The Interplay Between Trait Resilience and Coping Self-efficacy in Patients with Breast Cancer: An International Study

E. C. Karademas*, P. Simos, R. Pat-Horenczyk, I. Roziner, K. Mazzocco, B. Sousa, G. Stamatakos, G. Tsakou, F. Cardoso, D. Frasquilho, E. Kolokotroni, C. Marzorati, J. Mattson, A. J. Oliveira-Maia, K. Perakis, G. Pettini, L. Vehmanen, P. Poikonen-Saksela

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

4 Scopus citations


The role of self-efficacy to cope with breast cancer as a mediator and/or moderator in the relationship of trait resilience to quality of life and psychological symptoms was examined in this study. Data from the BOUNCE Project ( were used. Women diagnosed with and in treatment for breast cancer (N = 484), from four countries, participated in the study. Trait resilience and coping self-efficacy were assessed at baseline (soon after the beginning of systemic treatment), and outcomes (quality of life, psychological symptoms) 3 months later. Hierarchical regression, mediation, moderation, and conditional (moderated) mediation and moderation analyses were performed to examine the study hypotheses. Coping self-efficacy mediated the impact of trait resilience. In addition, higher levels of resilience in combination with higher levels of coping self-efficacy were associated with better outcomes. Country of origin had no impact on these results. Overall, it seems that coping self-efficacy is a key factor that should be taken into account for research and intervention efforts in cancer.

Original languageAmerican English
Pages (from-to)119-128
Number of pages10
JournalJournal of Clinical Psychology in Medical Settings
Issue number1
Early online date30 Apr 2022
StatePublished - Mar 2023
Externally publishedYes

Bibliographical note

Publisher Copyright:
© 2022, The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature.


  • BOUNCE project
  • Breast cancer
  • Coping self-efficacy
  • Cultural differences
  • Resilience


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