Bu çalışmanın amacı, tedavi görmekte olan meme kanserli kadınların hastalık temsilleri ve başa çıkma tarzları ile kaygı ve depresyon düzeyleri arasındaki ilişkileri incelemektir. Araştırmanın çalışma grubunu, Akdeniz bölgesindeki iki büyükşehirde yaşayan, birincil meme kanseri tanısı almış ve tedavileri ayakta devam etmekte olan 103 kadın oluşturmaktadır. Araştırmada, Hastalık Algısı Ölçeği, Stresle Başa Çıkma Tarzları Ölçeği, Beck Anksiyete Ölçeği ve Beck Depresyon Ölçeği olmak üzere dört ölçme aracı kullanılmıştır. Oluşturulan hipotetik modeli test etmek amacıyla kullanılan yol analizi sonucunda, meme kanserli kadınların hastalık algıları, problem odaklı ve duygu odaklı başa çıkma tarzları ile kaygı ve depresyon düzeyleri arasında anlamlı düzeyde doğrudan ve dolaylı ilişkiler bulunduğu belirlenmiştir. Elde edilen bulgular sağlık psikolojik danışmanlığı çerçevesinde tartışılarak uygulamalara ve gelecek çalışmalara yönelik önerilerde bulunulmuştur.
Albery, I. P., & Munafó, M. (2008). Key concepts in health psychology. London: Sage Publications.
Aldwin, C. M. (2007). Stress, coping, and development: An integrative perspective (2nd ed.). New York:
The Guilford Press.
American Psychiatric Association (2013). Diagnostic and statistical manual of mental disorders (5th ed.).
Arlington, VA: American Psychiatric Publishing.
Armay, Z., Özkan, M., Kocaman, N. ve Özkan, S. (2007). Hastalık algısı ölçeğinin kanser
hastalarında geçerlik ve güvenirlik çalışması. Klinik Psikiyatri, 10, 192-200.
Aydoğan, Ü., Doğaner, Y. C., Borazan, E., Kömürcü, Ş., Koçak, N., Öztürk, B., Özet, A. ve
Sağlam, K. (2012). Kanser hastalarında depresyon ve anksiyete düzeyleri ve hastalıkla
başa çıkma tutumlarının ilişkisi. Türk Aile Hekimliği Dergisi, 16(2), 55-60.
Bair, M. J., Poleshuck, E. L., Wu, J., Krebs, E., Damush, T., Tu, W., & Kroenke, K. (2013).
Anxiety but not social stressors predict 12-month depression and pain severity. Clinical
Journal of Pain, 29, 95-101.
Bayraklı, H. (2010). Zihinsel engelli çocuğu olan ve engelli çocuğu olmayan annelerde yılmazlığa etki eden
değişkenlerin incelenmesi. Yayınlanmamış yüksek lisans tezi, Ankara Üniversitesi, Ankara.
Beck, A. T., Epstein, N., Brown, G., & Steer, R. A. (1988). An inventory for measuring clinical
anxiety: Psychometric properties. Journal of Consulting and Clinical Psycholohy, 56, 893-897.
Beck, A. T., Rush, A. J., Shaw, B. F., & Emery, G. (1979). Cognitive therapy of depression. New York:
Guilford Press.
Beck, A. T., Ward, C. H., Mendelson, M., Mock, J., & Erbaugh, J. (1961). An inventory for
measuring depression. Archives of General Psychiatry, 4, 561-571.
Ben-Zur, H., Gilbur, O., & Lev, S. (2001). Coping with breast cancer: Patient, spouse, and dyad
models. Psychosomatic Medicine, 63, 32–39.
Benyamini, B., Gozlan, M., & Kokia, E. (2004). On the self-regulation of a health threat:
Cognitions, coping, and emotions among women undergoing treatment for infertility.
Cognitive Therapy and Research, 28(5), 577–592.
Bentler, P. M. (1990). Comparative fit indexes in structural models. Psychological Bulletin, 107, 238-
246.
Bentler, P. M. (1995). EQS structural equations program manual. Encino, CA: Multivariate Software.
Bentler, P. M., & Bonett, D. G. (1980). Significance tests and goodness-of-fit in the analysis of
covariance structures. Psychological Bulletin, 88, 588–600.
Bollen, K. A. (1989). Structural equations with latent variables. New York, NY: Wiley & Sons.
Burgess, C., Cornelius, V., Love, S., Graham, J., Richards, M., & Ramirez, A. (2005). Depression
and anxiety in women with early breast cancer: five year observational cohort study.
British Medical Journal, 330, 702-705.
Büyüköztürk, Ş. (2011). Sosyal bilimler için veri analizi el kitabı. Ankara: Pegem Akademi.
Cameron, L. D., Booth, R. J., Schlatter, M. S., Ziginskas, D., & Harman, J. (2007). Changes in
emotion regulation and psychological adjustment following use of a group psychosocial
support program for women recently diagnosed with breast cancer. Psycho-Oncology, 16,
171-180.
Cameron, L. D., & Jago, L. (2008). Emotion regulation interventions: A common-sense model
approach. British Journal of Health Psychology, 13, 215-221.
Carlisle, A. C., John, A. M., Fife-Schaw, C., & Lloyd, M. (2005). The self-regulatory model in
women with rheumatoid arthritis: Relationships between illness representations, coping
strategies, and illness outcome. Brritish Journal of Health Psychology. 10, 571- 587.
Clark, D.A., & Beck, A.T. (2010). Cognitive therapy for anxiety disorders; science and practice. New York:
Guilford Press.
Clarke, D. M. (2011). Psychological adaptation, demoralization and depression in people with
cancer. In D.W. Kissane, M. Maj & N. Sartorius (Eds.), Depression and cancer. (pp. 37-50).
