Self-efficacy and its relationship to posttraumatic stress symptoms and posttraumatic growth in cancer patients
Abstract
The objectives of this study were to investigate self-efficacy and its relationship with posttraumatic stress symptoms and growth in advanced cancer patients. The General Perceived Self Efficacy Scale (GSE), the Greek version of the Impact of Event Scale (IES-Gr), and the Greek version of the Posttraumatic Growth Inventory (PTGI-Gr) were completed by 115 patients. Statistically significant associations were found between GSE score, patients' performance status, intrusions, hyperarousal, and PTGI-Gr score. The multiple regression analysis revealed that self-efficacy was influenced by intrusions and PTGI-Gr score. In advanced cancer patients, factors that seem to influence self-efficacy are intrusion and posttraumatic growth.
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High levels of self-acceptance can make traumatized people feel highly positive in the face of difficulties and setbacks, which may lead them to focus more on positive changes after trauma.
“In these situations, high levels of self-acceptance can make traumatized people feel highly positive in the face of difficulties and setbacks [72], which may lead them to focus more on positive changes after trauma [73]”
Cites
Diagnostic and Statistical Manual of Mental Disorders
Williams, J. B. W., & First, M. B. (2013) · Oxford University Press eBooks · doi:10.1093/acrefore/9780199975839.013.104 · Cited by 109,841 · see citing works
Self-efficacy: The exercise of control
Bandura, A., Freeman, W. H., & Lightsey, R. (1999) · Journal of Cognitive Psychotherapy · doi:10.1891/0889-8391.13.2.158 · Cited by 46,835 · see citing works
Self-efficacy: Toward a unifying theory of behavioral change
Bandura, A. (1977) · Psychological Review · doi:10.1037/0033-295x.84.2.191 · Cited by 43,925 · see citing works
Toxicity and response criteria of the Eastern Cooperative Oncology Group
Oken, M. M., Creech, R. H., Tormey, D. C., Horton, J., Davis, T. E., Mcfadden, E. T., & Carbone, P. P. (1982) · American Journal of Clinical Oncology · doi:10.1097/00000421-198212000-00014 · Cited by 11,607 · see citing works
The posttraumatic growth inventory: measuring the positive legacy of trauma
Tedeschi, R. G., & Calhoun, L. G. (1996) · Journal of Traumatic Stress · doi:10.1002/jts.2490090305 · Cited by 7,061 · see citing works
The Impact of Event Scale: Revised
Weiss, D. S. (2007) · Springer eBooks · doi:10.1007/978-0-387-70990-1_10 · Cited by 3,009 · see citing works
(2014) · Psychology Press eBooks · doi:10.4324/9781315736945-36 · Cited by 2,232 · see citing works
Integrating response shift into health-related quality of life research: a theoretical model
Sprangers, M. A. G., & Schwartz, C. E. (1999) · Social Science & Medicine · doi:10.1016/s0277-9536(99)00045-3 · Cited by 2,228 · see citing works
Assessing dissimilarity relations under missing data conditions: Evidence from computer simulations.
