Resilience Of Breast Cancer Patients Research Articles

Relationship Between Type of Treatment And Resilience In Breast Cancer Patients

The high number of cancer patients indicates the need for breast cancer disease control. Various types of treatment include surgery, chemotherapy, radiotherapy, and hormone therapy. Good resilience in cancer patients demonstrates their ability to adapt well to the ongoing treatment effects. Resilience refers to an individual's capacity to manage and overcome problems. The purpose of this study is to investigate the connection between different types of treatment and resilience in breast cancer patients. The research employs a quantitative, cross-sectional approach. Sample calculation used the Lemeshow proportion estimation formula, resulting in 112 respondents at RSUP Persahabatan, selected using purposive sampling based on inclusion and exclusion criteria. Respondent characteristics were assessed using observation sheets, and resilience was measured using the Connor-Davidson Resilience Scale 25 (CD-RISC 25) with a Cronbach Alpha reliability coefficient of 0.892. All variables in this study are categorical; thus, chi-square analysis and, for contingency tables larger than 2x2 with predicted frequencies less than 5, Fisher's exact test were applied. Bivariate analysis results showed a significant relationship between the type of treatment and resilience in breast cancer patients, with a p-value of 0.002 (<0.05). Similarly, one of the respondent characteristics based on cancer stage showed a significant relationship with resilience, with a p-value of 0.016 (<0.05). The resilience of breast cancer patients undergoing treatment is very high, at 25.0%.

Perceived social support mediates cancer and living meaningfully intervention effects on quality of life after breast cancer surgery.

Aim: To explore the role of perceived social support in enhancing psychological resilience and quality of life in postoperative breast cancer patients. Materials & methods: The Managing Cancer and Living Meaningfully (CALM) intervention was used to improve indicators such as psychological resilience in breast cancer patients, while the role of perceived social support in this was assessed. Results: The intervention group exhibited significant improvements compared with the control group in psychological resilience (F=9.059, p<0.01). The analysis showed that increased social support in the control group partly mediated the link between psychological resilience and quality of life. Conclusion: CALM improves overall well-being, indicating that incorporating it into standard care for post-mastectomy patients can positively impact their mental health.

Effects of psychological intervention on negative emotions and psychological resilience in breast cancer patients after radical mastectomy.

Breast cancer (BC)is the most common malignant tumor in women, and the treatment process not only results in physical pain but also significant psychological distress in patients. Psychological intervention (PI) has been recognized as an important approach in treating postoperative psychological disorders in BC patients. It has been proven that PI has a significant therapeutic effect on post-operative psychological disorders, improving patients' negative emotions, enhancing their psychological resilience, and effectively enhancing their quality of life and treatment compliance.

The Role of Resilience in the Relationship between Sociodemographic, Clinical Characteristics, and Social Support among Breast Cancer Patients in Serbia.

The management of breast cancer treatments within the limitations of family, social, and professional life is emotionally burdening and negatively affects physical, psychological, and social well-being, reducing the overall quality of life of patients and their families. This cross-sectional descriptive-analytical study was conducted from March to August 2023 at the "Dr. Radivoj Simonović" General Hospital in Sombor. A total of 236 breast cancer patients participated in this study. The research was conducted using the following instruments: a questionnaire on sociodemographic and clinical characteristics of patients, the Berlin Social-Support Scales-for assessing social support-and the Connor-Davidson Resilience Scale-for assessing resilience. This study aimed to determine the predictors and levels of social support and resilience of breast cancer patients. We also wanted to examine whether resilience is a mediator between patients' sociodemographic and clinical characteristics and levels of social support. The total average value of social support was 3.51 ± 0.63, while on the resilience scale, the respondents achieved a total average score of 52.2 ± 9.63. Perceived and actually received social support of breast cancer patients were positively correlated with resilience [p < 0.01], while no statistically significant correlations were found for the need for support and satisfaction. The sets of predictors can significantly predict their effects on all types of perceived social support (emotional social support: 9%; perceived instrumental social support: 9%) and all types of received social support (actually received emotional social support: 8%; actually received instrumental social support: 7%; actually received informational social support: 8%). There is a potential mediating role of resilience in relation to sociodemographic factors, clinical characteristics, and the need for support. This study confirms that a strong connection exists between social support and resilience. However, the analysis did not confirm the mediating role of resilience between the sociodemographic and clinical characteristics on the one hand and social support on the other.

