TAILIEUCHUNG - The mediator role of resilience between psychological predictors and healthrelated quality of life in breast cancer survivors: A cross-sectional study

Although many psychological factors have been associated with health-related quality of life (HRQoL), the mediator role of resilience between psychological predictors (., coping styles and perceived social support) and HRQoL has rarely been explored in breast cancer survivors (BCSs). | Zhou et al. BMC Cancer 2022 22 57 https s12885-022-09177-0 RESEARCH Open Access The mediator role of resilience between psychological predictors and health- related quality of life in breast cancer survivors a cross-sectional study Kaina Zhou Fan Ning Wen Wang and Xiaomei Li Abstract Background Although many psychological factors have been associated with health-related quality of life HRQoL the mediator role of resilience between psychological predictors . coping styles and perceived social support and HRQoL has rarely been explored in breast cancer survivors BCSs . Methods A total of 231 BCSs participated in this cross-sectional survey. Pearson correlation was performed to analyze the relationships among coping styles confrontation avoidance and resignation perceived social support resilience and HRQoL. A multivariate linear regression analysis was applied to identify the psychological predictors of HRQoL and resilience respectively. A structural equation modeling SEM was employed to examine the mediating role of resilience between coping styles perceived social support and HRQoL. Results Perceived social support and resilience were positively associated with confrontation. Resilience was positively associated with perceived social support. HRQoL had positive correlations with confrontation avoidance perceived social support and resilience. Resilience and resignation avoidance were significant independent predic- tors of HRQoL while resignation confrontation and perceived social support were significant independent predic- tors of resilience. Confrontation resignation perceived social support and resilience had significant direct effects on HRQoL confrontation resignation and perceived social support had significant direct effects on resilience resilience had significant mediator roles between confrontation resignation perceived social support and HRQoL. Conclusions Resilience was a significant mediator between coping styles perceived social .

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