Psychological resilience contributes to low emotional distress in cancer patients

Min, Jung-Ah; Yoon, Sujung; Lee, Chang-Uk; Chae, Jeong-Ho; Lee, Chul; Song, Kyo-Young; Kim, Tae-Suk

doi:10.1007/s00520-013-1807-6

Cited by 209Cancer survivorship and careResilience and Mental HealthOptimism, Hope, and Well-being

Psychological resilience contributes to low emotional distress in cancer patients

Min, Jung-Ah, Yoon, Sujung, Lee, Chang-Uk, Chae, Jeong-Ho, Lee, Chul, Song, Kyo-Young, Kim, Tae-Suk·2013·Supportive Care in Cancer

DOI 10.1007/s00520-013-1807-6

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Abstract

Purpose Although a considerable number of cancer patients suffer from emotional distress which may have an impact on their quality of life, it still remains poorly understood which psychosocial factors contribute to individual vulnerabilities to emotional distress of cancer patients. Recently, resilience has been suggested as the capacity to cope with adversities like cancer. In this study, we investigated the relationships between resilience and emotional distress in cancer patients.Methods One hundred fifty-two cancer patients who were consecutively hospitalized for their scheduled treatments at the Seoul St. Mary's Hospital were enrolled and completed the Connor-Davidson Resilience Scale and Hospital Anxiety Depression Scale to measure resilience and emotional distress. The relationships between the levels of psychological resilience and emotional distress were evaluated using univariate and multivariate logistic regression analyses.Results Psychological resilience levels were negatively associated with emotional distress after controlling for relevant covariates. The highest quartile of resilience level was associated with a 90% (adjusted odds ratio [OR] = 0.10, 95% confidence interval [CI] = 0.03-0.34, P < 0.001) reduction in the risk for emotional distress compared to the lowest quartile. Among metastatic cancer patients, resilience was also found to be a significant protective factor for emotional distress (adjusted OR = 0.14, 95% CI = 0.02-0.79, P = 0.02).Conclusion The present study suggests that psychological resilience may independently contribute to low emotional distress in cancer patients. The relationship between resilience and emotional distress was also significant in the subgroup of metastatic cancer patients. Psychosocial interventions to enhance resilience might provide useful approaches to overcome cancer-related emotional distress.

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When facing adversity and stressful situations, people with lower resilience have a higher risk of experiencing poorer quality of life, greater distress and relational difficulties.
“When facing adversity and stressful situations, people with lower resilience have a higher risk of experiencing poorer QoL, and greater distress and relational difficulties [17]”
From A group resilience training program for people with multiple sclerosis: Study protocol of a multi-centre cluster-randomized controlled trial (multi-READY for MS) (2022) · cites this paper as [17]

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A comparative study on resilience, perceived social support and hopelessness among cancer patients treated with curative and palliative care
Somasundaram, R., & Devamani, K. (2016) · Indian Journal of Palliative Care · doi:10.4103/0973-1075.179606 · Cited by 87 · see citing works
“[45] Both optimism and social support are associated with improved overall well‐being in cancer patients[46] which in turn foster resilience in cancer patients.[47,48] Similar findings have been observed in the present study also.”
Result
Resilience and active coping style
Popa-Velea, O., Diaconescu, L. V., Popescu, M. J., & Truţescu, C. (2017) · The International Journal of Psychiatry in Medicine · doi:10.1177/0091217417720895 · Cited by 80 · see citing works
“As cancer advances, the patient may also face the challenge of coming to terms with an uncertain future or with the higher probability of dying.(15) Considering these particularities of cancer, a key objective in Oncology is to preserve as much as possible the patient’s QOL.”
