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Transitions in coping profiles after breast cancer diagnosis: implications for depressive and physical symptoms

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A Correction to this article was published on 14 August 2020

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Abstract

The objective of this study was to determine whether: (a) cancer-related coping profiles change across time; (b) coping profile transition types predict changes in depressive and physical symptoms. Latent transition analysis was conducted with repeated measures of seven cancer-related coping processes from 460 women recently diagnosed with breast cancer. In multilevel models, coping profile transition groups were entered as predictors of symptoms across 12 months. Three coping profiles emerged at study entry, with two profiles at later assessments. Forty-eight percent of women maintained high-moderate approach-oriented coping over time. Specific factors (e.g., age, acceptance of emotions) differentiated the transition groups. Women who increased and then maintained high-moderate approach-oriented coping had relatively high initial depressive symptoms that declined steeply. When cancer-related acceptance predominated, women experienced increasing physical symptoms. Distinct cancer-related coping patterns are related to the level of and change in depressive and physical symptoms longitudinally. Early intervention to increase approach-oriented coping strategies could yield favorable outcomes.

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  • 14 August 2020

    Due to publisher processing error, brackets and asterisks noting statistically significant differences in Fig. 3 were omitted.

Notes

  1. As often conceptualized for evaluating quality of life in cancer survivors (e.g., Burkett & Cleeland, 2007; Dow et al., 1996).

  2. Demographic (e.g., age, SES, employment status), medical (e.g., weeks since diagnosis), and chronic life stress variables (from the UCLA Life Stress Interview (LSI); Hammen, 1991).

References

  • Aiken, L. S., & West, S. G. (1991). Multiple regression: Testing and interpreting interactions. Thousand Oaks, CA: Sage.

    Google Scholar 

  • Asparouhov, T., & Muthén, B. (2014). Auxiliary variables in mixture modeling: Three-step approaches using Mplus. Structural Equation Modeling, 21, 329–341.

    Google Scholar 

  • Asparouhov, T., & Muthén, B. (2015). Residual associations in latent class and latent transition analysis. Structural Equation Modeling, 22, 169–177.

    Google Scholar 

  • Bauer, M. R., Harris, L. N., Wiley, J. F., Crespi, C. M., Krull, J. L., Weihs, K. L., et al. (2016). Dispositional and situational avoidance and approach as predictors of physical symptom bother following breast cancer diagnosis. Annals of Behavioral Medicine, 50, 370–384.

    PubMed  PubMed Central  Google Scholar 

  • Bauer, M. R., Wiley, J. F., Weihs, K. L., & Stanton, A. L. (2017). Stuck in the spin cycle: Avoidance and intrusions following breast cancer diagnosis. British Journal of Health Psychology, 22, 609–626.

    PubMed  Google Scholar 

  • Beck, A. T., Steer, R. A., & Brown, G. K. (1996). Manual for the Beck depression inventory-II. San Antonio, TX: Psychological Corporation.

    Google Scholar 

  • Bower, J. E., Ganz, P. A., Irwin, M. R., Kwan, L., Breen, E. C., & Cole, S. W. (2011). Inflammation and behavioral symptoms after breast cancer treatment: Do fatigue, depression, and sleep disturbance share a common underlying mechanism? Journal of Clinical Oncology, 29, 3517–3522.

    PubMed  PubMed Central  Google Scholar 

  • Bright, E. E., & Stanton, A. L. (2018). Prospective investigation of social support, coping, and depressive symptoms: A model of adherence to endocrine therapy among women with breast cancer. Journal of Consulting and Clinical Psychology, 86, 242–253.

    PubMed  Google Scholar 

  • Burkett, V. S., & Cleeland, C. S. (2007). Symptom burden in cancer survivorship. Journal of Cancer Survivorship, 1, 167–175.

    PubMed  Google Scholar 

  • Carver, C. S., Pozo, C., Harris, S. D., Noriega, V., Scheier, M. F., Robinson, D. S., et al. (1993). How coping mediates the effect of optimism on distress: A study of women with early stage breast cancer. Cancer Patients and Their Families: Readings on Disease Course, Coping, and Psychological Interventions, 65, 97–127.

