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Supportive Care in Cancer

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01-07-2021 | Mood Disorders | Review Article

Factors related to the resilience and mental health of adult cancer patients: a systematic review

Authors: Saori Tamura, Kumi Suzuki, Yuri Ito, Akiko Fukawa

Published in: Supportive Care in Cancer | Issue 7/2021

Abstract

Purpose

It has been reported that maintaining the mental health of cancer patients is a critically important issue, and that resilience is related to mental health. This study conducted a systematic literature review in order to fully understand the relationships between resilience and anxiety, depression, and quality of life (QOL) in adult cancer patients, as well as identify factors associated with resilience.

Methods

The PubMed, CINAHL, Psychology Database, and ICHUSHI Web databases were searched for articles related to resilience in cancer patients published between 2014 and 2019 using the keywords “cancer” and “resilience,” connected with “and.” The extracted articles that met inclusion criteria were organized using a matrix. To understand the resilience status of adult cancer patients, meta-analyses were performed using resilience scores measured with the most commonly used resilience scale, Connor-Davidson Resilience Scale 25.

Results

Thirty-nine articles were included in the analysis. A higher resilience score is associated with lower anxiety and depression scores and higher QOL scores. Factors related to resilience include personal factors such as age and gender, disease-related factors such as the presence or absence and severity of physical symptoms, and internal factors such as self-efficacy and hopefulness.

Conclusions

It was found that it is important for cancer patients to improve resilience to maintain mental health and QOL. The findings suggest that providing interventions for factors that will reduce resilience will provide support for patients with cancer.

Akechi T, Okuyama T, Sugawara Y, Nakano T, Shima Y, Uchitomi Y (2004) Major depression, adjustment disorders, and post-traumatic stress disorder in terminally ill cancer patients: associated and predictive factors. J Clin Oncol 22(10):1957–1965PubMed

Linden W, Vodermaier A, MacKenzie R, Greig D (2012) Anxiety and depression after cancer diagnosis: prevalence rates by cancer type, gender, and age. J Affect Disord 141(2–3):343–351. https://doi.org/10.1016/j.jad.2012.03.025CrossRefPubMed

Polanski J, Jankowska-Polanska B, Rosinczuk J, Chabowski M, Szymanska-Chabowska A (2016) Quality of life of patients with lung cancer. OncoTargets Ther 9:1023

Fafouti M, Paparrigopoulos T, Zervas Y, Rabavilas A, Malamos N, Liappas I, Tzavara C (2010) Depression, anxiety and general psychopathology in breast cancer patients: a cross-sectional control study. In Vivo 24(5):803–810PubMed

Sellick SM, Crooks DL (1999) Depression and cancer: an appraisal of the literature for prevalence, detection, and practice guideline development for psychological interventions. Psycho-Oncol J Psychol Soc Behav Dimens Cancer 8(4):315–333. https://doi.org/10.1002/(SICI)1099-1611(199907/08)8:4%3C315::AID-PON391%3E3.0.CO;2-GCrossRef

Gold M, Dunn LB, Phoenix B, Paul SM, Hamolsky D, Levine JD, Miaskowski C (2016) Co-occurrence of anxiety and depressive symptoms following breast cancer surgery and its impact on quality of life. Eur J Oncol Nurs 20:97–105. https://doi.org/10.1016/j.ejon.2015.06.003CrossRefPubMed

Krebber AMH, Buffart LM, Kleijn G, Riepma IC, De Bree R, Leemans CR, Verdonck-de Leeuw IM (2014) Prevalence of depression in cancer patients: a meta-analysis of diagnostic interviews and self-report instruments. Psycho-Oncology 23(2):121–130. https://doi.org/10.1002/pon.3409CrossRefPubMed

Markovitz LC, Drysdale NJ, Bettencourt BA (2017) The relationship between risk factors and medication adherence among breast cancer survivors: what explanatory role might depression play? Psycho-oncology 26(12):2294–2299. https://doi.org/10.1002/pon.4362CrossRefPubMed

Ye ZJ, Liang MZ, Li PF, Sun Z, Chen P, Hu GY, Qiu HZ (2018) New resilience instrument for patients with cancer. Qual Life Res 27(2):355–365PubMed

10.

Hu T, Xiao J, Peng J, Kuang X, He B (2018) Relationship between resilience, social support as well as anxiety/depression of lung cancer patients: a cross-sectional observation study. J Cancer Res Ther 14(1):72–77. https://doi.org/10.4103/jcrt.JCRT_849_17CrossRefPubMed

11.

