Kong LX, Yang YX, Zhao Q, Feng ZL. Effect of resilience on quality of life and anxiety in patients with breast cancer. World J Psychiatry 2024; 14(10): 1458-1466 [DOI: 10.5498/wjp.v14.i10.1458]
Corresponding Author of This Article
Zhi-Lin Feng, MBBS, Nurse, Department of Breast Surgery, The First Affiliated Hospital of Hebei North University, No. 12 Changqing Road, Qiaoxi District, Zhangjiakou 075000, Hebei Province, China. 15028330918@163.com
Research Domain of This Article
Psychiatry
Article-Type of This Article
Observational Study
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Ling-Xia Kong, Qian Zhao, Zhi-Lin Feng, Department of Breast Surgery, The First Affiliated Hospital of Hebei North University, Zhangjiakou 075000, Hebei Province, China
Yong-Xia Yang, Department of Psychiatry, Zhangjiakou Shalingzi Hospital (Zhangjiakou Mental Health Center), Zhangjiakou 075200, Hebei Province, China
Author contributions: Kong LX designed the research and wrote the paper; Yang YX designed this research and provided professional advice; Zhao Q collected and analyzed the data and reviewed the paper; Feng ZL reviewed the research; all authors approved the final manuscript.
Supported byZhangjiakou Science and Technology Plan Project, No. 2322112D.
Institutional review board statement: The study was reviewed and approved by the Institutional Review Board of The First Affiliated Hospital of Hebei North University.
Informed consent statement: All study participants or their legal guardians provided written informed consent before study enrollment.
Conflict-of-interest statement: The authors declare no conflict of interest.
Data sharing statement: Data supporting the findings of this study are available from the corresponding author upon request.
STROBE statement: The authors have read the STROBE Statement—checklist of items, and the manuscript was prepared and revised according to the STROBE Statement—checklist of items.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Zhi-Lin Feng, MBBS, Nurse, Department of Breast Surgery, The First Affiliated Hospital of Hebei North University, No. 12 Changqing Road, Qiaoxi District, Zhangjiakou 075000, Hebei Province, China. 15028330918@163.com
Received: August 8, 2024 Revised: September 4, 2024 Accepted: September 9, 2024 Published online: October 19, 2024 Processing time: 69 Days and 23.8 Hours
Abstract
BACKGROUND
The incidence of breast cancer is high, with serious implications in terms of lives and health. Relevant data show that there are approximately 1 million new cases of breast cancer reported annually, with a rising trend. Some patients have poor treatment effects and are prone to anxiety and other negative emotions, which affect their quality of life (QoL).
AIM
To explore the correlation between mental resilience, QoL, and anxiety in patients with breast cancer.
METHODS
Using convenience sampling, 200 patients with breast cancer were selected from the First Affiliated Hospital of Hebei North University. These patients were investigated using the Conner-Davidson Resilience Scale, Self-Rating Anxiety Scale, and European Organization for Research and Treatment of Cancer Quality of Life Questionnaire to analyze the impact of resilience in patients with breast cancer on their QoL and anxiety.
RESULTS
The mean (SD) mental resilience score of the patients with breast cancer was 59.68 (± 9.84) points, the anxiety score was 49.87 (± 8.26) points, and the QoL score was 59.73 (± 8.29) points. Overall, they showed low mental resilience, mild anxiety, and medium QoL. Anxiety was negatively correlated with mental resilience and QoL (r = -0.275, r = -0.289, P < 0.05). QoL was positively correlated with mental resilience (r = 0.513, P < 0.05). Anxiety was a mediating variable between mental resilience and QoL, accounting for 8.58% of the mediating effect.
CONCLUSION
Regarding psychological elasticity, anxiety plays an intermediary role in QoL among patients with breast cancer. Medical staff can improve patients' mental resilience by reducing their anxiety and improving their QoL.
Core Tip: Breast cancer is the most common form of malignant cancer among females. Given the long treatment cycle, patients are prone to negative emotions and serious psychological problems, leading to poor prognosis. This study investigated the correlation between anxiety, mental resilience, and quality of life with the aim of reducing negative emotions and poor prognosis.