Allen, N. J., Stanley, D. J., Williams, H., & Ross, S. J. (2007) · Journal of Applied Psychology · doi:10.1037/0021-9010.92.5.1414 · Cited by 2,034 · see citing works
Horowitz, M. J. (1993) · Springer eBooks · doi:10.1007/978-1-4615-2820-3_4 · Cited by 1,866 · see citing works
Trauma & Transformation: Growing in the Aftermath of Suffering
Tedeschi, R. G., & Calhoun, L. G. (1995) · Sage eBooks · doi:10.4135/9781483326931 · Cited by 1,859 · see citing works
Social cognitive theory of posttraumatic recovery: the role of perceived self-efficacy
Benight, C. C., & Bandura, A. (2004) · Behaviour Research and Therapy · doi:10.1016/j.brat.2003.08.008 · Cited by 1,565 · see citing works
Zoellner, T., & Maercker, A. (2006) · Clinical Psychology Review · doi:10.1016/j.cpr.2006.01.008 · Cited by 1,328 · see citing works
Measures in Health Psychology: A User's Portfolio
Johnston, M., Wright, S., & Weinman, J. A. (1995) · Cited by 1,300 · see citing works
Wegner, D. M., & Pennebaker, J. W. (1992) · Cited by 1,231 · see citing works
Trauma and Transformation: Growing in the Aftermath of Suffering
Tedeschi, R. G., & Calhoun, L. G. (1995) · Medical Entomology and Zoology · Cited by 1,169 · see citing works
Handbook of Posttraumatic Growth
(2014) · Routledge · doi:10.4324/9781315805597 · Cited by 1,078 · see citing works
Seelye, E. E. (1987) · American Journal of Psychotherapy · doi:10.1176/appi.psychotherapy.1987.41.2.310 · Cited by 763 · see citing works
Self-Efficacy as a Resource Factor in Stress Appraisal Processes
Jerusalem, M., & Schwarzer, R. (2014) · Taylor & Francis eBooks · doi:10.4324/9781315800820-12 · Cited by 739 · see citing works
Wilson, G. (1989) · Personality and Individual Differences · doi:10.1016/0191-8869(89)90135-9 · Cited by 688 · see citing works
Bandura, A., Blanchard, E. B., & Ritter, B. (1969) · Journal of Personality and Social Psychology · doi:10.1037/h0028276 · Cited by 583 · see citing works
Posttraumatic Growth After Breast Cancer: Patient, Partner, and Couple Perspectives
Manne, S. L., Ostroff, J. S., Winkel, G. H., Goldstein, L. J., Fox, K. R., & Grana, G. (2004) · Psychosomatic Medicine · doi:10.1097/01.psy.0000127689.38525.7d · Cited by 514 · see citing works
Barskova, T., & Oesterreich, R. (2009) · Disability and Rehabilitation · doi:10.1080/09638280902738441 · Cited by 349 · see citing works
Posttraumatic growth in cancer: Reality or illusion?
Sumalla, E. C., Ochoa, C., & Blanco, I. (2009) · Clinical Psychology Review · doi:10.1016/j.cpr.2008.09.006 · Cited by 290 · see citing works
Posttraumatic growth in prostate cancer survivors and their partners
Thornton, A. A., & Perez, M. A. (2005) · Psycho-Oncology · doi:10.1002/pon.953 · Cited by 268 · see citing works
Catecholamine secretion as a function of perceived coping self-efficacy.
Bandura, A., & al., E. (1985) · Journal of Consulting and Clinical Psychology · doi:10.1037//0022-006x.53.3.406 · Cited by 243 · see citing works
Posttraumatic Growth After Cancer
Lev‐Wiesel, R., & Amir, M. (2014) · Routledge eBooks · doi:10.4324/9781315805597-16 · Cited by 235 · see citing works
Fromm, K., Andrykowski, M. A., & Hunt, J. (1996) · Journal of Behavioral Medicine · doi:10.1007/bf01857767 · Cited by 225 · see citing works
Catecholamine secretion as a function of perceived coping self-efficacy.
