Self-efficacy for coping with cancer in a multiethnic sample of breast cancer patients: Associations with barriers to pain management and distress Journal Article


Authors: Mosher, C. E.; Duhamel, K. N.; Egert, J.; Smith, M. Y.
Article Title: Self-efficacy for coping with cancer in a multiethnic sample of breast cancer patients: Associations with barriers to pain management and distress
Abstract: Objectives: This study examined the interrelations of self-efficacy for coping with cancer, perceived barriers to pain management, distress, and pain outcomes in a multiethnic sample of breast cancer patients. The extent to which ethnicity (Black, Latina, or White), language (English or Spanish), and level of education and income predicted these variables was also assessed. Methods: Participants were breast cancer patients with persistent pain (N=87) who were recruited from oncology clinics in New York City. Patients completed an assessment battery that included measures of self-efficacy for coping with cancer, barriers to pain management, distress, and pain outcomes. Results: Greater self-efficacy for coping with cancer was associated with older age, less time since diagnosis, and less distress. In addition, less self-efficacy for seeking and understanding medical information, Spanish language preference, and greater distress predicted greater barriers to pain management. Average pain severity was higher among Spanish-speaking individuals and those with lower incomes. Discussion: Findings point to the potential importance of self-efficacy for seeking and understanding medical information and perceived barriers to pain management in understanding the psychologic well-being of breast cancer patients with pain, especially those who are Spanish-speaking. Copyright © 2010 by Lippincott Williams & Wilkins.
Keywords: adult; controlled study; treatment outcome; middle aged; major clinical study; cancer patient; outcome assessment; pain; breast cancer; cancer pain; age factors; breast neoplasms; adaptation, psychological; disease severity; medical information; severity of illness index; education; distress syndrome; new york city; self efficacy; self concept; coping behavior; pain measurement; regression analysis; ethnicity; socioeconomic factors; stress, psychological; wellbeing; psychometrics; pain management; models, psychological; self-efficacy; lowest income group; barriers
Journal Title: Clinical Journal of Pain
Volume: 26
Issue: 3
ISSN: 0749-8047
Publisher: Lippincott Williams & Wilkins  
Date Published: 2010-03-01
Start Page: 227
End Page: 234
Language: English
DOI: 10.1097/AJP.0b013e3181bed0e3
PUBMED: 20173437
PROVIDER: scopus
PMCID: PMC2827812
DOI/URL:
Notes: --- - "Export Date: 20 April 2011" - "CODEN: CJPAE" - "Source: Scopus"
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MSK Authors
  1. Katherine N Duhamel
    97 Duhamel
  2. Catherine E Mosher
    23 Mosher