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Uğuz Ö, Keskin G. The Mediating Role of Resilience in the Relationship Between Hope and Spiritual Well-being in Cancer Patients: A Study From Turkey. Cancer Nurs 2024:00002820-990000000-00266. [PMID: 38941089 DOI: 10.1097/ncc.0000000000001379] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/29/2024]
Abstract
BACKGROUND Cancer is a significant public health concern in the healthcare landscape. Amidst this challenging journey, the levels of hope, spiritual well-being, and resilience in patients with cancer have emerged as pivotal factors influencing the healing process. OBJECTIVE This study aimed to evaluate the relationship between hope and spiritual well-being in cancer patients and the mediating role of resilience in the relationship between hope and spiritual well-being levels. METHODS This study is a descriptive, cross-sectional, correlational study. The study included 152 cancer patients undergoing treatment. A patient information form, the 12-item Functional Assessment of Chronic Illness Therapy-Spiritual Well-Being (FACIT-SP-12) Scale, the Dispositional Hope Scale, and the Brief Resilience Scale were used to collect study data. RESULTS Positive and meaningful correlations were observed between the Dispositional Hope Scale and FACIT-SP-12, Brief Resilience Scale, and FACIT-SP-12 (r = 0.390, P < .05; r = 0.246, P < .05). Mediation analysis indicated that Brief Resilience Scale scores partially mediated the relationship between the Dispositional Hope Scale and FACIT-SP-12 Scale scores; the indirect effect of hope on spiritual well-being through resilience was 0.351 (P < .05). CONCLUSION The study has indicated a direct relationship between hope and spiritual well-being, and resilience partially mediated the relationship between hope and spiritual well-being. IMPLICATIONS FOR PRACTICE It is significant to provide psychosocial care to cancer patients to increase their resilience levels and to support their hope and spiritual well-being.
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Affiliation(s)
- Özkan Uğuz
- Author Affiliations: Organ Transplant Services, Acibadem Kent Hospital (Mr Uğuz); and Atatürk Vocational School of Health Services, Ege University (Dr Keskin), Izmir, Turkey
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Capaldi JM, Shabanian J, Finster LB, Asher A, Wertheimer JC, Zebrack BJ, Shirazipour CH. Post-traumatic stress symptoms, post-traumatic stress disorder, and post-traumatic growth among cancer survivors: a systematic scoping review of interventions. Health Psychol Rev 2024; 18:41-74. [PMID: 36632776 DOI: 10.1080/17437199.2022.2162947] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/26/2021] [Accepted: 12/21/2022] [Indexed: 01/13/2023]
Abstract
The detrimental effects of Post-Traumatic Stress Symptoms (PTSS) and Post-Traumatic Stress Disorder (PTSD) and the benefits of Post-Traumatic Growth (PTG) are well established for cancer survivors. Increased cancer survival rates necessitate an understanding of how these two paradoxical outcomes, PTSS/PTSD and PTG, are targeted through interventions. This systematic scoping review aims to (a) examine existing evidence on interventions targeting PTSS/PTSD and/or PTG among cancer survivors and (b) identify knowledge gaps to inform future research. Following the six steps of a scoping review, 76 articles met the inclusion criteria. Quantitative articles were examined using descriptive analysis. Frequency counts of the collated data were tabulated into summary tables. Qualitative articles were reviewed using meta-synthesis. Most articles were quantitative (n = 52) and targeted PTG (n = 68) through promising intervention approaches such as psychotherapy, mindfulness, physical activity, and psilocybin-assisted therapy. Three key implications for future research and practice were synthesized: (1) mechanistic considerations for intervention design that provide a roadmap for rigorous and theoretically-grounded research; (2) the need for improved representation of cancer survivors in trials; and (3) potential facilitators of intervention efficacy. Together, these findings can direct future research to optimize interventions to reduce PTSS/PTSD and promote PTG achievement among cancer survivors.
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Affiliation(s)
- Jessica M Capaldi
- Department of Medicine, Cedars-Sinai Medical Center, Los Angeles, CA, USA
| | - Julia Shabanian
- Department of Medicine, Cedars-Sinai Medical Center, Los Angeles, CA, USA
| | - Laurel B Finster
- Department of Medicine, Cedars-Sinai Medical Center, Los Angeles, CA, USA
| | - Arash Asher
- Department of Medicine, Cedars-Sinai Medical Center, Los Angeles, CA, USA
| | | | | | - Celina H Shirazipour
- Department of Medicine, Cedars-Sinai Medical Center, Los Angeles, CA, USA
- David Geffen School of Medicine, University of California Los Angeles, Los Angeles, CA, USA
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Ang WR, Ang WHD, Cham SQG, de Mel S, Chew HSJ, Devi MK. Effectiveness of resilience interventions among cancer patients - A systematic review, meta-analysis, and meta-regression of randomised controlled trials. Eur J Oncol Nurs 2023; 67:102446. [PMID: 37879194 DOI: 10.1016/j.ejon.2023.102446] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/08/2023] [Revised: 09/29/2023] [Accepted: 10/05/2023] [Indexed: 10/27/2023]
Abstract
PURPOSE This systematic review, meta-analysis and meta-regression aimed to (1) evaluate the effects of resilience interventions on cancer patients' resilience and posttraumatic growth and (2) identify essential contents and features of resilience interventions. METHODS A systematic review, meta-analysis, and meta-regression analyses were conducted. Published and unpublished randomised controlled trials evaluating the effects of resilience interventions among cancer patients were retrieved from nine databases, trial registries, and grey literature. The mean and standard deviation scores were used to compute the effect sizes. RESULTS 23 randomised controlled trials comprising 3287 cancer patients were included. The random effects model found that resilience interventions had beneficial impacts on patients' resilience, posttraumatic growth, quality of life, anxiety, and depressive symptoms with moderate to large effects. The subgroup analyses concluded that theoretically guided interventions that adopted synchronous communication delivered physically had greater effect sizes. Interventions comprising skills that promote patients' cognitive flexibility, self-efficacy, self-esteem, self-regulation, and coping had greater effect in comparison with interventions lacking these components. The meta-regression analyses revealed that sample size has a significant effect on posttraumatic growth scores. More well-designed trials are needed to confirm the effects of resilience interventions. CONCLUSIONS There is merit in utilizing resilience interventions to improve cancer patients' resilience and psychological well-being. Resilience interventions should be incorporated into the routine care for cancer patients and survivors.
