Coping strategies and quality of life in women with advanced breast cancer and their family caregivers
Abstract
Coping with advanced breast cancer is a challenge for both women and their family caregivers. The primary purposes of this study were to compare coping strategies used by patients with advanced breast cancer and their family caregivers and to examine how those strategies related to patient and caregiver quality of life. The sample consisted of 189 patient-family member dyads with advanced breast cancer. Profile analysis showed that patients reported greater use of emotional support, religion, positive reframing, distraction, venting, and humor coping while family members reported greater use of alcohol/drug coping. Regression analyses showed that among both patients and family caregivers, active coping was associated with higher quality of life and avoidant coping was associated with lower quality of life. In addition, the patient’s level of symptom distress moderated the relationship between coping and quality of life. The negative relationship between family caregivers’ avoidant coping strategies and family caregivers’ mental quality of life was strongest when patients had low levels of symptom distress and weakest when patients had high levels of symptom distress.
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Active coping strategies are associated with better adjustment and quality of life, whereas avoidant coping strategies are associated with poorer psychological well-being and decreased quality of life among breast cancer patients.
“studies with breast cancer patients revealed that active coping strategies were associated with better adjustment and quality of life, whereas avoidant coping strategies were associated with poorer psychological well-being and decreased quality of life”
The Brief COPE is a frequently used instrument designed to assess multiple separate coping strategies.
“The Brief COPE is an abbreviated version of the COPE measure, an inventory of various types of coping styles (7).”
From Coping in Patients With Incurable Lung and Gastrointestinal Cancers: A Validation Study of the Brief COPE (2017) · cites this paper as [11]
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- Authors
- Kershaw, T., Northouse, L., Kritpracha, C., Schafenacker, A., & Mood, D.
- Affiliations
- Yale University (US)
- University of Michigan (US)
- Prince of Songkla University (TH)
- Wayne State University (US)
- Venue
- Psychology & Health
- Publisher
- Informa UK Limited
- Published
- 2004-04
- Volume
- 19
- Issue
- 2
- Pages
- 139-155
- ISSN
- 0887-0446 (ISSN-L)
- 1476-8321
- OpenAlex
- W2157027689
- Cited by
- 263
- References
- 33
- Citations by year
- 2026: 2 · 2025: 4 · 2024: 8 · 2023: 6 · 2022: 15 · 2021: 23 · 2020: 14 · 2019: 13 · 2018: 14 · 2017: 14 · 2016: 15 · 2015: 14 · 2014: 15 · 2013: 13 · 2012: 21
- FWCI
- 3.97
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Psychology and Health (publishedVersion)
- Topics
- Health Sciences › Medicine › Oncology › Cancer survivorship and care
- Social Sciences › Sociology and Political Science › Family Support in Illness
- Health Sciences › Health Professions › Pharmacy › Nursing care and research
- Keywords
- advanced breast cancer, coping strategies, quality of life, family caregivers, patient-caregiver dyads, active coping, avoidance coping, symptom distress, emotional support, coping humor, positive reframing
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