Physical activity, self-efficacy and self-esteem in breast cancer survivors: a panel model

Elizabeth A. Awick, Siobhan M. Phillips, Gillian R. Lloyd, Edward McAuley

Research output: Contribution to journalArticle

Abstract

Purpose: Physical activity (PA) has been consistently associated with improved self-esteem in breast cancer survivors. However, this relationship is poorly understood. The purpose of this study was to examine whether changes in PA and self-efficacy influenced changes in self-esteem in breast cancer survivors across 6 months. Increases in PA were hypothesized to result in increases in self-efficacy, which were hypothesized to influence increases in physical self-worth (PSW) and global self-esteem. Methods: Breast cancer survivors (n = 370; Mage = 56.04) wore accelerometers to measure PA and completed measures of self-efficacy (e.g., exercise and barriers self-efficacy), PSW, and global self-esteem at baseline and 6 months. Results: The hypothesized model provided a good fit to the data (χ2 = 67.56, df = 26, p < 0.001; comparative fit index (CFI) = 0.98; standardized root mean residual = 0.05). Women with higher activity at baseline reported significantly higher levels of barrier (β = 0.29) and exercise (β = 0.23) self-efficacy. In turn, more efficacious women reported significantly higher PSW (β = 0.26, 0.16). Finally, higher PSW was significantly associated with greater global self-esteem (β = 0.47). Relationships were similar among changes in model constructs over 6 months. After controlling for covariates, the hypothesized model provided an excellent fit to the data (χ2 = 59.93, df = 33, p = 0.003; comparative fit index = 0.99; standardized root mean residual = 0.03). Conclusion: Our findings provide support for the role played by PA and self-efficacy in positive self-esteem, a key component of well-being. Highlighting successful PA mastery experiences is likely to enhance self-efficacy and improve self-esteem in this population.

Original languageEnglish (US)
Pages (from-to)1625-1631
Number of pages7
JournalPsycho-Oncology
Volume26
Issue number10
DOIs
StatePublished - Oct 2017

Fingerprint

Self Efficacy
Self Concept
Survivors
Exercise
Breast Neoplasms
Population

Keywords

  • cancer
  • oncology
  • physical activity
  • self-efficacy
  • self-esteem

ASJC Scopus subject areas

  • Experimental and Cognitive Psychology
  • Oncology
  • Psychiatry and Mental health

Cite this

Physical activity, self-efficacy and self-esteem in breast cancer survivors : a panel model. / Awick, Elizabeth A.; Phillips, Siobhan M.; Lloyd, Gillian R.; McAuley, Edward.

In: Psycho-Oncology, Vol. 26, No. 10, 10.2017, p. 1625-1631.

Research output: Contribution to journalArticle

Awick, Elizabeth A. ; Phillips, Siobhan M. ; Lloyd, Gillian R. ; McAuley, Edward. / Physical activity, self-efficacy and self-esteem in breast cancer survivors : a panel model. In: Psycho-Oncology. 2017 ; Vol. 26, No. 10. pp. 1625-1631.
@article{e4b79e2965ef4382bc43ae79010cc9a5,
title = "Physical activity, self-efficacy and self-esteem in breast cancer survivors: a panel model",
abstract = "Purpose: Physical activity (PA) has been consistently associated with improved self-esteem in breast cancer survivors. However, this relationship is poorly understood. The purpose of this study was to examine whether changes in PA and self-efficacy influenced changes in self-esteem in breast cancer survivors across 6 months. Increases in PA were hypothesized to result in increases in self-efficacy, which were hypothesized to influence increases in physical self-worth (PSW) and global self-esteem. Methods: Breast cancer survivors (n = 370; Mage = 56.04) wore accelerometers to measure PA and completed measures of self-efficacy (e.g., exercise and barriers self-efficacy), PSW, and global self-esteem at baseline and 6 months. Results: The hypothesized model provided a good fit to the data (χ2 = 67.56, df = 26, p < 0.001; comparative fit index (CFI) = 0.98; standardized root mean residual = 0.05). Women with higher activity at baseline reported significantly higher levels of barrier (β = 0.29) and exercise (β = 0.23) self-efficacy. In turn, more efficacious women reported significantly higher PSW (β = 0.26, 0.16). Finally, higher PSW was significantly associated with greater global self-esteem (β = 0.47). Relationships were similar among changes in model constructs over 6 months. After controlling for covariates, the hypothesized model provided an excellent fit to the data (χ2 = 59.93, df = 33, p = 0.003; comparative fit index = 0.99; standardized root mean residual = 0.03). Conclusion: Our findings provide support for the role played by PA and self-efficacy in positive self-esteem, a key component of well-being. Highlighting successful PA mastery experiences is likely to enhance self-efficacy and improve self-esteem in this population.",
keywords = "cancer, oncology, physical activity, self-efficacy, self-esteem",
author = "Awick, {Elizabeth A.} and Phillips, {Siobhan M.} and Lloyd, {Gillian R.} and Edward McAuley",
year = "2017",
month = "10",
doi = "10.1002/pon.4180",
language = "English (US)",
volume = "26",
pages = "1625--1631",
journal = "Psycho-Oncology",
issn = "1057-9249",
publisher = "John Wiley and Sons Ltd",
number = "10",