West Sussex: John Wiley & Sons.
Clarke, D. M., Kissane, D. W., Trauer, T., & Smith, G. C. (2005). Demoralization, anhedonia
and grief in patients with severe physical illness. World Psychiatry, 4, 96-105.
Clarke, D. M., Mackinnon, A. J., Smith, G. C., McKenzie, D. P., & Herrman, H. E. (2000)
Dimensions of psychopathology in the medically ill: A latent trait analysis. Psychosomatics,
41, 418-425.
Dein, S. (2004). Explanatory models of and attitudes towards cancer in different cultures. Lancet
Oncology, 5,119–24.
Dempster, M., McCorry, N. K., Brennan, E., Donnelly, M., Murray, L., & Johnston, B. T. (2012).
Psychological distress among survivors of esophageal cancer: The role of illness
cognitions and coping. Dis Esophagus, 25(3), 222-227.
De Ridder, D, & Witt, J. (2006). Self-regulation in health behavior: concepts, theories, and central
ıssues. In D. De Ridder & J. De Witt (Eds.), Self-regulation in health behavior. (pp. 1-24).
West Sussex: John Wiley & Sons.
Doka, K. J. (2009). Counseling individuals with life-threatening illness. New York: Springer Publishing
Company.
Dunkel-Schetter, C., Feinstein, L. G., Taylor, S. E., & Falke, R. L. (1992). Patterns of coping
with cancer. Health Psychology, 11(2), 79-87
Erkuş, A. (2009). Davranış bilimleri için bilimsel araştırma süreci, (2. bs.). Ankara: Seçkin Yayıncılık
Evans, D., & Norman, P. (2009). Illness representations, coping and psychological adjustment
to parkinson’s disease. Psychology and Health, 24(10), 1181-1196.
Filazoglu, G., & Griva, K. (2008). Coping and social support and health related quality of life in
women with. Health and Medicine Psychology, 13(5), 559-573.
Fillion, L., Kovacs, A. H., Gagnon, P. & Endler, N. S. (2002). Validation of the shortened COPE
for use with breast cancer patients undergoing radiation therapy. Current Psychology, 21(1),
17-34
Folkman, S., & Lazarus, L. (1980). An analysis of coping in a middle-aged community sample.
Journal of Health and Social Behavior, 21(3), 219-239.
Folkman, S., Lazarus, R. S., Dunkel-Schetter, C., DeLongis, A., & Gruen, R. J. (1986). Dynamics
of a stressful encounter: cognitive appraisal, coping, and encounter outcomes. Journal of
Personality and Social Psychology, 50(5), 992-1003.
Gilbar, O. and HevroniI, A. (2007). Counterfactuals, coping strategies and psychological distress
among breast cancer patients. Anxiety, Stress, ve Coping, 20(4), 383-392.
Goldberg, D. P., & Lecrubier, Y. (1995). Form and frequency of mental disorders across centres.
In T. B. Üstün, & N. Sartorius (Eds.), Mental illness in general health care: An international
study (pp. 323-335). Chichester: John Wiley & Sons.
Goli, F., Scheidt C.E., Gholamrezaei, A., & Farzanegan, M. (2014). The role of locus of control
and attributional style in coping strategies and quality of life among Iranian breast cancer
and colorectal cancer patients: A pilot study. International Journal of Body Mind and Culture,
1(1), 65-72.
Gould, R. V., Brown, S. L., & Bramwell, R. (2010). Psychological adjustment to gynecological
cancer: patients' illness representations, coping strategies and mood disturbance.
Psychology and Health, 25(5), 633-646.
Grace, A. L., K. S., Brooksd, D., Arthure, H., Scholel, P., Suskin, N., Jaglal, S., Abramson, B., &
Stewart D. (2005). Illness perceptions among cardiac patients: Relation to depressive
symptomatology and sex. Journal of Psychosomatic Research, 59(3), 153-160.
Gravetter, F. J. & Wallnau, L. B. (2007). Statistics for the behavioral sciences (7th ed.). Canada:
Thomson Wadswort.
Gray, S. E. & Rutter, D. R. (2007). Illness representations in young people with chronic fatigue
syndrome. Psychology and Health, 22, 159-174.
Hagger, M., & Orbell, S. (2003). A meta analytic review of the common-sense model of illness
representations. Psychology and Health, 18, 141-184.
Hagger, M. S., & Orbell, S. (2005). A confirmatory factor analysis of the revised illness perception
questionnaire (IPQ-R) in a cervical screening context. Psychology and Health, 20,161-173.
Heijmans, M. (1999). The role of patients’ illness representations in coping and functioning with
addison’s disease. British Journal of Health Psychology, 4, 137-149 .
Heijmans, M., & De Ridder, D. (1998). Assessing ıllness representations of chronic ıllness:
Explorations of their disease-specific nature. Journal of Behavioral Medicine, 21, 485-503.
Hewitt, M., Herdman, R., & Holland, J. (2004). Meeting psychosocial needs of women with breast
canser/national cancer policy board. Washington: The National Academies Press.
Hirschfeld, R. M. (2001). The comorbidity of major depression and anxiety disorders:
Recognition and management in primary care. Primary Care Companion to Journal of Clinical
Psychiatry, 3, 244-254.
Hisli, N. (1988). Beck depresyon envanteri’nin geçerliği üzerine bir çalışma. Psikoloji Dergisi, 6(22),
118-122.
Hisli, N. (1989). Beck depresyon envanteri’nin üniversite öğrencileri için geçerliği, güvenirliği.
Psikoloji Dergisi, 7, 3-13.
Husain, M. O., Dearman, S. P., Chaudhry, I. B., Rizvi, N., & Waheed, W. (2008). The relationship
between anxiety, depression and illness perception in tberculosis patients in Pakistan.