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Affiliation(s)
- Wee Rong Ang
- Department of Nursing, Woodlands Health, National Healthcare Group, Singapore.
| | - Wei How Darryl Ang
- Alice Lee Centre for Nursing Studies, Yong Loo Lin School of Medicine, National University of Singapore, Singapore.
| | - Swss Qynn Grace Cham
- Division of Oncology Nursing, National University Cancer Institute, Singapore, National University Health System, Singapore.
| | - Sanjay de Mel
- Department of Haematology-Oncology, National University Cancer Institute, Singapore, National University Health System, Singapore.
| | - Han Shi Jocelyn Chew
- Alice Lee Centre for Nursing Studies, Yong Loo Lin School of Medicine, National University of Singapore, Singapore.
| | - M Kamala Devi
- School of Medicine, Dentistry and Nursing, University of Glasgow.
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Vrontaras N, Koulierakis G, Ntourou I, Karakatsoulis G, Sergentanis TΝ, Kyrou D, Kapetanakis A, Karademas E, Karamanidou C. Psychosocial interventions on the posttraumatic growth of adults with cancer: A systematic review and meta-analysis of clinical trials. Psychooncology 2023; 32:1798-1826. [PMID: 37964424 DOI: 10.1002/pon.6241] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/07/2023] [Revised: 10/20/2023] [Accepted: 10/21/2023] [Indexed: 11/16/2023]
Abstract
BACKGROUND It has been increasingly recognized that some people experience post-traumatic growth (PTG) as a result of struggling with cancer. OBJECTIVE This systematic review aims to identify psychosocial interventions that might facilitate PTG in adults with cancer. METHODS A search was conducted in PsycINFO, PubMed, Scopus, the Cochrane Library, and ProQuest up to 16 September 2022. The PRISMA guidelines were followed; all included interventional studies had to comprise 30 or more adults with cancer, using the Posttraumatic Growth Inventory, from 1994 forward. RESULTS A total of 2731 articles were retrieved, 1028 of those were screened and 37 unique trials were included (46 articles). A large number of studies were published since 2018 (52.4%), were randomized controlled trials (43.2%), and had group interventions (34.8%), including mainly female participants (83.8%) with a single cancer type (54.1%). Most interventions (75.7%) were moderately to highly effective in increasing PTG (d = 0.65, 95% CI 0.39-0.91) with the most effective interventions using Cognitive Behavioral Therapy (d = 1.24, 95% CI: 0.05-2.44), Mindfulness-based (d = 0.54, 95% CI = 0.14-0.94) and Education, Peer Support and Health Coaching interventions (d = 0.28, 95% CI: 0.1-0.46). Expression-based and Positive Psychology-based approaches also showed promising results. Notably, the majority of studies had a high risk of bias. CONCLUSIONS PTG facilitation is a promising field that should be pursued as it not only allows people with cancer to overcome their trauma but also results in them going over and above their pre-cancer state, enhancing resilience, health, and well-being.
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Affiliation(s)
- Nikolaos Vrontaras
- Department of Public Health Policy, University of West Attica, Athens, Greece
- Institute of Applied Biosciences, Center for Research & Technology - Hellas, Thessaloniki, Greece
| | | | - Iliana Ntourou
- Institute of Applied Biosciences, Center for Research & Technology - Hellas, Thessaloniki, Greece
| | - Georgios Karakatsoulis
- Institute of Applied Biosciences, Center for Research & Technology - Hellas, Thessaloniki, Greece
| | | | - Dimitrios Kyrou
- Institute of Applied Biosciences, Center for Research & Technology - Hellas, Thessaloniki, Greece
| | - Anargyros Kapetanakis
- Institute of Applied Biosciences, Center for Research & Technology - Hellas, Thessaloniki, Greece
| | | | - Christina Karamanidou
- Institute of Applied Biosciences, Center for Research & Technology - Hellas, Thessaloniki, Greece
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Jiang Y, Qiao T, Zhang Y, Wu Y, Gong Y. Social support and vicarious posttraumatic growth among psychological hotline counselors during COVID-19: the role of resilience and cognitive reappraisal. Health Psychol Behav Med 2023; 11:2274550. [PMID: 38532890 PMCID: PMC10964826 DOI: 10.1080/21642850.2023.2274550] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/03/2023] [Accepted: 10/17/2023] [Indexed: 03/28/2024] Open
Abstract
Background The COVID-19 pandemic is a serious threat to people's lives and mental health. As a key worker providing psychological assistance services, the purpose of this study was to explore the relationship between social support and vicarious posttraumatic growth of psychological hotline counselors during COVID-19 and its mechanism. Methods A questionnaire survey was conducted among 241 psychological hotline counselors. Path analysis was conducted through structural equation modeling. Results The direct path from social support to vicarious posttraumatic growth of psychological hotline counselors was not significant, but the indirect path between them was significant. Social support can influence vicarious posttraumatic growth of psychological hotline counselors through the mediating effects of resilience and cognitive reappraisal as well as the chain mediating effects of these two factors. Conclusions Social support does not directly stimulate vicarious posttraumatic growth in psychological hotline counselors, but social support can influence counselors' vicarious posttraumatic growth through the role of resilience, cognitive reappraisal, and the chain-mediated effects of psychological resilience and cognitive reappraisal. This encourages hotline counselors to be intentional about applying resources to balance the effects of trauma work on them as they face their clinical work.
