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Emotional state and cancer-related self-efficacy as affecting resilience and quality of life in kidney cancer patients: a cross-sectional study

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Abstract

Objective

To assess the relationship between resilience and quality of life (QOL) of kidney cancer patients, including influencing factors.

Methods

Based on a cross-sectional study design, participants (N = 103) were recruited from patients who were admitted to the urology clinic of a medical center in Taiwan between April 2020 and January 2021. Data collection was accomplished via a questionnaire. The study variables included demographic information, disease attributes, happiness level, depression, cancer-related self-efficacy, resilience, and QOL. One-way analysis of variance, Pearson correlation coefficients, independent-sample t-tests, hierarchical regression, and process analysis were the statistical methods used to analyze the data.

Results

Kidney cancer patients who were less depressed exhibited better cancer-related self-efficacy and have better resilience. In non-depressed individuals, higher levels of happiness and better resilience resulted in better QOL. Resilience is a mediator that affects the relationship between depression and QOL.

Conclusions

Patients with better emotional state experience better resilience and QOL. Patients’ better cancer-related self-efficacy is related to better resilience while better resilience is associated with better QOL. Clinical care providers need to evaluate and improve cancer-related self-efficacy, emotional state, and resilience of kidney cancer patients, which will improve their resilience and QOL.

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Data availability

The study data are stored and managed by the corresponding author, Ching-Hui Chien, to whom readers can direct any questions or need for data.

Code availability

The free software of G*Power was used to estimate the sample size. Furthermore, the IBM SPSS statistics 20.0 (IBM Corporation 2011, Armonk, New York) and the free software of PROCESS version 3.4 were utilized to analyze the data.

References

  1. Ames SC, Parker AS, Crook JE, Diehl NN, Tan WW, Williams CR, Ames GE (2011) Quality of life of patients undergoing surgical treatment for newly-diagnosed, clinically localized renal cell carcinoma. J Psychosoc Oncol 29(6):593–605. https://doi.org/10.1080/07347332.2011.616574

    Article  PubMed  Google Scholar 

  2. Li M, Wang L (2016) The associations of psychological stress with depressive and anxiety symptoms among Chinese bladder and renal cancer patients: the mediating role of resilience. PLoS One 11(4):e0154729. https://doi.org/10.1371/journal.pone.0154729

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  3. Thekdi SM, Milbury K, Spelman A, Wei Q, Wood C, Matin SF et al (2015) Posttraumatic stress and depressive symptoms in renal cell carcinoma: association with quality of life and utility of single-item distress screening. Psychooncology 24(11):1477–1484. https://doi.org/10.1002/pon.3758

    Article  PubMed  PubMed Central  Google Scholar 

  4. Packiam VT, Tyson Ii MD, Tsivian M, Lohse CM, Boorjian SA, Cheville JC, Costello BA, Leibovich BC, Thompson RH (2020) The association of anxiety and depression with perioperative and oncologic outcomes among patients with clear cell renal cell carcinoma undergoing nephrectomy. Urol Oncol 38(2):41.e19-41.e27. https://doi.org/10.1016/j.urolonc.2019.10.017

    Article  CAS  Google Scholar 

  5. Kim SH, Seong DH, Yoon SM, Choi YD, Choi E, Song H (2017) Predictors of health-related quality of life in Korean prostate cancer patients receiving androgen deprivation therapy. Eur J Oncol Nurs 30:84–90. https://doi.org/10.1016/j.ejon.2017.08.009

    Article  PubMed  Google Scholar 

  6. Solano JPC, da Silva AG, Soares IA, Ashmawi HA, Vieira JE (2016) Resilience and hope during advanced disease: a pilot study with metastatic colorectal cancer patients. BMC Palliat Care 15:70. https://doi.org/10.1186/s12904-016-0139-y

    Article  PubMed  PubMed Central  Google Scholar 

  7. Haas BK (1999) A multidisciplinary concept analysis of quality of life. West J Nurs Res 21:728–742. https://doi.org/10.1177/01939459922044153

    Article  CAS  PubMed  Google Scholar 

  8. Tripp DA, Mihajlovic V, Fretz K, Fervaha G, Izard J, Corby R, Siemens DR (2020) Quality of life, depression, and psychosocial mechanisms of suicide risk in prostate cancer. Can Urol Assoc J 14(10):e487–e492. https://doi.org/10.5489/cuaj.6310

    Article  PubMed  PubMed Central  Google Scholar 

  9. Liu J, Gong DX, Zeng Y, Li ZH, Kong CZ (2018) Positive factors associated with quality of life among Chinese patients with renal carcinoma: a cross-sectional study. Psychol Health Med 23(1):106–113. https://doi.org/10.1080/13548506.2017.1335875;23:106-113

    Article  PubMed  Google Scholar 

  10. Milbury K, Lopez G, Spelman A, Wood C, Matin SF, Tannir NM et al (2017) Examination of moderators of expressive writing in patients with renal cell carcinoma: the role of depression and social support. Psychooncology 26(9):1361–1368. https://doi.org/10.1002/pon.4148

