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Jairia Dela Cruz, 2 days ago
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Predictors of psychological resilience in NSCLC patients after surgery

12 Aug 2020

Self-efficacy predicts psychological resilience among nonsmall cell lung cancer patients (NSCLC) who had undergone thoracic surgery, a new study finds.

The study included 382 NSCLC patients in whom psychological resilience was measured using the Connor-Davidson Resilience Scale (CD-RISC). Other tools used included the Strategies Used by People to Promote Health (SUPPH), the Medical Coping Modes Questionnaire, and the Multidimensional Scale of Perceived Social Support.

The mean overall psychological resilience score at baseline was 57.18±8.55. For the dimensions of toughness, strength, and optimism, the average scores were 29.46±5.14, 18.62±3.12, and 9.11±1.46, respectively.

Psychological resilience was positively and significantly correlated with self-efficacy (r, 0.632; p<0.001), as well as with confrontation (r, 0.280; p<0.001), avoidance (r, 0.233; p<0.001), and social support (r, 0.437; p<0.001). There was a negative interaction between psychological resilience and acceptance-resignation (r, –0.489; p<0.001).

Multiple linear regression confirmed that self-efficacy was a significant factor associated with psychological resilience (β, 0.416; p<0.001). Other positive predictors were having an average income (β, 0.143; p<0.001) and confrontation (β, 0.116; p<0.001).

On the other hand, age (β, –0.313; p<0.001) and acceptance-resignation (β, –0.155; p<0.001) were inverse correlates of psychological resilience.

“In the future clinical work, medical staff should pay more attention to the assessment of social support, self-efficacy, psychological stress, and other psychosocial factors of the elderly, low education level, and low-income groups,” researchers said.

“When patients adopt acceptance-resignation strategy, medical staff should provide appropriate information about the disease, treatment, and care to help them regain the sense of self-control,” they added, while patients who are excessive in their desire for information and treatment may be at risk for anxiety and could benefit from counselling.

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Most Read Articles
Jairia Dela Cruz, 2 days ago
In patients with heart failure with reduced ejection fraction (HFrEF) receiving angiotensin-converting-enzyme (ACE) inhibitors, high dosing confers benefits for the risk of death or hospitalization that are similar to that obtained with lower dosing, according to a systematic review and meta-analysis.
11 Sep 2020
Men who use calcium channel blockers (CCBs) are at risk of developing prostate cancer, and the risk increases with the duration of CCB exposure, according to the results of a systematic review and meta-analysis.
06 Sep 2020
Type 2 diabetes mellitus patients taking proton pump inhibitors (PPIs) are at a higher risk of sustaining hip fractures, a recent study has found.
4 days ago
Osteoarthritis (OA) is the most common condition affecting the joints. Dr Lee Eu Jin, an Orthopaedic Surgeon from Liberty Orthopaedic Clinic at Mount Elizabeth Medical Centre, Singapore, shares his insights with Pearl Toh on how to manage OA in the primary care setting.