Background
Assessment of the relation between religiosity, mental health, and psychological resilience in breast cancer patients
Fradelos, Ε. C., Latsou, D., Mitsi, D., Tsaras, K., Lekka, D., Lavdaniti, M., Tzavella, F., & Papathanasiou, I. V. (2018) · Współczesna Onkologia · doi:10.5114/wo.2018.78947 · Cited by 79 · see citing works
Cyberbullying in Adolescents: Resilience as a Protective Factor of Mental Health Outcomes
Santos, D., Mateos-Pérez, E., Cantero, M.-J., & Gámez-Guadix, M. (2020) · Cyberpsychology, Behavior, and Social Networking · doi:10.1089/cyber.2020.0337 · Cited by 79 · see citing works
The relationship between perceived stress and problematic social networking site use among Chinese college students
Hou, X., Wang, H., Hu, T., Gentile, D. A., Gaskin, J. E., & Wang, J. (2019) · Journal of Behavioral Addictions · doi:10.1556/2006.8.2019.26 · Cited by 77 · see citing works
Pathways to post-traumatic growth in cancer patients: moderated mediation and single mediation analyses with resilience, personality, and coping strategies
Gori, A., Topino, E., Sette, A., & Cramer, H. (2020) · Journal of Affective Disorders · doi:10.1016/j.jad.2020.10.044 · Cited by 76 · see citing works
Exploring emotion regulation as a mediator of the relationship between resilience and distress in cancer
Vaughan, E., Koczwara, B., Kemp, E., Freytag, C., Tan, W. S., & Beatty, L. (2019) · Psycho-Oncology · doi:10.1002/pon.5107 · Cited by 73 · see citing works
“Conversely, up to 35% of cancer patients maintain high levels of well‐being.(2) Given that distress in cancer has been linked with severity of cancer symptoms, reduced treatment”
BackgroundResult
Relationships among Social Support, Coping Style, Perceived Stress, and Psychological Distress in Chinese Lung Cancer Patients
Tian, X., Jin, Y., Chen, H., Tang, L. L., & Herrera, M. (2021) · Asia-Pacific Journal of Oncology Nursing · doi:10.4103/apjon.apjon_59_20 · Cited by 71 · see citing works
“also demonstrated that social support was negatively associated with psychological distress.([19]) Coping is an individual’s characteristic behavior for responding to stress, which can be categorized into three aspects including confrontation coping, accommodation coping, and avoidance coping.”
Background
Family Resilience in the Oncology Setting: Development of an Integrative Framework
Faccio, F., Renzi, C., Giudice, A. V., & Pravettoni, G. (2018) · Frontiers in Psychology · doi:10.3389/fpsyg.2018.00666 · Cited by 70 · see citing works
“Several studies have shown that resilience is higher in cancer patients than the general population (Wenzel et al., 2002; Strauss et al., 2007; Min et al., 2013; Rosenberg et al., 2014) and that it is independent from demographic and illness-related variables (Strauss et al.”
Background
The association of resilience with depression, anxiety, stress and physical activity during the COVID-19 pandemic
To, Q. G., Vandelanotte, C., Cope, K., Khalesi, S., Williams, S. L., Alley, S., Thwaite, T. L., Fenning, A. S., & Stanton, R. (2022) · BMC Public Health · doi:10.1186/s12889-022-12911-9 · Cited by 69 · see citing works
Psychosocial Adaptation to Disability Within the Context of Positive Psychology: Findings from the Literature
Martz, E., & Livneh, H. (2015) · Journal of Occupational Rehabilitation · doi:10.1007/s10926-015-9598-x · Cited by 69 · see citing works
“Among these are individuals with SCI [46, 47], epilepsy [48], diabetes [49], cancer [45], pain [50], as well as people with traumatic and severe physical injuries [44].”
Does resilience ‘buffer’ against depression in prostate cancer patients? A multi-site replication study
Sharpley, C. F., Bitsika, V., Wootten, A. C., & Christie, D. (2014) · European Journal of Cancer Care · doi:10.1111/ecc.12170 · Cited by 68 · see citing works
Psychological resilience among palliative patients with advanced cancer: A systematic review of definitions and associated factors
Lau, J., Khoo, A. M., Ho, A. H. Y., & Tan, K. (2021) · Psycho-Oncology · doi:10.1002/pon.5666 · Cited by 68 · see citing works
“Resources, Buffering MacArtney et al. (2015) Did not define Min et al. (2013) ‘Resilience has been defined as the dynamic capacity of individuals to successfully maintain or regain their mental health in the face of significant life adversities or risks’.”
Background
The Associations of Psychological Stress with Depressive and Anxiety Symptoms among Chinese Bladder and Renal Cancer Patients: The Mediating Role of Resilience
Li, M., & Wang, L. (2016) · PLoS ONE · doi:10.1371/journal.pone.0154729 · Cited by 64 · see citing works
“reported that resilience negatively predicted depressive and anxiety symptoms among metastatic cancer individuals [27].”
