Coping Among Breast Cancer Survivors: A Confirmatory Factor Analysis of the Brief COPE

Abstract

Background and PurposeCancer survivors continue to cope with significant stressors after completing treatment. The Brief COPE (Carver, 1997) is frequently used to measure coping; however, its factor structure remains unclear. The purpose of this study was to determine the best factor conceptualization of the Brief COPE for use among breast cancer survivors.MethodsBreast cancer survivors (N = 1,127) completed the Brief COPE. We conducted confirmatory factor analyses comparing several a priori models based on research in cancer-relevant populations.ResultsOf the eight models examined, the 14-factor model of the Brief COPE showed the best fit.ConclusionsDespite efforts to simplify the structure of the Brief COPE, our results suggest coping among breast cancer survivors is best assessed using Carver's (1997) original 14-factor conceptualization.