Eicher, M, Matzka M, Dubey C, White K (2015) Resilience in adult cancer care: an integrative literature review. In Oncology nursing forum (Vol. 42, No. 1)

12.

Rutter M (1993) Resilience: some conceptual considerations. J Adolesc Health 14(8):626–631, 690-6 https://psycnet.apa.org/doi/10.1016/1054-139X(93)90196-V

13.

Moher D, Liberati A, Tetzlaff J, Altman DG, Prisma Group (2009) Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement. PLoS Med 6(7):e1000097. https://doi.org/10.1371/journal.pmed.1000097CrossRefPubMedPubMedCentral

14.

The Joanna Briggs Institute. The Joanna Briggs Institute Critical Appraisal tools JBI, https://joannabriggs.org/ebp/critical_appraisal_tools Accessed 15 March 2020

15.

Luo D, Wan X, Liu J, Tong T (2018) Optimally estimating the sample mean from the sample size, median, mid-range, and/or mid-quartile range. Stat Methods Med Res 27(6):1785–1805PubMed

16.

Wan X, Wang W, Liu J, Tong T (2014) Estimating the sample mean and standard deviation from the sample size, median, range and/or interquartile range. BMC Med Res Methodol 14(1):135PubMedPubMedCentral

17.

Sharpley CF, Bitsika V, Wootten AC, Christie DR (2014) Does resilience buffer’ against depression in prostate cancer patients? A multi-site replication study. Eur J Cancer Care 23(4):545–552

18.

Cohen M, Baziliansky S, Beny A (2014) The association of resilience and age in individuals with colorectal cancer: an exploratory cross-sectional study. J Geriatric Oncol 5(1):33–39

19.

Dubey C, De Maria J, Hoeppli C, Betticher DC, Eicher M (2015) Resilience and unmet supportive care needs in patients with cancer during early treatment: a descriptive study. Eur J Oncol Nurs 19(5):582–588PubMed

20.

Gouzman J, Cohen M, Ben-Zur H, Shacham-Shmueli E, Aderka D, Siegelmann-Danieli N, Beny A (2015) Resilience and psychosocial adjustment in digestive system cancer. J Clin Psychol Med Settings 22(1):1–13PubMed

21.

Ristevska-Dimitrovska G, Stefanovski P, Smichkoska S, Raleva M, Dejanova B (2015a) Depression and resilience in breast cancer patients. Open Access Macedonian J Med Sci 3(4):661–665

22.

Ristevska-Dimitrovska G, Filov I, Rajchanovska D, Stefanovski P, Dejanova B (2015b) Resilience and quality of life in breast cancer patients. Open Access Macedonian J Med Sci 3(4):727–731

23.

Manne S, Myers-Virtue S, Kashy D, Ozga M, Kissane D, Heckman C, Rosenblum N (2015) Resilience, positive coping, and quality of life among women newly diagnosed with gynecological cancers. Cancer Nurs 38(5):375–382PubMedPubMedCentral

24.

Solano JPC, da Silva AG, Soares IA, Ashmawi HA, Vieira JE (2016) Resilience and hope during advanced disease: a pilot study with metastatic colorectal cancer patients. BMC Palliative Care 15(1):70PubMedPubMedCentral

25.

Li MY, Yang YL, Liu L, Wang L (2016) Effects of social support, hope and resilience on quality of life among Chinese bladder cancer patients: a cross-sectional study. Health Qual Life Outcomes 14(1):73PubMedPubMedCentral

26.

Li M, Wang L (2016) The associations of psychological stress with depressive and anxiety symptoms among Chinese bladder and renal cancer patients: the mediating role of resilience. PLoS One 11(4):e0154729PubMedPubMedCentral

27.

Somasundaram RO, Devamani KA (2016) A comparative study on resilience, perceived social support and hopelessness among cancer patients treated with curative and palliative care. Indian J Palliat Care 22(2):135–140PubMedPubMedCentral

28.

Wu Z, Liu Y, Li X, Li X (2016) Resilience and associated factors among mainland Chinese women newly diagnosed with breast cancer. PLoS One 11(12):e0167976PubMedPubMedCentral

29.

Costa ALS, Heitkemper MM, Alencar GP, Damiani LP, da Silva RM, Jarrett ME (2017) Social support is a predictor of lower stress and higher quality of life and resilience in Brazilian patients with colorectal cancer. Cancer Nurs 40(5):352–360PubMed

30.

