Coping and quality of life after tumor surgery: personal and social resources promote different domains of quality of life

Anxiety Stress Coping. 2007 Mar;20(1):61-75. doi: 10.1080/10615800701195439.

Abstract

Personal and social resources facilitate the adaptation to critical life events. The present study investigates whether general self-efficacy beliefs and received social support elevate cancer patients' physical, emotional, and social well-being directly, or whether these effects are rather mediated by active or meaning-focused coping. Gastrointestinal, colorectal, and lung cancer patients were approached at 1 month and at 6 months after surgery (N=175). Structural equation models indicate that self-efficacy at 1 month after surgery exerted a positive direct effect on all three domains of health-related quality of life at 6 months after surgery, but indirect effects through active and meaning-focused coping were also observed. Initial received support elevated later emotional well-being, but not the other two quality of life domains. This effect was not mediated by coping. Results suggest the development of interventions to increase optimistic self-beliefs and coping skills in tumor-surgery patients.

MeSH terms

  • Adaptation, Psychological*
  • Adult
  • Aged
  • Aged, 80 and over
  • Female
  • Health Status*
  • Humans
  • Lung Neoplasms / surgery*
  • Male
  • Middle Aged
  • Quality of Life / psychology*
  • Self Efficacy*
  • Social Support