Does depression decrease the moderating effect of self-efficacy in the relationship between illness perception and fear of progression in breast cancer?

Abstract:

OBJECTIVE:Fear of progression (FOP) is a prevalent concern among breast cancer patients that affect their adjustment to disease. This study examined whether self-efficacy moderates the effect of illness perception (IP) on FOP and whether the moderating effect of self-efficacy depends on the level of depressive symptoms. METHODS:A cross-sectional survey including brief illness perception questionnaire (BIPQ), FOP short form, general self-efficacy scale, and the center for epidemiologic studies depression scale were administered to 245 patients with breast cancer in Korea. RESULTS:Self-efficacy moderated the negative impact of the patients' perception of chronic timeline and a greater emotional impact of the illness on FOP. However, the moderating effect of self-efficacy of the BIPQ timeline and emotions on FOP depended on level of depressive symptoms. CONCLUSIONS:The findings underscore the importance of considering the IP as determinants of FOP, as well as of self-efficacy and depression as the moderating factors in the relationship between IP and FOP, suggesting the need to enhance self-efficacy and depressive symptoms in order to compensate the negative impact of IP on FOP in breast cancer patients.

journal_name

Psychooncology

journal_title

Psycho-oncology

authors

Shim EJ,Lee JW,Min YH

doi

10.1002/pon.4532

subject

Has Abstract

pub_date

2018-02-01 00:00:00

pages

539-547

issue

2

eissn

1057-9249

issn

1099-1611

journal_volume

27

pub_type

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