Resilience as a predictor for emotional response to the diagnosis and surgery in breast cancer patients

Markovitz, Sabine E.; Schrooten, Ward; Arntz, Arnoud; Peters, Madelon L.

doi:10.1002/pon.3834

Cited by 88 publications

(106 citation statements)

References 46 publications

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“…The novel contribution from this study is that the relationship between resilience and distress was mediated by difficulties in emotion regulation. These results aligned with previous research findings that resilience was negatively correlated with distress …”

Section: Discussionsupporting

confidence: 92%

“…Second, participants' transient mood states may have amplified their potential recall bias, such that if people were experiencing acute distress at the time of completing the questionnaire (eg, they may have received bad scan results that week), this may have affected their subsequent responses. However, in a study of women with breast cancer compared against healthy female controls, resilience did not differ significantly between the two groups . While cancer patients reported higher levels of anxiety, depression, and negative effect, higher levels of resilience were associated with better emotional adjustment with both women with cancer and in control women.…”

Section: Discussionmentioning

confidence: 87%

“…Conversely, up to 35% of cancer patients maintain high levels of well‐being . Given that distress in cancer has been linked with severity of cancer symptoms, reduced treatment compliance, increased psychiatric morbidity, increased mortality rate, and lower quality of life (QoL), it is important to understand why some patients develop significant distress and others do not …”

Section: Introductionmentioning

confidence: 99%

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Exploring emotion regulation as a mediator of the relationship between resilience and distress in cancer

et al. 2019

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Objectives Distress in patients with cancer is a significant problem that affects up to 32% of patients. Yet research indicates that 35% of cancer patients do maintain high levels of well‐being. Resilience is one psychological factor implicated as being protective against distress; however, the mechanisms for this relationship are currently unknown. The present study aimed to explore emotion regulation as a potential mediator of the relationship between resilience and distress. Methods A cross‐sectional survey examining emotional regulation, resilience, and distress was completed by 227 patients from two hospitals with heterogeneous cancer types. Measures included the Difficulties in Emotion Regulation Scale (DERS), the Connor Davidson Resilience Scale, and the Depression, Anxiety, Stress Scale. Results Difficulties in emotion regulation and resilience explained 33.2% of the variance in distress. Resilience had a significant direct effect on distress, accounting for 15.8% of the variance. However, this effect was no longer significant when difficulties in emotion regulation were controlled for. The indirect effect through difficulties in emotion regulation was significant, b = 0.009, 95% CI [−0.013,−0.007], suggesting that the effect of resilience on distress was fully mediated by emotion regulation. Parallel mediation analyses also examined the differential effects of the six DERS subscales on the relationship between resilience and distress. Conclusion These findings suggest that emotion regulation is an important mediator of resilience in cancer. Hence, in patients with cancer, difficulties in emotion regulation (and the DERS specifically) might be a useful focus for screening for patients at risk of distress.

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Section: Discussionsupporting

confidence: 92%

Section: Discussionmentioning

confidence: 87%

Section: Introductionmentioning

confidence: 99%

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Exploring emotion regulation as a mediator of the relationship between resilience and distress in cancer

et al. 2019

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“…According to significant role of these strategies in predicting resiliency in chronic diseases, surprisingly no research is found in relation to the aforementioned parameters in advanced cancer specifically stage IV (end of life). In addition, despite the huge portion of resiliency in psychological well-being of this group, we found that a few investigations dedicated to this mediator (8,30,31).…”

Section: Introductionmentioning

confidence: 78%

The Relationship between Cognitive Emotion-Regulation Strategies and Resiliency in Advanced Patients with Cancer

2017

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Background: Resiliency is a very important component in chronic diseases like cancer. Therefore, investigating factors affecting resiliency seems to be necessary. The current study investigates the relationship between cognitive emotion regulation strategies (CERS) and resiliency, on one hand, and the CERS role in predicting resiliency, on the other hand, among the studied population. Methods: In a correlational method, 121 patients with advanced cancer, who have hospitalized in January 2015 to July 2015 in ALA cancer prevention and control center, were selected. Instruments include the Garnefski-Alt cognitive emotion regulation questionnaire and Connor-Davidson resilience inventory. Pearson correlation coefficient and multiple linear regression were used for data analysis with SPSS 20. Results: Findings indicate that regression model is significant and CERS can predict 95% of resiliency in the level of 99%. Also, adaptive strategies can explain resiliency's changes (62%) more than maladaptive strategies (40%) in this group. In the regression model, more use of refocus on planning, putting in to perspective, acceptance and positive refocusing as well as less use of catastrophizing, positive reappraisal, self-blame, and other-blame can predict resilience strongly. Among these strategies, catastrophizing and refocus on planning were common strategies contributing to resilience. Conclusions: These findings suggested that emotion regulation strategies chosen by patients with advanced cancer can effect on their resiliency's status. This issue might help us to determine potential targets for applying psychotherapeutic interventions based on CERS education in order to improve resiliency in this group.

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“…These adaptive traits help to replenish emotional resources, relieve potential suffering, and enhance positive coping methods [41]. Studies of individuals with cancer have suggested that resilience provides at least partial protection against emotional distress, leading to better emotional adjustment [42]. Other studies have indicated that aspects of hope and resilience, such as positive expectations and optimism, have predicted better health outcomes after heart transplantation and coronary bypass surgery [43-44].…”

Section: Reviewmentioning

confidence: 99%

The Impact of Hope and Resilience on Multiple Factors in Neurosurgical Patients

Duggal¹,

Sacks-Zimmerman²,

Liberta³

2016

Cureus

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The purpose of the present article is to outline and review the impact of stable psychological characteristics on the emotional and functional outcomes of neurosurgical patients. Neurosurgical patients face adversity as inherent to their diagnoses and, consequently, experience emotional distress. Despite commonalities in diagnoses, diverse outcomes are seen post-neurosurgery, which are influenced by psychological factors. Therefore, an understanding of neurosurgical patients’ behavior, thoughts, and feelings surrounding their diagnoses, informed by psychological concepts, is important for both neuropsychology and neurosurgery.

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Resilience as a predictor for emotional response to the diagnosis and surgery in breast cancer patients

Abstract: Our results confirm that resilience may at least partially protect against emotional distress in cancer patients. Our findings suggest that resilience may be a relatively stable trait that is not affected by adversity.

Cited by 88 publications

References 46 publications

Exploring emotion regulation as a mediator of the relationship between resilience and distress in cancer

Exploring emotion regulation as a mediator of the relationship between resilience and distress in cancer

The Relationship between Cognitive Emotion-Regulation Strategies and Resiliency in Advanced Patients with Cancer

The Impact of Hope and Resilience on Multiple Factors in Neurosurgical Patients

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