We explored associations between problem-focused, emotional processing, and emotional expression coping strategies and markers of stress including perceived stress, depressive symptoms, and diurnal cortisol profiles among women with gynecologic cancer. Problem-focused coping was associated with less perceived stress, fewer depressive symptoms, and more rhythmic diurnal salivary cortisol profiles. Emotional processing was associated with lower perceived stress and fewer depressive symptoms. Emotional expression was associated with fewer depressive symptoms and elevated diurnal mean and evening cortisol levels. Results point to key differences in coping strategies. In this sample, only problem-focused coping was linked with adaptive differences in both psychological and physiological stress measures.
AmatJBarattaMVPaulE, et al. (2005) Medial prefrontal cortex determines how stressor controllability affects behavior and dorsal raphe nucleus. Nature Neuroscience8: 365–371.
2.
AndersenBLKiecolt-GlaserJKGlaserR (1994) A biobehavioral model of cancer stress and disease course. American Psychology49: 389–404.
3.
AntoniMHWimberlySRLechnerSC, et al. (2006) Reduction of cancer-specific thought intrusions and anxiety symptoms with a stress management intervention among women undergoing treatment for breast cancer. American Journal of Psychiatry163: 1791–1797.
4.
BeckATSteerRAGarbinMG (1988) Psychometric properties of the Beck Depression Inventory: Twenty-five years of evaluation. Clinical Psychology Review8: 77–100.
5.
BergmarkKÅvall-LundqvistEDickmanPW, et al. (1999) Vaginal changes and sexuality in women with a history of cervical cancer. New England Journal of Medicine340: 1383–1389.
6.
CarverCSScheierMFWeintraubJK (1989) Assessing coping strategies: A theoretically based approach. Journal of Personality and Social Psychology56: 267–283.
7.
ChidaYHamerMWardleJ, et al. (2008) Do stress-related psychosocial factors contribute to cancer incidence and survival?Nature Clinical Practice Oncology5: 466–475.
8.
CohenLColeSWSoodAK, et al. (2012) Depressive symptoms and cortisol rhythmicity predict survival in patients with renal cell carcinoma: Role of inflammatory signaling. PLoS ONE7: e42324.
9.
CohenSKamarckTMermelsteinR (1983) A global measure of perceived stress. Journal of Health and Social Behavior24: 385–396.
10.
ColeSR (1999) Assessment of differential item functioning in the Perceived Stress Scale-10. Journal of Epidemiology and Community Health53: 319–320.
11.
CompasBEConnorJOsowieckiD, et al. (1997) Effortful and involuntary responses to stress. In: GottliebBJ (ed.) Coping with Chronic Stress. New York: Springer, pp. 105–130.
12.
CostanzoELutgendorfSMattesM, et al. (2007) Adjusting to life after treatment: Distress and quality of life following treatment for breast cancer. British Journal of Cancer97: 1625.
13.
DiMatteoMRLepperHSCroghanTW (2000) Depression is a risk factor for noncompliance with medical treatment. Archives of Internal Medicine160: 2101–2107.
FawzyFICousinsNFawzyNW, et al. (1990) A structured psychiatric intervention for cancer patients: I. Changes over time in methods of coping and affective disturbance. Archives of General Psychiatry47: 720–725.
16.
FranksHMRoeschSC (2006) Appraisals and coping in people living with cancer: A meta-analysis. Psycho-Oncology15: 1027–1037.
17.
Giese-DavisJCollieKRancourtKM, et al. (2011) Decrease in depression symptoms is associated with longer survival in patients with metastatic breast cancer: A secondary analysis. Journal of Clinical Oncology29: 413–420.
18.
Golden-KreutzDMThorntonLMWells-Di GregorioS, et al. (2005) Traumatic stress, perceived global stress, and life events: Prospectively predicting quality of life in breast cancer patients. Health Psychology24: 288–296.
19.
IwataniTMatsudaAKawabataH, et al. (2013) Predictive factors for psychological distress related to diagnosis of breast cancer. Psycho-Oncology22: 523–529.
20.
JuraskovaIButowPRobertsonR, et al. (2003) Post-treatment sexual adjustment following cervical and endometrial cancer: A qualitative insight. Psycho-Oncology12: 267–279.
21.
KraemerHCBlaseyCM (2004) Centring in regression analyses: A strategy to prevent errors in statistical inference. International Journal of Methods in Psychiatric Research13: 141–151.
22.
KraemerHCGiese-DavisJYutsisM, et al. (2006) Design decisions to optimize reliability of daytime cortisol slopes in an older population. American Journal of Geriatric Psychiatry14: 325–333.
23.
LauverDRConnolly-NelsonKVangP (2007) Stressors and coping strategies among female cancer survivors after treatments. Cancer Nursing30: 101–111.
24.
LazarusRSFolkmanS (1984) Stress, Appraisal, and Coping. New York: Springer.
25.
LindenWVodermaierAMackenzieR, et al. (2012) Anxiety and depression after cancer diagnosis: Prevalence rates by cancer type, gender, and age. Journal of Affective Disorders141: 343–351.
26.
