514.65.2.375 · Cited by 1,739 · see citing works
The psychology of religion and coping : theory, research, practice
Pargament, K. (1998) · Review of Religious Research · doi:10.2307/3512468 · Cited by 1,680 · see citing works
Carver, C. S., Pozo, C., Harris, S. D., Noriega, V., Scheier, M. F., Robinson, D. S., Ketcham, A. S., Moffat, F. L., & Clark, K. C. (1993) · Journal of Personality and Social Psychology · doi:10.1037/0022-3514.65.2.375 · Cited by 1,228 · see citing works
Emotion and aging: experience, expression, and control.
Gross, J., Carstensen, L., Pasupathi, M., Tsai, J. L., Skorpen, C., & Hsu, A. Y. C. (1997) · Psychology and Aging · doi:10.1037/0882-7974.12.4.590 · Cited by 1,214 · see citing works
Emotion and aging: Experience, expression, and control.
Gross, J. J., Carstensen, L. L., Pasupathi, M., Tsai, J. L., Skorpen, C. G., & Hsu, A. Y. C. (1997) · Psychology and Aging · doi:10.1037//0882-7974.12.4.590 · Cited by 1,136 · see citing works
Effects of daily stress on negative mood.
Bolger, N. P., DeLongis, A., Kessler, R. C., & Schilling, E. A. (1989) · Journal of Personality and Social Psychology · doi:10.1037//0022-3514.57.5.808 · Cited by 1,063 · see citing works
Sears, S. R., Stanton, A. L., & Danoff-Burg, S. (2003) · Health Psychology · doi:10.1037/0278-6133.22.5.487 · Cited by 803 · see citing works
Emotionally expressive coping predicts psychological and physical adjustment to breast cancer
Stanton, A. L., Danoff-Burg, S., Cameron, C. L., Bishop, M., Collins, C. A., Kirk, S. B., Sworowski, L. A., & Twillman, R. (2000) · Journal of Consulting and Clinical Psychology · doi:10.1037/0022-006x.68.5.875 · Cited by 800 · see citing works
Effects of daily stress on negative mood.
Bolger, N. P., DeLongis, A., Kessler, R. C., et al. (1989) · Journal of Personality and Social Psychology · doi:10.1037/0022-3514.57.5.808 · Cited by 771 · see citing works
Felton, B. J., & Revenson, T. A. (1984) · Journal of Consulting and Clinical Psychology · doi:10.1037//0022-006x.52.3.343 · Cited by 695 · see citing works
Emotion, Disclosure, and Health
Pennebaker, J. W. (1995) · Cited by 671 · see citing works
Moorey, S., Greer, S., Watson, M., Gorman, C., Rowden, L., Tunmore, R., Robertson, B., & Bliss, J. M. (1991) · The British Journal of Psychiatry · doi:10.1192/bjp.158.2.255 · Cited by 653 · see citing works
Coping with a breast cancer diagnosis: A prospective study.
Stanton, A. L., & Snider, P. R. (1993) · Health Psychology · doi:10.1037//0278-6133.12.1.16 · Cited by 574 · see citing works
Coping with a breast cancer diagnosis: A prospective study.
Stanton, A. L., & Snider, P. R. (1993) · Health Psychology · doi:10.1037/0278-6133.12.1.16 · Cited by 574 · see citing works
Positive Affect as a Source of Resilience for Women in Chronic Pain.
Zautra, A. J., Johnson, L. M., & Davis, M. C. (2005) · Journal of Consulting and Clinical Psychology · doi:10.1037/0022-006x.73.2.212 · Cited by 567 · see citing works
Modern Approaches to Conceptualizing and Measuring Human Life Stress
Monroe, S. M. (2008) · Annual Review of Clinical Psychology · doi:10.1146/annurev.clinpsy.4.022007.141207 · Cited by 567 · see citing works
The first year after breast cancer diagnosis: hope and coping strategies as predictors of adjustment
Stanton, A. L., Danoff‐burg, S., & Huggins, M. E. (2002) · Psycho-Oncology · doi:10.1002/pon.574 · Cited by 545 · see citing works
Felton, B. J., & Revenson, T. A. (1984) · Journal of Consulting and Clinical Psychology · doi:10.1037/0022-006x.52.3.343 · Cited by 464 · see citing works
Psychological adjustment in breast cancer: Processes of emotional distress.