Clinical Practice and Epidemiology in Mental Health, 4, 4-8.
Institute of Medicine (2008). Cancer care for the whole patient: Meeting psychosocial health needs.
Washington: The National Academies Press.
Jacobsen, P. B., & Donovan, K. A. (2011). Psychological co-morbidities of cancer psychological.
In P. Sherry (Ed.), Co-morbidities of physical illness a behavioral medicine perspective (pp. 163-205).
New York: Springer.
Kang, J. I., Sung, N.Y., Park, S. J., Lee, C. G., & Lee, B. O. (2013). The epidemiology of
psychiatric disorders among women with breast cancer in South Korea: Analysis of
national registry data. Psycho-Oncology, 23(1), 35-39.
Karabulutlu, E. Y., Bilici, M., Çayır, K., Tekin, S. B., & Kantarcı, R. (2010). Coping, anxiety and
depression in Turkish patients with cancer. European Journal of General Medicine, 7(3), 296-
302.
Katon, W., & Roy-Byrne, P. P. (1991). Mixed anxiety and depression. Journal of Abnormal
Psychology, 100, 337-345.
Keeling, M., Bambrough, J., & Simpson, J. (2013). Depression, anxiety and positive affect in
people diagnosed with low‐grade tumours: the role of illness perceptions. Psycho‐Oncology,
22(6), 1421‐1427.
Kline, R. B. (1998). Principles and practices of structural equation modeling. New York: The Guilford
Press.
Knibb, R. C., & Horton, S. (2008). Can illness perceptions and coping predict psychological
distress amongst allergy sufferers? British Journal of Health Psychology 13, 103-119.
Knowles, S., Cook, S., & Tribbick, D. (2013). Relationship between health status, illness
perceptions, coping strategies and psychological morbidity: A preliminary study with IBD
stoma patients. Journal of Crohn's and Colitis, 7, 471-478.
Knowles, S., Wilson, J., Connell, W., & Kamm, M. (2011). Examination of the relations between
disease perceptions, coping strategies, and morbidity in crohn’s disease guided sense
model of illness. Inflammatory Bowel Diseases, 17, 2551-2557.
Kocaman-Yıldırım, N., Okanlı, A., Yılmaz-Karabulutlu, E., Karahisar, F., ve Özkan, S. (2013).
Hemodiyaliz hastalarının anksiyete ve depresyon belirtilerine hastalık algısının etkisi: Çok
merkezli bir çalışma. Anatolian Journal of Psychiatry, 14, 252-259.
Lazarus, R. S., & Folkman, S. (1984). Stress, appraisal, and coping. New York: Springer Publishing.
Lepine, J. P., Chignon, J. M., & Teherani, M. (1993). Suicide attempts in patients with panic
disorder. Arch Gen Psychiatry, 50,144-149.
Leventhal, H., Breland, J. Y., Mora, P. A., & Leventhal, E. A. (2010). Lay representations of
ıllness and treatment: A framework for action. In A. Steptoe (Ed.), Handbook of behavioral
medicine: Methods and applications (pp. 137-154). New York: Springer.
Leventhal, H., Brissette, I., & Leventhal, E. A. (2003). The common-sense model of selfregulation in health and illness. In L. D. Cameron & H. Leventhal (Eds.), The self-regulation of health and illness behaviour (pp. 42-65). New York: Routledge.
Leventhal, H., Halm, E., Horowitz, C., Leventhal, E. A., & Özakıncı, G. (2005). Living with
chronic illness: A contextualized, self-regulation approach. In Sutton, S., Baum, A., &
Johnston M. (Eds.), The Sage handbook of health psychology (pp.197-240). Thousand Oaks,
CA: Sage Publications.
Leventhal, H., Leventhal, E. A., & Contrada, R. J. (1998). Self-regulation, health, and behavior:
a perceptual-cognitive approach. Psychology and Health, 13(4), 717-733.
Leventhal, H., Leventhal, E. A., & Cameron, L. (2001). Representations, procedures, and affect
in illness self-regulation: A perceptual-cognitive model. In A. Baum, T. A. Revenson, &
J. E. Singer (Eds.), Handbook of health psychology (pp. 19-48). Mahwah, NJ: Lawrence
Erlbaum.
Mathew, A. R., Pettit, J. W., Lewinsohn, P. M., Seeley, J. R., & Roberts, R. E. (2011). Comorbidity between major depressive disorder and anxiety disorders: Shared or direct causation? Psychological Medicine, 41(10), 2023-2034.
McAndrew, L. M., Musumeci-Szabo, T. J., Mora, P. A., Vileikyte, L., Burns, E., & Halm, E. A.
(2008). Using the common sense model to design interventions for the prevention and
management of chronic illness threats: From description to process. British Journal of
Health Psychology, 13, 195-204.
Merikangas, K.R., Zhang, H., Avenevoli, S., Acharyya, S., Neuenschwander, M., & Angst J.
(2003). Longitudinal trajectories of depression and anxiety in a prospective community
study: the Zurich Cohort Study. Arch Gen Psychiatry, 60, 993-1000.
Moorey, S., & Greer, S. (2002). Cognitive behaviour therapy for people with cancer. Newyork: Oxford
University Press.
Moss-Morris, R., Weinman, J., Petrie, K. J., Horne, R., & Cameron, L. (2002). The revised illness
perception questionnaire (IPQ-R). Psychology and Health, 17, 1-16.
Moss-Morris, R., Petrie, K. J., & Weinman, J. (1996). Functioning in chronic fatigue syndrome:
do illness perceptions play a regulatory role? British Journal of Health Psychology, 1, 15-25.
National Institute for Health and Clinical Excellence (2010). Depression in adults with a chronic
physical health problem: Treatment and management. Report No. 91. London, UK: NICE.