Bandura, A., Taylor, C. B., Williams, S. L., et al. (1985) · Journal of Consulting and Clinical Psychology · doi:10.1037/0022-006x.53.3.406 · Cited by 223 · see citing works
Daltroy, L. H., Larson, M. G., Eaton, H. M., Phillips, C. B., & Liang, M. H. (1999) · Social Science & Medicine · doi:10.1016/s0277-9536(99)00048-9 · Cited by 213 · see citing works
Epping‐Jordan, J. E., Compas, B. E., & Howell, D. C. (1994) · Health Psychology · doi:10.1037//0278-6133.13.6.539 · Cited by 169 · see citing works
Psychological distress in cancer patients with advanced disease
Kaasa, S., Malt, U. F., Hagen, S., Wist, E., Moum, T., & Kvikstad, A. (1993) · Radiotherapy and Oncology · doi:10.1016/0167-8140(93)90073-h · Cited by 165 · see citing works
Positive effects of illness reported by myocardial infarction and breast cancer patients
Petrie, K. J., Buick, D. L., Weinman, J. A., & Booth, R. J. (1999) · Journal of Psychosomatic Research · doi:10.1016/s0022-3999(99)00054-9 · Cited by 155 · see citing works
Łuszczyńska, A., Mohamed, N., & Schwarzer, R. (2005) · Psychology Health & Medicine · doi:10.1080/13548500500093738 · Cited by 154 · see citing works
Traumatic stress symptoms among women with recently diagnosed primary breast cancer
Koopman, C., Butler, L. D., Classen, C. C., Giese‐Davis, J., Morrow, G. R., Westendorf, J., Banerjee, T. K., & Spiegel, D. (2002) · Journal of Traumatic Stress · doi:10.1023/a:1016295610660 · Cited by 142 · see citing works
The self-concept, the traumatic neurosis, and the structure of personality.
Epstein, S. J. (1991) · Cited by 138 · see citing works
Lev, E. L., Daley, K. M., Conner, N. E., Reith, M., Fernandez, C., & Owen, S. V. (2001) · Research and theory for nursing practice · doi:10.1891/0889-7182.15.3.277 · Cited by 137 · see citing works
Intrusive memories and depression in cancer patients
Brewin, C. R., Watson, M., McCarthy, S., Hyman, P., & Dayson, D. (1998) · Behaviour Research and Therapy · doi:10.1016/s0005-7967(98)00084-9 · Cited by 130 · see citing works
Age, Self‐Efficacy, and Change in Patients' Adjustment to Cancer
Lev, E. L., Paul, D., & Owen, S. V. (1999) · Cancer Practice · doi:10.1046/j.1523-5394.1999.74004.x · Cited by 117 · see citing works
Epping‐Jordan, J. E., Compas, B. E., & Howell, D. C. (1994) · Health Psychology · doi:10.1037/0278-6133.13.6.539 · Cited by 116 · see citing works
Personal growth and psychological distress in advanced breast cancer
Mystakidou, K., Tsilika, E., Parpa, E., Kyriakopoulos, D., Malamos, N., & Damigos, D. (2008) · The Breast · doi:10.1016/j.breast.2008.01.006 · Cited by 86 · see citing works
Hirai, K., Suzuki, Y., Tsuneto, S., Ikenaga, M., Hosaka, T., & Kashiwagi, T. (2002) · Psycho-Oncology · doi:10.1002/pon.561 · Cited by 85 · see citing works
Psychometric Properties of the Impact of Event Scale in Greek Cancer Patients
Mystakidou, K., Tsilika, E., Parpa, E., Galanos, A., & Vlahos, L. J. (2007) · Journal of Pain and Symptom Management · doi:10.1016/j.jpainsymman.2006.09.023 · Cited by 84 · see citing works
Psychological Distress and Intrusive Thoughts in Cancer Patients
Baider, L., & De‐Nour, A. K. (1997) · The Journal of Nervous and Mental Disease · doi:10.1097/00005053-199705000-00010 · Cited by 74 · see citing works
A pilot study of Interpersonal Psychotherapy by telephone with cancer patients and their partners
Donnelly, J. M., Kornblith, A. B., Fleishman, S., Zuckerman, E., Raptis, G., Hudis, C. A., Hamilton, N., Payne, D., Massie, M. J., Norton, L., et al. (2000) · Psycho-Oncology · doi:10.1002/(sici)1099-1611(200001/02)9:1 · Cited by 65 · see citing works
Intrusion, Avoidance, and Psychological Distress Among Individuals With Cancer
Manne, S. L., Glassman, M. B., & Hamel, K. D. (2001) · Psychosomatic Medicine · doi:10.1097/00006842-200107000-00019 · Cited by 63 · see citing works
General perceived self-efficacy: validation analysis in Greek cancer patients
Mystakidou, K., Parpa, E., Tsilika, E., Galanos, A., & Vlahos, L. J. (2008) · Supportive Care in Cancer · doi:10.1007/s00520-008-0443-z · Cited by 25 · see citing works
Journal of Psychology Research
ŞAHİN, F. A., & Aslan, A. (2025) · Journal of Psychology Research · doi:10.17265/2159-5542 · Cited by 23 · see citing works
The appraisal of positive life changes following cancer diagnosis: An interview study
Komura, K., & HEGARTY, J. R. (2006) · Palliative & Supportive Care · doi:10.1017/s1478951506060020 · Cited by 17 · see citing works
Flagged first, then by citations
2 of the 51 references couldn’t be matched to a known paper.