The role of the oxytocin system in the resilience of patients with breast cancer.

Breast cancer is a grave traumatic experience that can profoundly compromise patients' psychological resilience, impacting their overall quality of life. The oxytocin system represents one of the essential neurobiological bases of psychological resilience and plays a critical role in regulating resilience in response to social or traumatic events during adulthood. Oxytocin, through its direct interaction with peripheral or central oxytocin receptors, has been found to have a significant impact on regulating social behavior. However, the precise mechanism by which the activation of peripheral oxytocin receptors leads to improved social is still not completely comprehended and requires additional research. Its activation can modulate psychological resilience by influencing estrogen and its receptors, the hypothalamic-pituitary-adrenal axis, thyroid function, 5-hydroxytryptamine metabolism levels, and arginine pressure release in breast cancer patients. Various interventions, including psychotherapy and behavioral measures, have been employed to improve the psychological resilience of breast cancer patients. The potential effectiveness of such interventions may be underpinned by their ability to modulate oxytocin release levels. This review provides an overview of the oxytocin system and resilience in breast cancer patients and identifies possible future research directions and interventions.

Resilience-related Breast Cancer: A Concept Analysis

Background: Breast cancer-related adversity can result in severe psychological issues. However, some patients were able to demonstrate resilience, while others were not. Therefore, the concept of resilience in breast cancer patients requires further clarification.Purpose: This study aimed to systematically analyze resilience in patients with breast cancer, its attributes, antecedents, consequences, and empirical referents.Methods: This concept analysis used the Walker and Avant method. CINAHL, Embase, Scopus, Web of Science, PubMed, Cochrane, and Medline-OVID databases were explored using the keywords ‘resilience*’ and ‘breast cancer’. Papers discussing resilience among breast cancer patients were used as criteria for inclusion. The analysis focused on the redefinition of resilience-related breast cancer by identifying attributes, antecedents, and consequences.Results: A total of 53 studies were analyzed to construct resilience among breast cancer patients. The analysis identified that resilience in breast cancer patients has three defining attributes: coping, optimism, and social support. The antecedents were body image after mastectomy, symptom distress, cancer-related stigma, and fear of cancer recurrence, while the consequences included recorded as the quality of life and post-traumatic growth.Conclusion: Critical characteristics of resilience in breast cancer patients were coping, optimism, and social support. Thus, improving those characteristics might improve the quality of life and post-traumatic growth.

General Health and Resilience of Breast Cancer Patients: The Mediator Role of Affective Well-Being.

A considerable percentage of breast cancer patients present adequate psychological adjustment and do not become distressed after a breast cancer diagnosis, or, if they do, they manage to recover quickly, which is reflected in their general health. This study aims to determine the role of some psychological mechanisms that affect psycho-oncological adjustment, specifically, resilience and well-being, in a sample of 109 breast cancer patients. For this purpose, participants completed questionnaires on general health, resilience, and well-being (life satisfaction and affect). Correlation analyses and a multiple mediation model were carried out. The results revealed that Pearson correlations between all variables showed strong associations between general health scores and positive and negative affect scores, and moderate associations with life satisfaction and resilience scores. Furthermore; in the mediation model, the total percentage of variance explained by the overall model was 55% (R2 = 0.55), where resilience was associated with positive and negative affect, and that influenced general health. These results show that affective well-being is especially relevant in breast cancer patients in terms of its mediating role in resilience, making it clear that an appropriate intervention focused on managing patients’ affective status can have a favorable impact on their overall health.

Protocol for the Exercise, Cancer and Cognition - The ECCO-Study: A Randomized Controlled Trial of Simultaneous Exercise During Neo-/Adjuvant Chemotherapy in Breast Cancer Patients and Its Effects on Neurocognition.

