A biopsychosocial model of resilience for breast cancer: A preliminary study in mainland China
| Autor: | Chao Hua Peng, Hao Wei Zhang, Zhe Sun, Guang Yun Hu, Zeng Jie Ye, Yuan Liang Yu, Jing Jing Zhao, Mu Zi Liang |
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| Rok vydání: | 2017 |
| Předmět: |
Biopsychosocial model
Adult China Emotions Psychological intervention Breast Neoplasms Structural equation modeling law.invention 03 medical and health sciences Social support 0302 clinical medicine Breast cancer Randomized controlled trial Asian People law Risk Factors Surveys and Questionnaires medicine Humans 030212 general & internal medicine Resilience (network) Oncology (nursing) business.industry Social Support General Medicine Middle Aged Resilience Psychological medicine.disease Self Efficacy Distress Latent Class Analysis 030220 oncology & carcinogenesis Female business Stress Psychological Clinical psychology |
| Zdroj: | European journal of oncology nursing : the official journal of European Oncology Nursing Society. 36 |
| ISSN: | 1532-2122 |
| Popis: | Purpose Patients diagnosed with breast cancer exhibited critical biopsychosocial functions following surgery or adjuvant treatment ; therefore, it is important that they exhibit resilience. A Resilience Model for Breast Cancer (RM-BC) was developed using Chinese breast cancer patients to increase our understanding of how resilience outcomes are positively and negatively affected by protective and risk factors, respectively. Methods Chinese women with breast cancer completed the questionnaires within 1 week of beginning treatment. Exploratory Structural Equation Modeling was used to evaluate the RM-BC using a sample size of 342 patients. Results RM-BC suggested satisfactory goodness-of-fit indices and 67 percents of variance for resilience was explained. The Fit Indices for the measurement model were as follows: CFI = 0.909, GFI = 0.911, IFI = 0.897, NFI = 0.922, PNFI = 0.896, PCFI = 0.884, and RMSEA = 0.031. Three risk factors — emotional distress, physical distress, and intrusive thoughts — and four protective factors — self-efficacy, social support, courage-related strategy, and hope — were recognized. Conclusion The resilience model allows for a better understanding of Chinese breast cancer patients' resilience integration while undergoing treatment and provides an effective structure for the development of resilience-focused interventions that are grounded in their experiences. A randomized trial has provided evidences of feasibility in Chinese women with breast cancer and the resilience model could be used as a useful framework for more resilience intervention in the future. |
| Databáze: | OpenAIRE |
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