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Relationship of sense of coherence to stressful events, coping strategies, health status, and quality of life in women with breast cancer.

Journal article
Authors Elisabeth Kenne Sarenmalm
Maria Browall
Lars-Olof Persson
J Fall-Dickson
Fanny Gaston-Johansson
Published in Psycho-Oncology
Volume 22
Issue 1
Pages 20-27
ISSN 1057-9249
Publication year 2013
Published at Institute of Health and Care Sciences
Pages 20-27
Language en
Keywords sense of coherence; stressful events; coping strategies; health status; quality of life; distress; breast cancer
Subject categories Cancer and Oncology, Public health medicine research areas


OBJECTIVE: To test the hypothesis that Antonovsky's concept of sense of coherence (SOC) predicts stressful events, coping strategies, health status, and quality of life (QoL) in a cohort of postmenopausal women (n = 131) with newly diagnosed primary or recurrent breast cancer. METHODS: Regression analyses of longitudinal data at baseline through 6 months following breast cancer diagnosis examined the relationships between SOC (13-item version), daily assessment of coping with stressful events, health status, and QoL (EORTC QLQ-30). RESULTS: The findings support Antonovsky's concept of SOC. Women with strong SOC reported fewer stressful events and more days without stressful events. They used more coping strategies and more frequently used distraction, situation redefinition, direct action, and relaxation, but seldom religion, to cope with stressful events, and reported better health status and QoL. Women with weak SOC experienced more distress and used fewer coping strategies, and they more frequently used coping strategies such as catharsis and seeking social and spiritual support, but seldom acceptance of the situation. They reported worse health status and QoL, regardless of disease stage or treatment. The relationships between SOC and health status and QoL were linear. CONCLUSIONS: Sense of coherence significantly predicts distress, number and type of coping strategies such as direct action and relaxation, health status, and QoL in women with breast cancer. Our data suggest that the SOC scale may be a useful screening tool to identify individuals particularly vulnerable to distress and unable to cope adequately. Assessing SOC strength may assist health care providers to provide individualized patient interventions. Copyright © 2011 John Wiley & Sons, Ltd.

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