Author: Koral, Lokman; Cirak, Yalcin
Title: The relationships between fear of cancer recurrence, spiritual wellâ€being and psychological resilience in nonâ€metastatic breast cancer survivors during the COVIDâ€19 outbreak Cord-id: auphd1at Document date: 2021_6_9
ID: auphd1at
Snippet: OBJECTIVES: This study examines the relationships between fear of cancer recurrence (FCR), spiritual wellâ€being (SWB) and psychological resilience in breast cancer survivors during the COVIDâ€19 outbreak, and investigates to what extent breast cancer survivors’ sociodemographic characteristics affect FCR, SWB and psychological resilience levels. METHODS: The study was conducted at Canakkale University Hospital in Turkey. Included in the study were 82 nonâ€metastatic breast cancer patients
Document: OBJECTIVES: This study examines the relationships between fear of cancer recurrence (FCR), spiritual wellâ€being (SWB) and psychological resilience in breast cancer survivors during the COVIDâ€19 outbreak, and investigates to what extent breast cancer survivors’ sociodemographic characteristics affect FCR, SWB and psychological resilience levels. METHODS: The study was conducted at Canakkale University Hospital in Turkey. Included in the study were 82 nonâ€metastatic breast cancer patients whose clinical outcomes were followedâ€up after primary treatment, but suspended due to the COVIDâ€19 outbreak. FCR, SWB and psychological resilience were assessed using the FCR inventoryâ€short form (FCRIâ€SF), SWB scale and the brief resilience scale (BRS), respectively. RESULTS: The mean scores of breast cancer survivors concerning FCR, SWB, and psychological resilience were 17.77 ± 5.38, 36.20 ± 6.21 and 20.01 ± 4.51, respectively. A significant negative correlation was noted between the scores of FCR and SWB and psychological resilience (r = −0.329, p < 0.001 and r = −0.316, p = 0.004, respectively). Additionally, a significantly positive correlation was identified between psychological resilience and SWB (r = 0.501, p = 0.003). A hierarchical linear regression analysis with FCRIâ€SF as the dependent variable, and SWB and BRS as explanatory variables, indicated that SWB affects FCRIâ€SF scores and is a potential predictor of FCR. A mediation analysis revealed that SWB partially mediated the relationship between psychological resilience and FCR. CONCLUSION: Breast cancer survivors with high SWB and psychological resilience scores experience less FCR, despite their failure to maintain the medical followâ€up due to the COVIDâ€19 outbreak. Efforts should be made to increase the psychological resilience and SWB of patients diagnosed with breast cancer.
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