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Affiliation(s)
- Yanfei Jiang
- Department of Psychology, Key Laboratory of Behavior and Mental Health of Gansu Province, Gansu, People’s Republic of China
- Department of Psychology, Northwest Normal University, Gansu, People’s Republic of China
| | - Tingting Qiao
- Department of Psychology, Northwest Normal University, Gansu, People’s Republic of China
| | - Yun Zhang
- Department of Psychology, Northwest Normal University, Gansu, People’s Republic of China
| | - Yaling Wu
- Department of Psychology, Northwest Normal University, Gansu, People’s Republic of China
| | - Yue Gong
- Department of Psychology, Northwest Normal University, Gansu, People’s Republic of China
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Stepanian N, Larsen MH, Mendelsohn JB, Mariussen KL, Heggdal K. Empowerment interventions designed for persons living with chronic disease - a systematic review and meta-analysis of the components and efficacy of format on patient-reported outcomes. BMC Health Serv Res 2023; 23:911. [PMID: 37626346 PMCID: PMC10463815 DOI: 10.1186/s12913-023-09895-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/12/2022] [Accepted: 08/10/2023] [Indexed: 08/27/2023] Open
Abstract
BACKGROUND Empowerment approaches are essential for building the capacity of individuals with chronic disease to be in control of their health. Reviews of empowerment interventions have been focused on specific chronic diseases, thereby limiting the scope of findings. This study had three aims: 1) to describe the characteristics of empowerment interventions covering a broad range of chronic diseases, 2) to clarify consistency with the World Health Organization`s (WHO) definition of empowerment as a process composed of four fundamental components and 3) to summarize outcome measures and estimate the effects in group and individual intervention formats. METHODS Systematic literature review and meta-analysis. CINAHL, Medline, Embase, PsycINFO, Web of Science, COCHRANE and Central Register of Controlled Trials were searched using Chronic Disease, NCD, Empowerment, as MeSH terms. Eligible randomized and quasi randomized controlled trials were included. Review Manager 5.4 was used to conduct the meta-analysis. Risk of bias was assessed with the Cochrane risk-of-bias tool (ROB 2). RESULTS Thirty-nine articles representing 8,011 participants were included in the review. A majority (82%) of studies reported robust evidence for changes on study-defined outcome measures in favor of interventions. Intervention content was assessed against WHO's four fundamental components of empowerment, showing that all studies incorporated one component, but none targeted all components. Components reflecting knowledge acquisition, patient engagement with their health care providers and facilitating environment were scarcely reported. Meta-analyses found evidence for positive effects of group-format interventions measuring empowerment, HbA1c, and self-efficacy. Effects on empowerment were also found in some individual-format interventions. High levels of heterogeneity and variability among the conceptual frameworks were identified. CONCLUSION Empowerment interventions in group-format were most efficient, however, considerable conceptual inconsistencies were identified. Future studies should consolidate conceptual understandings by using WHO's empowerment framework to ensure that fundamental components of empowerment are explicitly included in intervention design. Furthermore, there is a need to clarify the role of empowerment through pathways that include patient activation, self- management, and clinical outcomes. This systematic review will inform the clinicians and researchers who aim to develop novel empowerment interventions to assist patients in the process of gaining control of their health. TRIAL REGISTRATION PROSPERO: International Prospective register of systematic reviews ID=CRD42020178286.
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Affiliation(s)
- Natalie Stepanian
- College of Health Professions, Pace University, One Pace Plaza, New York, NY, 10038, USA
| | | | - Joshua B Mendelsohn
- College of Health Professions, Pace University, One Pace Plaza, New York, NY, 10038, USA
| | - Kari L Mariussen
- Lovisenberg Diaconal University College, Lovisenberggaten 15, 0456, Oslo, Norway
| | - Kristin Heggdal
- Faculty of Health, VID Specialized University, Theodor Dahls Vei 10, 0370, Oslo, Norway.
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Fernandes JB, Domingos J, Almeida AS, Castro C, Simões A, Fernandes S, Vareta D, Bernardes C, Fonseca J, Vaz C, Dias AR, Fernandes T, Godinho C. Enablers, barriers and strategies to build resilience among cancer survivors: a qualitative study protocol. Front Psychol 2023; 14:1049403. [PMID: 37533724 PMCID: PMC10392835 DOI: 10.3389/fpsyg.2023.1049403] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/20/2022] [Accepted: 06/27/2023] [Indexed: 08/04/2023] Open
Abstract
Cancer is a life-threatening illness affecting all dimensions of a person's health. Cancer survivors must build resilience to face this adversity and continue their life projects. The present study explores the enablers, barriers, and strategies to build resilience among cancer survivors. This qualitative, descriptive exploratory study will use purposive sampling to recruit cancer survivors and healthcare professionals from two hospital centers in Lisbon and Tagus Valley. Interviews will be conducted until data saturation occurs. Data analysis will be performed using an inductive content analysis process with the help of the QDA Miner Lite database. The findings from this study will generate knowledge that may help stakeholders to identify effective strategies to build resilience among cancer survivors. By implementing strategies to foster resilience, healthcare professionals can potentially promote positive adaptations to cancer by strengthening resilience enablers and reducing the impact of barriers.
