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Intrusive Thoughts and Psychological Adjustment to Breast Cancer: Exploring the Moderating and Mediating Role of Global Meaning and Emotional Expressivity / Fotios Anagnostopoulos; Julie Slater; Deborah Fitzsimmons
Journal of Clinical Psychology in Medical Settings, Volume: 17, Issue: 2, Pages: 137 - 149
Swansea University Author: Slater, Julie
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The aim of this study was to investigate the moderating and mediating role of global meaning and emotional expressivity in the relationship between intrusive thoughts and psychological adjustment in a sample of breast cancer patients (n=153). Coping with cancer was also included as an intervening va...
|Published in:||Journal of Clinical Psychology in Medical Settings|
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The aim of this study was to investigate the moderating and mediating role of global meaning and emotional expressivity in the relationship between intrusive thoughts and psychological adjustment in a sample of breast cancer patients (n=153). Coping with cancer was also included as an intervening variable to be tested. Moderating effects were explored using a series of hierarchical regression analyses, while multiple mediated effects were tested through bootstrapping procedures. Results showed that global personal meaning had both direct and indirect (mediating) effects on psychological adjustment. Emotional expressivity had neither moderating nor mediating effects on psychological adjustment. These results indicated that a strong sense of personal meaning and purpose in life and an integrated understanding of self and life may lessen the impact of intrusive thoughts on breast cancer patients' psychological adjustment and mental halth status. Implications of findings for clinical practice and recommendations for future research are discussed.
Breast cancer, mediation, moderation, global meaning, intrusive thoughts
College of Human and Health Sciences