LutgendorfSKAndersonBRothrockN, et al. (2000) Quality of life and mood in women receiving extensive chemotherapy for gynecologic cancer. Cancer89: 1402–1411.
27.
MassieMJ (2004) Prevalence of depression in patients with cancer. Journal of the National Cancer Institute Monographs32: 57–71.
28.
NakaneTSzentendreiTSternL, et al. (1990) Effects of IL-1 and cortisol on beta-adrenergic receptors, cell proliferation, and differentiation in cultured human A549 lung tumor cells. The Journal of Immunology145: 260–266.
29.
PetticrewMBellRHunterD (2002) Influence of psychological coping on survival and recurrence in people with cancer: Systematic review. British Medical Journal325: 1066.
30.
PinquartMDubersteinPR (2010) Depression and cancer mortality: A meta-analysis. Psychol Med40: 1797–1810.
31.
QuaxRAManenschijnLKoperJW, et al. (2013) Glucocorticoid sensitivity in health and disease. Nature Reviews Endocrinology9: 670–686.
32.
RehseBPukropR (2003) Effects of psychosocial interventions on quality of life in adult cancer patients: Meta analysis of 37 published controlled outcome studies. Patient Education and Counseling50: 179–186.
33.
RoeschSCAdamsLHinesA, et al. (2005) Coping with prostate cancer: A meta-analytic review. Journal of Behavioral Medicine28: 281–293.
34.
SalmonPGSephtonSEDreebenSJ (2011) Mindfulness-based stress reduction. In: HerbertJDFormanEM (eds) Acceptance and Mindfulness in Cognitive Behavior Therapy: Understanding and Applying the New Therapies. Hoboken, NJ: John Wiley, pp. 132–163.
35.
SatinJRLindenWPhillipsMJ (2009) Depression as a predictor of disease progression and mortality in cancer patients. Cancer115: 5349–5361.
36.
SchrepfAClevengerLChristensenD, et al. (2013) Cortisol and inflammatory processes in ovarian cancer patients following primary treatment: Relationships with depression, fatigue, and disability. Brain, Behavior, and Immunity30(Suppl): S126–S134.
37.
SchrepfAThakerPHGoodheartMJ, et al. (2015) Diurnal cortisol and survival in epithelial ovarian cancer. Psychoneuroendocrinology53: 256–267.
38.
SephtonSE (2000) Diurnal cortisol rhythm as a predictor of breast cancer survival. Journal of the National Cancer Institute92: 994–1000.
39.
SephtonSELushEDedertEA, et al. (2013) Diurnal cortisol rhythm as a predictor of lung cancer survival. Brain, Behavior, and Immunity 30(Suppl): S163–S170.
40.
SephtonSESapolskyRMKraemerHC, et al. (2000) Diurnal cortisol rhythm as a predictor of breast cancer survival. Journal of the National Cancer Institute92: 994–1000.
41.
SoodAKBhattyRKamatAA, et al. (2006) Stress hormone–mediated invasion of ovarian cancer cells. Clinical Cancer Research12: 369–375.
42.
SpiegelDGiese-DavisJ (2003) Depression and cancer: Mechanisms and disease progression. Biological Psychiatry54: 269–282.
43.
SpiegelDKraemerHBloomJ, et al. (1989) Effect of psychosocial treatment on survival of patients with metastatic breast cancer. The Lancet334: 888–891.
44.
StantonALDanoff-BurgSHugginsME (2002) The first year after breast cancer diagnosis: Hope and coping strategies as predictors of adjustment. Psycho-Oncology11: 93–102.
45.
StantonALDanoff-BurgSCameronCL, et al. (1994) Coping through emotional approach: Problems of conceptualizaton and confounding. Journal of Personality and Social Psychology66: 350.
46.
StantonALDanoff-BurgSCameronCL, et al. (2000a) Emotionally expressive coping predicts psychological and physical adjustment to breast cancer. Journal of Consulting and Clinical Psychology68: 875–882.
47.
StantonALKirkSBCameronCL, et al. (2000b) Coping through emotional approach: Scale construction and validation. Journal of Personality and Social Psychology78: 1150–1169.
48.
SteeleRFitchMI (2008) Supportive care needs of women with gynecologic cancer. Cancer Nursing31: 284–291.
49.
StegingaSKDunnJ (1997) Women’s experiences following treatment for gynecologic cancer. Oncology Nursing Forum24: 1403–1408.
50.
TaylorSEStantonAL (2007) Coping resources, coping processes, and mental health. Annual Review of Clinical Psychology3: 377–401.
51.
ThakerPHHanLYKamatAA, et al. (2006) Chronic stress promotes tumor growth and angiogenesis in a mouse model of ovarian carcinoma. Nature Medicine12: 939–944.
52.
WangY-PGorensteinC (2013) Psychometric properties of the Beck Depression Inventory-II: A comprehensive review. Revista Brasileira de Psiquiatria35: 416–431.
53.
ZaboraJBrintzenhofeszocKCurbowB, et al. (2001) The prevalence of psychological distress by cancer site. Psycho-Oncology10: 19–28.
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