    Google Scholar 

  • Carver, C. S., Scheier, M. F., & Weintraub, J. K. (1989). Assessing coping strategies: A theoretically based approach. Journal of Personality and Social Psychology, 56, 267–283.

    CAS  PubMed  Google Scholar 

  • Cella, D., Riley, W., Stone, A., Rothrock, N., Reeve, B., Yount, S., et al. (2010). The patient-reported outcomes measurement information system (PROMIS) developed and tested its first wave of adult self-reported health outcome item banks: 2005–2008. Journal of Clinical Epidemiology, 63, 1179–1194.

    PubMed  PubMed Central  Google Scholar 

  • Cheng, C. T., Ho, S. M. Y., Liu, W. K., Hou, Y. C., Lim, L. C., Gao, S. Y., et al. (2019). Cancer-coping profile predicts long-term psychological functions and quality of life in cancer survivors. Supportive Care in Cancer, 27, 933–941.

    PubMed  Google Scholar 

  • Clark, L. A., & Watson, D. (1995). Constructing validity: Basic issues in objective scale development. Psychological Assessment, 7, 309–319.

    Google Scholar 

  • Dow, K. H., Ferrell, B. R., Leigh, S., Ly, J., & Gulasekaram, P. (1996). An evaluation of the quality of life among long-term survivors of breast cancer. Breast Cancer Research and Treatment, 39, 261–273.

    CAS  PubMed  Google Scholar 

  • Duangdao, K. M., & Roesch, S. C. (2008). Coping with diabetes in adulthood: A meta-analysis. Journal of Behavioral Medicine, 31, 291–300.

    PubMed  Google Scholar 

  • Dunkel-Schetter, C., Feinstein, L. G., Taylor, S. E., & Falke, R. L. (1992). Patterns of coping with cancer. Health Psychology, 11, 79–87.

    CAS  PubMed  Google Scholar 

  • Farchione, T. J., Fairholme, C. P., Ellard, K. K., Boisseau, C. L., Thompson-Hollands, J., Carl, J. R., et al. (2012). Unified Protocol for Transdiagnostic Treatment of Emotional Disorders: A Randomized Controlled Trial. Behavior Therapy, 43(3), 666–678.

    PubMed  PubMed Central  Google Scholar 

  • Fashler, S. R., Weinrib, A. Z., Azam, M. A., & Katz, J. (2018). The use of acceptance and commitment therapy in oncology settings: A narrative review. Psychological Reports, 121, 229–252.

    PubMed  Google Scholar 

  • Folkman, S., & Lazarus, R. S. (1980). An analysis of coping in a middle-aged community sample. Journal of Health and Social Behavior, 21, 219.

    CAS  PubMed  Google Scholar 

  • Folkman, S., Lazarus, R. S., Pimley, S., & Novacek, J. (1987). Age differences in stress and coping processes. Psychology and Aging, 2, 171–184.

    CAS  PubMed  Google Scholar 

  • Gratz, K. L., & Roemer, L. (2004). Multidimensional assessment of emotional regulation and dysregulation: Development, factor structure, and initial validation of the difficulties in emotion regulation scale. Journal of Psychopathology and Behavioral Assessment, 26, 41–54.

    Google Scholar 

  • Greer, J. A., Jacobs, J. M., El-Jawahri, A., Nipp, R. D., Gallagher, E. R., Pirl, W. F., et al. (2018). Role of patient coping strategies in understanding the effects of early palliative care on quality of life and mood. Journal of Clinical Oncology, 36, 53–60.

    CAS  PubMed  Google Scholar 

  • Greer, S., Morris, T., & Pettingale, K. W. (1979). Psychological response to breast cancer: Effect on outcome. The Lancet, 314, 785–787.

    Google Scholar 

  • Hack, T. F., & Degner, L. F. (1999). Coping with breast cancer: A cluster analytic approach. Breast Cancer Research and Treatment, 54, 185–194.

    CAS  PubMed  Google Scholar 

  • Hack, T. F., & Degner, L. F. (2004). Coping responses following breast cancer diagnosis predict psychological adjustment three years later. Psycho-Oncology, 13, 235–247.