BackgroundInfluential
Psychological Disorders and Psychosocial Resources of Patients with Newly Diagnosed Bladder and Kidney Cancer: A Cross-Sectional Study
Yang, Y.-L., Liu, L., Li, M.-Y., Shi, M., & Wang, L. (2016) · PLoS ONE · doi:10.1371/journal.pone.0155607 · Cited by 63 · see citing works
“Most studies to date mainly focused on the independent effect of internal or external factors on reducing psychological disorders [17,18,26,28,40], and ignored, to some Table 3.”
Background
Depression and Resilience in Breast Cancer Patients
Ristevska-Dimitrovska, G., Stefanovski, P., Smichkoska, S., Raleva, M., & Dejanova, B. (2015) · Open Access Macedonian Journal of Medical Sciences · doi:10.3889/oamjms.2015.119 · Cited by 62 · see citing works
“Further longitudinal research is needed to examine whether high levels of resilience represent a long-term protection from depression/emotional suffering and to examine the relation of these two variables [34].”
Background
Self-efficacy and positive coping mediate the relationship between social support and resilience in patients undergoing lung cancer treatment: A cross-sectional study
Yin, Y., Lyu, M., Chen, Y., Zhang, J., Li, H., Li, H., Xia, G., & Zhang, J. (2022) · Frontiers in Psychology · doi:10.3389/fpsyg.2022.953491 · Cited by 62 · see citing works
“Cancer diagnosis and cancer treatment are considered traumatic life events for patients, resilience can buffer against psychological distress and improve patients’ quality of life during cancer treatment (Min et al., 2013; Wu et al., 2021).”
Background
The Relationship Between Mental Health and Resilience: A Systematic Review and Meta-Analysis
Gheshlagh, R. G., Sayehmiri, K., Ebadi, A., Dalvandi, A., Dalvand, S., Maddah, S. S. B., & Nourozi, K. (2017) · Iranian Red Crescent Medical Journal · doi:10.5812/ircmj.13537 · Cited by 61 · see citing works
“Min (2013) believes that resilience is necessary to maintain or regain mental health in the face of difficulties and adversity (61).”
Background
Relationship among symptom clusters, quality of life, and treatment-specific optimism in patients with cancer
Matzka, M., Köck‐Hódi, S., Jahn, P., & Mayer, H. (2018) · Supportive Care in Cancer · doi:10.1007/s00520-018-4102-8 · Cited by 54 · see citing works
“In cancer patients, the capacity for resilience— defined as a dynamic process of adaptation to adversity associated with the diagnosis and disease as well as treatmentrelated physical and psychosocial symptoms [9]—was reported to be a factor associated with less anxiety [10, 11] and * Martin Matzka martin.”
Background
Resilience mediates the relationship between optimism and well-being among Filipino university students
Miranda, J. O., & Cruz, R. N. C. (2020) · Current Psychology · doi:10.1007/s12144-020-00806-0 · Cited by 61 · see citing works
Individual resilience in adult cancer care: A concept analysis
Luo, D., Eicher, M., & White, K. (2019) · International Journal of Nursing Studies · doi:10.1016/j.ijnurstu.2019.103467 · Cited by 56 · see citing works
A resilience group training program for people with multiple sclerosis: Results of a pilot single-blind randomized controlled trial and nested qualitative study
Giovannetti, A. M., Quintas, R., Tramacere, I., Giordano, A., Confalonieri, P., Messmer Uccelli, M., Solari, A., & Pakenham, K. I. (2020) · PLOS ONE · doi:10.1371/journal.pone.0231380 · Cited by 53 · see citing works
“In times of adversity, people with low resilience have a higher risk of experiencing poor QoL, emotional burden and interpersonal difficulties [14].”
Background
Resilience moderates the association between stigma and psychological distress among family caregivers of patients with schizophrenia
Chen, X., Mao, Y., Kong, L., Li, G., Xin, M., Lou, F., & Li, P. (2016) · Personality and Individual Differences · doi:10.1016/j.paid.2016.02.062 · Cited by 53 · see citing works
The relationship among resilience, rumination and posttraumatic growth in hemodialysis patients in North China
Li, T., Liu, T., Han, J., Zhang, M., Li, Z., Zhu, Q., & Wang, A. (2017) · Psychology Health & Medicine · doi:10.1080/13548506.2017.1384553 · Cited by 51 · see citing works
“Low resilience was associated with higher risks of anxiety and depression among cancer patients (Min et al., 2013) and was correlated with higher odds of frequent sleep difficulties, lower health satisfaction and decreased ability to express worries to the medical team among parents of children…”
Background
Exploring the relationship between mental health literacy and psychological distress in adolescents: A moderated mediation model
Zhang, X., Yue, H., Hao, X., Liu, X., & Bao, H. (2023) · Preventive Medicine Reports · doi:10.1016/j.pmedr.2023.102199 · Cited by 50 · see citing works
“Therefore, these adolescents with higher psychological resilience level experience less psychological troubles such as anxiety and depression (Lenzo et al., 2020; Min et al., 2013).”