Cited by
Sorted by citations
Gallagher, M. W., Long, L. J., & Phillips, C. A. (2020) · Journal of Clinical Psychology · doi:10.1002/jclp.22882 · Cited by 264 · see citing works
Zhou, X., Wu, X., & Zhen, R. (2017) · Anxiety Stress & Coping · doi:10.1080/10615806.2017.1374376 · Cited by 124 · see citing works
The General Self-Efficacy of Older Adults Receiving Care: A Systematic Review and Meta-Analysis
Whitehall, L., Rush, R., Górska, S., & Forsyth, K. (2020) · The Gerontologist · doi:10.1093/geront/gnaa036 · Cited by 65 · see citing works
Zeng, W., Wu, X., Xu, Y., Wu, J., Zeng, Y., Shao, J., Huang, D., & Zhu, Z. (2021) · Frontiers in Psychology · doi:10.3389/fpsyg.2021.684354 · Cited by 57 · see citing works
Pu, J., Hou, H., & Ma, R. (2016) · Current Psychology · doi:10.1007/s12144-016-9429-z · Cited by 50 · see citing works
Accoto, A., Chiarella, S. G., Raffone, A., Montano, A., de Marco, A., Mainiero, F., Rubbino, R., Valzania, A., & Conversi, D. (2021) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph18115512 · Cited by 44 · see citing works
“In these situations, high levels of self-acceptance can make traumatized people feel highly positive in the face of difficulties and setbacks [72], which may lead them to focus more on positive changes after trauma [73]; this is a phenomenon reported by Tedeschi and Calhoun and is known as post-traumatic growth [74].”
BackgroundZhao, Y., An, Y., Sun, X., & Liu, J. (2019) · Journal of Loss and Trauma · doi:10.1080/15325024.2019.1672935 · Cited by 24 · see citing works
Bernard, M., Poncin, E., Althaus, B., & Borasio, G. D. (2022) · Palliative & Supportive Care · doi:10.1017/s1478951521002066 · Cited by 24 · see citing works
What factors are associated with posttraumatic growth in head and neck cancer carers?
Balfe, M., Brien, K. O., Timmons, A., Butow, P. N., Sullivan, E. O., Gooberman‐Hill, R., & Sharp, L. (2016) · European Journal of Oncology Nursing · doi:10.1016/j.ejon.2015.11.005 · Cited by 21 · see citing works
Weathers, L. N., Aiena, B. J., Blackwell, M. A., & Schulenberg, S. E. (2016) · Springer eBooks · doi:10.1007/978-3-319-41397-6_8 · Cited by 19 · see citing works
Li, L., & Su, Y. (2024) · Asian Nursing Research · doi:10.1016/j.anr.2024.10.003 · Cited by 19 · see citing works
Xu, Y., Wang, Q., Zhang, D., & Lin, P. (2022) · Frontiers in Psychology · doi:10.3389/fpsyg.2022.775624 · Cited by 13 · see citing works
Do beliefs influence posttraumatic growth in fathers of children with intellectual disabilities?
