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

doi:10.5498/wjp.v14.i10.1458

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World Journal of Psychiatry

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2220-3206

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Baishideng Publishing Group Inc, 7041 Koll Center Parkway, Suite 160, Pleasanton, CA 94566, USA

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World J Psychiatry. Oct 19, 2024; 14(10): 1458-1466
Published online Oct 19, 2024. doi: 10.5498/wjp.v14.i10.1458

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

Ling-Xia Kong, Yong-Xia Yang, Qian Zhao, Zhi-Lin Feng

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 by Zhangjiakou 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.

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: 70 Days and 0.9 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.

Keywords: Breast cancer; Mental resilience; Quality of life; Anxiety; Psycho-oncology; Mediation effect

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.