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Purpose <p>To explore the mediating and moderating roles of Sense of Coherence (SoC) and coping strategies, as well as their influences and dimensions, on Health-related Quality of Life (HRQoL) in Bangladeshi women with breast cancer.</p> Methods <p>This cross-sectional study included a total of 125 women with breast cancer. Data were collected using the 13-item Orientation to Life Questionnaire (QLQ 13), the Coping Orientation to Problems Experienced Inventory (Brief-COPE), and the European Organisation for Research and Treatment of Cancer Quality of Life Questionnaire Core-30 Version 3.0 (EORTC QLQ-C30). Pearson’s correlation coefficient, multiple linear regression, and mediation/moderation analyses were conducted. A p-value of &lt; 0.05 was considered statistically significant.</p> Result <p>A significant association was observed between SoC and HRQoL (β = 0.46, <i>p</i> &lt; .001). Among coping strategies, the Use of Instrumental Support (UIS) (<i>r</i> = .209, <i>p</i> &lt; .05), Positive Reframing (PR) (<i>r</i> = .193, <i>p</i> &lt; .05), Planning (Pl) (<i>r</i> = .199, <i>p</i> &lt; .05), and Self-blame (SB) (<i>r</i> = − .429, <i>p</i> &lt; .01) were significantly correlated with both HRQoL and SoC. SoC partially mediated the effects of UIS, PR, SB on HRQoL. Significant mediation effects were observed for UIS (95% CI [0.002, 2.95]), PR (95% CI [0.31, 3.62]), and SB (95% CI [-4.75, -1.62]). However, SoC did not moderate the relationship between coping strategies and HRQoL.</p> Conclusion <p>Healthcare providers should incorporate SoC and adaptive coping strategies, such as positive reframing and use of instrumental support, into clinical practice and rehabilitation programs to enhance the Health-Related Quality of Life of patients with breast cancer.</p>

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Sense of coherence and coping strategies and their influences on quality of life of patients with breast cancer in Bangladesh: a hospital-based cross-sectional study

  • 期刊论文

  • 出版模式：

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  • 发表日期：

    2026年3月6日

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  • Syeda Naheed Sultana,
  • Sabrina Mousum,
  • Taslima Chowdhury,
  • M. Atiqul Haque

摘要

Purpose

To explore the mediating and moderating roles of Sense of Coherence (SoC) and coping strategies, as well as their influences and dimensions, on Health-related Quality of Life (HRQoL) in Bangladeshi women with breast cancer.

Methods

This cross-sectional study included a total of 125 women with breast cancer. Data were collected using the 13-item Orientation to Life Questionnaire (QLQ 13), the Coping Orientation to Problems Experienced Inventory (Brief-COPE), and the European Organisation for Research and Treatment of Cancer Quality of Life Questionnaire Core-30 Version 3.0 (EORTC QLQ-C30). Pearson’s correlation coefficient, multiple linear regression, and mediation/moderation analyses were conducted. A p-value of < 0.05 was considered statistically significant.

Result

A significant association was observed between SoC and HRQoL (β = 0.46, p < .001). Among coping strategies, the Use of Instrumental Support (UIS) (r = .209, p < .05), Positive Reframing (PR) (r = .193, p < .05), Planning (Pl) (r = .199, p < .05), and Self-blame (SB) (r = − .429, p < .01) were significantly correlated with both HRQoL and SoC. SoC partially mediated the effects of UIS, PR, SB on HRQoL. Significant mediation effects were observed for UIS (95% CI [0.002, 2.95]), PR (95% CI [0.31, 3.62]), and SB (95% CI [-4.75, -1.62]). However, SoC did not moderate the relationship between coping strategies and HRQoL.

Conclusion

Healthcare providers should incorporate SoC and adaptive coping strategies, such as positive reframing and use of instrumental support, into clinical practice and rehabilitation programs to enhance the Health-Related Quality of Life of patients with breast cancer.