Kong Ling-Xia, Yang Yong-Xia, Zhao Qian, Feng Zhi-Lin
Department of Breast Surgery, The First Affiliated Hospital of Hebei North University, Zhangjiakou 075000, Hebei Province, China.
Department of Psychiatry, Zhangjiakou Shalingzi Hospital (Zhangjiakou Mental Health Center), Zhangjiakou 075200, Hebei Province, China.
World J Psychiatry. 2024 Oct 19;14(10):1458-1466. doi: 10.5498/wjp.v14.i10.1458.
The incidence of breast cancer is high, with serious implications in terms of lives and health. Relevant data show that there are approximately 1 million new cases of breast cancer reported annually, with a rising trend. Some patients have poor treatment effects and are prone to anxiety and other negative emotions, which affect their quality of life (QoL).
To explore the correlation between mental resilience, QoL, and anxiety in patients with breast cancer.
Using convenience sampling, 200 patients with breast cancer were selected from the First Affiliated Hospital of Hebei North University. These patients were investigated using the Conner-Davidson Resilience Scale, Self-Rating Anxiety Scale, and European Organization for Research and Treatment of Cancer Quality of Life Questionnaire to analyze the impact of resilience in patients with breast cancer on their QoL and anxiety.
The mean (SD) mental resilience score of the patients with breast cancer was 59.68 (± 9.84) points, the anxiety score was 49.87 (± 8.26) points, and the QoL score was 59.73 (± 8.29) points. Overall, they showed low mental resilience, mild anxiety, and medium QoL. Anxiety was negatively correlated with mental resilience and QoL ( = -0.275, = -0.289, < 0.05). QoL was positively correlated with mental resilience ( = 0.513, < 0.05). Anxiety was a mediating variable between mental resilience and QoL, accounting for 8.58% of the mediating effect.
Regarding psychological elasticity, anxiety plays an intermediary role in QoL among patients with breast cancer. Medical staff can improve patients' mental resilience by reducing their anxiety and improving their QoL.
乳腺癌发病率高，对生命和健康有严重影响。相关数据显示，每年约有100万例新发乳腺癌病例，且呈上升趋势。部分患者治疗效果不佳，易出现焦虑等负面情绪，影响其生活质量（QoL）。
探讨乳腺癌患者心理弹性、生活质量和焦虑之间的相关性。
采用便利抽样法，从河北北方学院附属第一医院选取200例乳腺癌患者。使用康纳-戴维森心理弹性量表、焦虑自评量表和欧洲癌症研究与治疗组织生活质量问卷对这些患者进行调查，以分析乳腺癌患者心理弹性对其生活质量和焦虑的影响。
乳腺癌患者心理弹性得分的均值（标准差）为59.68（±9.84）分，焦虑得分为49.87（±8.26）分，生活质量得分为59.73（±8.29）分。总体而言，他们心理弹性低、焦虑轻度、生活质量中等。焦虑与心理弹性和生活质量呈负相关（r = -0.275，r = -0.289，P < 0.05）。生活质量与心理弹性呈正相关（r = 0.513，P < 0.05）。焦虑是心理弹性和生活质量之间的中介变量，中介效应占8.58%。
在心理弹性方面，焦虑在乳腺癌患者生活质量中起中介作用。医护人员可通过减轻患者焦虑、提高其生活质量来提升患者心理弹性。
