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    Stuck in the spin cycle: Avoidance and intrusions following breast cancer diagnosis

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    Name:
    Bauer_et_al-2017-British_Journ ...
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    Final Accepted Manuscript
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    Author
    Bauer, Margaret R
    Wiley, Joshua F
    Weihs, Karen L
    Stanton, Annette L
    Affiliation
    Univ Arizona, Dept Psychiat
    Issue Date
    2017-09-01
    Keywords
    avoidance
    cancer
    cognitive processing
    coping
    intrusive thoughts
    
    Metadata
    Show full item record
    Publisher
    WILEY
    Citation
    Bauer, M. R., Wiley, J. F., Weihs, K. L. and Stanton, A. L. (2017), Stuck in the spin cycle: Avoidance and intrusions following breast cancer diagnosis. Br J Health Psychol, 22: 609-626. doi:10.1111/bjhp.12252
    Journal
    BRITISH JOURNAL OF HEALTH PSYCHOLOGY
    Rights
    © 2017 The British Psychological Society
    Collection Information
    This item from the UA Faculty Publications collection is made available by the University of Arizona with support from the University of Arizona Libraries. If you have questions, please contact us at repository@u.library.arizona.edu.
    Abstract
    Objectives. Theories and research regarding cognitive and emotional processing during the experience of profound stressors suggest that the presence of intrusive thoughts and feelings predicts greater use of avoidance and that the use of avoidance paradoxically predicts more intrusions. However, empirical investigations of their purported bidirectional relationship are limited. Design. This study presents a longitudinal investigation of the reciprocal relationship between intrusions and avoidance coping over a 6-month period in the year following breast cancer diagnosis. Methods. Breast cancer patients (N = 460) completed measures of cancer-related intrusions and avoidance at study entry, 3 months, and 6 months later (i.e., an average of 2, 5, and 8 months after diagnosis, respectively). Results. Cross-lagged panel analyses revealed that intrusive thoughts, feelings, and images at study entry predicted greater avoidance 3 months later, and avoidance coping at study entry predicted intrusions 3 months later, controlling for the stability of intrusions and avoidance as well as time since diagnosis. Findings were not statistically significant for avoidance predicting intrusions, or vice versa, between the 3-month and the 6-month assessment period, during which they declined. Conclusions. These findings provide empirical support for the theoretical contention that avoidance and intrusive thoughts and emotions reciprocally influence one another following stressful events. Additionally, in the months shortly after breast cancer diagnosis, intrusions and avoidance are positively related. However, the relationships attenuate over time, which could indicate resolved cognitive and emotional processing of the cancer experience.
    Note
    12 month embargo; published online: 19 June 2017
    ISSN
    2044-8287
    PubMed ID
    28628740
    DOI
    10.1111/bjhp.12252
    Version
    Final accepted manuscript
    Sponsors
    NIH/NCI [1R01 CA133081]; NCI - University of Arizona Cancer Center Support Grant [P30CA023074]; National Science Foundation [DGE-1144087]; Breast Cancer Research Foundation [BCRF-16-151]
    Additional Links
    https://onlinelibrary.wiley.com/doi/10.1111/bjhp.12252
    ae974a485f413a2113503eed53cd6c53
    10.1111/bjhp.12252
    Scopus Count
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    UA Faculty Publications

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