Original article
A relationship between perceived self-efficacy and quality of life in cancer patients

https://doi.org/10.1016/0738-3991(91)90052-7Get rights and content

Abstract

The quality of life of cancer patients may be influenced by the degree of control they feel able to exert over stressful situations arising from having the disease. We were able to test this association using a newly developed instrument, the Stanford Inventory of Cancer Patient Adjustment which assesses perceived self-efficacy, that is, perceived ability to enact coping strategies. In a heterogeneous sample of 273 cancer patients a strong positive correlation was found between self-efficacy and quality of life and between self-efficacy and mood. Improvements in all three measures brought about by a brief, group program teaching coping skills were also highly correlated. By contrast, no significant association was seen between improvement in mood or quality of life and amount of home practice of coping skills.

References (34)

  • LR Derogatis et al.

    The prevalence of psychiatric disorders among cancer patients

    JAMA

    (1983)
  • SE Taylor et al.

    Attributions, beliefs about control and adjustment to breast cancer

    J Pers Soc Psychol

    (1984)
  • WH Redd et al.

    Behavioral medicine in comprehensive cancer treatment

    J Psychosoc Oncol

    (1983)
  • N Tarrier

    A behavioral approach to the psychological problems of mastectomy

    Br J Clin Soc Psychiatr

    (1983)
  • RL Heinrich et al.

    Stress and activity management: group treatment for cancer patients and spouses

    J Consult Clin Psychol

    (1985)
  • CF Telch et al.

    Group coping skills instruction and supportive group therapy for cancer patients, a comparison of strategies

    J Consult Clin Psychol

    (1986)
  • JB Rotter

    Generalized expectancies for internal versus external control of reinforcement

    Psychol Monogr

    (1966)
  • Cited by (147)

    • Self-efficacy for Coping with cancer: Psychometric properties of the Cancer Behavior Inventory version 3.0 – Korean

      2021, European Journal of Oncology Nursing
      Citation Excerpt :

      Cancer patients with high-efficacy expectations cope better by productive use of capabilities and mobilization of effort compared to those with low self-efficacy for coping (Bandura, 1991). Moreover, coping self-efficacy has been consistently negatively related with physical (Akin and Kas Guner, 2019; Chen et al., 2018) and psychological symptoms (Cunningham et al., 1991; Foster et al., 2015; Kim, 2012) and has demonstrated a direct relationship with the quality of life among cancer patients (Chen et al., 2018; Hinz et al., 2019). Thus, cancer patients' self-efficacy is considered as a major contributing factor to their self-reported well-being and quality of life.

    • Acute Predictors of Social Integration Following Mild Stroke

      2018, Journal of Stroke and Cerebrovascular Diseases
    • The role of patient education and physician support in self-efficacy for skin self-examination among patients with melanoma

      2017, Patient Education and Counseling
      Citation Excerpt :

      Lower self-efficacy for managing pain and cancer symptoms predicts greater pain and fatigue, more difficulty in adjusting to cancer, symptoms of depression, anxiety, and lower quality of life in addition to worse physical functioning among patients with lung cancer [12]. Not surprisingly then, interventions that aim to increase self-efficacy also typically result in a better adjustment to cancer including an improved mood and higher quality of life [13,14]. Melanoma represents a prototypical malignancy, in which continuous engagement in tumour-detecting behaviours can lead to an earlier diagnosis and treatment [15,16].

    View all citing articles on Scopus
    1

    A. J. Cunningham PhD is a senior scientist.

    2

    G.A. Lockwood, M Math is a statistician.

    3

    J.A. Cunningham, BSc is a graduate student.

    View full text