The DOI matches its Crossref record; 55 of the 56 references it cites were found in a registry or an index.
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.
Overview
Integrity signals
Registry
Cites
Statistics
Verification
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?
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]
Citations
Cites
Baron, R. M., & Kenny, D. A. (1986) · Journal of Personality and Social Psychology · doi:10.1037/0022-3514.51.6.1173 · Cited by 91,532
Multiple regression: testing and interpreting interactions
(1992) · Choice Reviews Online · doi:10.5860/choice.29-3352 · Cited by 36,647
Eysenck, H. J. (1985) · Behaviour Research and Therapy · doi:10.1016/0005-7967(85)90087-7 · Cited by 32,038
“Stress: appraisal and coping,”
Folkman, S. (2013) · Encyclopedia of Behavioral Medicine · doi:10.1007/978-1-4419-1005-9_215 · Cited by 27,833
Assessing coping strategies: A theoretically based approach.
Carver, C. S., Scheier, M. F., & Weintraub, J. K. (1989) · Journal of Personality and Social Psychology · doi:10.1037/0022-3514.56.2.267 · Cited by 11,507
Optimism, coping, and health: Assessment and implications of generalized outcome expectancies.
Scheier, M. F., & Carver, C. S. (1985) · Health Psychology · doi:10.1037/0278-6133.4.3.219 · Cited by 6,690 · cited 1×
“(Scheier & Carver, 1985), a generalized expectancy for positive outcomes, Cameron and Nicholls (1998) demonstrated that participating in a written emotional disclosure task was effective in reducing health center visits for optimists but not for pessimists, for whom the task was successful only if…”
BackgroundEmotional processing of fear: Exposure to corrective information.
Foa, E. B., & Kozak, M. J. (1986) · Psychological Bulletin · doi:10.1037/0033-2909.99.1.20 · Cited by 5,396
Kübler-Ross, E. (1975) · PubMed · Cited by 4,935
The will and the ways: Development and validation of an individual-differences measure of hope.
Snyder, C. R., Harris, C., Anderson, J. R., Holleran, S. A., Irving, L. M., Sigmon, S. T., Yoshinobu, L., Gibb, J., Langelle, C., & Harney, P. (1991) · Journal of Personality and Social Psychology · doi:10.1037/0022-3514.60.4.570 · Cited by 3,774
The MOS Short-form General Health Survey: Reliability and Validity in a Patient Population
Stewart, A. L., Hays, R. D., & Ware, J. E. (1988) · Medical Care · doi:10.1097/00005650-198807000-00007 · Cited by 3,339
The nature of emotion: Fundamental questions.
Ekman, P., & Davidson, R. J. (1994) · Oxford University Press eBooks · Cited by 2,839
EFFECT OF PSYCHOSOCIAL TREATMENT ON SURVIVAL OF PATIENTS WITH METASTATIC BREAST CANCER
Spiegel, D., Kraemer, H., Bloom, J., & Gottheil, E. (1989) · The Lancet · doi:10.1016/s0140-6736(89)91551-1 · Cited by 2,353
Horowitz, M. J. (1993) · Springer eBooks · doi:10.1007/978-1-4615-2820-3_4 · Cited by 1,866
Handbook of Stress: Theoretical and Clinical Aspects
Goldberger, L., & Breznitz, S. (1993) · Medical Entomology and Zoology · Cited by 1,597
Behavioral/cognitive conceptualizations of post-traumatic stress disorder
Foa, E. B., Steketee, G., & Rothbaum, B. O. (1989) · Behavior Therapy · doi:10.1016/s0005-7894(89)80067-x · Cited by 1,518
Written emotional expression: Effect sizes, outcome types, and moderating variables
Smyth, J. M. (1998) · Journal of Consulting and Clinical Psychology · doi:10.1037/0022-006x.66.1.174 · Cited by 1,294
Written emotional expression: Effect sizes, outcome types, and moderating variables.
Smyth, J. M. (1998) · Journal of Consulting and Clinical Psychology · doi:10.1037//0022-006x.66.1.174 · Cited by 1,290
Coping with stress: Divergent strategies of optimists and pessimists.