    PubMed  Google Scholar 

  • Hamilton, J. B., Agarwal, M., Carter, J. K., & Crandell, J. L. (2011). Coping profiles common to older African American cancer survivors: Relationships with quality of life. Journal of Pain and Symptom Management, 41, 79–92.

    PubMed  Google Scholar 

  • Hammen, C. (1991). Generation of stress in the course of unipolar depression. Journal of Abnormal Psychology, 100, 555–561.

    CAS  PubMed  Google Scholar 

  • Harris, L. N., Bauer, M. R., Wiley, J. F., Hammen, C., Krull, J. L., Crespi, C. M., et al. (2017). Chronic and episodic stress predict physical symptom bother following breast cancer diagnosis. Journal of Behavioral Medicine, 40, 875–885.

    Google Scholar 

  • Hayes, S. C., Strosahl, K. D., & Wilson, K. G. (2011). Acceptance and commitment therapy: The process and practice of mindful change. New York: Guilford Press.

    Google Scholar 

  • Heim, E., Augustiny, K. F., Schaffner, L., & Valach, L. (1993). Coping with breast cancer over time and situation. Journal of Psychosomatic Research, 37, 523–542.

    CAS  PubMed  Google Scholar 

  • Heim, E., Valach, L., & Schaffner, L. (1997). Coping and psychosocial adaptation: Longitudinal effects over time and stages in breast cancer. Psychosomatic Medicine, 59, 408–418.

    CAS  PubMed  Google Scholar 

  • Helgeson, V. S., Snyder, P., & Seltman, H. (2004). Psychological and physical adjustment to breast cancer over 4 years: Identifying distinct trajectories of change. Health Psychology, 23, 3–15.

    PubMed  Google Scholar 

  • Herres, J. (2015). Adolescent coping profiles differentiate reports of depression and anxiety symptoms. Journal of Affective Disorders, 186, 312–319.

    PubMed  PubMed Central  Google Scholar 

  • Holahan, C. J., Holahan, C. K., Moos, R. H., Brennan, P. L., & Schutte, K. K. (2005). Stress generation, avoidance coping, and depressive symptoms: A 10-year model. Journal of Consulting and Clinical Psychology, 73, 658–666.

    PubMed  PubMed Central  Google Scholar 

  • Holahan, C. J., Moos, R. H., & Schaefer, J. A. (1996). Coping, stress resistance, and growth: Conceptualizing adaptive functioning. In M. Zeidner & N. S. Endler (Eds.), Handbook of coping: Theory, research, applications (pp. 24–43). John Wiley & Sons.

  • Hoyt, M. A., Stanton, A. L., Bower, J. E., Thomas, K. S., Litwin, M. S., Breen, E. C., et al. (2013). Inflammatory biomarkers and emotional approach coping in men with prostate cancer. Brain, Behavior, and Immunity, 32, 173–179.

    CAS  PubMed  PubMed Central  Google Scholar 

  • Hoyt, M. A., Thomas, K. S., Epstein, D. R., & Dirksen, S. R. (2009). Coping style and sleep quality in men with cancer. Annals of Behavioral Medicine, 37, 88–93.

    PubMed  Google Scholar 

  • Juniper, F., Gordon, I., Streiner, D. L., & King, D. R. (1997). Clinical impact versus factor analysis for quality of life questionnaire construction. Journal of Clinical Epidemiology, 50, 233–238.

    CAS  PubMed  Google Scholar 

  • Kaplan, D. (2008). An overview of markov chain methods for the study of stage-sequential developmental processes. Developmental Psychology, 44, 457–467.

    Google Scholar 

  • Kling, K. C., Seltzer, M. M., & Ryff, C. D. (1997). Distinctive late-life challenges: Implications for coping and well-being. Psychology and Aging, 12, 288–295.

    CAS  PubMed  Google Scholar 

  • Lazarus, R. S., & Folkman, S. (1984). Stress, appraisal, and coping. Springer Publishing Company.

