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Sense of Coherence and Coping Strategies: How They Influence Quality of Life in Iranian Women With Breast Cancer Publisher Pubmed



Zamanian H1 ; Aminitehrani M2, 3 ; Mahdavi Adeli A4 ; Daryaafzoon M5 ; Arsalani M5 ; Enzevaei A6, 7 ; Farjami M5
Authors
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Authors Affiliations
  1. 1. School of Health, Department of Health Promotion and Education, Qom University of Medical Sciences, Qom, Iran
  2. 2. Department of Psychology, Faculty of Psychology and Education, University of Tehran, Tehran, Iran
  3. 3. Health Psychology and Behavior Medicine Research Group, Students' Scientific Research Center, Tehran University of Medical Sciences, Tehran, Iran
  4. 4. School of Medicine, Iran University of Medical Sciences (IUMS), Tehran, Iran
  5. 5. Department of Psychology, Saveh Branch, Islamic Azad University, Saveh, Iran
  6. 6. Infertility and Reproductive Health Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran
  7. 7. Department of Obstetrics and Gynecology, Arash Women's Hospital, Tehran University of Medical Sciences, Tehran, Iran

Source: Nursing Open Published:2021


Abstract

Aim: To investigate the mediation/moderation effect between Coping Behaviors (CBs) and Sense of Coherence (SOC) in the prediction of health-related quality of life (HRQoL) in breast cancer patients. Design: Cross-sectional. Methods: A total of 221 patients were included in this study. The 13-item Orientation to Life Questionnaire, Brief COPE and Functional Assessment of Cancer Therapy—Breast were investigated. Pearson's correlation coefficient and mediation/moderation analysis were performed. Results: Significant correlations were observed for SOC, active coping, acceptance, positive reframing (PR), planning, use of emotional support (UES), use of instrumental support, behaviour disengagement and self-blame with HRQoL. Except for planning and acceptance, SOC partially mediated the CBs' effect on HRQoL. The UES and PR's effects on HRQoL were significant at lower SOC levels and diminished at higher SOC levels. Conclusion: Practitioners can incorporate SOC and adaptive CBs, including PR and UES, into the rehabilitation programmes to improve HRQoL in patients. © 2021 The Authors. Nursing Open published by John Wiley & Sons Ltd.
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