Scheier, M. F., Weintraub, J. K., & Carver, C. S. (1986) · Journal of Personality and Social Psychology · doi:10.1037//0022-3514.51.6.1257 · Cited by 1,252
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
Fawzy, F. I. (1993) · Archives of General Psychiatry · doi:10.1001/archpsyc.1993.01820210015002 · Cited by 1,030
Linguistic predictors of adaptive bereavement
Pennebaker, J. W., Mayne, T. J., & Francis, M. E. (1997) · Journal of Personality and Social Psychology · doi:10.1037/0022-3514.72.4.863 · Cited by 970
Group Support for Patients With Metastatic Cancer: A Randomized Prospective Outcome Study
Spiegel, D. (1981) · Archives of General Psychiatry · doi:10.1001/archpsyc.1980.01780300039004 · Cited by 862
Coping through emotional approach: Scale construction and validation
Stanton, A. L., Kirk, S. B., Cameron, C. L., & Danoff-Burg, S. (2000) · Journal of Personality and Social Psychology · doi:10.1037/0022-3514.78.6.1150 · Cited by 663
Self-citationHandbook of coping : theory, research, applications
Zeidner, M., & Endler, N. S. (1996) · Cited by 661
Effects of responses to depression on the remediation of depressive affect.
Morrow, J., & Nolen–Hoeksema, S. (1990) · Journal of Personality and Social Psychology · doi:10.1037//0022-3514.58.3.519 · Cited by 645
Effects of responses to depression on the remediation of depressive affect
Morrow, J., & Nolen-Hoeksema, S. (1990) · Journal of Personality and Social Psychology · doi:10.1037/0022-3514.58.3.519 · Cited by 645
Emotional regulation and emotional development
Thompson, R. A. (1991) · Educational Psychology Review · doi:10.1007/bf01319934 · Cited by 641
A Structured Psychiatric Intervention for Cancer Patients
Fawzy, F. I. (1990) · Archives of General Psychiatry · doi:10.1001/archpsyc.1990.01810200028004 · Cited by 638
Construing Benefits from Adversity: Adaptotional Significance and Disposltional Underpinnings
Affleck, G., & Tennen, H. (1996) · Journal of Personality · doi:10.1111/j.1467-6494.1996.tb00948.x · Cited by 614
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 · cited 3×
“As we have done in other studies (Stanton & Snider, 1993; Stanton et al., 1998), we constructed a distress index by summing items on the Anger, Depression, Tension, Fatigue, and Confusion subscales.”
BackgroundMethodResultSelf-citationA Structured Psychiatric Intervention for Cancer Patients
Fawzy, F. I. (1990) · Archives of General Psychiatry · doi:10.1001/archpsyc.1990.01810200037005 · Cited by 502
(1993) · Cited by 494
Social constraints, intrusive thoughts, and depressive symptoms among bereaved mothers.
Lepore, S. J., Silver, R. C., Wortman, C. B., & Wayment, H. A. (1996) · Journal of Personality and Social Psychology · doi:10.1037//0022-3514.70.2.271 · Cited by 461
A FUNCTIONALIST PERSPECTIVE ON THE NATURE OF EMOTION
Campos, J. J., Mumme, D. L., Kermoian, R., & Campos, R. G. (2008) · Monographs of the Society for Research in Child Development · doi:10.1111/j.1540-5834.1994.tb01289.x · Cited by 447
Coping through emotional approach: Problems of conceptualizaton and confounding.
Stanton, A. L., Danoff‐Burg, S., Cameron, C. L., & Ellis, A. P. (1994) · Journal of Personality and Social Psychology · doi:10.1037//0022-3514.66.2.350 · Cited by 421
Self-citationSocial constraints, intrusive thoughts, and depressive symptoms among bereaved mothers.
