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Emotionally expressive coping predicts psychological and physical adjustment to breast cancer
Abstract
This study tested the hypothesis that coping through emotional approach, which involves actively processing and expressing emotions, enhances adjustment and health status for breast cancer patients. Patients (n = 92) completed measures within 20 weeks following medical treatment and 3 months later. Women who, at study entry, coped through expressing emotions surrounding cancer had fewer medical appointments for cancer-related morbidities, enhanced physical health and vigor, and decreased distress during the next 3 months compared with those low in emotional expression, with age, other coping strategy scores, and initial levels on dependent variables (except medical visits) controlled statistically. Expressive coping also was related to improved quality of life for those who perceived their social contexts as highly receptive. Coping through emotional processing was related to one index of greater distress over time. Analyses including dispositional hope suggested that expressive coping may serve as a successful vehicle for goal pursuit.
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In the citing paper
“coping with illness, cancer, and pain [16, 23, 27, 31-37]”
In the citing paper
“The Medical Tracker, based on previous psycho-oncology studies that have tracked medical utilization [39, 92], has participants track their medical appointments as well as appointments related to mental health and well-being such as support group(s), counseling, and related resources.”
In the citing paper
“based on the broader ACT model, M-ACT specifies putative mechanisms of change including increasing active acceptance and reducing avoidance of internal experiences (i.e., difficult thoughts and emotions) and clarifying values and sources of meaning (e.g., [29–31])”
In the citing paper
“assessing emotion-focused coping by using items that do not include these confounds can lead to new insights about coping and adjustment to chronic disease.”
From Psychological aspects of persistent pain: Current state of the science (2004) · cites this paper as [111]
In the citing paper
“past coping scales measuring emotion-focused coping have been confounded by negative emotion-focused coping items”
From Psychological aspects of persistent pain: Current state of the science (2004) · cites this paper as [111]
In the citing paper
“We also found that greater use of self-blame, denial, and behavioral disengagement coping is associated with greater emotional distress (9, 22, 24).”
From Coping in Patients With Incurable Lung and Gastrointestinal Cancers: A Validation Study of the Brief COPE (2017) · cites this paper as [22]
In the citing paper
“Integrating positive psychology – and hope in particular – into YACS patient care might be strategic in the process of enhancing mental health [33], coping [24, 26, 27, 33], health behaviors [28–30], and overall QOL [31, 33].”
From A Hope-based intervention to address disrupted goal pursuits and quality of life among young adult cancer survivors (2020) · cites this paper as [26]
In the citing paper
“higher hope is related to better adjustment in coping with cancer, specifically breast cancer [26], as well as better pain tolerance [27].”
From A Hope-based intervention to address disrupted goal pursuits and quality of life among young adult cancer survivors (2020) · cites this paper as [26]
In the citing paper
“Our findings are consistent with the literature suggesting that greater use of active, acceptance and positive reframing coping is associated with less emotional distress (21–23).”
From Coping in Patients With Incurable Lung and Gastrointestinal Cancers: A Validation Study of the Brief COPE (2017) · cites this paper as [22]
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Manzoni, G. M., Castelnuovo, G., & Molinari, E. (2011) · Health and Quality of Life Outcomes · doi:10.1186/1477-7525-9-51 · Cited by 17
Ahmed, K., Marchand, E., Williams, V., Coscarelli, A., & Ganz, P. A. (2015) · Patient Education and Counseling · doi:10.1016/j.pec.2015.09.014 · Cited by 16
Metadata
- Authors
- Stanton, A. L., Danoff-Burg, S., Cameron, C. L., Bishop, M., Collins, C. A., Kirk, S. B., Sworowski, L. A., & Twillman, R.
- Affiliations
- University of Kansas (US)
- Venue
- Journal of Consulting and Clinical Psychology
- Published
- 2000
- Volume
- 68
- Issue
- 5
- Pages
- 875-882
- ISSN
- 0022-006X (ISSN-L)
- 1939-2117
- OpenAlex
- W2169658013
- Cited by
- 800
- References
- 56
- Citations by year
- 2026: 11 · 2025: 10 · 2024: 22 · 2023: 13 · 2022: 19 · 2021: 16 · 2020: 62 · 2019: 29 · 2018: 31 · 2017: 34 · 2016: 34 · 2015: 52 · 2014: 40 · 2013: 35 · 2012: 56
- FWCI
- 7.20
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Consulting and Clinical Psychology (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Oncology › Cancer survivorship and care
- Social Sciences › Psychology › Applied Psychology › Optimism, Hope, and Well-being
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Women's cancer prevention and management
- Keywords
- breast cancer, emotional approach, emotional expression, psychological adjustment, physical adaptation, quality of life, social support, distress, dispositional hope
- MeSH terms
- Adaptation, Psychological, Adult, Aged, Breast Neoplasms, Female, Health Status, Humans, Internal-External Control, Middle Aged, Psychiatric Status Rating Scales, Quality of Life, Regression Analysis, Social Support, Stress, Psychological, Expressed Emotion
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