IntroductionEpidemiological studies show that increased physical activity is linked to a lower risk of breast cancer and mortality. As a result, physical activity can significantly improve patients' quality of life (QOL) both during and after therapy.Many breast cancer patients demonstrate a decrease in cognitive capacity, referred to as the symptom-complex cancer related cognitive impairment (CRCI). Most frequently reported impairments are mild to moderate deficits in processing speed, attention, memory, and executive functions. Cognitive symptoms persist for months or even years, following medical treatment in roughly 35% of afflicted people, impairing everyday functioning, limiting the ability to return to work, and lowering the overall QOL. Recent studies point toward a key role of inflammatory pathways in the CRCI genesis. Attention to physical activity as a potential supportive care option is therefore increasing. However, evidence for the positive effects of exercise on preventing CRCI is still lacking.Patients and MethodsAgainst this background, the prospective, two-arm, 1:1 randomized, controlled trial investigates the influence of first line chemotherapy accompanied by exercise training on preventing CRCI in 126 patients with breast cancer at the local University Hospital. The study will evaluate biomarkers and secondary assessments suspected to be involved in the pathogenesis of CRCI in addition to objective (primary outcome) and subjective cognitive function. CRCI is believed to be connected to either functional and/or morphological hippocampal damage due to chemotherapy. Thus, cerebral magnetic resonance imaging (MRI) and hippocampal volume measurements are performed. Furthermore, a specific neuropsychological test battery for breast cancer patients has been developed to detect early signs of cognitive impairments in patients and to be integrated into practice.DiscussionThis study will explore how a long-term supervised exercise intervention program might prevent CRCI, enables optimization of supportive care and objectifies limits of psychological and physical resilience in breast cancer patients during and after chemotherapy treatment.Trial RegistrationClinicalTrials.gov: Identifier: NCT04789187. Registered on 09 March 2021.

Mediator Roles of Social Support and Hope in the Relationship Between Body Image Distress and Resilience in Breast Cancer Patients Undergoing Treatment: A Modeling Analysis.

Breast cancer and its treatment are particularly distressing for patients because of their potential impacts on body image. The most difficult phase of cancer treatment is usually the first year after a diagnosis. Cancer patients with strong resilience have the positive attitude, internal strength and external resources needed to cope with the disease and its treatment. This cross-sectional study investigated the mediator roles of hope and social support in the association between body image distress and resilience. A structured questionnaire was used to collect data for a convenience sample of 141 breast cancer patients undergoing treatment in southern Taiwan. Structural equation modeling was used for data analysis. The results showed that the final model had a good fit to the data and accounted for 51% of the total variance in resilience. The model of multiple parallel mediators of resilience revealed that hope and social support had mediator roles in the effect of body image distress on resilience. Hope had an important partial mediating role in the association between body image distress and resilience. Social support also had a partial mediating role in the relationship between body image distress and resilience. Social support did not directly affect resilience and indirectly affected resilience through hope. Psychosocial interventions aimed at reducing the impact of body image distress and increasing resilience in breast cancer patients should focus on cultivating hope and increasing social support, particularly support from family members and health professionals.

Evaluation of the effects of integrative non-pharmacological interventions on the internal coherence and resilience of breast cancer patients.

In the breast cancer center at the Gemeinschaftskrankenhaus Havelhöhe (GKH), integrative strategies are implemented in the routine care of breast cancer patients. The aim of this breast cancer real-world study was to systematically evaluate changes in patients' internal coherence and resilience, associated with the use of non-pharmacological interventions (NPIs). This study included 231 primary breast cancer patients treated with standard oncological therapy and NPIs, which comprise art and movement therapies, nursing interventions, and educational components, and had answered the internal coherence scale (ICS) questionnaire at first diagnosis and 12months later. Data were collected from the Network Oncology clinical registry of the GKH, and effects of NPIs on ICS changes were analyzed with adjusted linear multivariable regression analyses, using the software R. Two hundred twenty breast cancer patients of all tumor stages were eligible for a total of 27 separate adjusted multivariable linear regression analyses. The NPIs elaborate consultations and life review (ECLR); nursing compresses, music therapy, and rhythmic massages were significantly associated with increases of about 2-point changes in inner resilience and coherence (p< 0.05). Furthermore, a significant association with an elevation of the thermo coherence was observed for the application of nursing compresses. The evaluation of real-world data carried out here shows that the application of the multimodal treatment concept can lead to an enhancement of the internal coherence and resilience in breast cancer patients. To improve the care of cancer patients, this multimodal program should be further expanded into routine clinical practices. Trial registration number DRKS00013335 on 27/11/2017 retrospectively registered.