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Affiliation(s)
- Júlio Belo Fernandes
- Egas Moniz Center for Interdisciplinary Research (CiiEM), Egas Moniz School of Health and Science, Almada, Portugal
- Nurs* Lab, Almada, Portugal
| | - Josefa Domingos
- Egas Moniz Center for Interdisciplinary Research (CiiEM), Egas Moniz School of Health and Science, Almada, Portugal
| | - Ana Silva Almeida
- Department of Nursing, Centro Hospitalar de Setúbal EPE, Setúbal, Portugal
| | - Cidália Castro
- Egas Moniz Center for Interdisciplinary Research (CiiEM), Egas Moniz School of Health and Science, Almada, Portugal
- Nurs* Lab, Almada, Portugal
| | - Aida Simões
- Egas Moniz Center for Interdisciplinary Research (CiiEM), Egas Moniz School of Health and Science, Almada, Portugal
- Nurs* Lab, Almada, Portugal
| | - Sónia Fernandes
- Egas Moniz Center for Interdisciplinary Research (CiiEM), Egas Moniz School of Health and Science, Almada, Portugal
- Nurs* Lab, Almada, Portugal
| | - Diana Vareta
- Egas Moniz Center for Interdisciplinary Research (CiiEM), Egas Moniz School of Health and Science, Almada, Portugal
- Nurs* Lab, Almada, Portugal
| | - Catarina Bernardes
- Egas Moniz Center for Interdisciplinary Research (CiiEM), Egas Moniz School of Health and Science, Almada, Portugal
- Nurs* Lab, Almada, Portugal
| | - Jorge Fonseca
- Egas Moniz Center for Interdisciplinary Research (CiiEM), Egas Moniz School of Health and Science, Almada, Portugal
- Department of Gastroenterology, Hospital Garcia de Orta EPE (HGO), Almada, Portugal
| | - Célia Vaz
- Egas Moniz Center for Interdisciplinary Research (CiiEM), Egas Moniz School of Health and Science, Almada, Portugal
- Department of Nursing, Centro Hospitalar Barreiro Montijo EPE, Barreiro, Portugal
| | - Ana Rita Dias
- Department of Nursing, Centro Hospitalar Universitário de Lisboa Central, Hospital Santo António dos Capuchos, Lisboa, Portugal
| | - Tatiana Fernandes
- Department of Nursing, Centro Hospitalar Universitário de Lisboa Central, Hospital Santo António dos Capuchos, Lisboa, Portugal
| | - Catarina Godinho
- Egas Moniz Center for Interdisciplinary Research (CiiEM), Egas Moniz School of Health and Science, Almada, Portugal
- Nurs* Lab, Almada, Portugal
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Lee HJ, Lee DH, Lee DH, Kim JY. Posttraumatic Growth Inventory-Expanded: Factor Structure, Test-Retest Reliability, and Validity in Trauma-Exposed and Bereaved Adults. OMEGA-JOURNAL OF DEATH AND DYING 2023:302228231177847. [PMID: 37220767 DOI: 10.1177/00302228231177847] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/25/2023]
Abstract
Posttraumatic growth (PTG) is a positive psychological change experienced after trauma and it has gained global recognition in recent years. The present study aimed to validate a South Korean version of the Posttraumatic Growth Inventory-Expanded (K-PTGI-X) for use with trauma-exposed and bereaved samples. A national sample comprising South Korean adults was used for the analysis. As a result, the 4-factor bi-factor model was best supported in both the trauma and bereaved groups in terms of personal strength, new possibilities, spiritual-existential change, and being able to relate to others. Additionally, the K-PTGI-X showed satisfying reliability, concurrent validity, and discriminant validity. Lastly, regarding the group differences, women showed higher rates of PTG than men and the bereaved group exhibited higher spiritual and existential growth in the PTG than the trauma group. Given these results, implications for adaptation in various fields when assessing and encouraging PTG in practical settings are discussed.
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Affiliation(s)
- Hwa Jung Lee
- Traumatic Stress Center, Department of Education, Sungkyunkwan University, Seoul, South Korea
| | - Dong Hun Lee
- Traumatic Stress Center, Department of Education, Sungkyunkwan University, Seoul, South Korea
| | - Deok Hee Lee
- Traumatic Stress Center, Department of Education, Sungkyunkwan University, Seoul, South Korea
| | - Ji Yun Kim
- Department of Wesley Creative Convergence, Hyupsung University, Hwaseong, South Korea
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Adolescent and young adult survivors of cancer: relationship between resilience and post-traumatic growth. CURRENT PSYCHOLOGY 2022. [DOI: 10.1007/s12144-022-03649-z] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
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Evans C, Saliba-Serre B, Préau M, Bendiane MK, Gonçalves A, Signoli M, Bouhnik AD. Post-traumatic growth 5 years after cancer: identification of associated actionable factors. Support Care Cancer 2022; 30:8261-8270. [PMID: 35821449 DOI: 10.1007/s00520-022-07253-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/14/2022] [Accepted: 06/23/2022] [Indexed: 11/26/2022]
Abstract
BACKGROUND The number of cancer survivors is growing increasingly worldwide. The long-term negative consequences of the disease are now better known. Cancer may also foster positive outcomes. Some survivors consider life after cancer as the start of a new life and experience positive changes called post-traumatic growth (PTG) measured by a scale developed by Tedeschi and Calhoun. OBJECTIVE The purpose of this article was to explore actionable factors affecting PTG, particularly those in relation with health care management and those that reflected health behavior changes. METHODS This study included the 1,982 participants in the VICAN cohort who responded to the questionnaire on living conditions 2 and 5 years after diagnosis. Factors associated with a moderate or high PTG (score ≥ 63) were identified using logistic regressions. RESULTS Factors positively associated with moderate or high PTG were being satisfied with the time spent by health care team on information (OR:1.35 [1.08;1.70]), increased physical activity (OR:1.42 [1.04;1.95]) and healthier diet (OR:1.85 [1.44;2.36]) since diagnosis, and having benefited from psychological support at diagnosis (OR:1.53 [1.16;2.01]). CONCLUSION High PTG is positively associated with health behavior and time spent on information. Our findings suggest that appropriate clinical and educational interventions can help foster growth after the experience of cancer. Even if we do not know what causes what, it is admitted that the interventions leading to an increase of physical activity, for example, are good from all points of view.
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Affiliation(s)
- Catherine Evans
- Institut Paoli Calmettes, 232 Bd Sainte Marguerite, 13 273, Cedex 9, Marseille, France.
- Faculté Des Sciences Médicales Et Paramédicales de Marseille, UMR 7268-ADÉS Aix-Marseille Université-EFS-CNRS, Marseille, France.
