Coping Strategies and Health-Related Quality of Life in Breast Cancer Survivors
<b>Background:</b> The aim was to explore the association between coping strategies (CSs) and health-related quality of life (HRQoL) in breast cancer (BC) survivors and to analyze the role of relevant sociodemographic and clinical variables. <b>Methods:</b> A cross-sectional...
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MDPI AG
2025-07-01
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| Series: | European Journal of Investigation in Health, Psychology and Education |
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| Online Access: | https://www.mdpi.com/2254-9625/15/7/139 |
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| author | Ana Agrelo-Fernández Lucía Fernández-Arce Ana Llaneza-Folgueras Ana Isabel Encinas-Muñiz María Olivo del Valle Alberto Lana |
| author_facet | Ana Agrelo-Fernández Lucía Fernández-Arce Ana Llaneza-Folgueras Ana Isabel Encinas-Muñiz María Olivo del Valle Alberto Lana |
| author_sort | Ana Agrelo-Fernández |
| collection | DOAJ |
| description | <b>Background:</b> The aim was to explore the association between coping strategies (CSs) and health-related quality of life (HRQoL) in breast cancer (BC) survivors and to analyze the role of relevant sociodemographic and clinical variables. <b>Methods:</b> A cross-sectional study involving 305 women under follow-up for surgically treated BC in Spain. CSs were measured using the Brief Coping Orientation to Problems Experienced Scale and the HRQoL with the Short-Form Health Survey (SF-12). <b>Results:</b> The mean age at BC diagnosis for participants was 57.4 years, with 60.3% of diagnoses at the local stage. Most frequent complementary treatments were radiotherapy (53.4%) and chemotherapy (33.1%). Adaptative CS scores were positively associated both with higher physical HRQoL (adjusted regression coefficient: 2.19; 95% confidence interval: 0.11; 4.27, <i>p</i>-value: 0.039) and mental HRQoL scores (coef.: 2.65: 95%CI: 0.25; 5.04, <i>p</i>-value: 0.030). Maladaptive CS scores were inversely associated with mental HRQoL scores (coef.: −3.92; 95%CI: −6.62; −1.22, <i>p</i>-value: 0.005). The effects were stronger among women with a favorable BC prognosis. <b>Conclusions:</b> Adaptive CSs positively affected the physical and mental HRQoL, while maladaptive CSs negatively affected the mental HRQoL. Therefore, psychosocial interventions that promote adaptive CSs and avoid maladaptive ones could improve the well-being of women with a favorable BC prognosis. |
| format | Article |
| id | doaj-art-5f160dcce3794e5ab63e7a89e055a70e |
| institution | Kabale University |
| issn | 2174-8144 2254-9625 |
| language | English |
| publishDate | 2025-07-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | European Journal of Investigation in Health, Psychology and Education |
| spelling | doaj-art-5f160dcce3794e5ab63e7a89e055a70e2025-08-20T03:32:12ZengMDPI AGEuropean Journal of Investigation in Health, Psychology and Education2174-81442254-96252025-07-0115713910.3390/ejihpe15070139Coping Strategies and Health-Related Quality of Life in Breast Cancer SurvivorsAna Agrelo-Fernández0Lucía Fernández-Arce1Ana Llaneza-Folgueras2Ana Isabel Encinas-Muñiz3María Olivo del Valle4Alberto Lana5Hospital Universitario San Agustín, Principality of Asturias Health Service, 33401 Aviles, SpainDepartment of Preventive Medicine and Public Health, School of Medicine and Health Sciences, University of Oviedo, 33006 Oviedo, SpainHospital Universitario Central de Asturias, Principality of Asturias Health Service, 33011 Oviedo, SpainHospital Universitario Central de Asturias, Principality of Asturias Health Service, 33011 Oviedo, SpainDepartment of Preventive Medicine and Public Health, School of Medicine and Health Sciences, University of Oviedo, 33006 Oviedo, SpainDepartment of Preventive Medicine and Public Health, School of Medicine and Health Sciences, University of Oviedo, 33006 Oviedo, Spain<b>Background:</b> The aim was to explore the association between coping strategies (CSs) and health-related quality of life (HRQoL) in breast cancer (BC) survivors and to analyze the role of relevant sociodemographic and clinical variables. <b>Methods:</b> A cross-sectional study involving 305 women under follow-up for surgically treated BC in Spain. CSs were measured using the Brief Coping Orientation to Problems Experienced Scale and the HRQoL with the Short-Form Health Survey (SF-12). <b>Results:</b> The mean age at BC diagnosis for participants was 57.4 years, with 60.3% of diagnoses at the local stage. Most frequent complementary treatments were radiotherapy (53.4%) and chemotherapy (33.1%). Adaptative CS scores were positively associated both with higher physical HRQoL (adjusted regression coefficient: 2.19; 95% confidence interval: 0.11; 4.27, <i>p</i>-value: 0.039) and mental HRQoL scores (coef.: 2.65: 95%CI: 0.25; 5.04, <i>p</i>-value: 0.030). Maladaptive CS scores were inversely associated with mental HRQoL scores (coef.: −3.92; 95%CI: −6.62; −1.22, <i>p</i>-value: 0.005). The effects were stronger among women with a favorable BC prognosis. <b>Conclusions:</b> Adaptive CSs positively affected the physical and mental HRQoL, while maladaptive CSs negatively affected the mental HRQoL. Therefore, psychosocial interventions that promote adaptive CSs and avoid maladaptive ones could improve the well-being of women with a favorable BC prognosis.https://www.mdpi.com/2254-9625/15/7/139breast neoplasmscoping skillsemotionsquality of life |
| spellingShingle | Ana Agrelo-Fernández Lucía Fernández-Arce Ana Llaneza-Folgueras Ana Isabel Encinas-Muñiz María Olivo del Valle Alberto Lana Coping Strategies and Health-Related Quality of Life in Breast Cancer Survivors European Journal of Investigation in Health, Psychology and Education breast neoplasms coping skills emotions quality of life |
| title | Coping Strategies and Health-Related Quality of Life in Breast Cancer Survivors |
| title_full | Coping Strategies and Health-Related Quality of Life in Breast Cancer Survivors |
| title_fullStr | Coping Strategies and Health-Related Quality of Life in Breast Cancer Survivors |
| title_full_unstemmed | Coping Strategies and Health-Related Quality of Life in Breast Cancer Survivors |
| title_short | Coping Strategies and Health-Related Quality of Life in Breast Cancer Survivors |
| title_sort | coping strategies and health related quality of life in breast cancer survivors |
| topic | breast neoplasms coping skills emotions quality of life |
| url | https://www.mdpi.com/2254-9625/15/7/139 |
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