Factors Associated with The Resilience of Breast Cancer Patients Undergoing Chemotherapy

Introduction: The management of chemotherapy in breast cancer requires a long time and cause miscellaneous of side effects. High resilience is needed by breast cancer patients to undergo chemotherapy regularly. This study aimed to analyze factors associated with the resilience of breast cancer patients undergoing chemotherapy.Methods: This study design was cross-sectional. From the total population of 122 breast cancer patients, a sample of 100 participants was selected using a purposive sampling technique. The independent variables were hardiness, education level, economic status, side effects of chemotherapy, family support, and anxiety. The dependent variable was resilience. The instruments of this study were Hardiness questionnaire, Chemothraphy-Symptom Assessment Scale (C-SAS), Family Support questionnaire, Zung-Self Rating Anxiety Scale (ZSRAS), and Connor-Davidson Resilience Scale (CD-RISC). The Spearmen’s Rho was used for statistical analysis.Results: Hardiness (p=0.000; r=0.310), Education Level (p=0.000; r=0.416), Economic Status (p=0.000; r=0.369), Side Effects of Chemotherapy (p=0.004; r=-0.283) and Family Support (p=0.000; r=0.579) have relation with the resilience. Anxiety has no relation with the resilience (p=0.23; r=0.121).Conclusion: The side effects management of chemotherapy and family support were necessary to increase the resilience of breast cancer patients undergoing chemotherapy. It is highly recommended to the next researchers to do some studies about factors associated with the side effects of chemotherapy and nursing intervention, which can reduce the side effects of chemotherapy itself.

Correlation Between Family Support and Emotional Regulation with The Resilience of Breast Cancer Patients in The City of Surabaya: A Literature Review

Introduction: Breast cancer incidence has increased recently. Breast cancer patients usually feel inconvenience, psychological impact, and unstable emotions. The purpose of this study is to review the literature on the relationship between family support and emotional regulation with the resilience of breast cancer patients.Methods: The review literature search uses a database "Google Scholar, Sinta, Jurnal Ners dan Scopus with keywords "Family Support, Emotion Regulation, Resilience, Breast Cancer, Patient" in the last ten years 2009-2019.Results: 4,434 journals then identified for titles obtained as much as 2,142 and filtered according to abstract obtained 98 remaining journals, then review the complete full-text publication of a fully detailed 46 journal The final article that was in accordance with the inclusion criteria was 19 journals (articles).There is a significant relationship between family support and emotional regulation to the resilience of breast cancer patients.Conclusion: Family support can affect the health conditions felt by breast cancer patients; good emotional regulation is needed so that the patient can survive. On the articles that have been reviewed, Family support and hope given to people suffering from chronic diseases can be mediators of the emergence of resilient characters With good emotional regulation Individuals can control emotions by monitoring, evaluating and modifying emotional reactions, thus acquired adaptive emotions and organized behavior, then forming good self-acceptance and the individual feeling confident in him, able to live a life of positive, optimistic, and confident

Validity and reliability of a Korean version of the breast cancer survivors resilience scale.

To examine the resilience of breast cancer patients by investigating the validity and reliability of a Korean version of the breast cancer survivors resilience scale (BCRS) and to provide basic data for developing interventions that can be used by healthcare professionals to enhance the resilience of breast cancer patients. Data were obtained from 280 breast cancer survivors receiving treatment at the outpatient clinic of Kosin University Hospital located in Busan City, Korea, and the collected data were used to confirm content validity, construct validity, criterion validity, and internal consistency reliability. The Korean version of the BCRS comprised two subdomains and a total of 16 items, and the internal consistency reliability estimated by Cronbach's alpha was .87~.89. This study found that the Korean version BCRS has high validity and reliability. In future studies, it will be necessary to conduct research that identifies the resilience levels of patients with breast cancer, using the Korean version BCRS, and seeks interventions in agreement with the results.