Nerenz, D. R., Leventhal, H., & Love, R. R. (1982). Factors contributing to emotional distress
duringcancer chemotherapy, Cancer, 50(5), 1020-1027.
New Zealand Guidelines Group (2009). Management of early breast cancer. The Terrace, Wellington:
New Zealand Guidelines Group.
Ogden, J. (2004). Health psychology: A textbook. Berkshire: Open University Press.
Ogden, J. (2010). Understanding breast cancer. West Sussex: Wiley & Sons.
Özen, D. Ş. ve Temizsu, E. (2010). Anksiyete ve depresif bozukluklarda örtüşen ve ayrışan
belirtiler. Psikiyatride Güncel Yaklaşımlar, 2(1), 1-14.
Penley, J. A., Tomaka, J., & Wiebe, J. S. (2002). The association of coping to physical and
psychological health outcomes: A meta-analytic review. Journal of Behavioral Medicine, 25,
551-603.
Richardson E. M., Schüz, N., Sanderson, K., Scott, J. L., & Schüz, B. (2015). Illness
representations, coping, and illness outcomes in people with cancer: A systematic review
and meta‐analysis. Psycho‐Oncology, 26, 724-737.
Roussi, P., Krikeli, V., Hatzidimitriou, C. & Koutri, I. (2007). Patterns of coping, flexibility in
coping and psychological distress in women diagnosed V. Cognitive Theraphy Research , 31,
97-109.
Rozema, H., Völink, T., & Lechner, L. (2009). The role of illness representations in coping and
health of patients treated for breast cancer. Psycho-Oncology 18, 849-857.
Rutter, C. L., & Rutter, D. R. (2002). Illness representation, coping and outcome in irritable
bowel syndrome (IBS). British Journal of Health Psychology, 7, 377-391.
Saniah, A., & Zainal, M. (2010). Early anxiety, depression and coping strategies in breast cancer.
Malaysian Journal of Psychiatry, 19(2), 1-6.
Schlegela, R. J., Talleya, A. E., Molixb, L. A., & Bett, B. A. (2009). Rural breast cancer patients,
coping and depressive symptoms: A prospective comparison study. Psychology and Health,
24(8), 933-948.
Schroeversa, M., Ranchor, A. V., & Sanderman, R. (2006). Adjustment to cancer in the 8 years
following diagnosis: A longitudinal study comparing cancer survivors with healthy
individuals. Social Science & Medicine, 63, 598-610.
Schoon, I., Sacker, A., & Bartley, M. (2003). Socio-economic adversity and psychosocial
adjustment: A developmental-contextual perspective. Social Science and Medicine, 57, 1001-
1015.
Schumacker, R. E., & Lomax, R. G. (2010). A beginner’s guide to structural equation modeling. New
York: Routledge.
Sperry, L. (2009). Treatment of chronic medical conditions: Cognitive-behavioral therapy strategies and
ıntegrative treatment protocols. Washington: American Psychological Association.
Steiger, J. H. (1990). Structural model evaluation and modification: An interval estimation
approach. Multivariate Behavioral Research, 25, 173-180
Sümer, N. (2000). Yapısal eşitlik modelleri: Temel kavramlar ve örnek uygulamalar. Türk Psikoloji
Yazıları, 3(6), 49-74.
Sütçü, G. (2010). Tanı ameliyat süresi yakın zamanlı olan hastaların öfke, depresyon, stresle başa çıkma ve
sosyal destek değişkenleri açısından incelenmesi. Yayınlanmamış yüksek lisans tezi, Ankara
Üniversitesi, Ankara.
Swendsen, J. D. (1997). Anxiety, depression, and their comorbidity: an experience sampling test
of the helplessness-hopelessness theory. Cognitive Therapy and Research, 2(1), 97-114.
Şahin, N. H. ve Durak, A. (1995). Stresle Başa Çıkma Tarzları Ölçeği: Üniversite öğrencileri için
uyarlanması. Psikoloji Dergisi, 10(34), 56-73.
Penley, J. A., Tomaka, J., & Wiebe, J. S. (2002). The association of coping to physical and
psychological health outcomes: A meta-analytic review. Journal of Behavioral Medicine, 25,
551-603. doi:10.1023/A:1020641400589.
Tünel, M. (2011). Meme kanserli hastalarda cerrahi tedavi öncesi ve sonrası anksiyete ve depresyon düzeyi.
Tıpta uzmanlık tezi, Çukurova Üniversitesi, Adana.
Türkçapar, H. (2009). Depresyon. Ankara: HYB.
Ulusoy, M., Şahin, N. T., & Erkmen, H. (1998). Turkish version of Beck anxiety inventory:
Psychometric propeties. Journal of Cognive Psychotherapy, 12, 193-172.
Vaughan, R., Morrison, L., & Miller, E. (2003). The illness representations of multiple sclerosis
and their relations to outcome. British Journal of Health Psychology, 8, 287-301.
Wang, X., Wang, S., Peng, R., Qin, T., Shi, & Teng, X. (2012). Interaction of coping styles and
psychological stress on anxious and depressive symptoms in Chinese breast cancer
patients. Asian Pacific Journal of Prevention, 13(4), 1645-1649.
Warner, D. E., & Hauser, S. T. (2009). Unique considerations when treating adolescents with
chronic illness. In W. T. O’Donohue (Ed.), Behavioral Approaches to Chronic Disease in
Adolescence (pp.15-28). Springer New York.
Watson, M. , Homewood, J., Haviland, J., & Bliss, J. M. (2005). Influence of psychological
response on breast cancer survival: 10-year follow-up of a population-based cohort.
European Journal of Cancer, 41(12), 1710-1714.