| | - Bérengère Saliba-Serre
- Faculté Des Sciences Médicales Et Paramédicales de Marseille, UMR 7268-ADÉS Aix-Marseille Université-EFS-CNRS, Marseille, France
| | - Marie Préau
- Institut de Psychologie, Université Lumière Lyon 2, Bron, France
| | - Marc-Karim Bendiane
- Inserm, IRD, SESSTIM, Sciences Economiques & Sociales de la Santé & Traitement de L'Information Médicale, ISSPAM, Aix Marseille Univ, Marseille, France
| | - Anthony Gonçalves
- Centre de Recherche en Cancérologie de Marseille (CRCM), Inserm U1068, CNRS U7258, Institut Paoli-Calmettes, Aix-Marseille Univ, CNRS, INSERM, Marseille, France
| | - Michel Signoli
- UMR 6578, CNRS-service d'anthropologie biologique, 13385, Cedex 5, Marseille, France
- Aix Marseille Univ, Marseille, France
| | - Anne-Déborah Bouhnik
- Inserm, IRD, SESSTIM, Sciences Economiques & Sociales de la Santé & Traitement de L'Information Médicale, ISSPAM, Aix Marseille Univ, Marseille, France
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Fang L, Dong M, Fang W, Zheng J. Relationships between care burden, resilience, and depressive symptoms among the main family caregivers of stroke patients: A cross-sectional study. Front Psychiatry 2022; 13:960830. [PMID: 36203823 PMCID: PMC9530984 DOI: 10.3389/fpsyt.2022.960830] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/03/2022] [Accepted: 08/29/2022] [Indexed: 11/13/2022] Open
Abstract
OBJECTIVES This study aims to explore the potential mediating role of resilience between care burden and depressive symptoms in family caregivers of stroke patients. METHODS A cross-sectional study was conducted with a convenience sample involving 245 main family caregivers of stroke patients recruited from the neurology department of a Tertiary A hospital in China. Mediation analyses were conducted using the PROCESS macro (Model 4) for SPSS, applying the Bootstrap analysis with 5,000 samples and a 95% confidence interval. RESULTS The results showed that with constant hemiplegia side, Barthel Index, education level, monthly income, care time per day, and living with patients in regression equations, the resilience partially mediated the correlation of care burden and depressive symptoms with a mediation effect ratio of 26.32%. CONCLUSIONS Resilience plays a mediating role in the correlation between care burden and depressive symptoms. IMPACT The findings indicated a protective effect of resilience in alleviating the negative influences of care burden on depressive symptoms, suggesting that resilience-training intervention may be developed to mitigate depressive symptoms of the main family caregivers of stroke patients.
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Affiliation(s)
- Linlin Fang
- Department of Nursing, The First Affiliated Hospital of China Medical University, Shenyang, China
| | - Mengyuan Dong
- School of Nursing and Rehabilitation, Shandong University, Jinan, China
| | - Wenbo Fang
- School of Civil and Hydraulic Engineering, Tibet Agriculture and Animal Husbandry University, Linzhi, China
| | - Jin Zheng
- Department of Nursing, The First Affiliated Hospital of China Medical University, Shenyang, China
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12
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Öcalan S, Üzar-Özçetin YS. The relationship between rumination, fatigue and psychological resilience among cancer survivors. J Clin Nurs 2021; 31:3595-3604. [PMID: 34957629 DOI: 10.1111/jocn.16187] [Citation(s) in RCA: 9] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/10/2021] [Revised: 11/17/2021] [Accepted: 12/10/2021] [Indexed: 12/16/2022]
Abstract
AIM AND OBJECTIVES The study's purpose was to examine the association between rumination, fatigue and psychological resilience among cancer survivors. BACKGROUND Cancer is a disease that causes difficult lives in individuals. Individuals can struggle with cancer-related fatigue (CRF) and ruminative thoughts during and after the disease process. However, it can also be seen that some individuals make sense out of their cancer experience and turn into stronger individuals. DESIGN A cross-sectional design. METHODS This study was conducted from February through November 2020. Data were collected from 159 cancer survivors using Event Related Rumination Inventory, Cancer Fatigue Scale and Connor-Davidson Resilience Scale. RESULTS The findings showed that intrusive rumination significantly and negatively mediated psychological resilience but significantly and positively mediated with CRF. In contrast, deliberate rumination was significantly and positively mediated psychological resilience but significantly and negatively mediated with CRF. The effects of intrusive and deliberate rumination on fatigue were .431 (CI =0.042-0.635) and -.285 (CI = -0.163 to 0.491), respectively. In addition, the effects of intrusive and deliberate rumination on psychological resilience were -.253 (CI = -0.177 to 0.447) and .304 (CI = 0.045-0.124), respectively. CONCLUSIONS The findings underline the mediating role of rumination on CRF and psychological resilience among cancer survivors. The findings also delineate the associations between rumination, CRF and psychological resilience, which differ based on rumination type. RELEVANCE TO CLINICAL PRACTICE The findings are particularly important to oncology nurses, who are the main sources of psychosocial care. To support cancer survivors and mobilise their resources, oncology nurses should be made aware of the different types and effects of rumination. With the help of this awareness, oncology nurses can enhance managing intrusive rumination, replacing intrusive ruminations with deliberate ones, mobilising resources and promoting psychological resilience.
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Affiliation(s)
- Sinem Öcalan
- Psychiatric Nursing Department, Faculty of Nursing, Hacettepe University, Ankara, Turkey
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"For Years I lived in a Cage. Now the Cage Is Open and I Am Just Learning to Fly." Perspectives of Cancer Survivors on Psychological Resilience. Cancer Nurs 2021; 45:297-305. [PMID: 34966063 DOI: 10.1097/ncc.0000000000001039] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
Abstract
BACKGROUND Transitioning from treatment to survivorship engenders several challenges that cancer survivors must learn to manage. These challenges are commonly associated with struggling to manage reentry into postcancer life. Thus, balance is restored after cancer, and postcancer experiences should be considered along with all previous life experiences. This balancing process surrounding cancer causes some cancer survivors' life to deteriorate, whereas other cancer survivors begin a psychological resilience process. OBJECTIVE The aim of this study was to investigate the way that psychological resilience is experienced by cancer survivors. METHODS The present descriptive qualitative design study was conducted from August 2019 through January 2020. A total of 12 cancer survivors were sampled from the follow-up clinics of a hospital. Data were collected through semistructured, pilot-tested, face-to-face interviews using an interview guide. RESULTS Three main themes were clarified based on the descriptive analysis of the data on cancer survivors' experiences: "fight vs lose," "balancing uncertainties," and "learned to fly." The results demonstrate the importance and influence of psychological resilience in the overall cancer experience. CONCLUSION This study provides insight into the subjective psychological resilience process of cancer survivors. Nurses may use this knowledge in fostering effective strategies enabling cancer survivors to develop psychological resilience. IMPLICATIONS FOR PRACTICE The results offer a promising resource for nurses to assess and address the risk and protective factors of cancer survivors to identify unique needs and to provide individualized care. In this context, nurses can develop novel approaches and interventions for cancer survivors in accordance with Kumpfer's resilience framework.
