Document Detail


Coping with ovarian cancer risk: the moderating effects of perceived control on coping and adjustment.
MedLine Citation:
PMID:  17032484     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: Although perceived control and coping have been studied across various health conditions, these relationships have been less well studied in the context of coping with cancer risk over time. The present study was a longitudinal study of the effects of perceived control and problem-focused coping on changes in psychological adjustment and behavioural outcomes among women at increased risk for ovarian cancer. DESIGN AND METHODS: Eighty women enrolled in a familial cancer risk assessment programme participated in this study. Assessments of problem-focused coping, perceived control and distress were collected upon entry into the programme and again at 3-month follow-up. Behavioural adherence to screening during the 12-month period following programme entry was obtained from clinic records. RESULTS: Using hierarchical regression analysis, we observed a significant interaction between perceived control and problem-focused coping for psychological distress, beta=0.94, p<.05. Specifically, problem-focused coping was associated with increasing distress over time among women who perceived high control. A significant control by coping interaction was also observed for behavioural adherence to pelvic ultrasound and CA125 screening, such that women who perceived high control and utilized problem-focused coping were less likely to undergo screening. CONCLUSIONS: Under conditions of high perceived control, problem-focused coping was associated with increasing distress as well as poorer behavioural adherence. Thus, perceived control and problem-focused coping may not always yield positive psychological or behavioural health outcomes. These findings contribute to a greater understanding of how problem-focused coping and perceived control may influence the course of adjustment to cancer risk over time.
Authors:
Carolyn Y Fang; Mary B Daly; Suzanne M Miller; Tana Zerr; John Malick; Paul Engstrom
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Publication Detail:
Type:  Journal Article; Research Support, N.I.H., Extramural; Research Support, U.S. Gov't, Non-P.H.S.    
Journal Detail:
Title:  British journal of health psychology     Volume:  11     ISSN:  1359-107X     ISO Abbreviation:  Br J Health Psychol     Publication Date:  2006 Nov 
Date Detail:
Created Date:  2006-10-11     Completed Date:  2007-02-06     Revised Date:  2007-12-03    
Medline Journal Info:
Nlm Unique ID:  9605409     Medline TA:  Br J Health Psychol     Country:  England    
Other Details:
Languages:  eng     Pagination:  561-80     Citation Subset:  IM    
Affiliation:
Division of Population Science, Fox Chase Cancer Center, Philadelphia, PA 19012, USA. carolyn.fang@fccc.edu
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MeSH Terms
Descriptor/Qualifier:
Adaptation, Psychological*
Adult
Demography
Depression / diagnosis,  epidemiology,  psychology
Female
Humans
Mass Screening
Ovarian Neoplasms / psychology*
Questionnaires
Risk Factors*
Self Efficacy*
Grant Support
ID/Acronym/Agency:
CA06927/CA/NCI NIH HHS; K07CA82347/CA/NCI NIH HHS

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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