Weinman, J., Petrie, K. J., Moss-Morris, R., & Horne, R. (1996). The Illness Perception
Questionnaire: A new method for assessing the cognitive representations of illness.
Psychology and Health, 11, 431–445.
Wittchen, H-U., Kessler, R. C., Pfister, H. & Lieb, M. (2000). Why anxiety disorders become
depressed? A prospective-1 community study. Acta Psychiatr Scand, 102, 14-23.
Year 2019,
Volume: 9 Issue: 54, 623 - 658, 23.09.2019
Albery, I. P., & Munafó, M. (2008). Key concepts in health psychology. London: Sage Publications.
Aldwin, C. M. (2007). Stress, coping, and development: An integrative perspective (2nd ed.). New York:
The Guilford Press.
American Psychiatric Association (2013). Diagnostic and statistical manual of mental disorders (5th ed.).
Arlington, VA: American Psychiatric Publishing.
Armay, Z., Özkan, M., Kocaman, N. ve Özkan, S. (2007). Hastalık algısı ölçeğinin kanser
hastalarında geçerlik ve güvenirlik çalışması. Klinik Psikiyatri, 10, 192-200.
Aydoğan, Ü., Doğaner, Y. C., Borazan, E., Kömürcü, Ş., Koçak, N., Öztürk, B., Özet, A. ve
Sağlam, K. (2012). Kanser hastalarında depresyon ve anksiyete düzeyleri ve hastalıkla
başa çıkma tutumlarının ilişkisi. Türk Aile Hekimliği Dergisi, 16(2), 55-60.
Bair, M. J., Poleshuck, E. L., Wu, J., Krebs, E., Damush, T., Tu, W., & Kroenke, K. (2013).
Anxiety but not social stressors predict 12-month depression and pain severity. Clinical
Journal of Pain, 29, 95-101.
Bayraklı, H. (2010). Zihinsel engelli çocuğu olan ve engelli çocuğu olmayan annelerde yılmazlığa etki eden
değişkenlerin incelenmesi. Yayınlanmamış yüksek lisans tezi, Ankara Üniversitesi, Ankara.
Beck, A. T., Epstein, N., Brown, G., & Steer, R. A. (1988). An inventory for measuring clinical
anxiety: Psychometric properties. Journal of Consulting and Clinical Psycholohy, 56, 893-897.
Beck, A. T., Rush, A. J., Shaw, B. F., & Emery, G. (1979). Cognitive therapy of depression. New York:
Guilford Press.
Beck, A. T., Ward, C. H., Mendelson, M., Mock, J., & Erbaugh, J. (1961). An inventory for
measuring depression. Archives of General Psychiatry, 4, 561-571.
Ben-Zur, H., Gilbur, O., & Lev, S. (2001). Coping with breast cancer: Patient, spouse, and dyad
models. Psychosomatic Medicine, 63, 32–39.
Benyamini, B., Gozlan, M., & Kokia, E. (2004). On the self-regulation of a health threat:
Cognitions, coping, and emotions among women undergoing treatment for infertility.
Cognitive Therapy and Research, 28(5), 577–592.
Bentler, P. M. (1990). Comparative fit indexes in structural models. Psychological Bulletin, 107, 238-
246.
Bentler, P. M. (1995). EQS structural equations program manual. Encino, CA: Multivariate Software.
Bentler, P. M., & Bonett, D. G. (1980). Significance tests and goodness-of-fit in the analysis of
covariance structures. Psychological Bulletin, 88, 588–600.
Bollen, K. A. (1989). Structural equations with latent variables. New York, NY: Wiley & Sons.
Burgess, C., Cornelius, V., Love, S., Graham, J., Richards, M., & Ramirez, A. (2005). Depression
and anxiety in women with early breast cancer: five year observational cohort study.
British Medical Journal, 330, 702-705.
Büyüköztürk, Ş. (2011). Sosyal bilimler için veri analizi el kitabı. Ankara: Pegem Akademi.
Cameron, L. D., Booth, R. J., Schlatter, M. S., Ziginskas, D., & Harman, J. (2007). Changes in
emotion regulation and psychological adjustment following use of a group psychosocial
support program for women recently diagnosed with breast cancer. Psycho-Oncology, 16,
171-180.
Cameron, L. D., & Jago, L. (2008). Emotion regulation interventions: A common-sense model
approach. British Journal of Health Psychology, 13, 215-221.
Carlisle, A. C., John, A. M., Fife-Schaw, C., & Lloyd, M. (2005). The self-regulatory model in
women with rheumatoid arthritis: Relationships between illness representations, coping
strategies, and illness outcome. Brritish Journal of Health Psychology. 10, 571- 587.
Clark, D.A., & Beck, A.T. (2010). Cognitive therapy for anxiety disorders; science and practice. New York:
Guilford Press.
Clarke, D. M. (2011). Psychological adaptation, demoralization and depression in people with
cancer. In D.W. Kissane, M. Maj & N. Sartorius (Eds.), Depression and cancer. (pp. 37-50).
West Sussex: John Wiley & Sons.
Clarke, D. M., Kissane, D. W., Trauer, T., & Smith, G. C. (2005). Demoralization, anhedonia
and grief in patients with severe physical illness. World Psychiatry, 4, 96-105.
Clarke, D. M., Mackinnon, A. J., Smith, G. C., McKenzie, D. P., & Herrman, H. E. (2000)
Dimensions of psychopathology in the medically ill: A latent trait analysis. Psychosomatics,
41, 418-425.
Dein, S. (2004). Explanatory models of and attitudes towards cancer in different cultures. Lancet
Oncology, 5,119–24.
Dempster, M., McCorry, N. K., Brennan, E., Donnelly, M., Murray, L., & Johnston, B. T. (2012).