    Article  PubMed  Google Scholar 

  11. Althaus AB, Chang P, Mao J, Olugbade K, Taylor K, Dewey L et al (2020) Patient-reported quality of life and convalescence after minimally invasive kidney cancer surgery. Urology 144:123–129. https://doi.org/10.1016/j.urology.2020.06.020

    Article  PubMed  Google Scholar 

  12. Richardson GE (2002) The metatheory of resilience and resiliency. J Clin Psychol 58(3):307–321. https://doi.org/10.1002/jclp.10020

    Article  PubMed  Google Scholar 

  13. Earvolino-Ramirez M (2007) Resilience: a concept analysis. Nurs Forum 42(2):73–82. https://doi.org/10.1111/j.1744-6198.2007.00070.x

    Article  PubMed  Google Scholar 

  14. Tamura S, Suzuki K, Ito Y, Fukawa A (2021) Factors related to the resilience and mental health of adult cancer patients: a systematic review. Support Care Cancer 29(10):3471–3486. https://doi.org/10.1007/s00520-020-05943-7

    Article  PubMed  Google Scholar 

  15. Seiler A, Jenewein J (2019) Resilience in cancer patients. Front. Psychiatry 10:208. https://doi.org/10.3389/fpsyt.2019.00208

    Article  Google Scholar 

  16. Chen S, Mei R, Tan C, Li X, Zhong C, Ye M (2020) Psychological resilience and related influencing factors in postoperative non-small cell lung cancer patients: a cross-sectional study. Psychooncology 29(11):1815–1822. https://doi.org/10.1002/pon.5485

    Article  PubMed  Google Scholar 

  17. Zhang J, Yin Y, Wang A, Li H, Li J, Yang S et al (2020) Resilience in patients with lung cancer: structural equation modeling. Cancer Nurs. https://doi.org/10.1097/ncc.0000000000000838

    Article  PubMed  Google Scholar 

  18. Harms CA, Cohen L, Pooley JA, Chambers SK, Galvao DA, Newton RU (2019) Quality of life and psychological distress in cancer survivors: the role of psycho-social resources for resilience. Psychooncology 28(2):271–277. https://doi.org/10.1002/pon.4934

    Article  PubMed  Google Scholar 

  19. Tamura S (2021) Factors related to resilience, anxiety/depression, and quality of life in patients with colorectal cancer undergoing chemotherapy in Japan. Asia Pac J Oncol Nurs 8(4):393–402. https://doi.org/10.4103/apjon.apjon-2099

    Article  PubMed  PubMed Central  Google Scholar 

  20. Tu PC, Yeh DC, Hsieh HC (2020) Positive psychological changes after breast cancer diagnosis and treatment: the role of trait resilience and coping styles. J Psychosoc Oncol 38(2):156–170. https://doi.org/10.1080/07347332.2019.1649337

    Article  PubMed  Google Scholar 

  21. Lorig KR, Holman H (2003) Self-management education: history, definition, outcomes, and mechanisms. Ann Behav Med 26(1):1–7. https://doi.org/10.1207/s15324796abm2601_01

    Article  PubMed  Google Scholar 

  22. Foster C, Fenlon D (2011) Recovery and self-management support following primary cancer treatment. Br J Cancer 105(Suppl 1):S21–S28. https://doi.org/10.1038/bjc.2011.419

    Article  PubMed  PubMed Central  Google Scholar 

  23. Ye ZJ, Qiu HZ, Li PF, Liang MZ, Zhu YF, Zeng Z et al (2017) Predicting changes in quality of life and emotional distress in Chinese patients with lung, gastric, and colon-rectal cancer diagnoses: the role of psychological resilience. Psychooncology 26(6):829–835. https://doi.org/10.1002/pon.4237

    Article  PubMed  Google Scholar 

  24. Foster C, Breckons M, Cotterell P, Barbosa D, Calman L, Corner J et al (2015) Cancer survivors’ self-efficacy to self-manage in the year following primary treatment. J Cancer Surviv 9:11–19. https://doi.org/10.1007/s11764-014-0384-0

    Article  CAS  PubMed  Google Scholar 

  25. Foster C, Breckons M, Hankins M, Fenlon D, Cotterell P (2013) Developing a scale to measure self-efficacy to SELF-manage problems following cancer treatment. Psychooncology 22(Supp. 1):1–29. https://doi.org/10.10002/pon.3239

    Article  Google Scholar 

  26. Campbell-Sills L, Forde DR, Stein MB (2009) Demographic and childhood environmental predictors of resilience in a community sample. J Psychiatr Res 43:1007–1012. https://doi.org/10.1016/j.jpsychires.2009.01.013

    Article  PubMed  Google Scholar 

  27. Connor KM, Davidson JR (2003) Development of a new resilience scale: the Connor-Davidson Resilience Scale (CD-RISC). Depress Anxiety 18(2):76–82. https://doi.org/10.1002/da.10113