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Sihvola S, Kuosmanen L, Kvist T. Resilience and related factors in colorectal cancer patients: A systematic review. Eur J Oncol Nurs 2021; 56:102079. [PMID: 34844135 DOI: 10.1016/j.ejon.2021.102079] [Citation(s) in RCA: 14] [Impact Index Per Article: 4.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/21/2021] [Revised: 11/08/2021] [Accepted: 11/21/2021] [Indexed: 12/16/2022]
Abstract
PURPOSE To explore resilience and its related factors in adult colorectal cancer patients. METHODS Three databases (CINAHL, Scopus and PubMed) were searched for literature published from January 2009 to February 2021 using the terms colorectal and resilience or resilient or resiliency. The review was registered with PROSPERO and followed the PRISMA statement guidelines. RESULTS The studies (n = 11) showed that most colorectal cancer patients exhibit moderate levels of resilience. Resilience was identified as a mediator in the positive or negative aspects of illness, while three studies investigated resilience as an outcome variable. Resilience was associated with social support, mental and physical burden, post-traumatic growth, hope, and quality of life. The studies showed that resilience might not be an immutable situation; social support seemed to provide patients the tools necessary for managing their illness, as well as helped them confront future events. The interventions designed to help with self-care issues and coping strategies eased a patient's mental and physical burden, and improved resilience. CONCLUSIONS Resilience among colorectal cancer patients was connected to both negative and positive aspects of the illness. Psychosocial and illness-related practical support might be key for strengthening resilience in these patients. However, longitudinal and intervention studies are required to confirm these indications. Research should study resilience as an outcome variable and provide information related to resilience at different phases of cancer, and what type of support is offered by professionals.
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Affiliation(s)
- Saija Sihvola
- Department of Nursing Science, University of Eastern Finland, Kuopio, Finland.
| | - Lauri Kuosmanen
- Department of Nursing Science, University of Eastern Finland, Kuopio, Finland
| | - Tarja Kvist
- Department of Nursing Science, University of Eastern Finland, Kuopio, Finland
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Genter P, Høeg BL, Hamre CJ, Andersen EAW, Dalton SO, Ribers B, Bidstrup PE. Protocol for 'Resilient Caregivers': a randomised trial of a resilience-based intervention for psychologically distressed partner caregivers of patients with cancer. BMJ Open 2021; 11:e048327. [PMID: 34772747 PMCID: PMC8593729 DOI: 10.1136/bmjopen-2020-048327] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/23/2020] [Accepted: 10/25/2021] [Indexed: 11/13/2022] Open
Abstract
INTRODUCTION Intimate partners of patients with cancer often experience significant distress, but there is a lack of psychological interventions that specifically target this population. 'Resilient Caregivers' is a novel resilience-based intervention for distressed partner cancer caregivers. The intervention was developed according to a resilience framework focusing on meta-reflective skills, coping strategies and value clarification. The aim of this study is to evaluate the effectiveness of this intervention in a randomised trial. METHODS AND ANALYSIS Eighty participants will be invited through the Oncology Department at Herlev Hospital, Denmark and randomised to either the intervention or usual care. Participants are eligible if they are partners (married or unmarried) of patients diagnosed with cancer and experience distress (>4 on the distress thermometer). 'Resilient Caregivers' consists of seven manualised group sessions (2.5 hours each), focusing on resilience in relation to being a partner caregiver of a patient with cancer. The primary outcome is symptoms of anxiety, while secondary outcomes include distress, depression, quality of life, sleep quality and resilience. Data will be collected at baseline, 3, 6 and 12 months follow-up using validated scales, and analysed using mixed models for repeated measures. ETHICS AND DISSEMINATION This study will follow the ethical principles in the Declaration of Helsinki and has been reviewed by the Ethics Committee of the Capital Region of Denmark (Journal no. 18055373). Written informed consent will be obtained from all participants. Results will be reported through scientific peer-reviewed journals and relevant conferences. TRIAL REGISTRATION NUMBER NCT04610034.
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Affiliation(s)
- Peter Genter
- Herlev Cancer Counseling Center, Danish Cancer Society, Copenhagen, Denmark
| | - Beverley Lim Høeg
- Psychological Aspects of Cancer Research Group, Danish Cancer Society Research Center, Copenhagen, Denmark
| | | | | | - Susanne Oksbjerg Dalton
- Survivorship and Inequality in Cancer Research Group, Danish Cancer Society Research Center, Copenhagen, Denmark
| | - Bjørn Ribers
- Department for the Study of Culture, University of Southern Denmark, Odense, Denmark
| | - Pernille Envold Bidstrup
- Psychological Aspects of Cancer Research Group, Danish Cancer Society Research Center, Copenhagen, Denmark
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Luo Z, Chen C, Xu W, Wang P, Wang Y. A qualitative study on the experience of empowerment from the perspectives of breast cancer survivors. Nurs Open 2021; 8:2429-2438. [PMID: 34313022 PMCID: PMC8363359 DOI: 10.1002/nop2.1000] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/11/2021] [Revised: 06/19/2021] [Accepted: 07/10/2021] [Indexed: 02/05/2023] Open
Abstract
AIM To describe the experience of empowerment for breast cancer survivors in order to increase quality of life after treatment. DESIGN We adopted a qualitative design in this study. METHODS A qualitative descriptive approach guided by interpretive description methodology as the theoretical framework was used in this study. Semi-structured group and individual interviews were conducted with eleven female Chinese breast cancer survivors (mean age 54.18 years, 100% female). RESULTS Many survivors reported that they continued to experience disease-related discomfort from the physiological aspect, but they use multiple ways to improve quality of life. Breast cancer survivors experienced empowerment after treatment. Empowerment mainly required three components: a belief in good health, capability of self-management and acquisition of a good social support system.
