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

Authors

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

Abstract

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

Keywords


  1. Wang AW, Bouchard LC, Gudenkauf LM, Jutagir DR, Fisher HM, Jacobs JM, Blomberg BB, Lechner SC, Carver CS, Antoni MH. Differential psychological effects of cognitive-behavioral stress management among breast cancer patients with high and low initial cancer-specific distress. Journal of psychosomatic research. 2018 Oct 1;113:52-7.
  2. Rezaei M, Elyasi F, Hamzehgardeshi Z, Janbabai G, Moosazadeh M. Stress Management in Patients with Breast Cancer Using a Supportive Approach: A systematic Review. Archives of Breast Cancer. 2019 Feb 28:6-16.
  3. Tang M, Liu X, Wu Q, Shi Y. The Effects of Cognitive-Behavioral Stress Management for Breast Cancer Patients: A Systematic Review and Meta-analysis of Randomized Controlled Trials. Cancer Nursing. 2020 May 1;43(3):222-37.
  4. Burton NW, Pakenham KI, Brown WJ. Feasibility and effectiveness of psychosocial resilience training: a pilot study of the READY program. Psychology, health & medicine. 2010 May 1;15(3):266-77.
  5. Masten AS. Resilience theory and research on children and families: Past, present, and promise. Journal of Family Theory & Review. 2018 Mar;10(1):12-31.
  6. Soundy A, Benson J, Dawes H, Smith B, Collett J, Meaney A. Understanding hope in patients with Multiple Sclerosis. Physiotherapy. 2012 Dec 1;98(4):344-50.
  7. Li MY, Yang YL, Liu L, Wang L. Effects of social support, hope and resilience on quality of life among Chinese bladder cancer patients: a cross-sectional study. Health and quality of life outcomes. 2016 Dec 1;14(1):73.
  8. Somasundaram RO, Devamani KA. A comparative study on resilience, perceived social support and hopelessness among cancer patients treated with curative and palliative care. Indian journal of palliative care. 2016 Apr;22(2):135.
  9. Kazantzaki E, Kondylakis H, Koumakis L, Marias K, Tsiknakis M, Fioretti C, Gorini A, Mazzocco K, Renzi C, Pravettoni G. Psycho-emotional tools for better treatment adherence and therapeutic outcomes for cancer patients. pHealth. 2016 Jun 16;2016:129-34.
  10. Lee EH. Review of the psychometric evidence of the perceived stress scale. Asian nursing research. 2012 Dec 1;6(4):121-7.
  11. Maroufizadeh S, Foroudifard F, Navid B, Ezabadi Z, Sobati B, Omani-Samani R. The Perceived Stress Scale (PSS-10) in women experiencing infertility: A reliability and validity study. Middle East Fertility Society Journal. 2018 Dec 1;23(4):456-9.
  12. Ekbäck M, Benzein E, Lindberg M, Årestedt K. The Swedish version of the multidimensional scale of perceived social support (MSPSS)-a psychometric evaluation study in women with hirsutism and nursing students. Health and quality of life outcomes. 2013 Dec 1;11(1):168.
  13. Keyhani M, Taghvaei D, Rajabi A, Amirpour B. Internal consistency and confirmatory factor analysis of the Connor-Davidson Resilience Scale (CD-RISC) among nursing female. Iranian journal of medical education. 2015 Jan 10;14(10):857-65.
  14. Bazrafshan MR, Abdi A, Masmouei B, Kavi E, Abshorshori N, Akbari L, Faramarzian Z, Zakeri M. The relation of social happiness and adjustment with vandalistic behaviour of the children and young adults in the families under supervision of welfare office. Journal of Clinical and Diagnostic Research. 2018;12(8):5-9.
  15. Hopwood P, Fletcher I, Lee A, Al Ghazal S. A body image scale for use with cancer patients. European journal of cancer. 2001 Jan 1;37(2):189-97.
  16. Martin AJ, Marsh HW. Academic resilience and academic buoyancy: Multidimensional and hierarchical conceptual framing of causes, correlates and cognate constructs. Oxford Review of Education. 2009 Jun 1;35(3):353-70.
  17. Uchino BN, de Grey RG, Cronan S, Smith TW, Diener E, Joel S, Bosch J. Life satisfaction and inflammation in couples: An actor–partner analysis. Journal of behavioral medicine. 2018 Feb 1;41(1):22-30.
  18. Zarei F, Akbarzadeh I, Khosravi A. Self‐Esteem Mediates the Relationship between Emotional Intelligence and Life Satisfaction in Iranian Students. International Journal of Health Studies. 2019 Dec 28;5(4):22-31.
  19. Wright KB. Emotional support and perceived stress among college students using Facebook. com: An exploration of the relationship between source perceptions and emotional support. Communication Research Reports. 2012 Jul 20;29(3):175-84.
  20. Makhanya BP, Mabuza DC. Body cathexis and fit preferences of young South African women of different body shapes and ethnicity. International Journal of Fashion Design, Technology and Education. 2020 May 26:1-8.
  21. Bourne PA, Morris C, Eldemire-Shearer D. Re-testing theories on the correlations of health status, life satisfaction and happiness. North American journal of medical sciences. 2010 Jul;2(7):311.
  22. Sayehmiri K, Azami M, Mohammadi Y, Soleymani A, Tardeh Z. The association between selenium and prostate cancer: a systematic review and meta-analysis. Asian Pacific journal of cancer prevention: APJCP. 2018;19(6):1431.
  23. Penniecook-Sawyers JA, Jaceldo-Siegl K, Fan J, Beeson L, Knutsen S, Herring P, Fraser GE. Vegetarian dietary patterns and the risk of breast cancer in a low-risk population. British Journal of Nutrition. 2016 May;115(10):1790-7.
  24. Brunsting NC, Zachry C, Liu J, Bryant R, Fang X, Wu S, Luo Z. Sources of Perceived Social Support, Social-Emotional Experiences, and Psychological Well-Being of International Students. The Journal of Experimental Education. 2019 Aug 14:1-7.