Evaluation of Social Support and Resilience in Women with Breast Cancer


Abstract views: 426 / PDF downloads: 155

Authors

DOI:

https://doi.org/10.5281/zenodo.7655669

Keywords:

Breast cancer, mastectomy, resilience, social support

Abstract

Breast cancer is affecting women in terms of psychosocial aspects. Protective factors such as social support are required when facing adversities affecting resilience, such as breast cancer.  This study aimed to determine the level of resilience and social support among patients with breast cancer who underwent mastectomy. The descriptive and cross-sectional study was conducted with 176 breast cancer patients who underwent mastectomy in the general surgery clinics of two educational research hospitals. The data were collected before discharge using Patient Information Form, Cancer Patient Social Support Scale, and Connor-Davidson Resilience Scale 25. Descriptive statistics, independent sample t-test, one-way ANOVA and Spearman correlation analyses were used for data analysis. The mean score of resilience and social support were 72.56 ± 13.96, 149.59 ± 18.29 respectively, which were in the moderate range. Women with simple mastectomy had higher resilience scores than those with modified radical mastectomy (p <0.05). There was a positive relationship between resilience and social support scores (r = 369, p <0,001). In conclusion, the psychological resilience of women in the early postoperative period after mastectomy is positively related to social support. It is recommended that measure resilience and social support levels of patients who undergo mastectomy and plan nursing interventions to increase social support and improve resilience.

 

References

Acil, H., Cavdar, I., 2014. Comparison of quality of life of Turkish breast cancer patients receiving breast conserving surgery or modified radical mastectomy. Asian Pacific Journal of Cancer Prevention, 15(13): 5377-5381.

Ardahan, M., Yeşilbalkan, Ö., 2010. Perceived family support of women with breast cancer and affecting factors in Turkey. Asian Pacific Journal of Cancer Prevention, 11: 1425-1429.

Casellas-Grau, A., Vives, J., Font, A., Ochoa, C., 2016. Positive psychological functioning in breast cancer: An integrative review. The Breast, 27: 136-168.

Connor, K.M., Davidson, J.R., 2003. Development of a new resilience scale: the Connor-Davidson Resilience Scale (CD-RISC). Depression and Anxiety, 18(2): 76-82.

Costa, A.L.S., Heitkemper, M.M., Alencar, G.P., Damiani, L.P., da Silva, R.M., Jarrett, M.E., 2017. Social support is a predictor of lower stress and higher quality of life and resilience in Brazilian patients with colorectal cancer. Cancer Nursing, 40(5): 352-360.

Celik, G.K., Çakır, H., Kut, E. 2021. Mediating role of social support in resilience and quality of life in patients with breast cancer: structural equation model analysis. Asia-Pacific Journal of Oncology Nursing, 8(1): 86-93.

Dedeli, Ö., Fadıloğlu, Ç., Uslu, R., 2008. A survey of functional living and social support in patients with cancer. Turkish Journal of Oncology, 23(3): 132-139.

Dubey, C., De Maria, J., Hoeppli, C., Betticher, D.C., Eicher, M., 2015. Resilience and unmet supportive care needs in patients with cancer during early treatment: A descriptive study. European Journal of Oncology Nursing, 19(5): 582-588.

Eylen, B., 2002. Reliability, validity and factorial structure of the Cancer Patient Social Support Scale. Journal of Uludag University Faculty of Education, 15(1): 109-117.

Fang, S.Y., Shu, B.C., Chang, Y.J., 2013. The effect of breast reconstruction surgery on body image among women after mastectomy: a meta-analysis. Breast Cancer Research and Treatment, 137(1): 13-21.

Filazoglu, G., Griva, K., 2008. Coping and social support and health related quality of life in women with breast cancer in Turkey. Psychology, Health & Medicine, 13(5): 559-573.

Fradelos, E.C., Papathanasiou, I.V., Veneti, A., Daglas, A., Christodoulou, E., Zyga, S., Kourakos, M., 2017. Psychological distress and resilience in women diagnosed with breast cancer in Greece. Asian Pacific Journal of Cancer Prevention, 18(9): 2545.

Ganz, P.A., 2008. Psychological and social aspects of breast cancer. Oncology-New York, 22(6): 642.

Herrman, H., Stewart, D.E., Diaz-Granados, N., Berger, E.L., Jackson, B., Yuen, T., 2011. What is resilience? The Canadian Journal of Psychiatry, 56(5): 258-265.

Hsu, H.T., Juan, C.H., Chen, J.L., Hsieh, H. F., 2021. Mediator roles of social support and hope in the relationship between body image distress and resilience in breast cancer patients undergoing treatment: A modeling analysis. Frontiers in Psychology, 12, 695682.