乳腺癌患者创伤后成长、心理弹性与注意偏向的相关性研究

乳腺癌患者创伤后成长、心理弹性与注意偏向的相关性研究

Finding the Molecular Fingerprint of Psychological Resilience in Breast Cancer Patients

Finding the Molecular Fingerprint of Psychological Resilience in Breast Cancer Patients

Analysis of psychological resilience of breast cancer patients during chemotherapy period and its influencing factors

Objective To explore the statue quo of psychological resilience of breast cancer patients during chemotherapy period and its influencing factors. Methods From December 12 to May 2018, Totally 165 breast cancer patients during chemotherapy period in Department of Mammary Chemotherapy of Zhejiang Cancer Hospital were investigated by self-designed demographic questionnaire, the Connor-Davidson Resilience Scale and the Medical Coping Modes Questionnaire. Results The total score of psychological resilience for breast cancer patients during chemotherapy period was (60.26±16.17)points.Multiple regression analysis showed that marital status, transfer, confront and resignation coping style were the influencing factors for psychological resilience(t=-3.048, 3.216, 3.070, -3.044, all P<0.05). Conclusion The level of psychological resilience of breast cancer patients is poor and multivariate analysis appears that marital status, transfer, confront and resignation coping style are important influencing factors. Key words: Chemotherapy; Breast cancer; Resilience; Influencing Factors; Coping style; Confront; Resignation; Nursing

Status of psychological resilience and its influencing factors in breast cancer patients undergoing radiotherapy

Objective To investigate the psychological resilience in breast cancer patients undergoing radiotherapy, and analyze its influencing factors. Methods A total of 120 cases of breast cancer patients undertaking radiation therapy in the radiation department of a ClassⅢ Grade A hospital from January to December 2017 were collected by convenience sampling method. General information questionnaire, the Chinese version of Connor-Davidson Resilience Scale (CD-RISC) and Perceived Social Support Scale (PSSS) were applied to investigate patients. Single factor analysis, Pearson correlation analysis and multiple linear regression analysis were used to analyze the influencing factors of psychological resilience in patients with breast cancer undergoing radiotherapy. Results A total of 112 valid questionaires were collectod. The total score of psychological resilience of breast cancer patients was (50.31±12.53) , and the scores of self-strengthening, tenacity and optimism were (17.23±3.53) , (24.63±6.84) and (8.93±2.32) respectively. Age, education level, presence of complications, and perceived social support are the main factors affecting patients' psychological resilience. Conclusions Psychological resilience of breast cancer patients was at the moderate level. Medical staff should give more targeted interventions according to the specific conditions of patients, provide more social support for patients, and improve the psychological resilience of patients. Key words: Breast neoplasms; Social support; Radiotherapy; Psychological resilience

A multicenter study investigating the molecular fingerprint of psychological resilience in breast cancer patients: study protocol of the SCAN-B resilience study

BackgroundIndividual patients differ in their psychological response when receiving a cancer diagnosis, in this case breast cancer. Given the same disease burden, some patients master the situation well, while others experience a great deal of stress, depression and lowered quality of life. Patients with high psychological resilience are likely to experience fewer stress reactions and better adapt to and manage the life threat and the demanding treatment that follows the diagnosis. If this phenomenon of mastering difficult situations is reflected also in biomolecular processes is not much studied, nor has its capacity for impacting the cancer prognosis been addressed.This project specifically aims, for the first time, to investigate how a breast cancer patient’s psychological resilience is coupled to biomolecular parameters using advanced “omics” and, as a secondary aim, whether it relates to prognosis and quality of life one year after diagnosis.MethodThe study population consists of newly diagnosed breast cancer patients enrolled in the Sweden Cancerome Analysis Network – Breast (SCAN-B) at four hospitals in Sweden. At the time of cancer diagnosis, the patient fills out the standardized method to measure psychological resilience, the “Connor-Davidson Resilience scale” (CD-RISC), the quality of life measure SF-36, as well as providing social and socioeconomic variables. In addition, one blood sample is collected. At the one-year follow-up, the patient will be subjected to the same assessments, and we also collect information regarding smoking, exercise habits, and BMI, as well as patients’ trust in the treatment and their satisfaction with the care and treatment.DiscussionThis explorative hypothesis-generating project will pave the way for larger validation studies, potentially leading to a standardized method of measuring psychological resilience as an important parameter in cancer care. Revealing the body-mind interaction, in terms of psychological resilience and quality of life, will herald the development of truly personalized psychosocial care and cancer intervention treatment strategies.Trial registrationThis is a retrospectively registered trial at ClinicalTrials.gov, ID: NCT03430492 on February 6, 2018.