Background
Life stress and symptoms of anxiety and depression in women after cancer: The mediating effect of stress appraisal and coping
Seib, C., Porter-Steele, J., Ng, S., Turner, J., McGuire, A., McDonald, N., Balaam, S., Yates, P., McCarthy, A., & Anderson, D. (2018) · Psycho-Oncology · doi:10.1002/pon.4728 · Cited by 51 · see citing works
“Several studies have suggested that SLEs are associated with physiological changes in cognitive appraisal of stress and levels of resilience, which in turn increase the risk of a number of poor health outcomes.(16) In this instance, stress appraisal and resilience might explain, at least in part, the mechanisms that u…”
Background
The Association between Resilience and Psychological Distress during the COVID-19 Pandemic: A Systematic Review and Meta-Analysis
Jeamjitvibool, T., Duangchan, C., Mousa, A., & Mahikul, W. (2022) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph192214854 · Cited by 48 · see citing works
“Individuals with high resilience may have good tolerance of negative feelings, a strong capacity for selfreflection, and a high sense of responsibility, all characteristics that can promote better coping with psychological distress [84].”
Background
Factors Associated with the Quality of Life of Patients with Cancer Undergoing Radiotherapy
Kim, J. W., Kang, D. H., Bong, S. H., & Seol, K. H. (2021) · Psychiatry Investigation · doi:10.30773/pi.2020.0286 · Cited by 47 · see citing works
“Previous studies with cancer patients have shown that resilience contributes to decreasing emotional distress [35] and may ameliorate the decrease in QoL due to emotional distress [36].”
Background
Psychosocial markers of pre‐hospital decision delay and psychological distress in acute coronary syndrome patients
Arrebola‐Moreno, M., Petrova, D., Garrido, D., Ramírez‐Hernández, J. A., Catena, A., & García‐Retamero, R. (2020) · British Journal of Health Psychology · doi:10.1111/bjhp.12408 · Cited by 46 · see citing works
Factors associated with quality of life early after ischemic stroke: the role of resilience
Liu, Z., Zhou, X., Zhang, W., & Zhou, L. (2019) · Topics in Stroke Rehabilitation · doi:10.1080/10749357.2019.1600285 · Cited by 44 · see citing works
“In addition to the quality of life, we also found that higher resilience was correlated with lower risks of anxiety and depression in hospitalized stroke survivors, which has been reported in other populations in previous studies.(48,49) Our finding demonstrated that resilience could potentially be a protective factor…”
Result
Determination of the psychiatric symptoms and psychological resilience levels of hematopoietic stem cell transplant patients and their relatives
Çuhadar, D., Tanrıverdi, D., Pehlıvan, M., Kurnaz, G., & Alkan, S. (2014) · European Journal of Cancer Care · doi:10.1111/ecc.12219 · Cited by 44 · see citing works
Exploring correlations between positive psychological resources and symptoms of psychological distress among hematological cancer patients: a cross-sectional study
Wang, Z.-Y., Liu, L., Shi, M., & Wang, L. (2015) · Psychology Health & Medicine · doi:10.1080/13548506.2015.1127396 · Cited by 41 · see citing works
“Similar to our results, Min et al. (2013) found that higher resilience was closely associated with lower risks of psychological distress in cancer inpatients.”
Result
Development and validation of the Family Resilience (FaRE) Questionnaire: an observational study in Italy
Faccio, F., Gandini, S., Renzi, C., Fioretti, C., Crico, C., & Pravettoni, G. (2019) · BMJ Open · doi:10.1136/bmjopen-2018-024670 · Cited by 41 · see citing works
“The second version of the questionnaire was composed of 60 items referring to six aspects: (1) family communication and problem solving, (2) social and economic resources, (3) maintaining a positive outlook, (4) family connectedness, (5) family spirituality and (6) ability to make meaning from adversity.”
