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Self-efficacy for Coping Moderates the Effects of Distress on Quality of Life in Palliative Cancer Care.

Abstract Recent aggressive chemotherapeutic and combined treatments have resulted in increased survivorship for advanced stage breast cancer. In some patients, treatment produces an actual abatement of their cancer, while in others treatment mitigates the progression of cancer bringing those patients into palliative care where their chronic disease requires continuous management. There is also evidence that the majority of palliative-care cancer patients have a deteriorating quality of life that only precipitously declines in the final few weeks of life. The new paradigm of patient-centered care for palliative patients is resulting in a new model of treatment in which the self-efficacy seems to play an important role. The present study represents an extension of the role of self-efficacy for coping to palliative care. Using a stress-coping model, the primary aim of this study was to evaluate a process model, in which self-efficacy for coping with cancer is a moderator between stress and the quality of life in a sample of breast cancer patients in palliative care. The secondary aim was to validate a specific domain coping self-efficacy scale, the Cancer Behavior Inventory. The current study confirmed the role of self-efficacy for coping with cancer as moderator of the relationship between stress and quality of life of a sample of breast cancer patients in palliative care. In addition, this study confirmed the structure, reliability and validity of the scale.
PMID
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Authors

Mayor MeshTerms

Adaptation, Psychological

Quality of Life

Keywords

Cancer

care

coping

palliative

self-efficacy

Journal Title anticancer research
Publication Year Start




PMID- 28373421
OWN - NLM
STAT- MEDLINE
DA  - 20170404
DCOM- 20170413
LR  - 20170413
IS  - 1791-7530 (Electronic)
IS  - 0250-7005 (Linking)
VI  - 37
IP  - 4
DP  - 2017 Apr
TI  - Self-efficacy for Coping Moderates the Effects of Distress on Quality of Life in 
      Palliative Cancer Care.
PG  - 1609-1615
AB  - Recent aggressive chemotherapeutic and combined treatments have resulted in
      increased survivorship for advanced stage breast cancer. In some patients,
      treatment produces an actual abatement of their cancer, while in others treatment
      mitigates the progression of cancer bringing those patients into palliative care 
      where their chronic disease requires continuous management. There is also
      evidence that the majority of palliative-care cancer patients have a
      deteriorating quality of life that only precipitously declines in the final few
      weeks of life. The new paradigm of patient-centered care for palliative patients 
      is resulting in a new model of treatment in which the self-efficacy seems to play
      an important role. The present study represents an extension of the role of
      self-efficacy for coping to palliative care. Using a stress-coping model, the
      primary aim of this study was to evaluate a process model, in which self-efficacy
      for coping with cancer is a moderator between stress and the quality of life in a
      sample of breast cancer patients in palliative care. The secondary aim was to
      validate a specific domain coping self-efficacy scale, the Cancer Behavior
      Inventory. The current study confirmed the role of self-efficacy for coping with 
      cancer as moderator of the relationship between stress and quality of life of a
      sample of breast cancer patients in palliative care. In addition, this study
      confirmed the structure, reliability and validity of the scale.
CI  - Copyright(c) 2017, International Institute of Anticancer Research (Dr. George J. 
      Delinasios), All rights reserved.
FAU - Chirico, Andrea
AU  - Chirico A
AD  - Department of Developmental and Social Psychology,"La Sapienza" University of
      Rome, Rome, Italy.
FAU - Serpentini, Samantha
AU  - Serpentini S
AD  - Veneto Institute of Oncology IOV, IRCCS, Padua, Italy.
AD  - Azienda ULSS 3, Bassano d. G. (VI), Bassano del Grappa, Italy.
FAU - Merluzzi, Thomas
AU  - Merluzzi T
AD  - Department of Psychology, University of Notre Dame, Notre Dame, IN, U.S.A.
FAU - Mallia, Luca
AU  - Mallia L
AD  - Department of Movement, Human and Health Sciences, University of Sports "Foro
      Italico", Rome, Italy.
FAU - Del Bianco, Paola
AU  - Del Bianco P
AD  - Veneto Institute of Oncology IOV, IRCCS, Padua, Italy.
FAU - Martino, Rosalba
AU  - Martino R
AD  - Veneto Institute of Oncology IOV, IRCCS, Padua, Italy.
FAU - Trentin, Leonardo
AU  - Trentin L
AD  - Veneto Institute of Oncology IOV, IRCCS, Padua, Italy.
FAU - Bucci, Enrico
AU  - Bucci E
AD  - Temple University, Philadelphia, PA, U.S.A.
AD  - Sbarro Health Research Organization, Philadelphia, PA, U.S.A.
FAU - DE Laurentiis, Michelino
AU  - DE Laurentiis M
AD  - Istituto Nazionale Tumori "G.Pascale" IRCCS, Naples, Italy.
FAU - Capovilla, Eleonora
AU  - Capovilla E
AD  - Veneto Institute of Oncology IOV, IRCCS, Padua, Italy.
FAU - Lucidi, Fabio
AU  - Lucidi F
AD  - Department of Developmental and Social Psychology,"La Sapienza" University of
      Rome, Rome, Italy.
FAU - Botti, Gerardo
AU  - Botti G
AD  - Istituto Nazionale Tumori "G.Pascale" IRCCS, Naples, Italy.
FAU - Giordano, Antonio
AU  - Giordano A
AD  - Sbarro Health Research Organization, Philadelphia, PA, U.S.A. [email protected]
AD  - Department of Medicine, Surgery and Neuroscience, University of Siena, Siena,
      Italy.
LA  - eng
PT  - Journal Article
PT  - Observational Study
PL  - Greece
TA  - Anticancer Res
JT  - Anticancer research
JID - 8102988
SB  - IM
MH  - *Adaptation, Psychological
MH  - Adult
MH  - Breast Neoplasms/*psychology
MH  - Female
MH  - Humans
MH  - Palliative Care/*psychology
MH  - Prognosis
MH  - *Quality of Life
MH  - Self Efficacy
MH  - Stress, Psychological/*psychology
MH  - Young Adult
OTO - NOTNLM
OT  - *Cancer
OT  - *care
OT  - *coping
OT  - *palliative
OT  - *self-efficacy
EDAT- 2017/04/05 06:00
MHDA- 2017/04/14 06:00
CRDT- 2017/04/05 06:00
PHST- 2017/03/17 [received]
PHST- 2017/03/23 [revised]
PHST- 2017/03/24 [accepted]
AID - 37/4/1609 [pii]
AID - 10.21873/anticanres.11491 [doi]
PST - ppublish
SO  - Anticancer Res. 2017 Apr;37(4):1609-1615.

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