From Despair to Hope: A Longitudinal Study of Illness Perceptions and Coping in a Psycho-Educational Group Intervention for Women with Breast Cancer

Fischer, Maarten J.; Wiesenhaan, Marion E.; Heijer, Aukje Does‐den; Kleijn, Wim C.; Nortier, Johan W. R.; Kaptein, Adrian A.

doi:10.1111/j.2044-8287.2012.02100.x

Cited by 54Cancer survivorship and careWomen's cancer prevention and managementCancer-related cognitive impairment studies

The DOI matches its Crossref record; 47 of the 48 references it cites were found in a registry or an index.

From Despair to Hope: A Longitudinal Study of Illness Perceptions and Coping in a Psycho-Educational Group Intervention for Women with Breast Cancer

Fischer, Maarten J., Wiesenhaan, Marion E., Heijer, Aukje Does‐den, Kleijn, Wim C., Nortier, Johan W. R., Kaptein, Adrian A.·2013·British Journal of Health Psychology

DOI 10.1111/j.2044-8287.2012.02100.x

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Abstract

Objectives This study examined the cross‐sectional and longitudinal relationships of illness perceptions, coping, and distress in women with breast cancer. Illness perceptions and coping at baseline and changes in these variables over time served as possible predictors of distress at two follow‐up points. Design and methods Fifty‐seven women with breast cancer who participated in a psychosocial aftercare programme completed a questionnaire before the start of the intervention, directly after the end of the intervention, and 1 year after the start of the intervention. Study variables were assessed with the Illness Perception Questionnaire‐Revised (illness perceptions), the COPE (coping), and the Hopkins Symptom Check List (distress). Results Results showed that 43% of variance in distress at baseline was explained by participants' illness perceptions. Cyclical timeline perceptions were the strongest predictor of distress at baseline. Longitudinal data revealed that after the end of the intervention, the intensity of general distress and breast cancer‐related emotions had decreased significantly. Partial correlations showed that baseline illness perceptions were unrelated to distress at follow‐up. However, changes in illness perceptions (perceptions about the cyclical and chronic timeline and symptoms associated with breast cancer) showed significant associations with distress at both follow‐up assessments. Associations of follow‐up distress with coping styles were less consistent. Conclusions Our results suggest that changes in illness perceptions are related to an improvement or worsening of patients' emotional well‐being over time. These findings hold promise for the development of interventions that specifically target patients' representations of their illness. Statement of contribution What is already known on this subject? Research has shown that 15%–30% of breast cancer survivors continue to experience elevated distress following treatment. Illness perceptions and coping have been found to contribute to distress in women with breast cancer. What does this study add? Cyclical timeline beliefs affect distress in breast cancer both in cross‐sectional and longitudinal analyses. Baseline illness perceptions are less predictive of distress at follow‐up than changes in illness perceptions.

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Active coping predicts important factors related to social relationships and the relationships with others, and support seeking.
“Active coping predicts important factors related to social relationships and the relationships with others [48], and support seeking [61].”
From The Role of Emotion-Related Abilities in the Quality of Life of Breast Cancer Survivors: A Systematic Review (2022) · cites this paper as [61]
Active emotional management predicts the ability to adopt healthy mental representations of the illness experience (e.g., benefit finding, acceptance).
“Moreover, active emotional management predicts the ability to adopt healthy mental representations of the illness experience (e.g., benefit finding, acceptance) [46,61].”
From The Role of Emotion-Related Abilities in the Quality of Life of Breast Cancer Survivors: A Systematic Review (2022) · cites this paper as [61]

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Authors: Fischer, M. J., Wiesenhaan, M. E., Heijer, A. D., Kleijn, W. C., Nortier, J. W. R., & Kaptein, A. A.
Affiliations: Leiden University Medical Center (NL)
Department of Surgery Diaconessenhuis Leiden The Netherlands
Corresponding author: Fischer, Maarten J.
ORCID: Fischer, Maarten J.
Kaptein, Adrian A.
Venue: British Journal of Health Psychology
Publisher: Wiley
Published: 2012-09-24
Volume: 18
Issue: 3
Pages: 526-545
ISSN: 1359-107X (ISSN-L)
2044-8287
DOI: 10.1111/j.2044-8287.2012.02100.x
OpenAlex: W2122916661
Cited by: 54
References: 48
Citations by year: 2025: 3 · 2024: 5 · 2023: 5 · 2022: 4 · 2021: 1 · 2020: 5 · 2019: 5 · 2018: 4 · 2017: 5 · 2016: 5 · 2015: 6 · 2014: 3 · 2013: 3
FWCI: 1.90
Type: journal article
Language: en
Open access: closed
Licence: onlinelibrary.wiley.com/termsAndConditions#vor (vor)
Locations: British Journal of Health Psychology (publishedVersion)
PubMed (publishedVersion)
Data Archiving and Networked Services (DANS) (submittedVersion)
Leiden Repository (Leiden University) (submittedVersion)
Topics: Health Sciences › Medicine › Oncology › Cancer survivorship and care
Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Women's cancer prevention and management
Health Sciences › Medicine › Oncology › Cancer-related cognitive impairment studies
Keywords: breast cancer, illness perception, coping, psychological distress, breast cancer survivors, emotional well-being
MeSH terms: Adaptation, Psychological, Adult, Aftercare, Analysis of Variance, Attitude to Health, Breast Neoplasms, Cross-Sectional Studies, Emotions, Female, Follow-Up Studies, Humans, Longitudinal Studies, Middle Aged, Models, Psychological, Surveys and Questionnaires, Self-Help Groups, Stress, Psychological, Program Evaluation, Linear Models

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From Despair to Hope: A Longitudinal Study of Illness Perceptions and Coping in a Psycho-Educational Group Intervention for Women with Breast Cancer

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