Cognitive appraisals, coping and depressive symptoms in breast cancer Patients

Silvia Bigatti, Jennifer L. Steiner, Kathy Miller

Research output: Contribution to journalArticle

23 Citations (Scopus)

Abstract

Depression in breast cancer patients and survivors is related to negative disease outcomes and worse quality of life. Factors that explain this depression can serve as targets of intervention. This study, guided by the Transactional Theory of Stress, examined the relationship between cognitive appraisals, coping strategies and depressive symptoms in a group of women with mostly advanced-stage breast cancer (N = 65), who scored mostly within the normal range for depressive symptoms. Path analysis was used to determine the relationships among variables, measured with the Cognitive Appraisals of Illness Scale, the Ways of Coping Questionnaire and the Center for Epidemiological Studies Depression Scale. The results of the path analysis showed that higher appraisals of harm/loss and greater use of escape-avoidance coping predicted higher depressive symptoms. These findings enhance the prediction of depression among breast cancer patients and suggest the need to examine cognitive appraisals when attempting to understand depressive symptoms.

Original languageEnglish
Pages (from-to)355-361
Number of pages7
JournalStress and Health
Volume28
Issue number5
DOIs
StatePublished - Dec 2012

Fingerprint

Neurobehavioral Manifestations
Depression
Breast Neoplasms
Survivors
Epidemiologic Studies
Reference Values
Quality of Life

Keywords

  • cancer
  • cognitive appraisals
  • coping
  • depression

ASJC Scopus subject areas

  • Psychiatry and Mental health
  • Applied Psychology
  • Clinical Psychology

Cite this

Cognitive appraisals, coping and depressive symptoms in breast cancer Patients. / Bigatti, Silvia; Steiner, Jennifer L.; Miller, Kathy.

In: Stress and Health, Vol. 28, No. 5, 12.2012, p. 355-361.

Research output: Contribution to journalArticle

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