Psychological distress among survivors of esophageal cancer: The role of illness
cognitions and coping. Dis Esophagus, 25(3), 222-227.
De Ridder, D, & Witt, J. (2006). Self-regulation in health behavior: concepts, theories, and central
ıssues. In D. De Ridder & J. De Witt (Eds.), Self-regulation in health behavior. (pp. 1-24).
West Sussex: John Wiley & Sons.
Doka, K. J. (2009). Counseling individuals with life-threatening illness. New York: Springer Publishing
Company.
Dunkel-Schetter, C., Feinstein, L. G., Taylor, S. E., & Falke, R. L. (1992). Patterns of coping
with cancer. Health Psychology, 11(2), 79-87
Erkuş, A. (2009). Davranış bilimleri için bilimsel araştırma süreci, (2. bs.). Ankara: Seçkin Yayıncılık
Evans, D., & Norman, P. (2009). Illness representations, coping and psychological adjustment
to parkinson’s disease. Psychology and Health, 24(10), 1181-1196.
Filazoglu, G., & Griva, K. (2008). Coping and social support and health related quality of life in
women with. Health and Medicine Psychology, 13(5), 559-573.
Fillion, L., Kovacs, A. H., Gagnon, P. & Endler, N. S. (2002). Validation of the shortened COPE
for use with breast cancer patients undergoing radiation therapy. Current Psychology, 21(1),
17-34
Folkman, S., & Lazarus, L. (1980). An analysis of coping in a middle-aged community sample.
Journal of Health and Social Behavior, 21(3), 219-239.
Folkman, S., Lazarus, R. S., Dunkel-Schetter, C., DeLongis, A., & Gruen, R. J. (1986). Dynamics
of a stressful encounter: cognitive appraisal, coping, and encounter outcomes. Journal of
Personality and Social Psychology, 50(5), 992-1003.
Gilbar, O. and HevroniI, A. (2007). Counterfactuals, coping strategies and psychological distress
among breast cancer patients. Anxiety, Stress, ve Coping, 20(4), 383-392.
Goldberg, D. P., & Lecrubier, Y. (1995). Form and frequency of mental disorders across centres.
In T. B. Üstün, & N. Sartorius (Eds.), Mental illness in general health care: An international
study (pp. 323-335). Chichester: John Wiley & Sons.
Goli, F., Scheidt C.E., Gholamrezaei, A., & Farzanegan, M. (2014). The role of locus of control
and attributional style in coping strategies and quality of life among Iranian breast cancer
and colorectal cancer patients: A pilot study. International Journal of Body Mind and Culture,
1(1), 65-72.
Gould, R. V., Brown, S. L., & Bramwell, R. (2010). Psychological adjustment to gynecological
cancer: patients' illness representations, coping strategies and mood disturbance.
Psychology and Health, 25(5), 633-646.
Grace, A. L., K. S., Brooksd, D., Arthure, H., Scholel, P., Suskin, N., Jaglal, S., Abramson, B., &
Stewart D. (2005). Illness perceptions among cardiac patients: Relation to depressive
symptomatology and sex. Journal of Psychosomatic Research, 59(3), 153-160.
Gravetter, F. J. & Wallnau, L. B. (2007). Statistics for the behavioral sciences (7th ed.). Canada:
Thomson Wadswort.
Gray, S. E. & Rutter, D. R. (2007). Illness representations in young people with chronic fatigue
syndrome. Psychology and Health, 22, 159-174.
Hagger, M., & Orbell, S. (2003). A meta analytic review of the common-sense model of illness
representations. Psychology and Health, 18, 141-184.
Hagger, M. S., & Orbell, S. (2005). A confirmatory factor analysis of the revised illness perception
questionnaire (IPQ-R) in a cervical screening context. Psychology and Health, 20,161-173.
Heijmans, M. (1999). The role of patients’ illness representations in coping and functioning with
addison’s disease. British Journal of Health Psychology, 4, 137-149 .
Heijmans, M., & De Ridder, D. (1998). Assessing ıllness representations of chronic ıllness:
Explorations of their disease-specific nature. Journal of Behavioral Medicine, 21, 485-503.
Hewitt, M., Herdman, R., & Holland, J. (2004). Meeting psychosocial needs of women with breast
canser/national cancer policy board. Washington: The National Academies Press.
Hirschfeld, R. M. (2001). The comorbidity of major depression and anxiety disorders:
Recognition and management in primary care. Primary Care Companion to Journal of Clinical
Psychiatry, 3, 244-254.
Hisli, N. (1988). Beck depresyon envanteri’nin geçerliği üzerine bir çalışma. Psikoloji Dergisi, 6(22),
118-122.
Hisli, N. (1989). Beck depresyon envanteri’nin üniversite öğrencileri için geçerliği, güvenirliği.
Psikoloji Dergisi, 7, 3-13.
Husain, M. O., Dearman, S. P., Chaudhry, I. B., Rizvi, N., & Waheed, W. (2008). The relationship
between anxiety, depression and illness perception in tberculosis patients in Pakistan.
Clinical Practice and Epidemiology in Mental Health, 4, 4-8.
Institute of Medicine (2008). Cancer care for the whole patient: Meeting psychosocial health needs.
Washington: The National Academies Press.
Jacobsen, P. B., & Donovan, K. A. (2011). Psychological co-morbidities of cancer psychological.
In P. Sherry (Ed.), Co-morbidities of physical illness a behavioral medicine perspective (pp. 163-205).
New York: Springer.
Kang, J. I., Sung, N.Y., Park, S. J., Lee, C. G., & Lee, B. O. (2013). The epidemiology of
psychiatric disorders among women with breast cancer in South Korea: Analysis of
national registry data. Psycho-Oncology, 23(1), 35-39.
