Psychological resilience and its influencing factors among breast cancer patients

ObjectiveTo investigate psychological resilience and its influencing factors among breast cancer patients.MethodsTotally 381 hospitalized breast cancer patients were recruited from 2 grade 3 hospitals in Anhui province and investigated with General Information Questionnaire,Resilience Scale(RS-14),Perceived Social Support Scale(PSSS),Self-Esteem Scale(SES),General Self-Efficacy Scale(GSES),Revised Life Orientation Test(LOT-R),Health-Related Hardiness Scale(HRHS),and Mastery Scale for Chinese version(MSC)from October 2013 through May 2014.ResultsThe average score of the participants was 2.68±0.46 for self-efficacy,21.35±3.40 for self-mastery,15.23±3.98 for self-esteem,17.45±3.23 for optimistic tendency,73.50±7.89 for social support,103.73±9.00 for hardiness personality,and 76.82±10.90 for resilience,respectively.The level of psychological resilience among the patients belongs to superior middling,with an average overall score of 5.49±0.78.There existed a difference in RS-14 scores among the patients with different living residence,education level,status of employment,form of payment,and disease cognition(all P<0.01).Univariate analysis indicated that the RS-14 scores were positively correlated with scores of SES,GSES,PSSS,LOT-R,HRHS and MSC(r=0.105-0.608, all P<0.01).The results of multivariate linear regression analysis showed that disease cognition,form of payment,optimism,social support,self-efficacy,and self-mastery were main influencing factors of psychological resilience among the patients.ConclusionThe level of psychological resilience should be enhanced among breast cancer patients and disease cognition,form of payment,optimism,social support self-efficacy,and self-mastery are related to psychological resilience among breast cancer patients.