The role of resilience and coping strategies as predictors of well-being in breast cancer patients
Purpose: This study investigated the role of resilience and coping strategies on breast cancer patients’ well-being using a structural equation model. To achieve this objective, a model previously developed by Mayordomo’s group was partially replicated using a longitudinal study design in an oncolog...
| Authors: | , , , , |
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| Format: | article |
| Status: | Versión aceptada para publicación |
| Publication Date: | 2024 |
| Country: | España |
| Institution: | Universidad Pública de Navarra |
| Repository: | Academica-e. Repositorio Institucional de la Universidad Pública de Navarra |
| OAI Identifier: | oai:academica-e.unavarra.es:2454/51571 |
| Online Access: | https://hdl.handle.net/2454/51571 |
| Access Level: | Open access |
| Keyword: | Breast neoplasms Chemotherapy adjuvant Resilience Coping Well-being Longitudinal study Oncology nursing Psycho-oncology |
| Summary: | Purpose: This study investigated the role of resilience and coping strategies on breast cancer patients’ well-being using a structural equation model. To achieve this objective, a model previously developed by Mayordomo’s group was partially replicated using a longitudinal study design in an oncological sample. Methods: The study was a longitudinal observational survey. Patients with breast cancer were recruited (N = 166). Resilience was measured with the Mexican Resilience Measurement Scale, coping strategies with the Forms of Coping and Dimensions Scale and perception of the psychological well-being with a short-form of Ryff’s Scales of Psychological Well-Being at the start and end of adjuvant chemotherapy (T1 and T2 respectively). Results: The results showed stability in the variables over time and revealed differences with respect to Mayordomo’s model. The best predictor of well-being at T2 was well-being at T1. In addition, the model indicated that resilience had a direct impact on well-being through problem-focused coping. Indeed, resilience and problem-focused coping best explained well-being at T2. Conclusions: Both at the start and end of adjuvant chemotherapy for breast cancer, problem-focused coping positively predicted resilience, which in turn was a positive predictor of well-being. On the other hand, emotionfocused coping showed no association with resilience or well-being. As part of the multidisciplinary cancer team, oncology nurses have a key role to play in promoting resilience and problem-focused coping as an important goal of psychosocial interventions in breast cancer patients. |
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