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Affiliation(s)
- Zebing Luo
- Shantou University Medical CollegeShantouChina
- Guangdong Provincial Key Laboratory of Breast Cancer Diagnosis and TreatmentShantouChina
| | - Chujun Chen
- Guangdong Provincial Key Laboratory of Breast Cancer Diagnosis and TreatmentShantouChina
- Cancer Hospital of Shantou University Medical CollegeShantouChina
| | - Wanzhu Xu
- Guangdong Provincial Key Laboratory of Breast Cancer Diagnosis and TreatmentShantouChina
- Cancer Hospital of Shantou University Medical CollegeShantouChina
| | - Peiru Wang
- Shantou University Medical CollegeShantouChina
- Guangdong Provincial Key Laboratory of Breast Cancer Diagnosis and TreatmentShantouChina
| | - Yiru Wang
- Guangdong Provincial Key Laboratory of Breast Cancer Diagnosis and TreatmentShantouChina
- Cancer Hospital of Shantou University Medical CollegeShantouChina
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Nazarpour S, Mohammadipour F, Mohammadi R, Goudarzi F, Esmaeilbeigy D. The effect of telephone counselling and follow-up on empowering women with breast cancer undergoing chemotherapy. Health Care Women Int 2021; 43:1415-1432. [PMID: 34283702 DOI: 10.1080/07399332.2021.1941026] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
Abstract
Empowering women with breast cancer leads to better adaptation to diagnosis and treatment, and reduces the symptoms of cancer. The purpose of the researchers is to determine the effect of a telephone counseling and follow-up program on empowerment of women with breast cancer undergoing chemotherapy. We used a non-randomized clinical trial design. Researchers applied the telephone counseling and follow-up to the intervention group for 8 weeks. At the end of study, the intervention group showed improvement in measures of cancer functional management and breast cancer specific function, along with satisfaction with the decision, general symptoms of cancer and specific symptoms of breast cancer.
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Affiliation(s)
- Shiva Nazarpour
- Student Research Committee, Lorestan University of Medical Sciences, Khorramabad, Iran
| | - Fatemeh Mohammadipour
- Social Determinants of Health Research Center, Lorestan University of Medical Sciences, Khorramabad, Iran
| | - Rasool Mohammadi
- Department of Biostatistics and Epidemiology, School of Public Health and Nutrition, Lorestan University of Medical Sciences, Khorramabad, Iran
| | - Fateme Goudarzi
- Department of Nursing, Lorestan University of Medical Sciences, Khorramabad, Iran
| | - Darya Esmaeilbeigy
- Student Research Committee, Lorestan University of Medical Sciences, Khorramabad, Iran
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Psychological Resilience, Metacognitions, and Fear of Recurrence Among Cancer Survivors and Family Caregivers. Cancer Nurs 2021; 45:E454-E462. [PMID: 34120129 DOI: 10.1097/ncc.0000000000000973] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
Abstract
BACKGROUND Cancer is a life crisis that can have devastating consequences not only on the affected individual but also on his/her caregivers. OBJECTIVE The aim of this study was to investigate the influence of psychological resilience and metacognitions of cancer survivors and their family caregivers (FCs) on fear of recurrence (FoR). METHODS This study used a cross-sectional design while adhering to the STROBE (Strengthening the Reporting of Observational Studies in Epidemiology) guidelines. Data were collected from 112 cancer survivors and 112 FCs recruited from 5 oncology hospitals. RESULTS The cancer survivors and caregivers reported low levels of psychological resilience, which we found to be correlated with great fear of recurrence in cancer survivors and FCs. It was also in relation with metacognitions in cancer survivors and FCs.The findings showed that psychological resilience negatively predicted the fear of recurrence, whereas the metacognitions positively predicted the fear of recurrence in cancer survivors and FCs. The total effects of psychological resilience on the FoR in cancer survivors and FCs were 0.920 (confidence interval [CI], -2.059 to 0.072) and 0.061 (CI, -0.475 to 0.474), respectively. The total effects of metacognition on the FoR in cancer survivors and FCs were 1.164 (CI, 0.217-2.371) and 0.486 (CI, 0.016-1.058), respectively. CONCLUSIONS The findings underline the direct and indirect mediating role of psychological resilience and metacognition of cancer survivors and FCs on FoR. IMPLICATION FOR PRACTICE The findings are particularly important to oncology nurses, who as 24-hour care providers are important sources of psychosocial care. Their awareness of factors influencing FoR is critical for achieving positive outcomes.
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Sun K, Zhou J. Understanding the impacts of Internet use on senior Citizens’ social participation in China: Evidence from longitudinal panel data. TELEMATICS AND INFORMATICS 2021. [DOI: 10.1016/j.tele.2021.101566] [Citation(s) in RCA: 9] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/17/2022]
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Lyu Y, Yu Y, Chen S, Lu S, Ni S. Positive functioning at work during COVID-19: Posttraumatic growth, resilience, and emotional exhaustion in Chinese frontline healthcare workers. Appl Psychol Health Well Being 2021; 13:871-886. [PMID: 33955174 PMCID: PMC8239539 DOI: 10.1111/aphw.12276] [Citation(s) in RCA: 29] [Impact Index Per Article: 9.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/21/2020] [Revised: 04/02/2021] [Accepted: 04/03/2021] [Indexed: 01/24/2023]
Abstract
Research on traumatic events often emphasizes the importance of posttraumatic growth (PTG) and resilience, yet few studies have explored their trends and their relationship throughout the progression of traumatic events. This paper explores the longitudinal relationship between resilience and PTG, as well as the role of job burnout in this relationship, among frontline healthcare workers during the COVID‐19 pandemic, who have been exposed to high‐risk work environments over extraordinarily long workdays. In Study 1, 134 Chinese frontline healthcare workers completed a three‐wave survey (Time 1, Time 2, and Time 3) in February–May 2020. In Study 2, 401 frontline healthcare workers completed a cross‐sectional survey. The cross‐lagged analysis suggested that resilience at Time 1 positively predicted PTG at Time 2, which in turn positively predicted resilience at Time 3. PTG at Time 1 also positively predicted resilience at Time 2 (Study 1). However, job burnout was negatively related to both resilience and PTG; in particular, emotional exhaustion moderated the link between PTG and resilience (Study 2). Our findings support a cycle of reinforcement between resilience and PTG over time. The positive effect of PTG on resilience, however, is undermined by emotional exhaustion. Implications for future intervention research and workplace support are discussed.
