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Predicting changes in quality of life and emotional distress in Chinese patients with lung, gastric, and colon‐rectal cancer diagnoses: the role of psychological resilience
Author(s) -
Ye Zeng Jie,
Qiu Hong Zhong,
Li Peng Fei,
Liang Mu Zi,
Zhu Yun Fei,
Zeng Zhen,
Hu Guang Yun,
Wang Shu Ni,
Quan Xiao Ming
Publication year - 2017
Publication title -
psycho‐oncology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.41
H-Index - 137
eISSN - 1099-1611
pISSN - 1057-9249
DOI - 10.1002/pon.4237
Subject(s) - confidence interval , odds ratio , anxiety , distress , medicine , hospital anxiety and depression scale , quality of life (healthcare) , sobel test , logistic regression , psychology , cancer , quartile , clinical psychology , psychiatry , self esteem , nursing
Background Patients with cancer often experience considerable emotional distress, which decreases their quality of life (QOL). Resilience is defined as the psychological characteristics that promote positive adaptation in the face of stress and adversity; however, the relationships among QOL, resilience, and emotional distress in patients with cancer, especially Chinese patients with cancer, are under‐researched in the literature. Methods Quality of Life Questionnaire Core 30 items, Zung Self‐Rating Anxiety Scale, and the Zung Self‐Rating Depression Scale were applied in this study. Univariate correlated analysis and multivariate logistic regression analysis were used to test the associations among resilience, emotional distress, and QOL with a sample of 276 participants. A Sobel test was conducted to determine whether the indirect effect of resilience was significant. Results The mean ratings of QOL (59.2), resilience (20.8), anxiety (43.1), and depression (47.7) were reported. The correlations between resilience and QOL in patients with lung cancer were significantly increased compared with patients with gastric or colorectal cancer (Spearman coefficient squares of 0.284, 0.189, and 0.227, respectively). The highest quartile of the resilience level was associated with a 64% (odds ratio = 0.36, 95% confidence interval = 0.17‐0.75, P = .006), 70% (odds ratio = 0.30, 95% confidence interval = 0.14‐0.63), and 90% (odds ratio = 0.10, 95% confidence interval = 0.04‐0.26, P < .001) reduction in the risk of emotional distress compared with the lowest quartile. The Sobel test indicated a buffering effect of resilience that was significant for depression (Sobel value = 2.002, P = .045) but not anxiety (Sobel value = 1.336, P = .182). Conclusions The present study suggests that psychological resilience is positively associated with QOL and may comprise a robust buffer between depression and QOL in Chinese patients with cancer.