Resilience in women with breast cancer: A systematic review
Open accessAbstract
Purpose Resilience refers to a dynamic process that promotes a successful adaptation to cancer-related adversity. The aim of this systematic review was to identify the biopsychosocial factors involved in the resilience of women with breast cancer and to integrate evidence on the interventions that can contribute to significantly enhancing it.Method Three databases were searched. In all, 923 articles were identified and, of these, 39 peer-reviewed articles were included.Results Resilience was associated with multiple clinical, sociodemographic, social, psychological and physiological variables, with psychological factors being the most important contributors to the development of resilience. Some protective factors were identified, such as social support, several dimensions of quality of life (QOL) and adaptive coping strategies. Psychological distress was the variable most frequently linked to reductions in resilience, finding a bidirectional relationship between them. Resilience-promoting interventions were found to be effective in improving participants' psychological well-being.Conclusion Resilience is a relevant factor related with several sociodemographic, clinical, psychosocial and physiological variables in women with breast cancer. However, limitations such as the wide variability of instruments used together with the heterogeneity and small size of the samples restrict the generalizability of our conclusions.
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From Coping in Post-Mastectomy Breast Cancer Survivors and Need for Intervention: Systematic Review. (2023) · cites this paper as [28]
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- Authors
- Aizpurua-Perez, I., & Perez-Tejada, J.
- Venue
- European Journal of Oncology Nursing
- Publisher
- Elsevier BV
- Published
- 2020-12
- Volume
- 49
- Pages
- 101854
- ISSN
- 1462-3889 (ISSN-L)
- OpenAlex
- W3091978907
- Cited by
- 86
- References
- 85
- Citations by year
- 2026: 13 · 2025: 18 · 2024: 20 · 2023: 16 · 2022: 15 · 2021: 4
- FWCI
- 0.94
- Type
- journal article
- Language
- en
- Open access
- green
- hdl.handle.net
- Licence
- Locations
- European Journal of Oncology Nursing (publishedVersion)
- PubMed (publishedVersion)
- Communities in ADDI (University of the Basque Country) (acceptedVersion, cc-by-nc-nd)
- Hispana (acceptedVersion, cc-by-nc-nd)
- Zenodo (CERN European Organization for Nuclear Research) (submittedVersion)
- Funders
- Eusko Jaurlaritza
- Topics
- Health Sciences › Medicine › Oncology › Cancer survivorship and care
- Social Sciences › Psychology › Clinical Psychology › Resilience and Mental Health
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Women's cancer prevention and management
- Keywords
- resilience, breast cancer, women, biopsychosocial factors, social support, quality of life, coping strategies, psychological distress, psychological well-being
- MeSH terms
- Cancer Survivors, Adaptation, Psychological, Adult, Breast Neoplasms, Female, Humans, Patients, Quality of Life, Social Support, Resilience, Psychological
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