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Psychological resilience and health-related quality of life in Swedish women with newly diagnosed breast cancer

Mohlin, Åsa LU ; Axelsson, Ulrika LU orcid ; Bendahl, Pär Ola LU ; Borrebaeck, Carl LU ; Hegardt, Cecilia LU ; Johnsson, Per LU ; Hallberg, Ingalill Rahm LU and Rydén, Lisa LU orcid (2020) In Cancer Management and Research 12. p.12041-12051
Abstract

Purpose: Psychological resilience appears to be an important influencing factor in various aspects of health-related quality of life (HRQoL) in a context of adversity, eg, being informed of a cancer diagnosis. The purpose was to investigate psychological resilience and HRQoL in Swedish women with newly diagnosed breast cancer in relation to demographic and clinicopathological characteristics. Methods: A population-based cross-sectional study was conducted including 517 women with breast cancer in the South Swedish Health Care Region. Participants were enrolled at the time of consultation for the diagnosis. Psychological resilience was assessed with the Connor-Davidson Resilience Scale 25 (CD-RISC25), and HRQoL was assessed with the... (More)

Purpose: Psychological resilience appears to be an important influencing factor in various aspects of health-related quality of life (HRQoL) in a context of adversity, eg, being informed of a cancer diagnosis. The purpose was to investigate psychological resilience and HRQoL in Swedish women with newly diagnosed breast cancer in relation to demographic and clinicopathological characteristics. Methods: A population-based cross-sectional study was conducted including 517 women with breast cancer in the South Swedish Health Care Region. Participants were enrolled at the time of consultation for the diagnosis. Psychological resilience was assessed with the Connor-Davidson Resilience Scale 25 (CD-RISC25), and HRQoL was assessed with the Short Form Health Survey. The participants responded to questions regarding demographic variables. Clinicopathological data were collected from the Swedish National Quality Register for Breast Cancer. Results: The mean score for psychological resilience was 70.6, identifying 15% of included patients with a score lower than 58 (−1 standard deviation). The study cohort had significantly lower mean scores for several aspects of HRQoL compared with Swedish normative data. Regression analyses demonstrated that psychological resilience was significantly associated with all domains of HRQoL after adjustment for demographic and clinicopathological factors. Conclusion: Higher levels of psychological resilience were significantly related to higher levels of HRQoL in Swedish women with newly diagnosed breast cancer and no modifying factor was identified. The assessment of psychological resilience at the time of breast cancer diagnosis might allow for early identification of women in need of more intense psychosocial support. Future studies are needed to identify a clinically relevant threshold of the CD-RISC25.

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author
; ; ; ; ; ; and
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
Breast cancer, CD-RISC25, Connor-Davidson Resilience Scale 25, Health-related quality of life, Psychological resilience, SF-36, Short Form Health Survey
in
Cancer Management and Research
volume
12
pages
11 pages
publisher
Dove Medical Press Ltd.
external identifiers
  • scopus:85096482856
  • pmid:33269004
ISSN
1179-1322
DOI
10.2147/CMAR.S268774
language
English
LU publication?
yes
id
dc2fe990-2008-4240-ab2d-015955d43e32
date added to LUP
2020-12-02 07:28:36
date last changed
2024-06-13 01:37:09
@article{dc2fe990-2008-4240-ab2d-015955d43e32,
  abstract     = {{<p>Purpose: Psychological resilience appears to be an important influencing factor in various aspects of health-related quality of life (HRQoL) in a context of adversity, eg, being informed of a cancer diagnosis. The purpose was to investigate psychological resilience and HRQoL in Swedish women with newly diagnosed breast cancer in relation to demographic and clinicopathological characteristics. Methods: A population-based cross-sectional study was conducted including 517 women with breast cancer in the South Swedish Health Care Region. Participants were enrolled at the time of consultation for the diagnosis. Psychological resilience was assessed with the Connor-Davidson Resilience Scale 25 (CD-RISC25), and HRQoL was assessed with the Short Form Health Survey. The participants responded to questions regarding demographic variables. Clinicopathological data were collected from the Swedish National Quality Register for Breast Cancer. Results: The mean score for psychological resilience was 70.6, identifying 15% of included patients with a score lower than 58 (−1 standard deviation). The study cohort had significantly lower mean scores for several aspects of HRQoL compared with Swedish normative data. Regression analyses demonstrated that psychological resilience was significantly associated with all domains of HRQoL after adjustment for demographic and clinicopathological factors. Conclusion: Higher levels of psychological resilience were significantly related to higher levels of HRQoL in Swedish women with newly diagnosed breast cancer and no modifying factor was identified. The assessment of psychological resilience at the time of breast cancer diagnosis might allow for early identification of women in need of more intense psychosocial support. Future studies are needed to identify a clinically relevant threshold of the CD-RISC25.</p>}},
  author       = {{Mohlin, Åsa and Axelsson, Ulrika and Bendahl, Pär Ola and Borrebaeck, Carl and Hegardt, Cecilia and Johnsson, Per and Hallberg, Ingalill Rahm and Rydén, Lisa}},
  issn         = {{1179-1322}},
  keywords     = {{Breast cancer; CD-RISC25; Connor-Davidson Resilience Scale 25; Health-related quality of life; Psychological resilience; SF-36; Short Form Health Survey}},
  language     = {{eng}},
  pages        = {{12041--12051}},
  publisher    = {{Dove Medical Press Ltd.}},
  series       = {{Cancer Management and Research}},
  title        = {{Psychological resilience and health-related quality of life in Swedish women with newly diagnosed breast cancer}},
  url          = {{http://dx.doi.org/10.2147/CMAR.S268774}},
  doi          = {{10.2147/CMAR.S268774}},
  volume       = {{12}},
  year         = {{2020}},
}