“…Most of the patients were married. Totally, the most common coping strategies that patients with primary breast cancer used in the studies were seeking social support (9 studies) ( 29 – 37 ), positive reframing and reappraisal behaviors as problem-focused strategies (7 studies) ( 31 , 32 , 40 , 43 , 44 , 30 , 46 ), religious/spirituality-focused efforts (8 studies) ( 29 , 31 , 35 , 38 – 41 ), emotional expression as positive emotion-focused strategies (3 studies) ( 32 , 42 , 43 ), and avoidance and distraction as avoidance-orientated strategies (6 studies) ( 20 , 30 , 33 , 40 , 44 , 45 ). In addition, it was found that emotional coping reactions were stable during the different phases of the disease, including after cancer diagnosis, pre-surgery, and after the adjuvant therapy period, while cognitive coping strategies varied during the aforementioned periods.…”