Kaminska, M., Kubiatowski, T., Ciszewski, T., Czarnocki, K.J., Makara-Studzińska, M., Bojar, I., Staroslawska, E., 2015. Evaluation of symptoms of anxiety and depression in women with breast cancer after breast amputation or conservation treated with adjuvant chemotherapy. Annals of Agricultural and Environmental Medicine, 22(1).

Karairmak, O., 2010. Establishing the psychometric qualities of the Connor-Davidson Resilience Scale (CD-RISC) using exploratory and confirmatory factor analysis in a trauma survivor sample. Psychiatry Research, 179(3): 350-356.

Kavak, F., Özdemir, A., Dural, G., 2019. The Relation between spiritual wellbeing and psychological resilience among patients diagnosed with advanced gastrointestinal cancer. Current Psychology, 40:1788–1794.

Kroenke, C.H., Kubzansky, L.D., Schernhammer, E.S., Holmes, M.D., Kawachi, I., 2006. Social networks, social support, and survival after breast cancer diagnosis. Journal of Clinical Oncology, 24(7), 1105-1111.

Li, M.Y., Yang, Y.L., Liu, L., Wang, L., 2016. Effects of social support, hope and resilience on quality of life among Chinese bladder cancer patients: a cross-sectional study. Health and Quality of Life Outcomes, 14(1): 73.

Markovitz, S.E., Schrooten, W., Arntz, A., Peters, M.L. 2015. Resilience as a predictor for emotional response to the diagnosis and surgery in breast cancer patients. Psychooncology, 24(12), 1639-1645.

Matzka, M., Mayer, H., Kock-Hodi, S., Moses-Passini, C., Dubey, C., Jahn, P., Eicher, M., 2016. Relationship between resilience, psychological distress and physical activity in cancer patients: A cross-sectional observation study. Plos One, 11(4), e0154496.

Min, J.A., Yoon, S., Lee, C.U., Chae, J.H., Lee, C., Song, K.Y., Kim, T.S., 2013. Psychological resilience contributes to low emotional distress in cancer patients. Support Care Cancer, 21(9): 2469-2476.

Ozkaraman, A., Culha, I., Fadiloglu, Z. C., Kosgeroglu, N., Gokce, S., Alparslan, G. B., 2015. Relationships between social support and social image concerns in Turkish women with breast cancer. Asian Pacific Journal of Cancer Prevention, 16(5): 1795-1802.

Oztunc, G., Yesil, P., Paydas, S., Erdogan, S., 2013. Social support and hopelessness in patients with breast cancer. Asian Pacific Journal of Cancer Prevention, 14(1): 571-578.

Özkan, S., Alçalar, N. 2009. Psychological reactions to surgical treatment in breast cancer. Journal of Breast Health, 5(2): 60-64.

Padilla-Ruiz, M., Ruiz-Román, C., Pérez-Ruiz, E., Rueda, A., Redondo, M., Rivas-Ruiz, F., 2019. Clinical and sociodemographic factors that may influence the resilience of women surviving breast cancer: cross-sectional study. Supportive Care in Cancer, 27(4): 1279-1286.

Rutter, M. 2006. Implications of resilience concepts for scientific understanding. Annals of the New York Academy of Sciences, 1094: 1-12.

Shrestha, J. S., Shrestha, A., Sapkota, A., Sharma, R., Shrestha, S., Shrestha, S., Gautam, M. 2017. Social support, quality of life and mental health status in breast cancer patients. Cancer Reports and Reviews, 1(2): 1-5.

Somasundaram, R. O., Devamani, K. A. 2016. A comparative study on resilience, perceived social support and hopelessness among cancer patients treated with curative and palliative care. Indian Journal of Palliative Care, 22(2): 135-140.

Wang, Y., Zhao, Y., Xie, S., Wang, X., Chen, Q., Xia, X. 2019. Resilience mediates the relationship between social support and quality of life in patients with primary glaucoma. Frontiers in Psychiatry, 10(22).

Wondimagegnehu, A., Abebe, W., Abraha, A., Teferra, S. 2019. Depression and social support among breast cancer patients in Addis Ababa, Ethiopia. BMC Cancer, 19(1): 836-836.

Wortman, C. B. 1984. Social support and the cancer patient: Conceptual and methodologic issues. Cancer, 53: 2339-2360.

Zhang, H., Zhao, Q., Cao, P., Ren, G. 2017. Resilience and quality of life: exploring the mediator role of social support in patients with breast cancer. Medical Science Monitor, 23: 5969.

Downloads

Published

2023-03-06

How to Cite

SALMAN, F., & ERKAL İLHAN, S. (2023). Evaluation of Social Support and Resilience in Women with Breast Cancer. MAS Journal of Applied Sciences, 8(1), 93–102. https://doi.org/10.5281/zenodo.7655669

Issue

Section

Articles