Document Type : Research Article

Authors

Department of Psychology, Ahvaz Branch, Islamic Azad University, Ahvaz, Iran

Abstract

Background: Women diagnosed with breast cancer may be more inclined to take preventive measures if they believe they have control over their health. This study explored the mediating influence of cancer self-efficacy in the association between health locus of control (HLC) and health-promoting behaviors in women with breast cancer.
Method: In this descriptive-correlational study, a purposive sampling method was employed to select 282 women diagnosed with breast cancer in Ahvaz, Iran, between November 2021 and June 2022. Participants were requested to complete the Health- Promoting Lifestyle Profile II (HPLP-II), Multidimensional Health Locus of Control Scale (MHLC), and Cancer Behavior Inventory (CBI). The data was then analyzed using path analysis conducted with SPSS Amos version 25.
Results: The results indicated a significant correlation between cancer self-efficacy and health-promoting behaviors among women with breast cancer (P=0.001). A significant correlation was also between health-promoting behaviors and HLC in women (P=0.001). According to the results, the mediating role of cancer self-efficacy in the relationship between HLC and healthpromoting behaviors was significant in women with breast cancer (P=0.001).
Conclusion: Consequently, the research model exhibited a satisfactory fit. This study’s findings highlighted the influence of cancer self-efficacy in facilitating the impact of HLC on enhancing health-promoting behaviors in women with breast cancer.

Highlights

Sasan Bavi: (Google Scholar)

 

 

How to Cite: Etemadi Asl A, Bavi S, Johari Fard R. Relationship Between Health-Promoting Behaviors and Health Locus of Control in Women with Breast Cancer: The Mediating Role of Cancer Self-Efficacy. Women. Health. Bull. 2023;10(4):2-10. doi: 10.30476/WHB.2023.99788.1242.

