Cited by 263Cancer survivorship and careFamily Support in IllnessNursing care and research

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Coping strategies and quality of life in women with advanced breast cancer and their family caregivers

Kershaw, Trace, Northouse, Laurel, Kritpracha, Charuwan, Schafenacker, Ann, Mood, Darlene·2004·Psychology & Health

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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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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)
ORCID: Kershaw, Trace
Northouse, Laurel
Kritpracha, Charuwan
Schafenacker, Ann
Venue: Psychology & Health
Publisher: Informa UK Limited
Published: 2004-04
Volume: 19
Issue: 2
Pages: 139-155
ISSN: 0887-0446 (ISSN-L)
1476-8321
DOI: 10.1080/08870440310001652687
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 › Psychology › Clinical Psychology › Family Support in Illness
Health Sciences › Nursing › Research and Theory › 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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Coping strategies and quality of life in women with advanced breast cancer and their family caregivers

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