Sense of coherence and coping strategies: How they influence quality of life in Iranian women with breast cancer

Hadi Zamanian; Mohammadali Amini-Tehrani; Aliyeh Mahdavi Adeli; Mona Daryaafzoon; Mahnaz Arsalani; Anahita Enzevaei; Maryam Farjami

doi:10.1002/nop2.814

Sense of coherence and coping strategies: How they influence quality of life in Iranian women with breast cancer

Nurs Open. 2021 Jul;8(4):1731-1740. doi: 10.1002/nop2.814. Epub 2021 Feb 19.

Authors

Hadi Zamanian¹, Mohammadali Amini-Tehrani^{2

3}, Aliyeh Mahdavi Adeli⁴, Mona Daryaafzoon⁵, Mahnaz Arsalani⁵, Anahita Enzevaei^{6

7}, Maryam Farjami⁵

Affiliations

¹ School of Health, Department of Health Promotion and Education, Qom University of Medical Sciences, Qom, Iran.
² Department of Psychology, Faculty of Psychology and Education, University of Tehran, Tehran, Iran.
³ Health Psychology and Behavior Medicine Research Group, Students' Scientific Research Center, Tehran University of Medical Sciences, Tehran, Iran.
⁴ School of Medicine, Iran University of Medical Sciences (IUMS), Tehran, Iran.
⁵ Department of Psychology, Saveh Branch, Islamic Azad University, Saveh, Iran.
⁶ Infertility and Reproductive Health Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
⁷ Department of Obstetrics and Gynecology, Arash Women's Hospital, Tehran University of Medical Sciences, Tehran, Iran.

Abstract

Aim: To investigate the mediation/moderation effect between Coping Behaviors (CBs) and Sense of Coherence (SOC) in the prediction of health-related quality of life (HRQoL) in breast cancer patients.

Design: Cross-sectional.

Methods: A total of 221 patients were included in this study. The 13-item Orientation to Life Questionnaire, Brief COPE and Functional Assessment of Cancer Therapy-Breast were investigated. Pearson's correlation coefficient and mediation/moderation analysis were performed.

Results: Significant correlations were observed for SOC, active coping, acceptance, positive reframing (PR), planning, use of emotional support (UES), use of instrumental support, behaviour disengagement and self-blame with HRQoL. Except for planning and acceptance, SOC partially mediated the CBs' effect on HRQoL. The UES and PR's effects on HRQoL were significant at lower SOC levels and diminished at higher SOC levels.

Conclusion: Practitioners can incorporate SOC and adaptive CBs, including PR and UES, into the rehabilitation programmes to improve HRQoL in patients.

Keywords: breast cancer; coping; quality of life; sense of coherence.

MeSH terms

Adaptation, Psychological
Breast Neoplasms*
Cross-Sectional Studies
Female
Humans
Iran
Quality of Life
Sense of Coherence*