Background
A machine learning-based pipeline for modeling medical, socio-demographic, lifestyle and self-reported psychological traits as predictors of mental health outcomes after breast cancer diagnosis: An initial effort to define resilience effects
Kourou, K. D., Manikis, G. C., Poikonen‐Saksela, P., Mazzocco, K., Pat‐Horenczyk, R., Sousa, B., Oliveira-Maia, A. J., Mattson, J., Roziner, I., Pettini, G., et al. (2021) · Computers in Biology and Medicine · doi:10.1016/j.compbiomed.2021.104266 · Cited by 41 · see citing works
Effectiveness of a group resilience intervention for people with multiple sclerosis delivered <i>via</i> frontline services
Giovannetti, A. M., Solari, A., & Pakenham, K. I. (2022) · Disability and Rehabilitation · doi:10.1080/09638288.2021.1960441 · Cited by 40 · see citing works
Mediating Role of Social Support in Resilience and Quality of Life in Patients with Breast Cancer: Structural Equation Model Analysis
Çeli̇k, G. K., Çakır, H., & Kut, E. (2021) · Asia-Pacific Journal of Oncology Nursing · doi:10.4103/apjon.apjon_44_20 · Cited by 39 · see citing works
“Recent studies emphasize that psychological resilience as a personal factor and social support as an environmental factor both act as a buffer against stress and increase QoL by decreasing emotional distress in patients with cancer.([11,13]) Social support is an interaction that begins with communication and establish…”
Background
The mediating role of emotional intelligence between negative life events and psychological distress among nursing students: A cross-sectional study
Zhang, P., Li, C., Zhao, Y., Xing, F., Chen, C., Tian, X.-F., & Tang, Q.-Q. (2016) · Nurse Education Today · doi:10.1016/j.nedt.2016.05.025 · Cited by 39 · see citing works
Symptom burden, family resilience, and functional exercise adherence among postoperative breast cancer patients
Chang, L., Zhang, S., Yan, Z., Li, C., Zhang, Q., & Li, Y. (2022) · Asia-Pacific Journal of Oncology Nursing · doi:10.1016/j.apjon.2022.100129 · Cited by 41 · see citing works
“I Will Not Be Defined by This. I’m Not Going to Live Like a Victim; It Is Not Going to Define My Life”: Exploring Breast Cancer Survivors’ Experiences and Sense of Self
Rashidi, E., Morda, R., & Karnilowicz, W. (2020) · Qualitative Health Research · doi:10.1177/1049732320968069 · Cited by 36 · see citing works
“Adopting a problem-focused coping strategy and accessing social support is integral in helping individuals cope when faced with a cancer diagnosis (Ching et al., 2012; Min et al., 2013) and facilitates a cancer survivor’s psychological well-being (Mehrabi et al., 2015).”
BackgroundInfluential
Associations of changes in psychosocial factors and their interactions with diabetes distress in patients with type 2 diabetes: a longitudinal study
Wang, R., Hsu, H., Kao, C., Yang, Y., Lee, Y., & Shin, S. (2016) · Journal of Advanced Nursing · doi:10.1111/jan.13201 · Cited by 35 · see citing works
The Relation between spiritual wellbeing and psychological resilience among patients diagnosed with advanced gastrointestinal cancer
Budak, F. K., Özdemir, A., & Dural, G. (2019) · Current Psychology · doi:10.1007/s12144-018-0116-0 · Cited by 32 · see citing works
Resilience among stroke survivors: A cohort study of the first 6 months
Zhang, W., Liu, Z., Zhou, X., & Zhou, L. (2019) · Journal of Advanced Nursing · doi:10.1111/jan.14247 · Cited by 32 · see citing works
The relationship between resilience and quality of life in patients with a drainage enterostomy
Temprado-Albalat, M. D., Martínez, P. G., Ballester‐Arnal, R., & Collado‐Boira, E. (2018) · Journal of Health Psychology · doi:10.1177/1359105318761555 · Cited by 31 · see citing works
“, 2012), vulnerability to stress (Min et al., 2013) and distress and emotional stress (Ho et al.”
Background
The relationship between rumination, fatigue and psychological resilience among cancer survivors
Öcalan, S., & Üzar‐Özçetin, Y. S. (2022) · Journal of Clinical Nursing · doi:10.1111/jocn.16187 · Cited by 31 · see citing works
“I’m Still Here”
Pieters, H. C. (2015) · Cancer Nursing · doi:10.1097/ncc.0000000000000248 · Cited by 30 · see citing works
The predictive 6-factor resilience scale neurobiological fundamentals and organizational application /
Rossouw, P., & Rossouw, J. G. (2016) · Acquire (CQUniversity) · Cited by 29 · see citing works
The effect of exercise on resilience, its mediators and moderators, in a general population during the UK COVID-19 pandemic in 2020: a cross-sectional online study
Lancaster, M. R., & Callaghan, P. (2022) · BMC Public Health · doi:10.1186/s12889-022-13070-7 · Cited by 33 · see citing works
“Research into resilience and healthcare outcomes have shown resilience and perceived quality of life (QOL) [9] are correlated with optimism [10, 11] and lower psychological stress [12, 13].”