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Affiliation(s)
- Yizhi Lyu
- Institute for Hospital Management, Tsinghua University, Shenzhen, China
| | - Yongju Yu
- School of Sociology and Law, Sichuan International Studies University, Chongqing, China
| | - Shuquan Chen
- Teachers College, Columbia University, New York, NY, USA
| | - Shuang Lu
- Department of Social Work and Social Administration, University of Hong Kong, Hong Kong, China
| | - Shiguang Ni
- Institute for Hospital Management, Tsinghua University, Shenzhen, China.,Shenzhen International Graduate School, Tsinghua University, Shenzhen, China
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Yu Y, Yu Y, Hu J. COVID-19 among Chinese high school graduates: Psychological distress, growth, meaning in life and resilience. J Health Psychol 2021; 27:1057-1069. [PMID: 33541149 PMCID: PMC8685742 DOI: 10.1177/1359105321990819] [Citation(s) in RCA: 13] [Impact Index Per Article: 4.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/10/2023] Open
Abstract
This study examined perceived impact of COVID-19 (PIC) on mental health outcomes
(anxiety, depression, and posttraumatic growth) and roles of resilience and
meaning in life. In October 2020, 430 Chinese high school graduates completed
self-report measures. Results showed that 4.4% and 5.8% participants had anxiety
and depression symptoms (⩾10), respectively, while 13.3% developed posttraumatic
growth (⩾37.5). Resilience and meaning in life mediated the relationships
between PIC and mental health outcomes. These findings underline psychological
distress and growth coexisted in COVID-19, while resilience and meaning in life
served as important protective factors of mental health.
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Affiliation(s)
- Yongju Yu
- Sichuan International Studies University, China
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Hi Çdurmaz D, Üzar-Özçetin YS. "Now I keep my feet on the ground. Earlier, I was arrogant and felt too big for my boots." Perspectives of people with cancer and oncology nurses on the psychological empowerment process. Eur J Oncol Nurs 2020; 49:101862. [PMID: 33137693 DOI: 10.1016/j.ejon.2020.101862] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/23/2020] [Revised: 10/15/2020] [Accepted: 10/19/2020] [Indexed: 10/23/2022]
Abstract
PURPOSE A deeper understanding of the psychological empowerment process of people with cancer can provide improved practical strategies for healthcare professionals to assist the patients in maintaining hope and overcoming difficulties. This study aimed to describe, interpret, and understand the phenomenon of the psychological empowerment process related to cancer from the perspectives of people with cancer and oncology nurses. METHOD The present descriptive qualitative design study was conducted between May 2017 and August 2017, in the oncology clinics of a university hospital. A purposive sampling method was applied to recruit adult patients diagnosed with different types and stages of cancer. The semi-structured interviews were conducted with thirteen patients and sixteen nurses. The data were transcribed, themes were identified, and the COREQ (Consolidated criteria for Reporting Qualitative Research) Checklist was used to ensure quality reporting in this study. RESULTS This study categorized quotes of patients and nurses into four main themes including "gains and losses", "meaning of life", "presence and contact", and "need to be understood". Both patients and nurses shared similar thoughts toward the factors associated with the psychological empowerment process during the cancer experience. CONCLUSION Being aware of patients' requirements along with raising effective support to help them grow stronger while preventing the disparity between the support that patients require and receive are some of the aspects that need to be considered for the provision and organization of healthcare services related to the psychological empowerment of people with cancer.
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Affiliation(s)
- Duygu Hi Çdurmaz
- Hacettepe University Faculty of Nursing, Psychiatric Nursing Department, 06100, Sıhhiye, Ankara, Turkey.
| | - Yeter Sinem Üzar-Özçetin
- Hacettepe University Faculty of Nursing, Psychiatric Nursing Department, 06100, Sıhhiye, Ankara, Turkey.
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ÖCALAN S, ÜZAR ÖZÇETİN YS. Kanser Deneyiminde Ruminasyon, Tükenmişlik ve Psikolojik Sağlamlık. PSIKIYATRIDE GUNCEL YAKLASIMLAR 2020. [DOI: 10.18863/pgy.664396] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
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Kim SR, Kim HY, Nho JH, Ko E, Moon KS, Jung TY. Relationship among symptoms, resilience, post-traumatic growth, and quality of life in patients with glioma. Eur J Oncol Nurs 2020; 48:101830. [PMID: 32971413 DOI: 10.1016/j.ejon.2020.101830] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/23/2020] [Revised: 09/03/2020] [Accepted: 09/10/2020] [Indexed: 11/20/2022]
Abstract
PURPOSE The aims of this study were to explore the relationship among symptoms, resilience, post-traumatic growth, and quality of life, and to identify the influence of these variables on quality of life in patients with glioma. METHODS A correlational, cross-sectional research design was used. A convenience sample of 120 patients was recruited from an outpatient neurosurgery clinic. Data analyses included descriptive statistics, independent t-test, one-way ANOVA, Pearson's correlation coefficient, and hierarchical regression analysis and were performed with the SPSS WIN 25.0 program. RESULTS Quality of life positively correlated with the duration of disease diagnosis and resilience and negatively correlated with age, age at onset, severity of symptoms, and interference in symptoms. Resilience was negatively correlated with severity of symptoms and interference with symptoms, and was positively correlated with post-traumatic growth. Hierarchical regression analysis showed that demographic and clinical factors explained 39.3% of the variance in quality of life in glioma patients. The explanatory power increased by 22.1% and 15.1%, respectively, when interference in symptoms and resilience were considered. CONCLUSIONS Assessment of quality of life in patients with glioma should consider symptoms and resilience, along with demographic and clinical factors. Interventions developed to improve quality of life in glioma patients must also consider these factors.
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Affiliation(s)
- Sung Reul Kim
- College of Nursing, Korea University Nursing Research Institute, Korea University, Seoul, South Korea.
| | - Hye Young Kim
- College of Nursing, Jeonbuk Research Institute of Nursing Science, Jeonbuk National University, Jeonju, South Korea.
| | - Ju-Hee Nho
- College of Nursing, Jeonbuk Research Institute of Nursing Science, Jeonbuk National University, Jeonju, South Korea.
| | - Eun Ko
- Department of Nursing, College of Life Science and Natural Resources, Sunchon National University, Suncheon, South Korea.
| | - Kyung-Sub Moon
- Department of Neurosurgery, Chonnam National University Research Institute of Medical Sciences, Chonnam National University Medical School and Hwasun Hospital, Hwasun, South Korea.
| | - Tae-Young Jung
- Department of Neurosurgery, Chonnam National University Research Institute of Medical Sciences, Chonnam National University Medical School and Hwasun Hospital, Hwasun, South Korea.
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