Keywords

  1. Nia HT, Munn LL, Jain RK. Physical traits of cancer. Science. 2020;370(6516):eaaz0868. doi: 10.1126/science.aaz0868. PubMed PMID: 33122355; PubMed Central PMCID: PMC8274378. ##
  2. Łukasiewicz S, Czeczelewski M, Forma A, Baj J, Sitarz R, Stanisławek A. Breast Cancer-Epidemiology, Risk Factors, Classification, Prognostic Markers, and Current Treatment Strategies-An Updated Review. Cancers (Basel). 2021;13(17):4287. doi: 10.3390/cancers13174287. PubMed PMID: 34503097; PubMed Central PMCID: PMC8428369. ##
  3. Arnold M, Morgan E, Rumgay H, Mafra A, Singh D, Laversanne M, et al. Current and future burden of breast cancer: Global statistics for 2020 and 2040. Breast. 2022;66:15-23. doi: 10.1016/j.breast.2022.08.010. PubMed PMID: 36084384; PubMed Central PMCID: PMC9465273. ##
  4. Farhood B, Geraily G, Alizadeh A. Incidence and Mortality of Various Cancers in Iran and Compare to Other Countries: A Review Article. Iran J Public Health. 2018;47(3):309-316. PubMed PMID: 29845017; PubMed Central PMCID: PMC5971166. ##
  5. Iddrisu M, Aziato L, Dedey F. Psychological and physical effects of breast cancer diagnosis and treatment on young Ghanaian women: a qualitative study. BMC Psychiatry. 2020;20(1):353. doi: 10.1186/s12888-020-02760-4. PubMed PMID: 32631279; PubMed Central PMCID: PMC7336427. ##
  6. Ataollahi MR, Sharifi J, Paknahad MR, Paknahad A. Breast cancer and associated factors: a review. J Med Life. 2015;8(Spec Iss 4):6-11. PubMed PMID: 28316699; PubMed Central PMCID: PMC5319297. ##
  7. Kianpour Barjoee L, Amini N, Keykhosrovani M, Shafiabadi A. The Effect of Positive Thinking Skills Training and Acceptance and Commitment Therapy on Perceived Stress among Women with Breast Cancer. Women Health Bull. 2022;9(1):9-16. doi: 10.30476/whb.2022.93905.1159. ##
  8. Agide FD, Sadeghi R, Garmaroudi G, Tigabu BM. A systematic review of health promotion interventions to increase breast cancer screening uptake: from the last 12 years. Eur J Public Health. 2018;28(6):1149-1155. doi: 10.1093/eurpub/ckx231. PubMed PMID: 29351597; PubMed Central PMCID: PMC6241206. ##
  9. Hamed Bieyabanie M, Mirghafourvand M. Health Promoting Lifestyle and its Relationship with Self-Efficacy in Iranian Mastectomized Women. Asian Pac J Cancer Prev. 2020;21(6):1667-1672. doi: 10.31557/APJCP.2020.21.6.1667. PubMed PMID: 32592362; PubMed Central PMCID: PMC7568872. ##
  10. Saei Ghare Naz M, Darooneh T, Salmani F, Kholosi Badr, Ozgoli G. Relationship of Health Locus of Control with Breast Cancer Screening Belief of Iranian Women. Asian Pac J Cancer Prev. 2019;20(3):699-703. doi: 10.31557/APJCP.2019.20.3.699. PubMed PMID: 30909667; PubMed Central PMCID: PMC6825783. ##
  11. Zahedi R, Rezapour M, Molavi Vardanjani H, Baneshi MR, Haghdoost AA, Malekpour Afshar R, et al. Breast Cancer Risk Perception and Screening Behaviors of Iranian Women. Women Health Bull. 2021;8(2):98-106. doi: 10.30476/whb.2021.89925.1103. ##
  12. Pourhoseinzadeh M, Gheibizadeh M, Moradikalboland M, Cheraghian B. The Relationship between Health Locus of Control and Health Behaviors in Emergency Medicine Personnel. Int J Community Based Nurs Midwifery. 2017;5(4):397-407. PubMed PMID: 29043285; PubMed Central PMCID: PMC5635559. ##
  13. Pahlevan Sharif S. Locus of control, quality of life, anxiety, and depression among Malaysian breast cancer patients: The mediating role of uncertainty. Eur J Oncol Nurs. 2017;27:28-35. doi: 10.1016/j.ejon.2017.01.005. PubMed PMID: 28279393. ##
  14. Gibek K, Sacha T. Comparison of health locus of control in oncological and non-oncological patients. Contemp Oncol (Pozn). 2019;23(2):115-120. doi: 10.5114/wo.2019.85638. PubMed PMID: 31316295; PubMed Central PMCID: PMC6630391. ##
  15. Bandura A. Human agency in social cognitive theory. Am Psychol. 1989;44(9):1175-84. doi: 10.1037/0003-066x.44.9.1175. PubMed PMID: 2782727. ##
  16. Nazari I, Makvandi B, Saraj Khorrami N, Heidari A. Effects of Gestalt Group Therapy and Reality Therapy on Perceived Self- Efficacy in Women with Breast Cancer. Women Health Bull. 2023;10(1):52-60. doi: 10.30476/whb.2023.97501.1210. ##
  17. Awick EA, Phillips SM, Lloyd GR, McAuley E. Physical activity, self-efficacy and self-esteem in breast cancer survivors: a panel model. Psychooncology. 2017;26(10):1625-1631. doi: 10.1002/pon.4180. PubMed PMID: 27231845; PubMed Central PMCID: PMC5555822. ##
  18. Chacón L, Santoyo-Olsson J, Samayoa C, Alhomsi A, Stewart AL, Ortiz C, Escalera C, Nápoles AM. Self-Efficacy for Coping with Breast Cancer Treatment Among Spanish-Speaking Latinas. Health Equity. 2021;5(1):245-252. doi: 10.1089/heq.2020.0152. PubMed PMID: 33937611; PubMed Central PMCID: PMC8082036. ##
  19. Ross A, Jumin Lee L, Wehrlen L, Cox R, Yang L, Perez A, et al. Factors That Influence Health-Promoting Behaviors in Cancer Caregivers. Oncol Nurs Forum. 2020;47(6):692-702. doi: 10.1188/20.ONF.692-702. PubMed PMID: 33063787. ##
  20. Hamed Bieyabanie M, Mirghafourvand M. Health Promoting Lifestyle and its Relationship with Self-Efficacy in Iranian Mastectomized Women. Asian Pac J Cancer Prev. 2020;21(6):1667-1672. doi: 10.31557/APJCP.2020.21.6.1667. PubMed PMID: 32592362; PubMed Central PMCID: PMC7568872. ##
