Observational Study
Copyright ©The Author(s) 2025. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Psychiatry. Apr 19, 2025; 15(4): 100573
Published online Apr 19, 2025. doi: 10.5498/wjp.v15.i4.100573
Correlations of resilience with coping styles and quality of life in patients with malignancies
Xue-Jin Qin, Man-Man Kang, Fei Zhong, Jing-Jing Liu, Zheng-Chun Zhu, Di Zhang, Ke Han
Xue-Jin Qin, Man-Man Kang, Fei Zhong, Jing-Jing Liu, Zheng-Chun Zhu, Di Zhang, Ke Han, Department of Oncology, Fuyang Hospital Affiliated to Anhui Medical University, Fuyang 236000, Anhui Province, China
Co-first authors: Xue-Jin Qin and Man-Man Kang.
Author contributions: Qin XJ and Kang MM wrote the manuscript and contributed equally as co-first authors; Qin XJ, Kang MM, and Han K conducted the design of the study and reviewed/edited the drafts; Qin XJ, Kang MM, Zhong F, Liu JJ, Zhu ZC, Zhang D, and Han K collected and analyzed the data; Qin XJ and Kang MM revised the manuscript; and all authors contributed to the article and approved the submitted article.
Institutional review board statement: This study was approved by the Ethic Committee of Fuyang Hospital Affiliated to Anhui Medical University.
Informed consent statement: Patients were not required to give informed consent to the study because the analysis used anonymous clinical data that were obtained after each patient agreed to treatment by written consent.
Conflict-of-interest statement: All the authors report no relevant conflicts of interest for this article.
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.
Data sharing statement: No additional data are available.
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: Ke Han, Department of Oncology, Fuyang Hospital Affiliated to Anhui Medical University, No. 99 Huangshan Road, Fuhe Modern Industrial Park, Yingzhou District, Fuyang 236000, Anhui Province, China. qxj19841005@163.com
Received: December 13, 2024
Revised: January 23, 2025
Accepted: February 13, 2025
Published online: April 19, 2025
Processing time: 102 Days and 0.4 Hours
Abstract
BACKGROUND

Resilience is an individual’s ability and psychological rebound capacity to adapt well after experiencing adversity, trauma, etc. Patients with strong resilience can face illnesses actively.

AIM

To determine the association of resilience with coping styles and quality of life in patients with malignancies.

METHODS

This study included patients with malignant tumors who were hospitalized at Fuyang Hospital Affiliated to Anhui Medical University from March 2022 to March 2024. The Connor-Davidson Resilience Scale, Medical Coping Modes Questionnaire, Social Support Rating Scale, and the European Organisation for Research and Treatment of Cancer Quality of Life Questionnaire Core 30 were utilized to assess patients’ resilience, coping styles, social support, and quality of life, respectively. Pearson correlation analysis was conducted to assess the correlations.

RESULTS

A total of 175 patients with malignant tumors demonstrated no marked difference in terms of age, education level, employment status, monthly household income, and disease staging (P < 0.05). Further, patients with malignancies demonstrated scores of 17.49 ± 1.20, 17.27 ± 1.46, and 11.19 ± 1.29 points in terms of coping styles in confrontation, avoidance, and resignation dimensions, respectively. Subjective support, objective support, and support utilization scores in terms of social support were 10.67 ± 1.80, 11.26 ± 2.08, and 9.24 ± 1.14 points, respectively. The total resilience score and tenacity, self-improvement, and optimism dimension scores were positively correlated with the confrontation coping style score, whereas the total resilience score and tenacity and self-improvement scores were negatively associated with avoidance and resignation coping style scores (P < 0.05). The total resilience score and the tenacity dimension score were positively associated with physical, role, cognitive, emotional, and social functions, as well as global health status (P < 0.05), and were inversely related to fatigue, insomnia, and economic difficulties (P < 0.05).

CONCLUSION

The resilience of patients with malignancies is positively associated with the confrontation dimension in the coping style, the total and various social support domain scores, and the overall quality of life. Clinical medical staff need to pay attention to the effect of medical coping styles and social support on the resilience level of patients with malignancies to further improve their quality of life.

Keywords: Malignant tumor; Resilience; Coping style; Quality of life; Correlation

Core Tip: A cancer diagnosis can be a turning point, with negative effects on mental health, treatment, and prognosis. This study, considering the importance of psychological variables in health-related processes, investigated the role of resilience and coping strategies in health-relatedness. It aimed to determine the potential associations between these aspects to better understand the effect of psychosocial variables on the mental health of patients with cancer.