Byra, S., & Ćwirynkało, K. (2020) · Research in Developmental Disabilities · doi:10.1016/j.ridd.2020.103687 · Cited by 12 · see citing works
PTSD and PTG in French and American Firefighters: A Comparative Study
Henson, C., Truchot, D., & Canevello, A. (2022) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph191911973 · Cited by 12 · see citing works
Kroemeke, A., & Sobczyk-Kruszelnicka, M. (2021) · PLoS ONE · doi:10.1371/journal.pone.0260128 · Cited by 8 · see citing works
Sehra, V., & Mishra, A. K. (2022) · International Journal of Disaster Risk Reduction · doi:10.1016/j.ijdrr.2022.103349 · Cited by 4 · see citing works
Zerach, G. (2024) · Stress and Health · doi:10.1002/smi.3486 · Cited by 5 · see citing works
Chuku, C. C., Silva, M. F., Lee, J. S., Reid, R., Lazarus, K., Carrico, A. W., & Dale, S. K. (2024) · AIDS Care · doi:10.1080/09540121.2024.2372714 · Cited by 1 · see citing works
A machine learning approach to predict self-efficacy in breast cancer survivors
Toygar, İ., Özgür, S., Bağçıvan, G., Karaçam, E., Benzer, H., Ozdemir, F. A., Duman, H. T., & Ovayolu, Ö. (2025) · BMC Medical Informatics and Decision Making · doi:10.1186/s12911-025-03155-9 · Cited by 1 · see citing works
Alowaidi, N., Kimreegh, R., Nagshabandi, E. A., & Morsy, N. (2019) · Open Journal of Nursing · doi:10.4236/ojn.2019.95043 · Cited by 1 · see citing works
Thevalidation and correlations with empowering leadership and self-efficacy scales
ASLAN, A. P. D. S., & DemetAkarcayUlutas, I. (2015) · JOURNAL OF SOCIAL SCIENCE RESEARCH · doi:10.24297/jssr.v8i3.4089 · Cited by 1 · see citing works
Meaning and Resilience as Predictors of Posttraumatic Growth Among College Students
Blackwell, M. A. (2016)
Salamah, U., Susilowati, Y., Pratiwi, A., & Arde, B. O. J. A. (2023) · Journal of Health Sciences · doi:10.33086/jhs.v16i03.3992
Salama, R., Simpson, J., Eccles, F. J. R., & French, M. (2026) · Palliative Medicine · doi:10.1177/02692163261425837 · Cited by 1 · see citing works
The Relationship Between Cognitive Behavioral Therapy and Post-Traumatic Growth: A Systematic Review
Kasimis, D., Mitskidou, P., Tselebis, A., Ilias, Ι., & Pachi, A. (2026) · Healthcare · doi:10.3390/healthcare14131857
Rahimi, S., Rostami, M., & Dadkhah, K. (2026) · Journal of Child & Adolescent Trauma · doi:10.1007/s40653-026-00952-w
- Authors
- Mystakidou, K., Parpa, E., Tsilika, E., Panagiotou, I., Theodorakis, P. N., Galanos, A., & Gouliamos, A.
- Affiliations
- National and Kapodistrian University of Athens (GR)
- Athens City (GR)
- Corresponding author
- Mystakidou, Kyriaki
- Venue
- Journal of Loss and Trauma
- Publisher
- Informa UK Limited
- Published
- 2014-09-30
- Volume
- 20
- Issue
- 2
- Pages
- 160-170
- ISSN
- 1532-5024 (ISSN-L)
- 1532-5032
- OpenAlex
- W2152244123
- Cited by
- 26
- References
- 51
- Citations by year
- 2026: 3 · 2025: 1 · 2024: 3 · 2023: 1 · 2022: 4 · 2021: 3 · 2020: 2 · 2019: 3 · 2017: 1 · 2016: 4 · 2015: 1
- FWCI
- 0.89
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Loss and Trauma (publishedVersion)
- Topics
- Health Sciences › Medicine › Oncology › Cancer survivorship and care
- Social Sciences › Psychology › Clinical Psychology › Posttraumatic Stress Disorder Research
- Social Sciences › Psychology › Clinical Psychology › Resilience and Mental Health
- Keywords
- self-efficacy, posttraumatic stress symptoms, posttraumatic growth, advanced cancer patients, intrusion, hyperarousal, performance status
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