Karabulutlu, E. Y., Bilici, M., Çayır, K., Tekin, S. B., & Kantarcı, R. (2010). Coping, anxiety and
depression in Turkish patients with cancer. European Journal of General Medicine, 7(3), 296-
302.
Katon, W., & Roy-Byrne, P. P. (1991). Mixed anxiety and depression. Journal of Abnormal
Psychology, 100, 337-345.
Keeling, M., Bambrough, J., & Simpson, J. (2013). Depression, anxiety and positive affect in
people diagnosed with low‐grade tumours: the role of illness perceptions. Psycho‐Oncology,
22(6), 1421‐1427.
Kline, R. B. (1998). Principles and practices of structural equation modeling. New York: The Guilford
Press.
Knibb, R. C., & Horton, S. (2008). Can illness perceptions and coping predict psychological
distress amongst allergy sufferers? British Journal of Health Psychology 13, 103-119.
Knowles, S., Cook, S., & Tribbick, D. (2013). Relationship between health status, illness
perceptions, coping strategies and psychological morbidity: A preliminary study with IBD
stoma patients. Journal of Crohn's and Colitis, 7, 471-478.
Knowles, S., Wilson, J., Connell, W., & Kamm, M. (2011). Examination of the relations between
disease perceptions, coping strategies, and morbidity in crohn’s disease guided sense
model of illness. Inflammatory Bowel Diseases, 17, 2551-2557.
Kocaman-Yıldırım, N., Okanlı, A., Yılmaz-Karabulutlu, E., Karahisar, F., ve Özkan, S. (2013).
Hemodiyaliz hastalarının anksiyete ve depresyon belirtilerine hastalık algısının etkisi: Çok
merkezli bir çalışma. Anatolian Journal of Psychiatry, 14, 252-259.
Lazarus, R. S., & Folkman, S. (1984). Stress, appraisal, and coping. New York: Springer Publishing.
Lepine, J. P., Chignon, J. M., & Teherani, M. (1993). Suicide attempts in patients with panic
disorder. Arch Gen Psychiatry, 50,144-149.
Leventhal, H., Breland, J. Y., Mora, P. A., & Leventhal, E. A. (2010). Lay representations of
ıllness and treatment: A framework for action. In A. Steptoe (Ed.), Handbook of behavioral
medicine: Methods and applications (pp. 137-154). New York: Springer.
Leventhal, H., Brissette, I., & Leventhal, E. A. (2003). The common-sense model of selfregulation in health and illness. In L. D. Cameron & H. Leventhal (Eds.), The self-regulation of health and illness behaviour (pp. 42-65). New York: Routledge.
Leventhal, H., Halm, E., Horowitz, C., Leventhal, E. A., & Özakıncı, G. (2005). Living with
chronic illness: A contextualized, self-regulation approach. In Sutton, S., Baum, A., &
Johnston M. (Eds.), The Sage handbook of health psychology (pp.197-240). Thousand Oaks,
CA: Sage Publications.
Leventhal, H., Leventhal, E. A., & Contrada, R. J. (1998). Self-regulation, health, and behavior:
a perceptual-cognitive approach. Psychology and Health, 13(4), 717-733.
Leventhal, H., Leventhal, E. A., & Cameron, L. (2001). Representations, procedures, and affect
in illness self-regulation: A perceptual-cognitive model. In A. Baum, T. A. Revenson, &
J. E. Singer (Eds.), Handbook of health psychology (pp. 19-48). Mahwah, NJ: Lawrence
Erlbaum.
Mathew, A. R., Pettit, J. W., Lewinsohn, P. M., Seeley, J. R., & Roberts, R. E. (2011). Comorbidity between major depressive disorder and anxiety disorders: Shared or direct causation? Psychological Medicine, 41(10), 2023-2034.
McAndrew, L. M., Musumeci-Szabo, T. J., Mora, P. A., Vileikyte, L., Burns, E., & Halm, E. A.
(2008). Using the common sense model to design interventions for the prevention and
management of chronic illness threats: From description to process. British Journal of
Health Psychology, 13, 195-204.
Merikangas, K.R., Zhang, H., Avenevoli, S., Acharyya, S., Neuenschwander, M., & Angst J.
(2003). Longitudinal trajectories of depression and anxiety in a prospective community
study: the Zurich Cohort Study. Arch Gen Psychiatry, 60, 993-1000.
Moorey, S., & Greer, S. (2002). Cognitive behaviour therapy for people with cancer. Newyork: Oxford
University Press.
Moss-Morris, R., Weinman, J., Petrie, K. J., Horne, R., & Cameron, L. (2002). The revised illness
perception questionnaire (IPQ-R). Psychology and Health, 17, 1-16.
Moss-Morris, R., Petrie, K. J., & Weinman, J. (1996). Functioning in chronic fatigue syndrome:
do illness perceptions play a regulatory role? British Journal of Health Psychology, 1, 15-25.
National Institute for Health and Clinical Excellence (2010). Depression in adults with a chronic
physical health problem: Treatment and management. Report No. 91. London, UK: NICE.
Nerenz, D. R., Leventhal, H., & Love, R. R. (1982). Factors contributing to emotional distress
duringcancer chemotherapy, Cancer, 50(5), 1020-1027.
New Zealand Guidelines Group (2009). Management of early breast cancer. The Terrace, Wellington:
New Zealand Guidelines Group.
Ogden, J. (2004). Health psychology: A textbook. Berkshire: Open University Press.
Ogden, J. (2010). Understanding breast cancer. West Sussex: Wiley & Sons.
Özen, D. Ş. ve Temizsu, E. (2010). Anksiyete ve depresif bozukluklarda örtüşen ve ayrışan
belirtiler. Psikiyatride Güncel Yaklaşımlar, 2(1), 1-14.
