Structural Equation Modeling of Adherence to Treatment on Emotional Regulation Mediated by Coping Strategies by in Women with Breast Cancer Undergoing Chemotherapy

Background: Cancer is a complex, debilitating, and common disease with many dimensions, consequences, and psychological, biological, and social complications. We aimed to investigate the structural equations of treatment adherence based on emotional, cognitive regulation mediated by coping styles in women with breast cancer undergoing chemotherapy.Methods: The present study was a correlational study using structural equation modeling. The statistical population included patients with breast cancer referred to specialized cancer clinics in Tehran between October and February ۲۰۱۸. The sample consisted of ۲۵۰ patients with breast cancer who were selected by convenience sampling. Data were obtained using the Folkman and Lazarus Coping Strategies Questionnaire, the Cognitive Emotion Regulation Questionnaire (CERQ), and Morisky Medication Adherence Scale (MMAS-۸). Data were also analyzed using correlation coefficients, Pearson’s correlation matrix, multiple regression, and structural equation modeling. Also, all statistical calculations were performed using Amos ۲۲ and SPSS ۲۲ software.Results: Emotion regulation had a direct effect on coping strategies (β = ۰.۴۸, P < ۰.۰۰۱) and adherence to treatment (β = ۰.۶۳, P < ۰.۰۰۱). Coping strategies had a mediating role in the relationship between emotion regulation and adherence to treatment (AGFI = ۰.۹۸, RMSEA = ۰.۰۶۷).Conclusion: There is a relationship between emotion regulation and adherence to treatment and coping strategies has a mediating role in women with breast cancer undergoing chemotherapy.

کلیدواژه ها:

Emotional regulation ، Coping strategies ، Breast cancer ، Women