Coping Among Breast Cancer Survivors: A Confirmatory Factor Analysis of the Brief COPE

Kevin L. Rand, Andrea A. Cohee, Patrick O. Monahan, Lynne I. Wagner, Mackenzie L. Shanahan, Victoria L. Champion

Research output: Contribution to journalArticle


Background and Purpose: Cancer survivors continue to cope with significant stressors after completing treatment. The Brief COPE (Carver, 1997) is frequently used to measure coping; however, its factor structure remains unclear. The purpose of this study was to determine the best factor conceptualization of the Brief COPE for use among breast cancer survivors. Methods: Breast cancer survivors (N = 1,127) completed the Brief COPE. We conducted confirmatory factor analyses comparing several a priori models based on research in cancer-relevant populations. Results: Of the eight models examined, the 14-factor model of the Brief COPE showed the best fit. Conclusions: Despite efforts to simplify the structure of the Brief COPE, our results suggest coping among breast cancer survivors is best assessed using Carver's (1997) original 14-factor conceptualization.

Original languageEnglish (US)
Pages (from-to)259-276
Number of pages18
JournalJournal of Nursing Measurement
Issue number2
StatePublished - Aug 1 2019


  • Brief COPE
  • breast neoplasms
  • confirmatory factor analysis
  • coping
  • oncology

ASJC Scopus subject areas

  • Nursing(all)

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