  21. Merluzzi TV, Pustejovsky JE, Philip EJ, Sohl SJ, Berendsen M, Salsman JM. Interventions to enhance self-efficacy in cancer patients: A meta-analysis of randomized controlled trials. Psychooncology. 2019;28(9):1781-1790. doi: 10.1002/pon.5148. PubMed PMID: 31206917; PubMed Central PMCID: PMC6731146. ##
  22. Moghaddam Tabrizi F, Alizadeh S, Barjasteh S. The Investigation of the Relationship Between Cancer Coping and Symptom Management Self-Efficacy, Perceived Social Support, Uncertainty and Life Orientation in Breast Cancer Female Survivors. Avicenna J Nurs Midwifery Care. 2018;26(1):1-10. doi: 10.30699/sjhnmf.26.1.1. Persian. ##
  23. Park KA, Kim S, Oh EG, Kim H, Chang HS, Kim SH. Factors affecting the health-promoting behavior of thyroid cancer survivors: comparison by stage of cancer survivorship. Support Care Cancer. 2022;30(4):3429-3439. doi: 10.1007/s00520-022-06799-9. PubMed PMID: 34999951; PubMed Central PMCID: PMC8857080. ##
  24. Dopelt K, Bashkin O, Asna N, Davidovitch N. Health locus of control in cancer patient and oncologist decision-making: An exploratory qualitative study. PLoS One. 2022;17(1):e0263086. doi: 10.1371/journal.pone.0263086. PubMed PMID: 35085354; PubMed Central PMCID: PMC8794183. ##
  25. Toscano A, Blanchin M, Bourdon M, Bonnaud Antignac A, Sébille V. Longitudinal associations between coping strategies, locus of control and health-related quality of life in patients with breast cancer or melanoma. Qual Life Res. 2020;29(5):1271-1279. doi: 10.1007/s11136-019-02401-8. PubMed PMID: 31894505. ##
  26. Wu X, Xu H, Zhang X, Han S, Ge L, Li X, et al. Self-efficacy, Hope as Mediators Between Positive Coping and Resilience Among Patients With Gastric Cancer Before the First Chemotherapy. Cancer Nurs. 2021;44(1):79-85. doi: 10.1097/NCC.0000000000000753. PubMed PMID: 31743154. ##
  27. Marr J, Wilcox S. Self-efficacy and Social Support Mediate the Relationship Between Internal Health Locus of Control and Health Behaviors in College Students. American Journal of Health Education. 2015;46(3):122-131. doi: 10.1080/19325037.2015.1023477. ##
  28. Sakkaki S, Naderi F, Hafezi F. Relationships Between Chronic Fatigue Syndrome, Experiential Avoidance, and Health-Related Quality of Life in Cervical Cancer Cases Mediated by Depression. Women Health Bull. 2023;10(2):104-111. doi: 10.30476/WHB.2023.98545.1228. ##
  29. Walker SN, Sechrist KR, Pender NJ. The Health-Promoting Lifestyle Profile: development and psychometric characteristics. Nurs Res. 1987;36(2):76-81. PubMed PMID: 3644262. ##
  30. Mohamadian H, Ghannaee M, Kortdzanganeh J, Meihan L. Reliability and Construct Validity of the Iranian Version of Health-promoting Lifestyle Profile in a Female Adolescent Population. Int J Prev Med. 2013;4(1):42-9. PubMed PMID: 23412661; PubMed Central PMCID: PMC3570910. ##
  31. Wallston KA, Wallston BS, DeVellis R. Development of the Multidimensional Health Locus of Control (MHLC) Scales. Health Educ Monogr. 1978;6(2):160-70. doi: 10.1177/109019817800600107. PubMed PMID: 689890. ##
  32. Jafari A, Zadehahmad Z, Dogonchi M, Ghelichi-Ghojogh M, Moshki M. Psychometric properties of multidimensional health locus of control scale, form C among Iranian type 2 diabetes. J Diabetes Metab Disord. 2023:1-9. doi: 10.1007/s40200-023-01227-z. PubMed PMID: 37363200; PubMed Central PMCID: PMC10201480. ##
  33. Merluzzi TV, Philip EJ, Heitzmann Ruhf CA, Liu H, Yang M, Conley CC. Self-efficacy for coping with cancer: Revision of the Cancer Behavior Inventory (Version 3.0). Psychol Assess. 2018;30(4):486-499. doi: 10.1037/pas0000483. PubMed PMID: 28504538; PubMed Central PMCID: PMC5685945. ##
  34. Karamoozian M, Kalantari Khandani B, Bagheri M, Dehghanifar F, Darekordi A. Assessing Self-efficacy for Coping with Cancer: Psychometric Analysis of the Cancer Behavior Inventory (CBI). Ijbd. 2020;12(4):8-20. doi: 10.30699/ijbd.12.4.8. Persian. ##
  35. Sepah Mansour M, Bagheri F. Predicting Health promoting lifestyle from health locus of control and attachment style. Health Psychology. 2017;6(22):131-144. doi: 20.1001.1.23221283.1396.6.22.9.3. Persian. ##
  36. Hossaini FA, Sharifi N, Dowlatkhah HR. Compare health promoting behaviors and health locus of control in medical and non-medical students in 2017. Pars Journal of Medical Sciences. 2022;16(3):25-32. doi: 10.52547/jmj.16.3.25. Persian. ##
  37. Fan J-L, Kong Y, Shi S-H, Cheng Y-H. Positive correlations between the health locus of control and self-management behaviors in hemodialysis patients in Xiamen. International Journal of Nursing Sciences. 2016;3(1):96-101. doi: 10.1016/j.ijnss.2016.02.002. ##
  38. Shen Y, Zhu W, Lu L, Lu F, Kan K, Bao Y, et al. Contribution of structured self-monitoring of blood glucose to self-efficacy in poorly controlled diabetes patients in China. Diabetes Metab Res Rev. 2019;35(1):e3067. doi: 10.1002/dmrr.3067. PubMed PMID: 30144264.
  39. Bandura A. On the Functional Properties of Perceived Self-Efficacy Revisited. Journal of Management. 2011;38(1):9-44. doi: 10.1177/0149206311410606. ##
  40. Liang SY, Chao TC, Tseng LM, Tsay SL, Lin KC, Tung HH. Symptom-Management Self-efficacy Mediates the Effects of Symptom Distress on the Quality of Life Among Taiwanese Oncology Outpatients with Breast Cancer. Cancer Nurs. 2016;39(1):67-73. doi: 10.1097/NCC.0000000000000244. PubMed PMID: 25730592. ##