{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,2]],"date-time":"2026-11-02T17:43:48Z","timestamp":1793641428477,"version":"4.5.1"},"reference-count":84,"publisher":"Wiley","issue":"11","license":[{"start":{"date-parts":[[2025,10,29]],"date-time":"2025-10-29T00:00:00Z","timestamp":1761696000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Psycho-Oncology"],"published-print":{"date-parts":[[2025,11]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>Decision self\u2010efficacy reflects individuals' confidence in their ability to make effective health\u2010related decisions. In oncology, it is essential to foster active engagement throughout the healthcare journey. Despite its relevance for quality of life, limited evidence exists on the factors influencing decision self\u2010efficacy among cancer survivors. This exploratory study examined the role of personality traits, metacognition, coping strategies, and social support in predicting decision self\u2010efficacy in breast cancer survivors.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>187 breast cancer survivors voluntarily completed online questionnaires assessing socio\u2010demographic variables and standardized measures. Correlational analyses, multiple regressions, and mediation analyses were conducted.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Findings evidenced that conscientiousness and cognitive self\u2010consciousness positively predicted decision self\u2010efficacy, whereas agreeableness showed a negative association. Problem\u2010focused coping was positively related to decision self\u2010efficacy; however, this effect was not significant when social support was included. Significant\u2010other support and cognitive self\u2010consciousness emerged as additional positive predictors. Mediation analysis indicated that agreeableness negatively influenced decision self\u2010efficacy when mediated by problem\u2010focused coping strategies.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion<\/jats:title>\n                    <jats:p>Knowing individual and social characteristics that foster decision self\u2010efficacy can be crucial to promote well\u2010being in breast cancer survivors, decreasing anxiety and distress about their health.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/pon.70322","type":"journal-article","created":{"date-parts":[[2025,10,30]],"date-time":"2025-10-30T01:24:58Z","timestamp":1761787498000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["Perceived Self\u2010Efficacy in Decision\u2010Making: The Influence of Personality and Cognitive Variables"],"prefix":"10.1002","volume":"34","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1227-7336","authenticated-orcid":false,"given":"Valeria","family":"Sebri","sequence":"first","affiliation":[{"name":"Applied Research Division for Cognitive and Psychological Science IEO European Institute of Oncology IRCCS  Milan Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1967-9565","authenticated-orcid":false,"given":"Clizia","family":"Cincidda","sequence":"additional","affiliation":[{"name":"Applied Research Division for Cognitive and Psychological Science IEO European Institute of Oncology IRCCS  Milan Italy"},{"name":"Department of Oncology and Hemato\u2010Oncology University of Milan  Milan Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gabriella","family":"Pravettoni","sequence":"additional","affiliation":[{"name":"Applied Research Division for Cognitive and Psychological Science IEO European Institute of Oncology IRCCS  Milan Italy"},{"name":"Department of Oncology and Hemato\u2010Oncology University of Milan  Milan Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,10,29]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.3389\/fpsyg.2024.1434357"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.3389\/fpsyg.2023.1165905"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41598\u2010025\u201085577\u2010z"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.3389\/fphar.2021.710518"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1037\/xge0000137"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.3389\/fnins.2019.00065"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.1002\/mgg3.1291"},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.4081\/jphr.2020.1782"},{"key":"e_1_2_9_10_1","doi-asserted-by":"publisher","DOI":"10.1037\/h0101732"},{"key":"e_1_2_9_11_1","first-page":"617","volume-title":"Social Foundations of Thought and Action: A Social Cognitive Theory. 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