  • Levine, D. W., Kripke, D. F., Kaplan, R. M., Lewis, M. A., Naughton, M. J., Bowen, D. J., et al. (2003). Reliability and validity of the Women’s Health Initiative Insomnia Rating Scale. Psychological Assessment, 15, 137–148.

    PubMed  Google Scholar 

  • Li, L., Li, S., Wang, Y., Yi, J., Yang, Y., He, J., et al. (2017). Coping profiles differentiate psychological adjustment in Chinese women newly diagnosed with breast cancer. Integrative Cancer Therapies, 16, 196–204.

    PubMed  Google Scholar 

  • LTA with movers-stayers. (2011). Retrieved February 26, 2019 from Mplus FAQs website: https://www.statmodel.com/download/LTAwithMovers-Stayers.pdf

  • Luszczynska, A., Gerstorf, D., Boehmer, S., Knoll, N., & Schwarzer, R. (2007). Patients’ coping profiles and partners’ support provision. Psychology and Health, 22, 749–764.

    Google Scholar 

  • Magnusson, D. (2003). The person approach: Concepts, measurement models, and research strategy. New Directions for Child and Adolescent Development, 2003, 3–23.

    Google Scholar 

  • Marroquín, B., Czamanski-Cohen, J., Weihs, K. L., & Stanton, A. L. (2016). Implicit loneliness, emotion regulation, and depressive symptoms in breast cancer survivors. Journal of Behavioral Medicine, 39, 832–844.

    PubMed  PubMed Central  Google Scholar 

  • Martinent, G., & Nicolas, M. (2016). A latent profile transition analysis of coping within competitive situations. Sport, Exercise, and Performance Psychology, 5, 218–231.

    Google Scholar 

  • McDermott, E. R., Umaña-Taylor, A. J., & Zeiders, K. H. (2019). Profiles of coping with ethnic-racial discrimination and Latina/o adolescents’ adjustment. Journal of Youth and Adolescence, 48, 908–923.

    PubMed  Google Scholar 

  • Moreno, P. I., Bauer, M. R., Yanez, B., Jorge, A., Maggard-Gibbons, M., & Stanton, A. L. (2016). Dispositional emotional expressivity, cancer-specific coping, and distress in socioeconomically-disadvantaged Latinas. Health Psychology, 35, 584–593.

    PubMed  Google Scholar 

  • Mosher, C. E., Secinti, E., Li, R., Hirsh, A. T., Bricker, J., Miller, K. D., et al. (2018). Acceptance and commitment therapy for symptom interference in metastatic breast cancer patients: A pilot randomized trial. Supportive Care in Cancer, 26, 1993–2004.

    PubMed  PubMed Central  Google Scholar 

  • Moskowitz, J. T., Hult, J. R., Bussolari, C., & Acree, M. (2009). What works in coping with HIV? A meta-analysis with implications for coping with serious illness. Psychological Bulletin, 135, 121–141.

    PubMed  Google Scholar 

  • Mullan, F. (1984). Re-entry: The educational needs of the cancer survivor. Health Education Quarterly, 10, 88–94.

    PubMed  Google Scholar 

  • Muthen, B., & Muthen, L. K. (2000). Integrating person-centered and variable-centered analyses: Growth mixture modeling with latent trajectory classes. Alcoholism, Clinical and Experimental Research, 24, 882–891.

    CAS  PubMed  Google Scholar 

  • Nylund, K. L., Asparouhov, T., & Muthén, B. O. (2007). Deciding on the number of classes in latent class analysis and growth mixture modeling: A Monte Carlo simulation study. Structural Equation Modeling, 14, 535–569.

    Google Scholar 

  • Nylund-Gibson, K., Grimm, R., Quirk, M., & Furlong, M. (2014). A latent transition mixture model using the three-step specification. Structural Equation Modeling, 21, 439–454.

    Google Scholar 

  • Pat-Horenczyk, R., Saltzman, L. Y., Hamama-Raz, Y., Perry, S., Ziv, Y., Ginat-Frolich, R., et al. (2016). Stability and transitions in posttraumatic growth trajectories among cancer patients: LCA and LTA analyses. Psychological Trauma: Theory, Research, Practice, and Policy, 8, 541–549.