}

TY - JOUR

T1 - Physical activity, self-efficacy and self-esteem in breast cancer survivors

T2 - a panel model

AU - Awick, Elizabeth A.

AU - Phillips, Siobhan M.

AU - Lloyd, Gillian R.

AU - McAuley, Edward

PY - 2017/10

Y1 - 2017/10

N2 - Purpose: Physical activity (PA) has been consistently associated with improved self-esteem in breast cancer survivors. However, this relationship is poorly understood. The purpose of this study was to examine whether changes in PA and self-efficacy influenced changes in self-esteem in breast cancer survivors across 6 months. Increases in PA were hypothesized to result in increases in self-efficacy, which were hypothesized to influence increases in physical self-worth (PSW) and global self-esteem. Methods: Breast cancer survivors (n = 370; Mage = 56.04) wore accelerometers to measure PA and completed measures of self-efficacy (e.g., exercise and barriers self-efficacy), PSW, and global self-esteem at baseline and 6 months. Results: The hypothesized model provided a good fit to the data (χ2 = 67.56, df = 26, p < 0.001; comparative fit index (CFI) = 0.98; standardized root mean residual = 0.05). Women with higher activity at baseline reported significantly higher levels of barrier (β = 0.29) and exercise (β = 0.23) self-efficacy. In turn, more efficacious women reported significantly higher PSW (β = 0.26, 0.16). Finally, higher PSW was significantly associated with greater global self-esteem (β = 0.47). Relationships were similar among changes in model constructs over 6 months. After controlling for covariates, the hypothesized model provided an excellent fit to the data (χ2 = 59.93, df = 33, p = 0.003; comparative fit index = 0.99; standardized root mean residual = 0.03). Conclusion: Our findings provide support for the role played by PA and self-efficacy in positive self-esteem, a key component of well-being. Highlighting successful PA mastery experiences is likely to enhance self-efficacy and improve self-esteem in this population.

AB - Purpose: Physical activity (PA) has been consistently associated with improved self-esteem in breast cancer survivors. However, this relationship is poorly understood. The purpose of this study was to examine whether changes in PA and self-efficacy influenced changes in self-esteem in breast cancer survivors across 6 months. Increases in PA were hypothesized to result in increases in self-efficacy, which were hypothesized to influence increases in physical self-worth (PSW) and global self-esteem. Methods: Breast cancer survivors (n = 370; Mage = 56.04) wore accelerometers to measure PA and completed measures of self-efficacy (e.g., exercise and barriers self-efficacy), PSW, and global self-esteem at baseline and 6 months. Results: The hypothesized model provided a good fit to the data (χ2 = 67.56, df = 26, p < 0.001; comparative fit index (CFI) = 0.98; standardized root mean residual = 0.05). Women with higher activity at baseline reported significantly higher levels of barrier (β = 0.29) and exercise (β = 0.23) self-efficacy. In turn, more efficacious women reported significantly higher PSW (β = 0.26, 0.16). Finally, higher PSW was significantly associated with greater global self-esteem (β = 0.47). Relationships were similar among changes in model constructs over 6 months. After controlling for covariates, the hypothesized model provided an excellent fit to the data (χ2 = 59.93, df = 33, p = 0.003; comparative fit index = 0.99; standardized root mean residual = 0.03). Conclusion: Our findings provide support for the role played by PA and self-efficacy in positive self-esteem, a key component of well-being. Highlighting successful PA mastery experiences is likely to enhance self-efficacy and improve self-esteem in this population.

KW - cancer

KW - oncology

KW - physical activity

KW - self-efficacy

KW - self-esteem

UR - http://www.scopus.com/inward/record.url?scp=84978402836&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84978402836&partnerID=8YFLogxK

U2 - 10.1002/pon.4180

DO - 10.1002/pon.4180

M3 - Article

C2 - 27231845

AN - SCOPUS:84978402836

VL - 26

SP - 1625

EP - 1631

JO - Psycho-Oncology

JF - Psycho-Oncology

SN - 1057-9249

IS - 10

ER -