Background
Post‐traumatic stress disorder symptoms in family caregivers of adult patients with acute leukemia from a dyadic perspective
Jia, M., Li, J., Chen, C., & Cao, F. (2015) · Psycho-Oncology · doi:10.1002/pon.3851 · Cited by 29 · see citing works
“Furthermore, higher resilience has been associated with reduced emotional distress after exposure to cancer events [15].”
Background
The development and validation of the psychological capital questionnaire for patients with Cancer the psychological capital questionnaire
Cui, C., Yu, W., Zhang, Y., Chen, S., Jiang, N., & Wang, L. (2021) · BMC Cancer · doi:10.1186/s12885-021-08960-9 · Cited by 29 · see citing works
“Selfefficacy is defined as a positive belief of individual competence to deal with treatment-related side effects or achieve desired goals in the face of cancer [36].”
Background
Resilience among women with breast cancer surviving longer than five years: The relationship with illness perception and body image
Chiu, H.-C., Lin, C., Kuo, Y., Hou, W., & Shu, B. (2022) · European Journal of Oncology Nursing · doi:10.1016/j.ejon.2022.102254 · Cited by 29 · see citing works
Retaining hospitality talent during COVID-19: the joint impacts of employee resilience, work social support and proactive personality on career change intentions
Yang, W., & Lee, P. P. C. (2023) · International Journal of Contemporary Hospitality Management · doi:10.1108/ijchm-07-2020-0761 · Cited by 29 · see citing works
Resilience and quality of life (QoL) of head and neck cancer and brain tumour survivors in Pakistan: an analytical cross-sectional study protocol
Zahid, N., Khalid, W., Ahmad, K., Bhamani, S. S., Azam, I., Asad, N., Jabbar, A. A., Khan, M., & Enam, S. A. (2019) · BMJ Open · doi:10.1136/bmjopen-2019-029084 · Cited by 26 · see citing works
A Systematic Study of Resilience in Patients with Chronic Physical Diseases
Gheshlagh, R. G., Ebadi, A., Dalvandi, A., Rezaei, M., & Tabrizi, K. N. (2016) · Nursing and Midwifery Studies · doi:10.5812/nmsjournal.36401 · Cited by 25 · see citing works
“Twenty-six risk factors were referred to in 13 articles, with mental distresses (3 articles) (22, 24, 31), depression (4 articles) (16, 29, 35, 36), stress (16, 26, 36), anxiety (16, 35, 36) (each 3 articles) and emotional distress (1 article) (28), under the general title of mental distresses, as the commonest risk f…”
BackgroundInfluential
The role of resilience and coping strategies as predictors of well-being in breast cancer patients
Ochoa, A. U., Macía, P., Ruiz-de-Alegría, B., García‐Vivar, C., & Iraurgi, I. (2024) · European Journal of Oncology Nursing · doi:10.1016/j.ejon.2024.102620 · Cited by 24 · see citing works
Personal resilience resources predict post-stem cell transplant cancer survivors' psychological outcomes through reductions in depressive symptoms and meaning-making
Campo, R., Wu, L. M., Austin, J., Valdimarsdottir, H. B., & Rini, C. K. (2017) · Journal of Psychosocial Oncology · doi:10.1080/07347332.2017.1342306 · Cited by 24 · see citing works
“More resilient SCT survivors have lower depressive symptoms (Baker, Marcellus, Zabora, Polland, & Jodrey, 1997; Min et al., 2013), perhaps because they are better able than their counterparts to effectively manage negative emotions (e.”
Background
Looking for capacities rather than vulnerabilities: The moderating effect of health assets on the associations between adverse social position and health
Roy, M., Levasseur, M., Doré, I., St‐Hilaire, F., Michallet, B., Couturier, Y., Maltais, D., Lindström, B., & Généreux, M. (2018) · Preventive Medicine · doi:10.1016/j.ypmed.2018.02.014 · Cited by 22 · see citing works
“Because of non-normal distribution and as other authors did (Scali et al., 2012; Min et al., 2013; Rosenberg et al., 2015), total scores were categorized (0–10, 11–20, 21–30, 31–40) to look for non-linear associations.”