Sharpley CF, Bitsika V, Christie DR, Bradford R, Steigler A, Denham JW (2017) Psychological resilience aspects that mediate the depressive effects of urinary incontinence in prostate cancer survivors 10 years after treatment with radiation and hormone ablation. J Psychosoc Oncol 35(4):438–450PubMed

31.

Fradelos EC, Papathanasiou IV, Veneti A, Daglas A, Christodoulou E, Zyga S, Kourakos M (2017) Psychological distress and resilience in women diagnosed with breast cancer in Greece. APJCP 18(9):2545–2550PubMedPubMedCentral

32.

Zhang H, Zhao Q, Cao P, Ren G (2017) Resilience and quality of life: exploring the mediator role of social support in patients with breast cancer. Med Sci Monit Int Med J Exp Clin Res 23:5969–5979

33.

Popa-Velea O, Diaconescu L, Jidveian Popescu M, Truţescu C (2017) Resilience and active coping style: effects on the self-reported quality of life in cancer patients. Int J Psychiatry Med 52(2):124–136PubMed

34.

Dong X, Li G, Liu C, Kong L, Fang Y, Kang X, Li P (2017) The mediating role of resilience in the relationship between social support and posttraumatic growth among colorectal cancer survivors with permanent intestinal ostomies: a structural equation model analysis. Eur J Oncol Nurs 29:47–52PubMed

35.

Ye ZJ, Qiu HZ, Li PF, Liang MZ, Zhu YF, Zeng Z, Quan XM (2017) Predicting changes in quality of life and emotional distress in Chinese patients with lung, gastric, and colon-rectal cancer diagnoses: the role of psychological resilience. Psycho-Oncology 26(6):829–835PubMed

36.

Izydorczyk B, Kwapniewska A, Lizinczyk S, Sitnik-Warchulska K (2018) Psychological resilience as a protective factor for the body image in post-mastectomy women with breast cancer. Int J Environ Res Public Health 15(6):1181PubMedCentral

37.

Harms CA, Cohen L, Pooley JA, Chambers SK, Galvão DA, Newton RU (2019) Quality of life and psychological distress in cancer survivors: the role of psycho-social resources for resilience. Psycho-oncology 28(2):271–277PubMed

38.

Sharpley CF, Christie DR, Bitsika V, Agnew LL, Andronicos NM, McMillan ME, Richards TM (2018) Limitations in the inverse association between psychological resilience and depression in prostate cancer patients experiencing chronic physiological stress. Psycho-oncology 27(1):223–228PubMed

39.

Li C, Lu H, Qin W, Li X, Yu J, Fang F (2019) Resilience and its predictors among Chinese liver cancer patients undergoing transarterial chemoembolization. Cancer Nurs 42(5):E1–E9PubMed

40.

Walsh DM, Morrison TG, Conway RJ, Rogers E, Sullivan FJ, Groarke A (2018) A model to predict psychological-and health-related adjustment in men with prostate cancer: the role of post traumatic growth, physical post traumatic growth, resilience and mindfulness. Front Psychol 9:136PubMedPubMedCentral

41.

Fradelos EC, Latsou D, Mitsi D, Tsaras K, Lekka D, Lavdaniti M, Papathanasiou IV (2018) Assessment of the relation between religiosity, mental health, and psychological resilience in breast cancer patients. Contemp Oncol 22(3):172–177

42.

Zou G, Li Y, Xu R, Li P (2018) Resilience and positive affect contribute to lower cancer-related fatigue among Chinese patients with gastric cancer. J Clin Nurs 27(7–8):e1412–e1418PubMed

43.

Lee JH, Kim HY (2018) Symptom distress and coping in young Korean breast cancer survivors: the mediating effects of social support and resilience. J Korean Acad Nurs 48(2):241–253PubMed

44.

Tadayon M, Dabirizadeh S, Zarea K, Behroozi N, Haghighizadeh MH (2018) Investigating the relationship between psychological hardiness and resilience with depression in women with breast cancer. Gulf J Oncol 1(28):23–30

45.

Alizadeh S, Khanahmadi S, Vedadhir A, Barjasteh S (2018) The relationship between resilience with self-compassion, social support and sense of belonging in women with breast cancer. APJCP 19(9):2469–2474PubMedPubMedCentral

46.

Gan Y, Zheng L, Wang Y, Li W (2018) An extension of the meaning making model using data from Chinese cancer patients: the moderating effect of resilience. Psychol Trauma Theory Res Pract Policy 10(5):594

47.

