Model of Health-Related Quality of Life in Breast Cancer Patients Using Cross-Sectional Data: The Role of Resilience.

IF 2.5 4区医学 Q3 ONCOLOGY Cancer Management and Research Pub Date : 2024-10-30 eCollection Date: 2024-01-01 DOI:10.2147/CMAR.S467542

Katarina Velickovic, Ulrika Olsson Möller, Lisa Ryden, Pär-Ola Bendahl, Marlene Malmström

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Abstract

Purpose: Resilience has been suggested as an important predictor of both physical and mental health-related quality of life in breast cancer patients. However, it is unclear why resilient women handle their diagnosis better, not only mentally, but also physically. The aim of this study was to investigate paths between resilience, physical activity, and mental, physical, and global health-related quality of life in breast cancer patients.

Patients and methods: Structural equation modeling was conducted to evaluate the proposed structural paths using a sample of 638 women with newly diagnosed breast cancer patients from Sweden.

Results: Resilience was directly associated with physical activity and mental health-related quality of life. It was indirectly associated with physical functioning, through mental health-related quality of life and physical activity. Resilience was also indirectly associated with global quality of life, through mental health-related quality of life.

Conclusion: Mental health support and encouraging physical activity may be especially relevant to enhance all aspects of health-related quality of life early in the breast cancer process. Results should be replicated longitudinally.

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利用横断面数据建立乳腺癌患者与健康相关的生活质量模型：复原力的作用

目的复原力被认为是预测乳腺癌患者身心健康相关生活质量的重要指标。然而，目前还不清楚为什么复原力强的女性不仅在精神上，而且在身体上都能更好地应对诊断结果。本研究旨在调查乳腺癌患者的恢复力、体育锻炼与精神、身体和整体健康相关生活质量之间的关系：以瑞典 638 名新确诊的乳腺癌女性患者为样本，采用结构方程模型评估所提出的结构路径：结果：复原力与体育活动和心理健康相关的生活质量直接相关。通过心理健康相关生活质量和体育活动，复原力与身体机能间接相关。复原力还通过心理健康相关的生活质量与整体生活质量间接相关：结论：心理健康支持和鼓励体育锻炼对于提高乳腺癌早期与健康相关的各方面生活质量尤为重要。研究结果应进行纵向验证。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Cancer Management and Research Medicine-Oncology

CiteScore

7.40

自引率

0.00%

发文量

448

审稿时长

16 weeks

期刊介绍： Cancer Management and Research is an international, peer reviewed, open access journal focusing on cancer research and the optimal use of preventative and integrated treatment interventions to achieve improved outcomes, enhanced survival, and quality of life for cancer patients. Specific topics covered in the journal include: ◦Epidemiology, detection and screening ◦Cellular research and biomarkers ◦Identification of biotargets and agents with novel mechanisms of action ◦Optimal clinical use of existing anticancer agents, including combination therapies ◦Radiation and surgery ◦Palliative care ◦Patient adherence, quality of life, satisfaction The journal welcomes submitted papers covering original research, basic science, clinical & epidemiological studies, reviews & evaluations, guidelines, expert opinion and commentary, and case series that shed novel insights on a disease or disease subtype.