Article

Cancer-specific self-efficacy and psychosocial and functional adaptation to early stage breast cancer.

Fox Chase Cancer Center, Philadelphia, Pennsylvania 19111, USA.
Annals of Behavioral Medicine (Impact Factor: 4.2). 05/2006; 31(2):145-54. DOI: 10.1207/s15324796abm3102_6
Source: PubMed

ABSTRACT Although self-efficacy is considered a key psychological resource in adapting to chronic physical illness, this construct has received less attention among individuals coping with cancer.
To examine changes in cancer self-efficacy over time among women with early stage breast cancer and associations between task-specific domains of self-efficacy and specific psychological, relationship, and functional outcomes.
Ninety-five women diagnosed with early stage breast cancer completed surveys postsurgery and 1 year later.
Cancer-related self-efficacy was relatively stable over 1 year, with only 2 domains of efficacy-(a) Activity Management and (b) Self-Satisfaction-evidencing significant increases over the 1-year time period. Cross-sectional findings were relatively consistent with predictions and suggested that specific domains of self-efficacy were more strongly related to relevant domains of adaptation. Longitudinal findings were not as consistent with the domain-specificity hypothesis but did suggest several predictive associations between self-efficacy and outcomes. Personal Management self-efficacy was associated with higher relationship satisfaction, higher Communication Self-Efficacy was associated with less functional impairment, and higher Affective Management self-efficacy was associated with higher self-esteem 1 year later.
Specific domains of cancer-related self-efficacy are most closely related to relevant areas of adaptation when considered cross-sectionally, but further study is needed to clarify the nature of these relationships over time.

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    • "These results are consistent with recent studies in Taiwan and Turkey (Cheng et al., 2011; Secginli, 2012) that implied that women who are convinced of their selfefficacy in managing cancer evaluation will more readily adapt to their new situation and maintain control over their life. Conversely, others have reported that knowledge of a diagnosis that exceeds 6 months (Gallagher et al., 2002) and the stage of cancer (Manne et al., 2006) may influence self-efficacy, a finding inconsistent with the current study. Our results demonstrate that significant changes in self-efficacy within both delayer and nondelayer groups indicated that all women may be susceptible to the negative effects of a breast cancer diagnosis at specific moments. "
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    ABSTRACT: Delaying a diagnosis of breast cancer directly and positively impacts survival. Self-efficacy has been shown to be a causal mechanism in a wide range of health behaviors, a measurable trait that predicts behavior across domains, which is strong associated with psychological variables. However, factors predicting self-efficacy of women with suspected breast cancer who delayed or did not delay seeking a breast cancer diagnosis over time have not been identified. To examine the differences between women who delay and women who did not delay seeking a cancer diagnosis, and key factors predicting self-efficacy over time among women with newly-diagnosed breast cancer. Descriptive, longitudinal design over 2 months following breast cancer diagnostic evaluation. A medical center is located in southern Taiwan. Eighty women with suspected breast cancer were approached and 67 subjects with a positive diagnosis of breast cancer were recruited. Subjects were categorized into women who delayed their diagnosis and women who did not delay their diagnosis. A battery of 5 standardized questionnaires including self-efficacy, anxiety and depression, personality, spiritual support and hope was completed at the first three clinic visits. Stage of cancer, trait extroversion/neuroticism and spiritual support were significantly different between groups (p<0.05). Subjects who did not delay (β=-1.613, p<0.05), and time that histology results were provided (β=-2.4333, p<0.001) had a significantly predicted negative change in self-efficacy compared to the group that delayed. Hope at the first clinic visit contributed to the change in self-efficacy over time (β=0.391, p<0.001). Personal factors affecting a woman's delay in obtaining medical assessment of breast cancer confirmation. Hope impacts self-efficacy of women with suspected breast cancer and interventions to enhance hope during the early stages of breast cancer evaluation require further study.
    International journal of nursing studies 11/2013; 51(7). DOI:10.1016/j.ijnurstu.2013.10.024 · 2.25 Impact Factor
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    • "Their findings identified that self efficacy at baseline did not predict distress at the follow up assessment six months later. Manne et al. (2006) conducted a longitudinal, quantitative study to investigate changes in cancer-specific self efficacy and their associations with psychological and functional outcomes over a twelve month period among women (n=95) with breast cancer, shortly after surgery and one year later. They found that self efficacy remained fairly stable over time with only two domains, activity management and self satisfaction, showing an increase during the study period. "
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    ABSTRACT: Self-efficacy refers to an individual's belief in his or her capacity to execute behaviours necessary to produce specific performance attainments. The notion of self-efficacy plays a crucial role as it affects an individual's decision and subsequent action for management of their illness and enhancing health. Studies have addressed the role of self-efficacy in patients with cancer, highlighting that stronger self efficacy are associated with better adjustment to their cancer diagnosis and improved quality of life. Although there has been increasing attention paid to the role of self-efficacy appraisals in adaptation to cancer, there is a need for wider research related to self-efficacy in cancer patients across the phases of diagnosis, treatment, and survivorship. There appears a need for greater research in self-efficacy in Indian scenario. In conclusion the authors felt that there is a strong need for further research on Self-efficacy in cancer patients at large especially in Indian context.In order to succeed, people need a sense of self-efficacy, struggle together with resilience to meet the inevitable obstacles and inequities of life." (Bandura, 1925)
    Ref. No: Vol 1. Issue 3. ISSN: 2277-6168, Year: 05/2012
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