The Structural Model of the Role of Cognitive Coping Strategies in Relation to Psychological Hardiness with Hope in Women with Breast Cancer

Mehre Sanei, Farshid Khosropour, Abbas Bahrampour



Background and Aim: Cancer is a threat to the health of human and not only has physical influences but vigorous psychological impacts on individuals. The aim of the present study was to investigate the Psychological Hardiness with hope of cognitive coping strategies in female patients suffering from breast cancer.

Materials and Methods: The method of present research is descriptive-correlation and the statistic population was 540 female patients, chosen from all cancer patients of the oncology ward of Shahid Bahonar Hospital of Kerman, who were selected by available sampling method. Participants filled out the questionnaires of Psychological Hardiness (Ahvaz), Hope (Miller), Pain coping strategies (Rosenstile and Keef) in this research. The model was analyzed by AMOS-24 software. The main principal of data analysis was predicated on structural equations and confirmatory factor analysis.

Findings: The findings of this study revealed that the direct influence of two variables of cognitive coping strategies and Psychological Hardiness was 0.78, for hope and Psychological Hardiness was 0.41 and for hope against cognitive coping strategies was 0.55 and to show the indirect effect, Bias-corrected percentile method test was utilized. And the test became statistically significant (P-Value<0.05).

Ethical Considerations: The informed consent of the participants was obtained and it was assured about the confidentiality of information.

Conclusion: Based on the findings of this study, cognitive coping strategies, as mediating variable, can advance the impact of Psychological Hardiness on the hope of patients suffering from cancer.


Cite this article as: Sanei M, Khosropour F, Bahrampour A. The Structural Model of the Role of Cognitive Coping Strategies in Relation to Psychological Hardiness with Hope in Women with Breast Cancer. Med Ethics J 2019; 13(44): e7.


Cognitive Coping Strategies; Psychological Hardiness; Hope; Breast Cancer

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National Comprehensive Cancer Network (NCCN). NCCN Clinical Practice Guidelines in Oncology. Breast Cancer. 2012 Ver.1. Accessed at: On April 17, 2012.

Asghari Moghadam M, Golk N. 2005. The strategic role of coping with pain in adjustment to chronic pain. Daneshvar Raftar Journal 2005; 12(4): 1-22. [Persian]

Rezaei S. The relationship between depression and pain coping strategies in patients with chronic back pain. A provisional study with pain intensity control and duration of suffer. Bimonthly Journal of Shahed University 2009; 16(81): 63-74. [Persian]

Akyuz A, Guvenc G, Ustunsoz A, Kaya T. Living with gynecologic cancer: experience of women and their partners. J Nurs Scholarsh 2008; 40(3): 241-247.

Hounsgaard L, Petersen LK, Pedersen BD. Facing possible illness detected through screening experiences of healthy women with pathological cervical smears. Eur J Oncol Nurs 2007; 11(5): 417-423.

Pedramrazi SH, Haghighat SH, Jorban M, Parsayekta Z, Hoseiniagha F. Effect of reflexology on quality of life in Breast Cancer Patients Receiving Chemotherapy. IJBD 2013; 6(1): 23-34.

Luckman J, Sorenssen KC. Coreprincipals & practice of medical surgical nursing. 14th ed. Nurses: Perspective on the Meaning of Hope in Patients with Cancer. Philadelphia Saunders: Oncology Nursing Forum; 1989.

Soeken K, Carson V. Responding to the spiritual needs of the choronically ill. Nurs Clin N Am 1987; 3(2): 603-611.

Roleigh E. Sources of hope in choronic illness. Oncology Nursing Forum 1992; 3(16): 443-448.

Herth K. Enhancing hope in people with a first recurrence of cancer. J Adv Nurs 2000; 32(6): 1431-1441.

Akbari M. Cancer in Iran. Qom: Darolfekr; 2009.

Koeningh G. Spirituality and depression. Southern Edical 2007; 7(5): 737-739.

Kobasa SC. Stressful life events, personality, and health: An inquiry into hardiness. Journal of Personality and Social Psychology 1979; 37(4): 1-11.

Kobasa SC, Puccetti MC. Personality and social resources in stress resistance. Journal of Personality and Social Psychology 1983; 45(3): 839-850.

Kobasa S. The hardy personality: Toward a social psychology of stress and health. Edited by Sander GS. Social Psychology of health and illness. Hillsdale: Erbium; 1982.

Hosseini Ghomi T, Salimi Bajestani H. Effectiveness of resilience training on stress of mothers of children with cancer in Imam Khomeini Hospital of Tehran. Psychology Journal Health 2012; 4(20): 250-257. [Persian]

Hosseinian A, Sodani M, Mehrabi Zadeh Honarmand M. Meaning effectiveness of group therapy on life hope for cancer patients. Journal of Behavioral Sciences 2009; 40(4): 287-292. [Persian]

Rosenstile AK, Keef FJ. The use of coping strategies in chronic low back pain patients: Relationship to patient characteristics and current adjustment. Pain 1983; 17(3): 33-44.

Keimarti A, Carpenter B, Mehrabizade H. The Artist Construction and Compilation of Scale to Measure Psychological Hardiness. Journal of Educational Sciences and Psychology 1998; 2(3): 284-271. [Persian]

Herth KA, Cutcliffe JR. The concept of hope in nursing 3: hope and palliative care nursing. Br J Nurs 2002; 11(14): 977-983.

Spiegel D, Bloom JR. Pain in metastatic breast cancer. Cancer 2010; 52(2): 341-345.

Watson M, Havilland JS, Greer S, Davidson J, Bliss JM. In flounce of psychol ogical response on survival in breast cancer: A Population-based cohort study. Lancet 1999; 354(9187): 1331-1336.

Yousefzadeh H. Relationship between psychological hardiness, life satisfaction and hope with academic performance of pre-university girl students in Ahvaz. Ahvaz: Master's Thesis, General Psychology, Ahwaz University; 2010. [Persian]

Ghasemzadeh H. Investigating the Relationship between Psychological Hardiness and Hope in Athletes, Research Paper. Journal of Rafsanjan University of Medical Sciences 2011; 11(5): 2011. [Persian]

Baljani A, Kheshabi J, Amanpour A, Azimi N. Examination of relationship between spiritual health, religion and hope in patients with cancer. Hayat 2011; 17(3): 27-37. [Persian]


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