Clarke G, Asiedu YA, Herd K, Sharma S (2019) Exploring the relation between patients’ resilience and quality of life after treatment for cancer of the head and neck. Br J Oral Maxillofac Surg 57(10):1044–1048PubMed

48.

Kavak F, Özdemir A, Dural G (2019) The relation between spiritual wellbeing and psychological resilience among patients diagnosed with advanced gastrointestinal cancer. Curr Psychol 1–7

49.

Gao Y, Yuan L, Pan B, Wang L (2019) Resilience and associated factors among Chinese patients diagnosed with oral cancer. BMC Cancer 19(1):447PubMedPubMedCentral

50.

Kordan Z, Lolaty HA, Mousavinasab SN, Fard JH (2019) Relationship between psychological well-being and social capital and resilience among cancer patients. J Nurs Midwifery Sci 6(3):131

51.

Padilla-Ruiz M, Ruiz-Román C, Pérez-Ruiz E, Rueda A, Redondo M, Rivas-Ruiz F (2019) Clinical and sociodemographic factors that may influence the resilience of women surviving breast cancer: cross-sectional study. Support Care Cancer 27(4):1279–1286PubMed

52.

Tu PC, Yeh DC, Hsieh HC (2020) Positive psychological changes after breast cancer diagnosis and treatment: the role of trait resilience and coping styles. J Psychosoc Oncol 38(2):156–170PubMed

53.

Huang Y, Huang Y, Bao M, Zheng S, Du T, Wu K (2019) Psychological resilience of women after breast cancer surgery: a cross-sectional study of associated influencing factors. Psychol Health Med 24(7):866–878PubMed

54.

Zhang C, Gao R, Tai J, Li Y, Chen S, Chen L, Li F (2019) The relationship between self-perceived burden and posttraumatic growth among colorectal Cancer patients: the mediating effects of resilience. Biomed Res Int

55.

Connor KM, Davidson JR (2003) Development of a new resilience scale: the Connor-Davidson resilience scale (CD-RISC). Depress Anxiety 18(2):76–82PubMed

56.

Frank-Stromborg M, Wright PS, Segalla M, Diekmann J (1984) Psychological impact of the “cancer” diagnosis. In: Oncology Nursing Forum Vol. 11, No. 3, p 16

57.

Lang-Rollin I, Berberich G (2018) Psycho-oncology. Dialogues Clin Neurosci 20(1):13–22PubMedPubMedCentral

58.

Harris LN, Bauer MR, Wiley JF, Hammen C, Krull JL, Crespi CM, Stanton AL (2017) Chronic and episodic stress predict physical symptom bother following breast cancer diagnosis. J Behav Med 40(6):875–885PubMedPubMedCentral

59.

Anyan F, Hjemdal O (2016) Adolescent stress and symptoms of anxiety and depression: resilience explains and differentiates the relationships. J Affect Disord 203:213–220PubMed

60.

Masten AS, Best KM, Garmezy N (1990) Resilience and development: contributions from the study of children who overcome adversity. Dev Psychopathol 2(4):425–444

61.

Glaus A, Crow R, Hammond S (1996) A qualitative study to explore the concept of fatigue/tiredness in cancer patients and in healthy individuals. Support Care Cancer 4(2):82–96PubMed

62.

White LL, Cohen MZ, Berger AM, Kupzyk KA, Bierman PJ (2019, January) Self-efficacy for management of symptoms and symptom distress in adults with cancer: an integrative review. In Oncology nursing forum 46(1)

63.

Kroemeke A, Kwissa-Gajewska Z, Sobczyk-Kruszelnicka M (2019) Fluctuation in physical symptoms, coping, and mood in patients following hematopoietic stem cell transplantation: assessing mediation effects using a daily diary approach. J Behav Med 42(2):224–233PubMed

64.

Luthar SS, Cicchetti D, Becker B (2000) The construct of resilience: a critical evaluation and guidelines for future work. Child Dev 71(3):543–562PubMedPubMedCentral

Title: Factors related to the resilience and mental health of adult cancer patients: a systematic review
Authors: Saori Tamura
Kumi Suzuki
Yuri Ito
Akiko Fukawa
Publication date: 01-07-2021
Publisher: Springer Berlin Heidelberg
Keywords: Mood Disorders
Affective Disorder
Anxiety
Published in: Supportive Care in Cancer / Issue 7/2021
Print ISSN: 0941-4355
Electronic ISSN: 1433-7339
DOI: https://doi.org/10.1007/s00520-020-05943-7

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