title: Goal adjustment, physical and sedentary activity, and well-being and health among breast cancer survivors.
abstract: OBJECTIVE
  This longitudinal study examined whether goal adjustment capacities (i.e., goal disengagement and goal reengagement) would predict breast cancer survivors' emotional well-being and physical health by facilitating high levels of physical activity and low levels of sedentary activity.
  
  
  METHODS
  Self-reports of goal adjustment capacities were measured among 176 female breast cancer survivors at baseline. Self-reports of physical activity, sedentary activity, daily affect, and daily physical health symptoms (e.g., nausea or pain) were measured at baseline and 3-month follow-up.
  
  
  RESULTS
  Goal reengagement predicted high levels of positive affect and low levels of physical symptoms at baseline and increases in positive affect over 3 months. The combination of high goal disengagement and high goal reengagement was associated with particularly large 3-month increases in positive affect. The effects of goal reengagement on baseline affect and physical health were mediated by high baseline levels of physical activity, and the interaction effect on 3-month changes in positive affect was mediated by low baseline levels of sedentary activity.
  
  
  CONCLUSIONS
  Goal adjustment capacities can exert beneficial effects on breast cancer survivors' well-being and physical health by facilitating adaptive levels of physical and sedentary activity. Integrating goal adjustment processes into clinical practice may be warranted.
authors.affiliation: Department of Psychology and Centre for Research in Human Development, Concordia University, Montreal, QC, Canada. carsten.wrosch@concordia.ca
authors.forename: Carsten
authors.initials: C
authors.lastname: Wrosch
authors.forename: Catherine M
authors.initials: CM
authors.lastname: Sabiston
mesh_terms: D000223:Adaptation, Psychological; D000328:Adult; D000339:Affect; D000368:Aged; D001943:Breast Neoplasms / Q000523:psychology*; D005260:Female; D006040:Goals; D006304:Health Status; D006801:Humans; D008137:Longitudinal Studies; D008875:Middle Aged; D009043:Motor Activity; D010549:Personal Satisfaction; D057185:Sedentary Behavior; D017741:Survivors / Q000523:psychology*