Epping‐Jordan, J. E., Compas, B. E., Osowiecki, D. M., Oppedisano, G., Gerhardt, C. A., Primo, K., & Krag, D. N. (1999) · Health Psychology · doi:10.1037//0278-6133.18.4.315 · Cited by 449 · see citing works
Psychological adjustment in breast cancer: Processes of emotional distress.
Epping-Jordan, J. E., Compas, B. E., Osowiecki, D. M., Oppedisano, G., Gerhardt, C., Primo, K., & Krag, D. N. (1999) · Health Psychology · doi:10.1037/0278-6133.18.4.315 · Cited by 448 · see citing works
A comparison of coping assessed by ecological momentary assessment and retrospective recall.
Stone, A. A., Schwartz, J. E., Neale, J. M., Shiffman, S. M., Marco, C. A., Hickcox, M., Paty, J. A., Porter, L. S., & Cruise, L. J. (1998) · Journal of Personality and Social Psychology · doi:10.1037//0022-3514.74.6.1670 · Cited by 446 · see citing works
Predicting posttraumatic growth in breast cancer survivors
Bellizzi, K. M., & Blank, T. O. (2006) · Health Psychology · doi:10.1037/0278-6133.25.1.47 · Cited by 416 · see citing works
A comparison of coping assessed by ecological momentary assessment and retrospective recall.
Stone, A. A., Schwartz, J. E., Neale, J. M., et al. (1998) · Journal of Personality and Social Psychology · doi:10.1037/0022-3514.74.6.1670 · Cited by 346 · see citing works
Examinations of chronic pain and affect relationships: Applications of a dynamic model of affect.
Zautra, A., Smith, B. W., Affleck, G. G., & Tennen, H. A. (2001) · Journal of Consulting and Clinical Psychology · doi:10.1037/0022-006x.69.5.786 · Cited by 311 · see citing works
Finding benefit in breast cancer: Relations with personality, coping, and concurrent well-being
Urcuyo, K. R., Boyers, A. E., Carver, C. S., & Antoni, M. H. (2005) · Psychology and Health · doi:10.1080/08870440512331317634 · Cited by 300 · see citing works
Zautra, A., Affleck, G. G., Tennen, H. A., Reich, J. W., & Davis, M. C. (2005) · Journal of Personality · doi:10.1111/j.0022-3506.2005.00357.x · Cited by 295 · see citing works
Culver, J. L., Arena, P. L., Antoni, M. H., & Carver, C. S. (2002) · Psycho-Oncology · doi:10.1002/pon.615 · Cited by 241 · see citing works
Dimensions of Affect Relationships: Models and Their Integrative Implications
Reich, J. W., Zautra, A., & Davis, M. C. (2003) · Review of General Psychology · doi:10.1037/1089-2680.7.1.66 · Cited by 237 · see citing works
Chronic Pain, Stress, and the Dynamics of Affective Differentiation
Davis, M. C., Zautra, A. J., & Smith, B. W. (2004) · Journal of Personality · doi:10.1111/j.1467-6494.2004.00293.x · Cited by 200 · see citing works
Emotions and Self-Regulation: A Life Span View
Labouvie‐Vief, G., Hakim-Larson, J. A., DeVoe, M., & Schoeberlein, S. (2010) · Human Development · doi:10.1159/000276480 · Cited by 187 · see citing works
Trauma History as a Predictor of Psychologic Symptoms in Women With Breast Cancer
Green, B. L., KRUPNICK, J. L., Rowland, J. H., Epstein, S. A., Stockton, P., Spertus, I. L., & Stern, N. M. (2000) · Journal of Clinical Oncology · doi:10.1200/jco.2000.18.5.1084 · Cited by 151 · see citing works
Psychosocial impact of newly diagnosed advanced breast cancer
Turner, J., Kelly, B. J., Swanson, C. E., Allison, R., & Wetzig, N. R. (2004) · Psycho-Oncology · doi:10.1002/pon.856 · Cited by 150 · see citing works