    Google Scholar 

  • Politi, M. C., Enright, T. M., & Weihs, K. L. (2007). The effects of age and emotional acceptance on distress among breast cancer patients. Supportive Care in Cancer, 15, 73–79.

    PubMed  Google Scholar 

  • Radloff, L. S. (1977). The CES-D scale: A self-report depression scale for research in the general population. Applied Psychological Measurement, 1, 385–401.

    Google Scholar 

  • Raposa, E. B., Hammen, C. L., Brennan, P. A., O’Callaghan, F., & Najman, J. M. (2014). Early adversity and health outcomes in young adulthood: The role of ongoing stress. Health Psychology, 33, 410–418.

    PubMed  Google Scholar 

  • Reed, R. G., Weihs, K. L., Sbarra, D. A., Breen, E. C., Irwin, M. R., & Butler, E. A. (2017). Emotional acceptance, inflammation, and sickness symptoms across the first two years following breast cancer diagnosis. Brain Behavior Immunity, 56, 165–174.

    Google Scholar 

  • Roussi, P., Krikeli, V., Hatzidimitriou, C., & Koutri, I. (2007). Patterns of coping, flexibility in coping and psychological distress in women diagnosed with breast cancer. Cognitive Therapy and Research, 31, 97–109.

    Google Scholar 

  • Ruscio, J., & Ruscio, A. M. (2008). Categories and dimensions: Advancing psychological science through the study of latent structure. Current Directions in Psychological Science, 17, 203–207.

    PubMed  PubMed Central  Google Scholar 

  • Sauer-Zavala, S., Boswell, J. F., Gallagher, M. W., Bentley, K. H., Ametaj, A., & Barlow, D. H. (2012). The role of negative affectivity and negative reactivity to emotions in predicting outcomes in the unified protocol for the transdiagnostic treatment of emotional disorders. Behaviour Research and Therapy, 50, 551–557.

    PubMed  PubMed Central  Google Scholar 

  • Shapiro, D. E., Boggs, S. R., Rodrigue, J. R., Urry, H. L., Algina, J. J., Hellman, R., et al. (1997). Stage II breast cancer: Differences between four coping patterns in side effects during adjuvant chemotherapy. Journal of Psychosomatic Research, 43, 143–157.

    CAS  PubMed  Google Scholar 

  • Stanton, A. L., Bernaards, C. A., & Ganz, P. A. (2005a). The BCPT symptom scales: A measure of physical symptoms for women diagnosed with or at risk for breast cancer. Journal of the National Cancer Institute, 97, 448–456.

    PubMed  Google Scholar 

  • Stanton, A. L., Danoff-Burg, S., Cameron, C. L., Bishop, M., Collins, C. A., Kirk, S. B., et al. (2000a). Emotionally expressive coping predicts psychological and physical adjustment to breast cancer. Journal of Consulting and Cinical Psychology, 68, 875–882.

    CAS  Google Scholar 

  • Stanton, A. L., Ganz, P. A., Rowland, J. H., Meyerowitz, B. E., Krupnick, J. L., & Sears, S. R. (2005b). Promoting adjustment after treatment for cancer. Cancer, 104, 2608–2613.

    PubMed  Google Scholar 

  • Stanton, A. L., Kirk, S. B., Cameron, C. L., & Danoff-Burg, S. (2000b). Coping through emotional approach: Scale construction and validation. Journal of Personality and Social Psychology, 78, 1150–1169.

    CAS  PubMed  Google Scholar 

  • Stanton, A. L., Wiley, J. F., Krull, J. L., Crespi, C. M., Hammen, C., Allen, J. J. B., et al. (2015). Depressive episodes, symptoms, and trajectories in women recently diagnosed with breast cancer. Breast Cancer Research and Treatment, 154, 105–115.

    PubMed  PubMed Central  Google Scholar 

  • Stanton, A. L., Wiley, J. F., Krull, J. L., Crespi, C. M., & Weihs, K. L. (2018). Cancer-related coping processes as predictors of depressive symptoms, trajectories, and episodes. Journal of Consulting and Clinical Psychology, 86, 820–830.