    Article  PubMed  Google Scholar 

  28. Wang L, Shi Z, Zhang Y, Zhang Z (2010) Psychometric properties of the 10-item Connor-Davidson Resilience Scale in Chinese earthquake victims. Psychiatry Clin Neurosci 64(5):499–504. https://doi.org/10.1111/j.1440-1819.2010.02130.x

    Article  PubMed  Google Scholar 

  29. Chien CP, Cheng TA (1985) Depression in Taiwan: epidemiological survey utilizing CES-D. Seishin Shinkeigaku Zasshi 87(5):335–338

    CAS  PubMed  Google Scholar 

  30. Radloff LS (1977) The CES-D Scale: a self-report depression scale for research in the general population. Appl Psychol Meas 1(3):385–401. https://doi.org/10.1177/014662167700100306

    Article  Google Scholar 

  31. Cheung YB, Goh C, Wee J, Khoo KS, Thumboo J (2009) Measurement properties of the Chinese language version of the functional assessment of cancer therapy-general in a Singaporean population. Ann Acad Med Singap 38(3):225–229

    PubMed  Google Scholar 

  32. Brucker PS, Yost K, Cashy J, Webster K, Cella D (2005) General population and cancer patient norms for the Functional Assessment of Cancer Therapy-General (FACT-G). Eval Health Prof 28(2):192–211. https://doi.org/10.1177/0163278705275341

    Article  PubMed  Google Scholar 

  33. Hayes AF (2018) Introduction to mediation, moderation, and conditional process analysis: a regression-based approach, 2nd edn. The Guilford Press, New York

    Google Scholar 

  34. Chang YL, Chuang CM, Chien CH, Huang XY, Liang SY, Liu CY (2021) Factors related to changes in resilience and distress in women with endometrial cancer. Arch Womens Ment Health 24:413–421. https://doi.org/10.1007/s00737-020-01090-4

    Article  PubMed  Google Scholar 

  35. Groarke A, Curtis R, Skelton J, Groarke JM (2020) Quality of life and adjustment in men with prostate cancer: interplay of stress, threat and resilience. PLoS One 15(9):e0239469. https://doi.org/10.1371/journal.pone.0239469

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  36. Chien CH, Chuang CK, Liu KL, Pang ST, Wu CT, Chang YH (2019) Prostate cancer-specific anxiety and the resulting health-related quality of life in couples. J Adv Nurs 75(1):63–74. https://doi.org/10.1111/jan.13828

    Article  PubMed  Google Scholar 

  37. Ludolph P, Kunzler AM, Stoffers-Winterling J, Helmreich I, Lieb K (2019) Interventions to promote resilience in cancer patients. Dtsch Arztebl Int 116:865–872. https://doi.org/10.3238/arztebl.2019.0865

    Article  PubMed Central  Google Scholar 

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Author information

Authors and Affiliations

  1. Division of Urology, Department of Surgery, Chang Gung Memorial Hospital at Keelung, Keelung City, Taiwan

    Kuan-Lin Liu & Chun-Te Wu

  2. Division of Urology, Department of Surgery, Chang Gung Memorial Hospital at Linkou, Taoyuan City, Taiwan

    Cheng-Keng Chuang, See-Tong Pang & Kai-Jie Yu

  3. College of Medicine, Chang Gung University, Taoyuan City, Taiwan

    Cheng-Keng Chuang, See-Tong Pang, Chun-Te Wu & Kai-Jie Yu

  4. Department of Chemical Engineering and Biotechnology, National Taipei University of Technology, Taipei City, Taiwan

    Kai-Jie Yu

  5. Graduate Institute of Biochemical and Biomedical Engineering, National Taipei University of Technology, Taipei City, Taiwan

    Kai-Jie Yu

  6. College of Nursing, National Taipei University of Nursing and Health Sciences, No.365, Ming-te Road, Peitou District, Taipei City, 112, Taiwan

    Shang-Chin Tsai & Ching-Hui Chien

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  1. Kuan-Lin Liu
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  7. Ching-Hui Chien
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Contributions

KLL: investigation; methodology; resources; writing–original draft; visualization; project administration.

CHC: conceptualization; data curation; formal analysis; investigation; methodology; writing–original draft; writing–review and editing; visualization; supervision; project administration.

CKC: investigation; methodology; resources; writing–review and editing; project administration.

STP, CTW, KJY, and SCT: investigation; resources; writing–review and editing; project administration.

Corresponding author

Correspondence to Ching-Hui Chien.

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Conflict of interest

The researchers declare no conflict of interests.

Ethical approval

The study project was approved by Chang Gung Medical Foundation Institutional Review Board (No. 202000388B0).

Consent to participate

All the participants verbally agreed to participant this study and provided written informed consent.

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All the authors agreed to publish this article.

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Cite this article

Liu, KL., Chuang, CK., Pang, ST. et al. Emotional state and cancer-related self-efficacy as affecting resilience and quality of life in kidney cancer patients: a cross-sectional study. Support Care Cancer 30, 2263–2271 (2022). https://doi.org/10.1007/s00520-021-06644-5

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  • DOI: https://doi.org/10.1007/s00520-021-06644-5

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