The Complexity of Emotions in Later Life
Ong, A. D., & Bergeman, C. S. (2004) · The Journals of Gerontology Series B · doi:10.1093/geronb/59.3.p117 · Cited by 143 · see citing works
Petrie, K. J., & Reynolds, L. (2001) · Cambridge University Press eBooks · doi:10.1017/cbo9780511543579.011 · Cited by 139 · see citing works
Zautra, A., Burleson, M. H., Smith, C. A., Blalock, S. J., Wallston, K. A., DeVellis, R. F., DeVellis, B. M., & Smith, T. W. (1995) · Health Psychology · doi:10.1037/0278-6133.14.5.399 · Cited by 117 · see citing works
Roussi, P., Krikeli, V., Hatzidimitriou, C., & Koutri, I. (2007) · Cognitive Therapy and Research · doi:10.1007/s10608-006-9110-1 · Cited by 89 · see citing works
Course of Distress in Breast Cancer Patients, Their Partners, and Matched Control Couples
Hinnen, C., Ranchor, A. V., Sanderman, R., Snijders, T. A. B., Hagedoorn, M., & Coyne, J. C. (2008) · Annals of Behavioral Medicine · doi:10.1007/s12160-008-9061-8 · Cited by 82 · see citing works
Potter, P. T., Zautra, A., & Reich, J. W. (2000) · Annals of Behavioral Medicine · doi:10.1007/bf02895113 · Cited by 68 · see citing works
Reddick, B., Nanda, J. P., Campbell, L. R., Ryman, D. G., & Gaston‐Johansson, F. (2005) · Journal of Psychosocial Oncology · doi:10.1300/j077v23n02_09 · Cited by 62 · see citing works
Variables related to stress‐related growth among Turkish breast cancer patients
Karanci, A. N., & Erkam, A. (2007) · Stress and Health · doi:10.1002/smi.1154 · Cited by 58 · see citing works
Measurement of coping and stress responses in women with breast cancer
Compas, B. E., Beckjord, E., Agocha, B., Sherman, M. L., Langrock, A., Grossman, C. I., Dausch, B., Glinder, J., Kaiser, C., Anderson‐Hanley, C., et al. (2006) · Psycho-Oncology · doi:10.1002/pon.999 · Cited by 55 · see citing works
Mood States Associated with Transitory Physical Symptoms Among Breast and Ovarian Cancer Survivors
Badr, H., Basen-Engquist, K. M., Taylor, C. L. C., & de Moor, C. (2006) · Journal of Behavioral Medicine · doi:10.1007/s10865-006-9052-9 · Cited by 50 · see citing works
Zautra, A., Burleson, M. H., Smith, C. A., Blalock, S. J., & al, E. (1995) · Health Psychology · doi:10.1037//0278-6133.14.5.399 · Cited by 47 · see citing works
Cohen, L. H., Gunthert, K. C., Butler, A. C., Parrish, B. P., Wenze, S. J., & Beck, J. S. (2008) · Journal of Consulting and Clinical Psychology · doi:10.1037/a0014131 · Cited by 38 · see citing works
Self-citationStress-related predictors of optimism in breast cancer survivors
Karademas, E. C., Karvelis, S., & Argyropoulou, K. (2007) · Stress and Health · doi:10.1002/smi.1132 · Cited by 25 · see citing works
Morita (2000) · doi:10.1002/(sici)1099-1611(200003/04)9:2
Flagged first, then by citations
Cited by
Sorted by citations
The relationship between acceptance of cancer and distress: A meta-analytic review
Secinti, E., Tometich, D. B., Johns, S. A., & Mosher, C. E. (2019) · Clinical Psychology Review · doi:10.1016/j.cpr.2019.05.001 · Cited by 132 · see citing works
Otto, A. K., Szczesny, E. C., Soriano, E. C., Laurenceau, J.-P., & Siegel, S. D. (2016) · Health Psychology · doi:10.1037/hea0000400 · Cited by 110 · see citing works
