Evidence map›Paper›PMID 39891317›Full record

Trial reportPsycho-oncology2025

Coping, Emotional Processing, and Cancer-Related Symptoms in Breast Cancer Survivors: Cross-Sectional Secondary Analysis of the REPAT Study.

Keren Harel, Johanna Czamanski-Cohen, Miri Cohen, Opher Caspi, Karen L Weihs

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Psycho-oncology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

10 citing papers in PubMed.

  1. Article
  2. Article
  3. Psychological distress in cancer survivors: a population-based analysis and machine learning-based risk stratification.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2026
    Article
  4. Article
  5. Article
  6. Living with brain metastasis - a qualitative study of patients' and family members' coping strategies.International journal of qualitative studies on health and well-being · 2025
    Article
  7. Coping Strategies and Health-Related Quality of Life in Breast Cancer Survivors.European journal of investigation in health, psychology and education · 2025
    Article
  8. Article
  9. Article
  10. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

5 authors.

Keren HarelThe School of Creative Arts Therapies, Faculty of Social Welfare and Health Sciences, University of Haifa, Haifa, Israel.ORCID https://orcid.org/0000-0003-3398-474X
Johanna Czamanski-CohenThe School of Creative Arts Therapies, Faculty of Social Welfare and Health Sciences, University of Haifa, Haifa, Israel.ORCID https://orcid.org/0000-0003-3980-6848
Miri CohenThe School of Social Work, Faculty of Social Welfare and Health Sciences, University of Haifa, Haifa, Israel.ORCID https://orcid.org/0000-0003-1220-3852
Opher CaspiThe Integrative Medicine and Survivorship Clinics, Davidoff Cancer Center, Rabin Medical Center, Petah Tikvah, Israel.
Karen L WeihsDepartment of Psychiatry, University of Arizona, Tucson, Arizona, USA.ORCID https://orcid.org/0000-0001-5985-8560

Funding

Role of Emotional Processing in Art Therapy for Breast Cancer Palliative Care Patients: A Mechanistic StudyR01NR017186 · NINR · UNIVERSITY OF HAIFA · PI CZAMANSKI-COHEN, JOHANNA, WEIHS, KAREN L. · 2018 to 2020
$961k
NIH HHSNINR NIH HHS R01 NR017186NINR NIH HHS R01NR017186PIs Czamanski-Cohen and Weihs
6 · The paper itself

Abstract

objectiveAs survival rates from breast cancer increase, the post-treatment period poses several challenges, including a high burden of cancer-related symptoms that interfere with quality of life. This study aims to provide a better understanding of the relationship between coping (approach and avoidance), emotional processing (emotional awareness and acceptance of emotions), and cancer-related symptoms.

methodsThis is a cross-sectional, secondary analysis of baseline data from a randomized controlled trial entitled "The Role of Emotional Processing in Art Therapy" (REPAT) study. Participants included 179 breast cancer survivors 6.1 months on average after completing primary treatment. Participants completed questionnaires measuring approach and avoidance coping, acceptance of emotions, cancer-related symptoms (depression, fatigue, and pain), and the Level of Emotional Awareness a performance scale. Hierarchical linear regressions were performed while adjusting for background variables.

resultsParticipants experienced significant depressive symptoms (51.7%), fatigue (78.8%), pain interference (78%), and pain intensity (66%). There were strong correlations between depression, cancer-related fatigue, and pain. After adjusting for confounders, acceptance of emotions was negatively associated with depression, and avoidance coping was positively associated with depression, cancer-related fatigue, and pain interference. Emotional awareness and approach coping were not associated with cancer-related symptoms, but both were significantly associated with acceptance of emotions.

conclusionsBreast cancer survivors' post-treatment period presents the challenge of dealing with elevated cancer-related symptoms. Regardless, breast cancer survivors with high acceptance of emotions and low avoidance coping experienced fewer cancer-related symptoms.

Indexed as

Adaptation, PsychologicalBreast NeoplasmsCancer SurvivorsDepressionEmotionsFatigueAdultAgedCross-Sectional StudiesFemaleHumansMiddle AgedQuality of LifeSurveys and Questionnairesacceptance of emotionsapproach copingavoidance copingbreast cancercancercancer‐related symptomsdepressionfatigueoncologypain

Identifiers

PMID39891317
PMCPMC11785827

What Socratic holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.