Sense of coherence and coping strategies: How they influence quality of life in Iranian women with breast cancer

Zamanian, Hadi; Amini-Tehrani, Mohammadali; Adeli, Aliyeh Mahdavi; Daryaafzoon, Mona; Arsalani, Mahnaz; Enzevaei, Anahita; Farjami, Maryam

doi:10.1002/nop2.814

Cited by 8 publications

(9 citation statements)

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“…Last but not least, two notable limitations of the applied modeling approach were the lack of considering the interplay between the mediators and equivalence models. For instance, in terms of the former, some studies suggest the mediation effect of sense of coherence between the coping strategies and HRQoL relationship ( Zamanian et al, 2021a ) and the complex network of influence among resistance resources ( Cecon et al, 2021 ). In terms of the latter, it could be hypothesized that patients with lower physical wellbeing and arm functionality could be more vulnerable to experience stigmatization since social devaluations are suggested to occur more in the face of observable body deformation ( Goffman, 1963 ; Pachankis et al, 2017 ).…”

Section: Discussionmentioning

confidence: 99%

“…The more the patients feel that there are SOC available to them, the more likely they perceive cancer as a manageable challenge, and consequently, they can perceive life as more meaningful ( Langius-Eklöf et al, 2008 ; Lashani et al, 2021 ). For Iranian women with breast cancer, SOC has been a better predictor of HRQoL compared to coping strategies ( Rohani et al, 2015 ; Zamanian et al, 2021a ).…”

Section: Introductionmentioning

confidence: 99%

“…They influence the HRQoL of patients with breast cancer such that those who practice passive coping were associated with poor HRQoL ( Filazoglu and Griva, 2008 ; Zamanian et al, 2015 ). On the contrary, positive coping skills, including fighting spirit, promoting HRQoL ( Velasco et al, 2020 ), and functional coping strategies, including active coping, positive reframing, use of emotional and instrumental support, contribute to higher HRQoL ( Zamanian et al, 2021a ).…”

Section: Introductionmentioning

confidence: 99%

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Stigma and Quality of Life in Women With Breast Cancer: Mediation and Moderation Model of Social Support, Sense of Coherence, and Coping Strategies

et al. 2022

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ObjectivesThe breast cancer stigma affects Health-related quality of life (HRQoL), while general resilience resources (GRRs), namely, sense of coherence (SOC), social support, and coping skills, are thought to alleviate this effect. The study aimed to explore the mediating/moderation role of GRRs in the relationship between stigma and HRQoL and its dimensions in Iranian patients with breast cancer.MethodsIn this cross-sectional study, Stigma Scale for Chronic Illness 8-item version (SSCI-8), SOC-13, Medical Outcome Survey- Social Support Scale (MOS-SSS), Brief COPE, and Functional Assessment of Cancer Therapy-Breast (FACT-B) were investigated in a convenience sample of Iranian women with confirmed non-metastatic breast cancer. Following the establishment of correlations using Pearson’s correlation, single and parallel mediation analysis and moderation analysis were conducted to determine the extent to which each GRR might be impacted by stigma or decrease the adverse impact of stigma on HRQoL.ResultsAn analysis of 221 women (response rate of 87.5%) with the mean age of 47.14 (9.13) showed that stigma was negatively correlated to all HRQoL’s dimensions (r = −0.27∼0.51, p < 0.05), SOC (r = −0.26∼0.35, p < 0.01), social support (r = −0.23∼0.30, p < 0.01), and the bulk of coping skills. In the single mediation analysis, stigma affected all facets of SOC, all subscales of social support, and positive reframing, which partially reduced breast cancer HRQoL. Stigma affects general HRQoL through damaging meaningfulness, social support (except for tangible), and positive reframing. Meaningfulness was marked as the most impacted GRR in terms of all domains of HRQoL. In parallel mediation, reduced meaningfulness, total social support, and positive reframing were highlighted as the pathways of diminished breast cancer HRQoL. Moderation analysis indicated the higher levels of humor, behavioral disengagement, and use of instrumental support behaviors to be functional in protecting different dimensions of HRQoL, while the results were mixed for venting, especially in patients with mastectomy surgery.ConclusionWhile GRRs may be impacted by stigma, they exert a relatively small protective effect against the impact of stigma on HRQoL. This study provides some novel findings, but longitudinal studies are needed to further verify these before any causal conclusion or recommendations for health policy can be drawn.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Stigma and Quality of Life in Women With Breast Cancer: Mediation and Moderation Model of Social Support, Sense of Coherence, and Coping Strategies

et al. 2022

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“…Apesar de sua incidência crescente em todo o mundo, terapias médicas avançadas e exames precoces nas últimas décadas levam a uma diminuição das taxas de mortalidade. Por ter relativamente bom prognóstico, ocupa o quinto lugar como causa de morte entre os cânceres, mesmo embora seja o mais comum (ZAMANIAN et. al., 2021).…”