    PubMed  PubMed Central  Google Scholar 

  • Stinesen Kollberg, K., Wiley, J. F., Ross, K. M., Jorge-Miller, A., Hammen, C., Weihs, K. L., & Stanton, A. L. (2019). Chronic stress in vocational and intimate partner domains as predictors of depressive symptoms after breast cancer diagnosis. Annals of Behavioral Medicine, 53, 333–344.

    PubMed  Google Scholar 

  • Stone, A. A., & Neale, J. M. (1984). New measure of daily coping: Development and preliminary results. Journal of Personality and Social Psychology, 46, 892–906.

    Google Scholar 

  • Taylor, S. E., & Stanton, A. L. (2007). Coping resources, coping processes, and mental health. Annual Review of Clinical Psychology, 3, 377–401.

    PubMed  Google Scholar 

  • Tein, J. Y., Coxe, S., & Cham, H. (2013). Statistical power to detect the correct number of classes in latent profile analysis. Structural Equation Modeling, 20, 640–657.

    PubMed  PubMed Central  Google Scholar 

  • Tobin, D. L., Holroyd, K. A., Reynolds, R. V., & Wigal, J. K. (1989). The hierarchical factor structure of the coping strategies inventory. Cognitive Therapy and Research, 13, 343–361.

    Google Scholar 

  • Vermunt, J. K., & Magidson, J. (2002). Latent class cluster analysis. In J. A. Hagenaars & A. L. McCutcheon (Eds.), Applied latent class analysis (pp. 89–106). Cambridge University Press.

  • Weihs, K. L., McConnell, M. H., Wiley, J. F., Crespi, C. M., Sauer-Zavala, S., & Stanton, A. L. (2019). A preventive intervention to modify depression risk targets after breast cancer diagnosis: Design and single-arm pilot study. Psycho-Oncology, 28, 880–887.

    PubMed  PubMed Central  Google Scholar 

  • Weihs, K. L., Wiley, J. F., Crespi, C. M., Krull, J. L., & Stanton, A. L. (2018). Predicting future major depression and persistent depressive symptoms: Development of a prognostic screener and PHQ-4 cutoffs in breast cancer patients. Psycho-Oncology, 27, 420–426.

    PubMed  Google Scholar 

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Acknowledgements

Supported by 1R01 CA133081 (Stanton & Weihs, co-PIs), Breast Cancer Research Foundation BCRF-18-153 (Stanton), NCI P30CA023074 University of Arizona Cancer Center Support Grant (Weihs, PI: Kraft), Jonsson Comprehensive Cancer Center support Grant, NIH/NCI P30 CA 16042 (Crespi, PI: Gasson). Jacqueline H. J. Kim and Timothy J. Williamson were supported by the National Institute of Mental Health (5 T32 MH015750; PI: Dunkel Schetter).

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Authors and Affiliations

  1. Department of Psychology, University of California (UCLA), Los Angeles, CA, USA

    Jacqueline H. J. Kim, Emma E. Bright, Timothy J. Williamson, Jennifer L. Krull & Annette L. Stanton

  2. Department of Psychiatry, University of Arizona Cancer Center, The University of Arizona, Tucson, AZ, USA

    Karen L. Weihs

  3. UCLA Jonsson Comprehensive Cancer Center, Los Angeles, CA, USA

    Annette L. Stanton

  4. Department of Psychiatry and Biobehavioral Sciences, University of California (UCLA), Los Angeles, CA, USA

    Annette L. Stanton

  5. Cousins Center for Psychoneuroimmunology, Los Angeles, CA, USA

    Annette L. Stanton

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Appendices

Appendix 1

See Table 3.

Table 3 Fit parameters for latent profile analysis of cancer-specific coping strategies
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Appendix 2

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Table 4 Latent transition probabilities for coping profiles across timepoints
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Appendix 3

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Table 5 Counts and proportions for the coping profile transition latent class patterns
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Kim, J.H.J., Bright, E.E., Williamson, T.J. et al. Transitions in coping profiles after breast cancer diagnosis: implications for depressive and physical symptoms. J Behav Med 44, 1–17 (2021). https://doi.org/10.1007/s10865-020-00159-w

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