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Self-efficacy for coping with symptoms moderates the relationship between physical symptoms and well-being in breast cancer survivors taking adjuvant endocrine therapy.

Publication ,  Journal Article
Shelby, RA; Edmond, SN; Wren, AA; Keefe, FJ; Peppercorn, JM; Marcom, PK; Blackwell, KL; Kimmick, GG
Published in: Support Care Cancer
October 2014

PURPOSE: This study examined the relationships between physical symptoms, self-efficacy for coping with symptoms, and functional, emotional, and social well-being in women who were taking adjuvant endocrine therapy for breast cancer. METHODS: One hundred and twelve women who were taking adjuvant endocrine therapy (tamoxifen or an aromatase inhibitor) for breast cancer completed measures of physical symptoms, self-efficacy for coping with symptoms, and functional, social, and emotional well-being at the time of routine medical follow-up (women were on average 3.4 years post-surgery; range 3 months to 11 years). RESULTS: Multiple linear regression analyses showed that higher self-efficacy for coping with symptoms was associated with greater functional, emotional, and social well-being after controlling for physical symptoms (p < 0.05). Self-efficacy for coping with symptoms moderated the relationship between physical symptoms and functional (B = 0.05, SE = 0.02, t = 2.67, p = 0.009) and emotional well-being (B = 0.03, SE = 0.01, t = 2.45, p = 0.02). As self-efficacy increased, the relationship between greater physical symptoms and lower well-being became weaker. Among women with high levels of self-efficacy, physical symptoms were not related to functional and emotional well-being. CONCLUSIONS: Self-efficacy for coping with symptoms may reduce the negative impact of physical symptoms and contribute to well-being in breast cancer survivors taking adjuvant endocrine therapy. Future studies could examine whether psychosocial interventions aimed at increasing self-efficacy for managing symptoms help women better cope with treatment side effects and improve quality of life.

Duke Scholars

Published In

Support Care Cancer

DOI

EISSN

1433-7339

Publication Date

October 2014

Volume

22

Issue

10

Start / End Page

2851 / 2859

Location

Germany

Related Subject Headings

  • Tamoxifen
  • Survivors
  • Self Efficacy
  • Quality of Life
  • Personal Satisfaction
  • Oncology & Carcinogenesis
  • Middle Aged
  • Humans
  • Female
  • Breast Neoplasms
 

Citation

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Chicago
ICMJE
MLA
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Shelby, R. A., Edmond, S. N., Wren, A. A., Keefe, F. J., Peppercorn, J. M., Marcom, P. K., … Kimmick, G. G. (2014). Self-efficacy for coping with symptoms moderates the relationship between physical symptoms and well-being in breast cancer survivors taking adjuvant endocrine therapy. Support Care Cancer, 22(10), 2851–2859. https://doi.org/10.1007/s00520-014-2269-1
Shelby, Rebecca A., Sara N. Edmond, Anava A. Wren, Francis J. Keefe, Jeffrey M. Peppercorn, Paul K. Marcom, Kimberly L. Blackwell, and Gretchen G. Kimmick. “Self-efficacy for coping with symptoms moderates the relationship between physical symptoms and well-being in breast cancer survivors taking adjuvant endocrine therapy.Support Care Cancer 22, no. 10 (October 2014): 2851–59. https://doi.org/10.1007/s00520-014-2269-1.
Shelby RA, Edmond SN, Wren AA, Keefe FJ, Peppercorn JM, Marcom PK, et al. Self-efficacy for coping with symptoms moderates the relationship between physical symptoms and well-being in breast cancer survivors taking adjuvant endocrine therapy. Support Care Cancer. 2014 Oct;22(10):2851–9.
Shelby, Rebecca A., et al. “Self-efficacy for coping with symptoms moderates the relationship between physical symptoms and well-being in breast cancer survivors taking adjuvant endocrine therapy.Support Care Cancer, vol. 22, no. 10, Oct. 2014, pp. 2851–59. Pubmed, doi:10.1007/s00520-014-2269-1.
Shelby RA, Edmond SN, Wren AA, Keefe FJ, Peppercorn JM, Marcom PK, Blackwell KL, Kimmick GG. Self-efficacy for coping with symptoms moderates the relationship between physical symptoms and well-being in breast cancer survivors taking adjuvant endocrine therapy. Support Care Cancer. 2014 Oct;22(10):2851–2859.
Journal cover image

Published In

Support Care Cancer

DOI

EISSN

1433-7339

Publication Date

October 2014

Volume

22

Issue

10

Start / End Page

2851 / 2859

Location

Germany

Related Subject Headings

  • Tamoxifen
  • Survivors
  • Self Efficacy
  • Quality of Life
  • Personal Satisfaction
  • Oncology & Carcinogenesis
  • Middle Aged
  • Humans
  • Female
  • Breast Neoplasms