Result
Do cancer patients use the term resilience? A systematic review of qualitative studies
Tan, W. S., Beatty, L., & Koczwara, B. (2018) · Supportive Care in Cancer · doi:10.1007/s00520-018-4456-y · Cited by 25 · see citing works
The factors influencing quality of life in women with breast cancer
Ryu, Y. M., & Yi, M. (2013) · Asian Oncology Nursing · doi:10.5388/aon.2013.13.3.121 · Cited by 22 · see citing works
Exploring Positive Survivorship Experiences of Indigenous Australian Cancer Patients
Tam, L., Garvey, G., Meiklejohn, J. A., Martin, J. H., Adams, J., Walpole, E. T., Fay, M. F., & Valery, P. C. (2018) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph15010135 · Cited by 21 · see citing works
“This is important because cancer patients who express resilience have been reported as more likely to adhere to treatment [30] and experience less emotional distress and higher quality of life [30,31].”
Background
Role of resilience and emotional control in relation to mental health in people with cancer
Macía, P., Gorbeña, S., Barranco, M., de Erentzun, E. A. R., & Castillo, I. I. (2020) · Journal of Health Psychology · doi:10.1177/1359105320946358 · Cited by 21 · see citing works
“Resilient people may have some protective personal attributes that involve key mechanisms related to active coping, cognitive flexibility and positive emotions (Min et al., 2013).”
BackgroundInfluential
The burden of a brain tumor: guiding patient centric care in neuro-oncology
Loughan, A. R., Reid, M. P., Willis, K. D., Davies, A., Boutté, R. L., Barrett, S., & Lo, K. (2022) · Journal of Neuro-Oncology · doi:10.1007/s11060-022-03993-x · Cited by 21 · see citing works
“These findings were encouraging, given that resiliency [43] and mindfulness [44] are associated with better quality of life in other cancer populations.”
Background
Diagnosing ‘male’ depression in men diagnosed with prostate cancer: the next step in effective translational psycho‐oncology interventions?
Sharpley, C. F., Bitsika, V., & Christie, D. (2014) · Psycho-Oncology · doi:10.1002/pon.3530 · Cited by 21 · see citing works
“However, at the time of writing, no reports that had focussed on these specific symptoms of male depression among men diagnosed with PCa had been published, although studies have been published on male depression in alcoholic abusers [11], psychiatric inpatients [12,14] and male adolescents [13].”
Background
Covid-19 in Turkey: Leisure Boredom, Psychological Resilience, Physical Activity and Emotional State
Dursun, M., Yarayan, Y. E., Çağrı, A. R. I., Ulun, C., & Adaş, S. K. (2021) · IJERI International Journal of Educational Research and Innovation · doi:10.46661/ijeri.5588 · Cited by 21 · see citing works
Psychological well-being in palliative care: A systematic review
Elvira, T. R., del Prado, C. I., & Cruzado, J. A. (2021) · OMEGA - Journal of Death and Dying · doi:10.1177/00302228211019203 · Cited by 23 · see citing works
“It is associated with lower levels of emotional distress and higher quality of life (Min et al., 2013; Siebert, 2007), reducing the intensity of stress, anxiety, and depression (Hiew et al., 2000).”
Background
Your support is my healing: the impact of perceived social support on adolescent NSSI — a sequential mediation analysis
Yuan, Z., Li, W., Ding, W., Song, S., Qian, L., & Xie, R. (2023) · Current Psychology · doi:10.1007/s12144-023-04286-w · Cited by 23 · see citing works
“Furthermore, Resilience can alleviate the negative impact of emotional distress on adolescent mental health (Min et al., 2013).”