Section: Resultsunclassified

Qualidade de vida e do sono relacionada à saúde de pacientes com câncer de mama: uma revisão da literatura / Health-related quality of life and sleep in breast cancer patients: a review of the literature

Amaral¹,

Andrade²,

Libanio³

et al. 2022

Braz. J. Hea. Rev.

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1995-2021, utilizando-se o cruzamento dos termos "qualidade de vida", "sono", "saúde da mulher" e "câncer de mama". Em relação ao sono, foram analisados artigos que trouxeram a eficácia das avaliações na sua qualidade, tanto nas medições objetivas (polissonografia [PSG], actigrafia, índice bispectral [BIS]) quanto nas medidas subjetivas (Índice de Qualidade do Sono de Pittsburgh [PSQI], Índice de gravidade da insônia [ISI], sonolência de Epworth Scale [ESS], Consensus Sleep Diary [CSD]). A qualidade de vida apresenta 04 domínios (físico, social, psicológico e ambiental) que podem ser afetados por diversos fatores, inclusive pelo câncer de mama e que trazem como consequências: depressão, ansiedade, problemas no sono e em relacionamentos.

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“…Zamanian et al conducted a study of a group of 221 women with breast cancer and observed a positive correlation between the sense of coherence and quality of life. They concluded that practical activities aimed at reinforcing the sense of coherence in women should be included in rehabilitation programmes [ 50 ]. According to Colomer-Pérez et al, reinforcing the sense of coherence in nurse assistants through a salutogenic education strategy increases their health resources and contributes to higher resistance to work-related stress [ 51 ].…”

Section: Discussionmentioning

confidence: 99%

Global Self-Esteem and Stress Intensity in a Group of Polish Nurses—A Mediatory Role of a Sense of Coherence

Kupcewicz

2022

IJERPH

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(1) Owing to their resistance resources, nurses can reduce the effects of stress, increase their commitment to work and improve their functioning in the face of challenges in the workplace. The aim of this study was to determine the mediatory role of a general sense of coherence and a sense of comprehensibility, manageability and meaningfulness correlated with global self-esteem and the perceived stress intensity in a group of Polish nurses aged 45–55 years. (2) The research using the diagnostic survey method was conducted on a group of 176 nurses (M = 49.1; SD = 3.1) working in seven hospitals located in Olsztyn (Poland). The following were used for data collection: Perceived Stress Scale - PSS-10, Rosenberg’s Self-Esteem Scale and Antonovsky’s Sense of Coherence (SOC-29) Questionnaire. (3) According to 21.02% of the nurses, their stress level at the workplace was low, 44.89% reported it was medium and 34.09% reported it was high. The self-esteem of nearly half of the nurses included in the study (48.30%) was at a medium level, 31.82% felt it was high and 19.89% felt it was low. The mediation analysis showed that a general sense of coherence and a sense of comprehensibility, manageability and meaningfulness have a mediator status in a correlation between global self-esteem and stress intensity. However, their mediatory role is partial. It is desirable for safe work environment promotion programmes to reinforce nurses’ personal resources, which can be helpful in coping with stressors.

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Sense of coherence and coping strategies: How they influence quality of life in Iranian women with breast cancer

Cited by 8 publications

References 67 publications

Stigma and Quality of Life in Women With Breast Cancer: Mediation and Moderation Model of Social Support, Sense of Coherence, and Coping Strategies

Stigma and Quality of Life in Women With Breast Cancer: Mediation and Moderation Model of Social Support, Sense of Coherence, and Coping Strategies

Qualidade de vida e do sono relacionada à saúde de pacientes com câncer de mama: uma revisão da literatura / Health-related quality of life and sleep in breast cancer patients: a review of the literature

Global Self-Esteem and Stress Intensity in a Group of Polish Nurses—A Mediatory Role of a Sense of Coherence

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