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Is self-efficacy a predictor of short-term post-surgical adjustment among Chinese women with breast cancer?

April 26, 2017adjustment breast cancer Chinese post-surgical predictor self-efficacy short-term women

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Is self-efficacy a predictor of short-term post-surgical adjustment among Chinese women with breast cancer?

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Lam WW; Fielding R Centre for Psycho-Oncology Research & Teaching, The University of Hong Kong, Hong Kong. BACKGROUND: High self-efficacy (SE) is regarded as beneficial for cancer patients in facilitating adaptation and therefore desirable. However, this may not always be the case. DESIGN: A longitudinal cohort study of women receiving breast cancer surgery. Path analysis examined impact of high and low baseline SE scores on outcome. Post hoc analysis stratified outcome expectations by SE. METHODS: 405/529 eligible Chinese women aged 28-79 years receiving breast cancer surgery in six regional Hong Kong hospitals were interviewed within 1 week of surgery. After assessing SE, incongruence between expectancy and outcome of surgery (E-OI), and psychological morbidity, 91% of women were followed for 1 month when psychological and social morbidity were assessed (follow-up). RESULTS: After adjustment for demographic and histopathological factors, psychological morbidity was predicted by E-OI.