Department of Basic Psychological Processes and their Development, University of the Basque Country, San Sebastian, Spain.
Oncologic Center (Onkologikoa), San Sebastian, Spain.
Eur J Oncol Nurs. 2020 Dec;49:101854. doi: 10.1016/j.ejon.2020.101854. Epub 2020 Oct 10.
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.
Three databases were searched. In all, 923 articles were identified and, of these, 39 peer-reviewed articles were included.
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.
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.
韧性是指一种促进成功应对癌症相关逆境的动态过程。本系统评价的目的是确定乳腺癌女性韧性相关的生物心理社会因素，并综合证据说明哪些干预措施可以显著增强韧性。
检索了三个数据库。共确定了 923 篇文章，其中纳入了 39 篇同行评议的文章。
韧性与多种临床、社会人口学、社会、心理和生理变量相关，心理因素是发展韧性的最重要因素。确定了一些保护因素，如社会支持、生活质量（QOL）的多个维度和适应性应对策略。心理困扰是与韧性降低最相关的变量，发现它们之间存在双向关系。促进韧性的干预措施被发现能有效改善参与者的心理健康。
在乳腺癌女性中，韧性是与多个社会人口学、临床、心理社会和生理变量相关的一个重要因素。然而，所使用的工具的广泛变异性以及样本的异质性和规模小等局限性限制了我们结论的普遍性。
