Contextual life stress and coping strategies as predictors of adjustment to breast cancer survivorship.

TitleContextual life stress and coping strategies as predictors of adjustment to breast cancer survivorship.
Publication TypeJournal Article
Year of Publication2006
AuthorsLow CA, Stanton AL, Thompson N, Kwan L, Ganz PA
JournalAnn Behav Med
Volume32
Issue3
Pagination235-44
Date Published2006 Dec
ISSN0883-6612
KeywordsAdaptation, Psychological, Adult, Aged, Aged, 80 and over, Breast Neoplasms, Female, Forecasting, Humans, Middle Aged, Sick Role, Social Adjustment, Stress, Psychological, Survivors
Abstract

BACKGROUND/PURPOSE: The study presented here examined the influence of contextual life stress and coping strategies on change in adjustment over the year following completion of treatment for breast cancer. We also investigated whether contextual stressful life events moderate the relationship between coping strategies and adjustment, such that cancer-specific emotional approach coping processes would predict better psychosocial outcomes only in the context of lower life stress and would have less impact on adaptation in the context of heightened life stress.

METHODS: In a sample of women (n = 558) who had recently completed treatment for nonmetastatic breast cancer and were part of a psychoeducational intervention trial to facilitate the transition to survivorship, life stress in the year prior to study entry, cancer-specific coping strategies, and general and cancer-specific adjustment were assessed at baseline, and adjustment outcomes (i.e., vitality, depressive symptoms, cancer-specific distress, personal growth) also were assessed at 6-month (n = 417) and 12-month (n = 397) follow-up.

RESULTS/CONCLUSIONS: Although cross-sectional relationships between life stress and adjustment were demonstrated, findings suggest that contextual life stress does not appear to have a direct influence on change in adjustment in the first year after breast cancer treatment. Instead, life stress interacted with cancer-specific coping to predict adjustment, such that cancer-specific emotional approach coping was adaptive only under conditions of low contextual life stress.

DOI10.1207/s15324796abm3203_10
Alternate JournalAnn Behav Med
PubMed ID17107297
Grant ListR01- CA63028 / CA / NCI NIH HHS / United States