Life stress and symptoms of anxiety and depression in women after cancer: The mediating effect of stress appraisal and coping.

Seib, C; Porter-Steele, J; Ng, S-K; Turner, J; McGuire, A; McDonald, N; Balaam, S; Yates, P; McCarthy, A; Anderson, D

Life stress and symptoms of anxiety and depression in women after cancer: The mediating effect of stress appraisal and coping.

Seib, C Porter-Steele, J Ng, S-K Turner, J McGuire, A McDonald, N Balaam, S Yates, P McCarthy, A Anderson, D

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Publisher:: WILEY
Publication Type:: Journal Article
Citation:: Psychooncology, 2018, 27, (7), pp. 1787-1794
Issue Date:: 2018-07

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Field	Value	Language
dc.contributor.author	Seib, C
dc.contributor.author	Porter-Steele, J
dc.contributor.author	Ng, S-K
dc.contributor.author	Turner, J
dc.contributor.author	McGuire, A
dc.contributor.author	McDonald, N
dc.contributor.author	Balaam, S
dc.contributor.author	Yates, P
dc.contributor.author	McCarthy, A
dc.contributor.author	Anderson, D https://orcid.org/0000-0001-8996-9624
dc.date.accessioned	2022-09-05T22:28:42Z
dc.date.available	2018-03-28
dc.date.available	2022-09-05T22:28:42Z
dc.date.issued	2018-07
dc.identifier.citation	Psychooncology, 2018, 27, (7), pp. 1787-1794
dc.identifier.issn	1057-9249
dc.identifier.issn	1099-1611
dc.identifier.uri	http://hdl.handle.net/10453/161386
dc.description.abstract	OBJECTIVE: This paper examines the direct and intermediary relationships between life stress, stress appraisal, and resilience, and increased anxiety and depressive symptoms in Australian women after cancer treatment. METHODS: Data examined from 278 women aged 18 years and older previously treated for breast, gynaecological, or blood cancer, participating in the Australian Women's Wellness after Cancer Program. Serial mediation models interrogated the effect of stressful life events (List of Threatening Experiences-Modified) mediated by appraisal and coping (Perceived Stress Scale and Connor-Davidson Resilience Scale), on symptoms of anxiety and depression (Zung Self-rating Anxiety Scale and Center for Epidemiologic Studies Depression Scale). RESULTS: Over one-quarter (30.2%) of participants reported 1 or more stressful life events, other than their cancer, in the previous 6 months. Results indicate that perceived stress fully mediated the relationships between life stress, anxiety (indirect effect = 0.09, Bias-corrected bootstrap 95% CI 0.02-0.18, Percent mediation = 0.51), and depressive symptoms (indirect effect = 0.11, Bias-corrected bootstrap 95% CI 0.02-0.23, Percent mediation = 0.71) and accounted for more than half of the relationship between predictor and outcome. CONCLUSIONS: Findings indicate that stress appraisal mediated the relationship between past life stressors and anxiety and depressive symptoms. This analysis also highlights the need to consider wellness within a broader care context to identify potentially vulnerable patients to possibly avert future health concerns.
dc.format	Print-Electronic
dc.language	eng
dc.publisher	WILEY
dc.relation	http://purl.org/au-research/grants/nhmrc/1056856
dc.relation.ispartof	Psychooncology
dc.relation.isbasedon	10.1002/pon.4728
dc.rights	info:eu-repo/semantics/closedAccess
dc.subject	1103 Clinical Sciences, 1112 Oncology and Carcinogenesis, 1701 Psychology
dc.subject.classification	Oncology & Carcinogenesis
dc.subject.mesh	Adaptation, Psychological
dc.subject.mesh	Adult
dc.subject.mesh	Aged
dc.subject.mesh	Anxiety
dc.subject.mesh	Australia
dc.subject.mesh	Breast Neoplasms
dc.subject.mesh	Cancer Survivors
dc.subject.mesh	Depression
dc.subject.mesh	Female
dc.subject.mesh	Humans
dc.subject.mesh	Middle Aged
dc.subject.mesh	Quality of Life
dc.subject.mesh	Stress, Psychological
dc.subject.mesh	Humans
dc.subject.mesh	Breast Neoplasms
dc.subject.mesh	Adaptation, Psychological
dc.subject.mesh	Depression
dc.subject.mesh	Stress, Psychological
dc.subject.mesh	Anxiety
dc.subject.mesh	Quality of Life
dc.subject.mesh	Adult
dc.subject.mesh	Aged
dc.subject.mesh	Middle Aged
dc.subject.mesh	Australia
dc.subject.mesh	Female
dc.subject.mesh	Cancer Survivors
dc.title	Life stress and symptoms of anxiety and depression in women after cancer: The mediating effect of stress appraisal and coping.
dc.type	Journal Article
utslib.citation.volume	27
utslib.location.activity	England
utslib.for	1103 Clinical Sciences
utslib.for	1112 Oncology and Carcinogenesis
utslib.for	1701 Psychology
pubs.organisational-group	/University of Technology Sydney
pubs.organisational-group	/University of Technology Sydney/Faculty of Health
utslib.copyright.status	closed_access	*
dc.date.updated	2022-09-05T22:28:41Z
pubs.issue	7
pubs.publication-status	Published
pubs.volume	27
utslib.citation.issue	7

Abstract:

OBJECTIVE: This paper examines the direct and intermediary relationships between life stress, stress appraisal, and resilience, and increased anxiety and depressive symptoms in Australian women after cancer treatment. METHODS: Data examined from 278 women aged 18 years and older previously treated for breast, gynaecological, or blood cancer, participating in the Australian Women's Wellness after Cancer Program. Serial mediation models interrogated the effect of stressful life events (List of Threatening Experiences-Modified) mediated by appraisal and coping (Perceived Stress Scale and Connor-Davidson Resilience Scale), on symptoms of anxiety and depression (Zung Self-rating Anxiety Scale and Center for Epidemiologic Studies Depression Scale). RESULTS: Over one-quarter (30.2%) of participants reported 1 or more stressful life events, other than their cancer, in the previous 6 months. Results indicate that perceived stress fully mediated the relationships between life stress, anxiety (indirect effect = 0.09, Bias-corrected bootstrap 95% CI 0.02-0.18, Percent mediation = 0.51), and depressive symptoms (indirect effect = 0.11, Bias-corrected bootstrap 95% CI 0.02-0.23, Percent mediation = 0.71) and accounted for more than half of the relationship between predictor and outcome. CONCLUSIONS: Findings indicate that stress appraisal mediated the relationship between past life stressors and anxiety and depressive symptoms. This analysis also highlights the need to consider wellness within a broader care context to identify potentially vulnerable patients to possibly avert future health concerns.

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http://hdl.handle.net/10453/161386