Self-citationHoemann, K., Nielson, C., Yuen, A., Gurera, J. W., Quigley, K. S., & Barrett, L. F. (2021) · Psychological Bulletin · doi:10.1037/bul0000327 · Cited by 83 · see citing works
Hoemann, K., Barrett, L. F., & Quigley, K. S. (2021) · Frontiers in Psychology · doi:10.3389/fpsyg.2021.704125 · Cited by 56 · see citing works
Coifman, K. G., & Summers, C. B. (2019) · Frontiers in Psychology · doi:10.3389/fpsyg.2019.00392 · Cited by 45 · see citing works
Hoemann, K., Khan, Z., Kamona, N., Dy, J., Barrett, L. F., & Quigley, K. S. (2021) · Psychophysiology · doi:10.1111/psyp.13818 · Cited by 40 · see citing works
Soriano, E. C., Otto, A. K., Siegel, S. D., & Laurenceau, J. (2017) · Journal of Family Psychology · doi:10.1037/fam0000302 · Cited by 12 · see citing works
Self-citationNeuroticism and momentary differentiation of positive and negative affect
Skalina, L. M., Gunthert, K. C., Ahrens, A. H., & Wenze, S. J. (2014) · Personality and Individual Differences · doi:10.1016/j.paid.2014.11.018 · Cited by 9 · see citing works
Intensive Longitudinal Methods Among Adults With Breast or Lung Cancer: Scoping Review
Geeraerts, J., de Nooijer, K., Pivodic, L., Ridder, M. D., & den Block, L. V. (2024) · Journal of Medical Internet Research · doi:10.2196/50224 · Cited by 6 · see citing works
Hoemann, K. (2020) · doi:10.17760/d20382016 · Cited by 1 · see citing works
Otto, A. K. (2025) · Library, Museums and Press - UDSpace (University of Delaware) · doi:10.58088/tghp-wd25
Coping and stress management training with special focus on women with breast cancer
Kvillemo, P. (2016) · Figshare
Faut-il être fou pour refuser sa chimiothérapie ?
Edery, L., & Bacque, M. (2013) · ONCOLOGIE · doi:10.1007/s10269-013-2246-6
- Authors
- Dasch, K. B., Cohen, L. H., Belcher, A., Laurenceau, J.-P., Kendall, J., Siegel, S., Parrish, B., & Graber, E.
- Affiliations
- University of Delaware (US)
- Corresponding author
- Cohen, Lawrence H.
- Venue
- Journal of Behavioral Medicine
- Published
- 2010-06-29
- Volume
- 33
- Issue
- 6
- Pages
- 441-453
- ISSN
- 0160-7715 (ISSN-L)
- 1573-3521
- OpenAlex
- W2048882312
- Cited by
- 13
- References
- 60
- Citations by year
- 2025: 1 · 2024: 1 · 2021: 3 · 2020: 1 · 2019: 2 · 2017: 1 · 2016: 2 · 2014: 1 · 2013: 1
- FWCI
- 0.16
- Type
- journal article
- Language
- en
- Open access
- closed
- Licence
- www.springer.com/tdm (tdm)
- Locations
- Journal of Behavioral Medicine (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Cancer Institute (R03CA136080)
- Topics
- Health Sciences › Medicine › Oncology › Cancer survivorship and care
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Mental Health Research Topics
- Social Sciences › Psychology › Applied Psychology › Optimism, Hope, and Well-being
- Keywords
- breast cancer, emotion regulation, coping strategies, anxiety, behavioral disengagement, denial, age differences, daily diary
- MeSH terms
- Adaptation, Psychological, Adult, Affect, Age Factors, Aged, Anxiety, Breast Neoplasms, Depression, Female, Humans, Mastectomy, Middle Aged, Psychiatric Status Rating Scales, Surveys and Questionnaires, Linear Models
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review