Effects of self-efficacy, social support and coping style on resilience in breast cancer patients undergoing chemotherapy

Objective To explore the effect of self-efficacy, social support and coping style on resilience of breast cancer patients undergoing chemotherapy. Methods From January 2015 to January 2017, a total of 376 breast cancer patients undergoing chemotherapy in the Third Internal Medicine Department of Harbin Medical University Cancer Hospital were selected as the research objects. Patients' self-efficacy, social support, coping style and the level of resilience were evaluated with the Connor-Davidson resilience scale (CD-RISC) , general self-efficacy scale (GSES) , social support questionnaire (SSQ) and simplified coping style questionnaire (SCSQ) . The effects and function route of self-efficacy, social support and coping style on resilience of breast cancer patients were analyzed by Pearson correlation analysis and multiple regression analysis and path analysis. Results The total resilience score of patients with breast cancer chemotherapy was (56.72±12.47) , the score of tenacity dimension was (29.25±7.15) , the score of strength dimension was (19.35±4.61) , and the score of optimism dimension was (8.12±2.14) . Correlation analysis showed a positive correlation between the resilience of patients and self-efficacy, social support and positive coping style (P<0.05) .The result of regression analysis suggested that patients' resilience was influenced by multiple factors, including self-efficacy, subjective support and positive coping style, with the coefficients of determination R2=0.622, F=7.664, P<0.001. Path analysis showed that self-efficacy and subjective support of breast cancer patients had both direct and indirect effects on resilience, while breast cancer patients with positive coping style had a direct impact on resilience. Conclusions The resilience level of breast cancer patients is in a low state. The patients' self-efficacy, subjective support and positive coping style are important factors that influencing the resilience of breast cancer patients undergoing chemotherapy. Key words: Resilience, psychological; Social support; Breast neoplasms; Self-efficacy; Coping style

Assessment of the relation between religiosity, mental health, and psychological resilience in breast cancer patients.

Aim of the studyThe aim of this study was to examine the relationship between religiosity, mental health, and psychological resilience in breast cancer patients.Material and methodsA cross-sectional study was conducted in an oncology department of a hospital in northern Greece during February and March 2017. The sample consisted of 152 breast cancer patients. Data were collected with the following instruments: Patient Health Questionnaire two-item scale, Generalised Anxiety Disorder two-item scale, Connor-Davidson Resilience Scale 25, and Centrality of Religiosity Scale. Also, patients’ characteristics were included, specifically demographic, social, and clinical information. Statistical analyses were conducted with the Statistical Package for the Social Sciences V25.ResultsAccording to our results, approximately 1 out of 3 patients had depression and anxiety. Also, the sample had moderate resilience and were moderately religious. Patients who were classified as end-stage cancer patients and those who underwent mastectomy found to be more religious. Religiosity correlated positively with the resilience, while no correlation was found with depression, anxiety, and symptom burden. Based on regression results, religious beliefs seem to be a predictive factor for resilience and resilience is a predictive factor for depression.ConclusionsOur findings show that there was no association between religiosity and mental health, while a strong relation was highlighted between religious beliefs and psychological resilience. This study should constitute a starting point for further assessments regarding the fact that religiosity can provide social support that facilitates psychological adaption to illness and helps cancer patients to cope with their illness, which should be recognised by health care professionals.