Basal Fatma, Onur Seda, Yamac Deniz, Karacin Cengiz, Zengin Guliz, Bilgetekin İrem, Demirci Umut, Oksuzoglu Berna
Medical Oncology, HSU Dr Abdurrahman Yurtaslan Oncology Training and Research Hospital, Ankara, TUR.
Psychology, Ankara Ataturk Chest Surgery and Chest Disease Training and Research Hospital, Ankara, TUR.
Cureus. 2020 Oct 15;12(10):e10954. doi: 10.7759/cureus.10954.
Introduction To investigate the level of psychological resilience and the impact of attachment styles on the degree of resilience to distress in patients with cancer receiving chemotherapy. Methods Patients with cancer receiving chemotherapy were included in the study. Participants were requested to complete the Relationship Scales Questionnaire (RSQ), Resilience Scale for Adults (RSA), and a personal information form during the data collection phase. One-way analysis of variance (ANOVA) was used to compare that parameter among the attachment styles. Logistic regression analysis was carried out to identify independent factors affecting resilience. Results A total of 384 individuals were included in this study (mean age 53.5 ± 12.1, 27.1 % male). The RSQ results showed that the attachment styles of 190 (49.5%) participants were secure, whereas 194 (50.5%) subjects had an insecure attachment. The median RSA score of participants with a secure attachment was significantly higher than that of patients with insecure attachment (133.15 ± 16.6 vs. 127.0 ± 20.0, p=0.001). Patients with the RSA score of >130 were more educated, were in better economic condition, had better perceived social support, and had a higher frequency of secure attachment than those defined as low resilient. Logistic regression analysis revealed that poor and medium perceived social support and insecure attachment style independently predicted low resilience (RSA≤130). Conclusion This study demonstrates that the secure attachment style in patients with cancer improves stress resilience as compared to the insecure attachment style. Our findings also show that insufficient perceived social support is likely a negative factor in resilience.
探讨接受化疗的癌症患者的心理韧性水平以及依恋风格对痛苦恢复力程度的影响。方法：将接受化疗的癌症患者纳入研究。在数据收集阶段，要求参与者完成关系量表问卷（RSQ）、成人韧性量表（RSA）和个人信息表。采用单因素方差分析（ANOVA）比较不同依恋风格之间的该参数。进行逻辑回归分析以确定影响韧性的独立因素。结果：本研究共纳入384名个体（平均年龄53.5±12.1岁，男性占27.1%）。RSQ结果显示，190名（49.5%）参与者的依恋风格为安全型，而194名（50.5%）受试者的依恋风格为不安全型。安全型依恋参与者的RSA得分中位数显著高于不安全型依恋患者（133.15±16.6对127.0±20.0，p=0.001）。RSA得分>130的患者比韧性低的患者受教育程度更高、经济状况更好、感知到的社会支持更好且安全型依恋的频率更高。逻辑回归分析显示，感知到的社会支持差和中等以及不安全的依恋风格独立预测低韧性（RSA≤130）。结论：本研究表明，与不安全依恋风格相比，癌症患者的安全依恋风格可提高压力恢复力。我们的研究结果还表明，感知到的社会支持不足可能是恢复力的一个负面因素。