Penley, J. A., Tomaka, J., & Wiebe, J. S. (2002). The association of coping to physical and
psychological health outcomes: A meta-analytic review. Journal of Behavioral Medicine, 25,
551-603.
Richardson E. M., Schüz, N., Sanderson, K., Scott, J. L., & Schüz, B. (2015). Illness
representations, coping, and illness outcomes in people with cancer: A systematic review
and meta‐analysis. Psycho‐Oncology, 26, 724-737.
Roussi, P., Krikeli, V., Hatzidimitriou, C. & Koutri, I. (2007). Patterns of coping, flexibility in
coping and psychological distress in women diagnosed V. Cognitive Theraphy Research , 31,
97-109.
Rozema, H., Völink, T., & Lechner, L. (2009). The role of illness representations in coping and
health of patients treated for breast cancer. Psycho-Oncology 18, 849-857.
Rutter, C. L., & Rutter, D. R. (2002). Illness representation, coping and outcome in irritable
bowel syndrome (IBS). British Journal of Health Psychology, 7, 377-391.
Saniah, A., & Zainal, M. (2010). Early anxiety, depression and coping strategies in breast cancer.
Malaysian Journal of Psychiatry, 19(2), 1-6.
Schlegela, R. J., Talleya, A. E., Molixb, L. A., & Bett, B. A. (2009). Rural breast cancer patients,
coping and depressive symptoms: A prospective comparison study. Psychology and Health,
24(8), 933-948.
Schroeversa, M., Ranchor, A. V., & Sanderman, R. (2006). Adjustment to cancer in the 8 years
following diagnosis: A longitudinal study comparing cancer survivors with healthy
individuals. Social Science & Medicine, 63, 598-610.
Schoon, I., Sacker, A., & Bartley, M. (2003). Socio-economic adversity and psychosocial
adjustment: A developmental-contextual perspective. Social Science and Medicine, 57, 1001-
1015.
Schumacker, R. E., & Lomax, R. G. (2010). A beginner’s guide to structural equation modeling. New
York: Routledge.
Sperry, L. (2009). Treatment of chronic medical conditions: Cognitive-behavioral therapy strategies and
ıntegrative treatment protocols. Washington: American Psychological Association.
Steiger, J. H. (1990). Structural model evaluation and modification: An interval estimation
approach. Multivariate Behavioral Research, 25, 173-180
Sümer, N. (2000). Yapısal eşitlik modelleri: Temel kavramlar ve örnek uygulamalar. Türk Psikoloji
Yazıları, 3(6), 49-74.
Sütçü, G. (2010). Tanı ameliyat süresi yakın zamanlı olan hastaların öfke, depresyon, stresle başa çıkma ve
sosyal destek değişkenleri açısından incelenmesi. Yayınlanmamış yüksek lisans tezi, Ankara
Üniversitesi, Ankara.
Swendsen, J. D. (1997). Anxiety, depression, and their comorbidity: an experience sampling test
of the helplessness-hopelessness theory. Cognitive Therapy and Research, 2(1), 97-114.
Şahin, N. H. ve Durak, A. (1995). Stresle Başa Çıkma Tarzları Ölçeği: Üniversite öğrencileri için
uyarlanması. Psikoloji Dergisi, 10(34), 56-73.
Penley, J. A., Tomaka, J., & Wiebe, J. S. (2002). The association of coping to physical and
psychological health outcomes: A meta-analytic review. Journal of Behavioral Medicine, 25,
551-603. doi:10.1023/A:1020641400589.
Tünel, M. (2011). Meme kanserli hastalarda cerrahi tedavi öncesi ve sonrası anksiyete ve depresyon düzeyi.
Tıpta uzmanlık tezi, Çukurova Üniversitesi, Adana.
Türkçapar, H. (2009). Depresyon. Ankara: HYB.
Ulusoy, M., Şahin, N. T., & Erkmen, H. (1998). Turkish version of Beck anxiety inventory:
Psychometric propeties. Journal of Cognive Psychotherapy, 12, 193-172.
Vaughan, R., Morrison, L., & Miller, E. (2003). The illness representations of multiple sclerosis
and their relations to outcome. British Journal of Health Psychology, 8, 287-301.
Wang, X., Wang, S., Peng, R., Qin, T., Shi, & Teng, X. (2012). Interaction of coping styles and
psychological stress on anxious and depressive symptoms in Chinese breast cancer
patients. Asian Pacific Journal of Prevention, 13(4), 1645-1649.
Warner, D. E., & Hauser, S. T. (2009). Unique considerations when treating adolescents with
chronic illness. In W. T. O’Donohue (Ed.), Behavioral Approaches to Chronic Disease in
Adolescence (pp.15-28). Springer New York.
Watson, M. , Homewood, J., Haviland, J., & Bliss, J. M. (2005). Influence of psychological
response on breast cancer survival: 10-year follow-up of a population-based cohort.
European Journal of Cancer, 41(12), 1710-1714.
Weinman, J., Petrie, K. J., Moss-Morris, R., & Horne, R. (1996). The Illness Perception
Questionnaire: A new method for assessing the cognitive representations of illness.
Psychology and Health, 11, 431–445.
Wittchen, H-U., Kessler, R. C., Pfister, H. & Lieb, M. (2000). Why anxiety disorders become
depressed? A prospective-1 community study. Acta Psychiatr Scand, 102, 14-23.
Tunç Aksan, A., & Gizir, C. A. (2019). Meme Kanseri Tanısı Almış Kadınların Hastalık Temsilleri ve Başa Çıkma Tarzları ile Kaygı ve Depresyon Düzeyleri Arasındaki İlişkilerin İncelenmesi. Turkish Psychological Counseling and Guidance Journal, 9(54), 623-658.