Effect of resilience on quality of life and anxiety in patients with breast cancer

Table 1 Comparison of mental resilience, anxiety, and quality of life scores of the patients with different demographic factors, mean ± SD

Items	Mental resilience	Anxiety	Quality of life
Age (years)
≥ 50	59.86 ± 9.78	49.74 ± 8.25	60.00 ± 8.11
< 50	58.46 ± 10.32	50.73 ± 8.43	57.88 ± 9.36
t value	0.676	-0.572	1.215
P value	0.500	0.568	0.226
Marital status
Unmarried	57.76 ± 10.39	52.70 ± 7.13	56.88 ± 9.07
Married	60.06 ± 9.71	49.31 ± 8.37	60.28 ± 8.04
t value	1.230	-2.176	2.178
P value	0.220	0.031	0.031
Level of education
Junior high school and below	59.00 ± 10.02	50.34 ± 9.14	58.76 ± 8.60
Above Junior high school	60.02 ± 9.76	49.62 ± 7.80	60.21 ± 8.12
t value	-0.693	0.693	-1.168
P value	0.489	0.489	0.244
Per-capita monthly household income
< 3000	58.81 ± 10.81	51.02 ± 7.82	57.55 ± 8.53
≥ 3000	59.95 ± 9.54	49.51 ± 8.38	60.39 ± 8.13
t value	-0.694	1.098	-2.070
P value	0.489	0.273	0.040
Tumor staging
I or II	60.95 ± 9.40	48.58 ± 7.52	60.93 ± 7.55
III or IV	56.79 ± 10.26	52.54 ± 8.70	56.98 ± 9.27
t value	-2.803	3.264	-3.167
P value	0.006	0.001	0.002
Treatment methods
Surgical treatment	58.30 ± 9.96	49.69 ± 8.40	58.71 ± 8.71
Surgery along with radiotherapy and chemotherapy	60.54 ± 9.70	49.85 ± 7.92	60.36 ± 7.99
t value	-1.577	-0.140	-1.367
P value	0.116	0.889	0.173

Table 2 Mental resilience, anxiety, and quality of life scores of the patients with breast cancer

Project	Score	Score range
Mental resilience	59.68 ± 9.84	33-85
Anxiety	49.87 ± 8.26	26-82
Quality of life	59.73 ± 8.29	34-80

Table 3 Mediating effect of anxiety on the relationship between mental resilience and quality of life

Dependent variable	Independent variable	R	R2	SE	F	β	t value	P value
Quality of life	Mental resilience	0.513	0.263	0.740	70.756	0.513	8.412	< 0.05
Anxiety	Mental resilience	0.275	0.076	0.929	16.196	-0.275	-4.024	< 0.05
Quality of life	Mental resilience	0.536	0.287	0.720	39.666	0.469	7.495	< 0.05
	Anxiety					-0.161	-2.565	0.011

Table 4 Bootstrap estimates of the mediating effect of anxiety

	Effect value	Boot SE	Boot LLCI	Boot ULCI	Effect ratio
Gross effect	0.513	0.061	0.393	0.633	-
Direct effect	0.469	0.063	0.346	0.592	91.42%
Indirect effect	0.044	0.018	0.012	0.082	8.58%

LLCI: Low limit confidence interval; ULCI: Upper limit confidence interval.