The causal relationship between perceived stress, perceived social support, and resilience with emotional adaptation mediated by body image of breast cancer patients

Document Type : Original Article


1 Department of Health Psychology, Khorramshahr-Persian Gulf International Branch, Islamic Azad University, Khorramshahr, Iran.

2 Department of Psychology, Ahvaz Branch, Islamic Azad University, Ahvaz, Iran.

3 Department of Psychology, Dezful Branch, Islamic Azad University, Dezful, Iran


Background: Breast cancer as a source of stress not only affects the patient separately but also is a major challenge for family relationships in this situation.
Objectives: The aim of this study was to investigate the causal relationship between perceived stress, perceived social support, and resilience with emotional adjustment by mediating body image in breast cancer patients.
Methods: In this descriptive correlational study, the statistical population of this study was cancer patients referred to Khatam hospital in Tehran from October to December 2019. Using the purposeful sampling method, 200 samples were selected by the Cochran formula. The instruments used in this study were the Perceived Stress Scale (1983), Perceived Social Support (1988), Resilience (2002), Emotional Adjustment (1961). The proposed model was evaluated using the path analysis method. Correlation tests such as Pearson correlation coefficient and regression test were used to test the relationships.
Results: Based on the results of this study, the proposed model had the goodness of fit. The results showed that all direct pathways were significant except for perceived social support. Nonlinear correlations between perceived social support and body image adjustment were reported to be 0.22, which was statistically significant at p Conclusion: Body image played a mediating role in the relationship between perceived social support, perceived stress, and resilience with life satisfaction


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