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Dispositional and Situational Avoidance and Approach as Predictors of Physical Symptom Bother Following Breast Cancer Diagnosis

Identifieur interne : 001179 ( Main/Exploration ); précédent : 001178; suivant : 001180

Dispositional and Situational Avoidance and Approach as Predictors of Physical Symptom Bother Following Breast Cancer Diagnosis

Auteurs : Margaret R. Bauer [États-Unis] ; Lauren N. Harris [États-Unis] ; Joshua F. Wiley [États-Unis] ; Catherine M. Crespi [États-Unis] ; Jennifer L. Krull [États-Unis] ; Karen L. Weihs [États-Unis] ; Annette L. Stanton [États-Unis]

Source :

RBID : PMC:5065720

Abstract

Background

Few studies examine whether dispositional approach and avoidance coping and stressor-specific coping strategies differentially predict physical adjustment to cancer-related stress.

Purpose

This study examines dispositional and situational avoidance and approach coping as unique predictors of the bother women experience from physical symptoms after breast cancer treatment, as well as whether situational coping mediates the prediction of bother from physical symptoms by dispositional coping.

Method

Breast cancer patients (N=460) diagnosed within the past 3 months completed self-report measures of dispositional coping at study entry and of situational coping and bother from physical symptoms every 6 weeks through 6 months.

Results

In multilevel structural equation modeling analyses, both dispositional and situational avoidance predict greater symptom bother. Dispositional, but not situational, approach predicts less symptom bother. Supporting mediation models, dispositional avoidance predicts more symptom bother indirectly through greater situational avoidance. Dispositional approach predicts less symptom bother through less situational avoidance.

Conclusion

Psychosocial interventions to reduce cancer-related avoidance coping are warranted for cancer survivors who are high in dispositional avoidance and/or low in dispositional approach.


Url:
DOI: 10.1007/s12160-015-9763-7
PubMed: 26769023
PubMed Central: 5065720


Affiliations:


Links toward previous steps (curation, corpus...)


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<p id="P1">Few studies examine whether dispositional approach and avoidance coping and stressor-specific coping strategies differentially predict physical adjustment to cancer-related stress.</p>
</sec>
<sec id="S2">
<title>Purpose</title>
<p id="P2">This study examines dispositional and situational avoidance and approach coping as unique predictors of the bother women experience from physical symptoms after breast cancer treatment, as well as whether situational coping mediates the prediction of bother from physical symptoms by dispositional coping.</p>
</sec>
<sec id="S3">
<title>Method</title>
<p id="P3">Breast cancer patients (
<italic>N</italic>
=460) diagnosed within the past 3 months completed self-report measures of dispositional coping at study entry and of situational coping and bother from physical symptoms every 6 weeks through 6 months.</p>
</sec>
<sec id="S4">
<title>Results</title>
<p id="P4">In multilevel structural equation modeling analyses, both dispositional and situational avoidance predict greater symptom bother. Dispositional, but not situational, approach predicts less symptom bother. Supporting mediation models, dispositional avoidance predicts more symptom bother indirectly through greater situational avoidance. Dispositional approach predicts less symptom bother through less situational avoidance.</p>
</sec>
<sec id="S5">
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