Psychological impact of clinical treatment after breast cancer diagnosis in younger patients (38–50 age range): An explorative 3-year observational study
Giacomo, D. D., Ranieri, J., Perilli, E., Cannita, K., Passafiume, D., & Ficorella, C. (2019) · Neurology Psychiatry and Brain Research · doi:10.1016/j.npbr.2019.05.001 · Cited by 20 · see citing works
Resilience and its associated factors in head and neck cancer patients in Pakistan: an analytical cross-sectional study
Zahid, N., Zahid, W., Khalid, W., Azam, I., Ikram, M., Hassan, A., Iftikar, H., Bhamani, S. S., Jabbar, A. A., Akhtar, S., et al. (2021) · BMC Cancer · doi:10.1186/s12885-021-08624-8 · Cited by 23 · see citing works
Emotional “Patient-Oriented” Support in Young Patients With I–II Stage Breast Cancer: Pilot Study
Giacomo, D. D., Ranieri, J., Donatucci, E., Perilli, E., Cannita, K., Passafiume, D., & Ficorella, C. (2018) · Frontiers in Psychology · doi:10.3389/fpsyg.2018.02487 · Cited by 19 · see citing works
“…the psychological needs of women increases their life expectations by longer survivorship: psychological resilience is the key to dealing with and overcoming oncological disease and selfperception as a patient with a chronic illness (Min et al., 2013; Molina et al., 2014; Quattropani et al., 2017).”
Background
Challenges, c oping and resilience in caring for children with disability among immigrant parents: A mixed methods study
Alsharaydeh, E., Alqudah, M., Lee, R., & Chan, S. W. (2022) · Journal of Advanced Nursing · doi:10.1111/jan.15551 · Cited by 19 · see citing works
Resilience and Social Support Improve Mental Health and Quality of Life in Patients with Post-COVID-19 Syndrome
Moisoglou, I., Katsiroumpa, A., Kolisiati, A., Vraka, I., Kosiara, K., Siskou, O., Kaitelidou, D., Konstantakopoulou, O., Katsoulas, T., Gallos, P., et al. (2024) · European Journal of Investigation in Health, Psychology and Education · doi:10.3390/ejihpe14010015 · Cited by 24 · see citing works
The mediating role of resilience in the relationship between personality and adjustment to disease in patients with a drainage enterostomy
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“Moreover, Min and colleagues also found a negative relationship between social support and psychological distress (Min et al., 2013).”
Background
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“Studies in patients with different cancer types (eg, breast, lung, gastric cancer) suggest positive associations between resilience and HRQOL and lower emotional distress, respectively.(15) 16 However, there is a paucity of research evaluating the possible relevance of resilience in patients with MM.”
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“[27] Another study also revealed that resilience contributes to low emotional stress in cancer patients.[28] The study showed high and positive relationship between psychological well‐being and social capital with the cancer patients, resilience.”
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Relationships among symptom distress,psychological resilience,and positive emotions in cancer patients
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Authors: Min, J.-A., Yoon, S., Lee, C.-U., Chae, J.-H., Lee, C., Song, K.-Y., & Kim, T.-S.
Affiliations: The Catholic University of Korea Seoul St. Mary's Hospital (KR)
University of Utah (US)
Corresponding author: Kim, Tae-Suk
ORCID: Yoon, Sujung
Lee, Chang-Uk
Lee, Chul
Kim, Tae-Suk
Venue: Supportive Care in Cancer
Publisher: Springer Science and Business Media LLC
Published: 2013-04-20
Volume: 21
Issue: 9
Pages: 2469-2476
ISSN: 0941-4355 (ISSN-L)
1433-7339
DOI: 10.1007/s00520-013-1807-6
OpenAlex: W2074884121
Cited by: 209
References: 62
Citations by year: 2026: 9 · 2025: 15 · 2024: 10 · 2023: 19 · 2022: 21 · 2021: 26 · 2020: 18 · 2019: 17 · 2018: 21 · 2017: 9 · 2016: 18 · 2015: 17 · 2014: 5 · 2013: 4
FWCI: 7.85
Type: journal article
Language: en
Open access: closed
Licence: www.springer.com/tdm (tdm)
Locations: Supportive Care in Cancer (publishedVersion)
PubMed (publishedVersion)
Topics: Health Sciences › Medicine › Oncology › Cancer survivorship and care
Social Sciences › Psychology › Clinical Psychology › Resilience and Mental Health
Social Sciences › Psychology › Applied Psychology › Optimism, Hope, and Well-being
Keywords: psychological resilience, emotional distress, cancer patients, metastatic cancer, psychosocial factors, anxiety, depression, quality of life, resilience interventions
MeSH terms: Adaptation, Psychological, Adult, Affective Symptoms, Aged, Aged, 80 and over, Female, Humans, Male, Middle Aged, Neoplasms, Risk Factors, Stress, Psychological, Comorbidity, Multivariate Analysis, Resilience, Psychological

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Psychological resilience contributes to low emotional distress in cancer patients

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