Lepore, S. J., Silver, R. C., Wortman, C. B., et al. (1996) · Journal of Personality and Social Psychology · doi:10.1037/0022-3514.70.2.271 · Cited by 331
Kaplowitz, D. (1977) · American Journal of Psychotherapy · doi:10.1176/appi.psychotherapy.1977.31.1.144 · Cited by 294
Handbook of Psychooncology: Psychological Care of the Patient with Cancer
Holland, J. C., & Rowland, J. H. (1989) · Cited by 286
Emotions are functional, most of the time
Frijda, N. H. (1994) · UvA-DARE (University of Amsterdam) · Cited by 270
Psychobiological Factors Predicting the Course of Breast Cancer
Jensen, M. R. (1987) · Journal of Personality · doi:10.1111/j.1467-6494.1987.tb00439.x · Cited by 249
Cameron, L. D., & Nicholls, G. (1998) · Health Psychology · doi:10.1037/0278-6133.17.1.84 · Cited by 240
Epping‐Jordan, J. E., Compas, B. E., & Howell, D. C. (1994) · Health Psychology · doi:10.1037//0278-6133.13.6.539 · Cited by 169
The Handbook of Psychooncology: Psychological Care of the Patient with Cancer
Wise, T. N. (1990) · Psychosomatics · doi:10.1016/s0033-3182(90)72204-9 · Cited by 154
A Functionalist Perspective on the Nature of Emotion
Campos, J. J., Mumme, D. L., Kermoian, R., & Campos, R. G. (1994) · Monographs of the Society for Research in Child Development · doi:10.2307/1166150 · Cited by 152
Epping‐Jordan, J. E., Compas, B. E., & Howell, D. C. (1994) · Health Psychology · doi:10.1037/0278-6133.13.6.539 · Cited by 116
Patients?? Reactions to Completion Of Adjuvant Breast Cancer Therapy
Ward, S. E., VIERGUTZ, G., Tormey, D. C., DEMUTH, J., & Paulen, A. (1992) · Nursing Research · doi:10.1097/00006199-199211000-00008 · Cited by 94
Treatment decision making and adjustment to breast cancer: A longitudinal study.
Stanton, A. L., Estes, M. A., Estes, N. C., Cameron, C. L., Danoff‐Burg, S., & Irving, L. M. (1998) · Journal of Consulting and Clinical Psychology · doi:10.1037//0022-006x.66.2.313 · Cited by 74
Self-citationThe psychology of women's health: Progress and challenges in research and application.
(1995) · American Psychological Association eBooks · doi:10.1037/10178-000 · Cited by 73
Psychological Sequelae in Cancer Survivors
Holland, J. C. (1990) · Springer eBooks · doi:10.1007/978-3-642-46695-3_16 · Cited by 65
Treatment decision making and adjustment to breast cancer: A longitudinal study.
Stanton, A. L., Estes, M. A., Estes, N. C., Cameron, C. L., Danoff‐Burg, S., & Irving, L. M. (1998) · Journal of Consulting and Clinical Psychology · doi:10.1037/0022-006x.66.2.313 · Cited by 64
Self-citationAdjustment to Breast Cancer: A Replication Study
Friedman, L. C., Nelson, D. V., Baer, P. E., Lane, M., & Smith, F. E. (1990) · Journal of Psychosocial Oncology · doi:10.1300/j077v08n04_02 · Cited by 60
Anomic aspects of recovery from cancer
Maher, E. L. (1982) · Social Science & Medicine · doi:10.1016/0277-9536(82)90210-6 · Cited by 55
Living beyond limits: new hope and help for facing life-threatening illness
(1994) · Choice Reviews Online · doi:10.5860/choice.31-4400 · Cited by 39
The meaning of health for older women.
Gatz, M., Harris, J. R., & Charles, S. T. (1995) · American Psychological Association eBooks · doi:10.1037/10178-012 · Cited by 23
Lee-Jones, C., Humphris, G., Dixon, R., & Bebbington Hatcher, M. (1997) · Psycho-Oncology · doi:10.1002/(sici)1099-1611(199706)6:2 · Cited by 1
Research works printed but not linked: 5
Cited by
Sorted by citations
TARGET ARTICLE: Hope Theory: Rainbows in the Mind
Snyder, C. R. (2002) · Psychological Inquiry · doi:10.1207/s15327965pli1304_01 · Cited by 3,737
Folkman, S., & Moskowitz, J. T. (2004) · Annual Review of Psychology · doi:10.1146/annurev.psych.55.090902.141456 · Cited by 3,485
Park, C. L. (2010) · Psychological Bulletin · doi:10.1037/a0018301 · Cited by 3,174
Constructive and unconstructive repetitive thought
Watkins, E. R. (2008) · Psychological Bulletin · doi:10.1037/0033-2909.134.2.163 · Cited by 2,421
Coping Resources, Coping Processes, and Mental Health
Taylor, S. E., & Stanton, A. L. (2007) · Annual Review of Clinical Psychology · doi:10.1146/annurev.clinpsy.3.022806.091520 · Cited by 1,600
Self-citation
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
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
