Cited by 448Cancer survivorship and careWomen's cancer prevention and managementOptimism, Hope, and Well-being

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Psychological adjustment in breast cancer: Processes of emotional distress.

Epping-Jordan, JoAnne E., Compas, Bruce E., Osowiecki, Dana M., Oppedisano, Gerri, Gerhardt, Cynthia, Primo, Kari, Krag, David N.·1999·Health Psychology

DOI 10.1037/0278-6133.18.4.315

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Abstract

The process of psychological adjustment to breast cancer was examined at diagnosis and at 3- and 6-month follow-ups in a sample of 80 women with Stage I-Stage IV breast cancer. At diagnosis, symptoms of anxiety/depression were predicted by low dispositional optimism, and this path was partially mediated by use of emotion-focused disengagement coping. Younger age also was predictive of anxiety/depression symptoms at time of diagnosis, and this relationship was fully mediated by magnitude of intrusive thoughts. At 3 months, changes in anxiety/depression symptoms were predicted only by intrusive thoughts. At 6 months, low dispositional optimism reemerged as a significant predictor of changes in anxiety/depression and again was partially mediated by the use of emotion-focused disengagement coping. Independent effects for problem-focused engagement and disengagement and emotion-focused engagement coping were also found at 6 months. Implications of these data for psychosocial interventions with breast cancer patients are highlighted.

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Authors: Epping-Jordan, J. E., Compas, B. E., Osowiecki, D. M., Oppedisano, G., Gerhardt, C., Primo, K., & Krag, D. N.
ORCID: Compas, Bruce E.
Gerhardt, Cynthia
Krag, David N.
Venue: Health Psychology
Publisher: American Psychological Association (APA)
Published: 1999
Volume: 18
Issue: 4
Pages: 315-326
ISSN: 0278-6133 (ISSN-L)
1930-7810
DOI: 10.1037/0278-6133.18.4.315
OpenAlex: W2149625198
Cited by: 448
References: 31
Citations by year: 2025: 6 · 2024: 3 · 2023: 4 · 2022: 2 · 2021: 9 · 2020: 7 · 2019: 6 · 2018: 5 · 2017: 14 · 2016: 9 · 2015: 16 · 2014: 21 · 2013: 20 · 2012: 31
FWCI: 6.34
Type: journal article
Language: en
Open access: closed
Locations: Health Psychology (publishedVersion)
PubMed (publishedVersion)
Funders: National Institutes of Health (5r01ca067936-05, 5r01mh043819-05)
National Institute of Mental Health (MH43819)
National Cancer Institute (P30CA022435, CA67936, P30-CA 22435)
Topics: Health Sciences › Medicine › Oncology › Cancer survivorship and care
Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Women's cancer prevention and management
Social Sciences › Psychology › Applied Psychology › Optimism, Hope, and Well-being
Keywords: breast cancer, psychological adjustment, emotional distress, anxiety, depression, dispositional optimism, emotion-focused coping, disengagement coping, problem-focused coping, intrusive thoughts, age, psychosocial interventions
MeSH terms: Adaptation, Psychological, Age Factors, Anxiety, Breast Neoplasms, Defense Mechanisms, Depression, Educational Status, Female, Follow-Up Studies, Humans, Middle Aged, Personality Inventory, Regression Analysis, Sampling Studies, Severity of Illness Index

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Psychological adjustment in breast cancer: Processes of emotional distress.

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