Resilience and unmet supportive care needs in patients with cancer during early treatment: A descriptive study

• Published in: European journal of oncology nursing : the official journal of European Oncology Nursing Society Vol. 19; no. 5; pp. 582 - 588
• Main Authors: Dubey, C., De Maria, J., Hoeppli, C., Betticher, D.C., Eicher, M.
• Format: Journal Article
• Language: English
• Published: Scotland Elsevier Ltd 01.10.2015
• Subjects: Adult; Age Factors; Aged; Aged, 80 and over; Anxiety - epidemiology; Anxiety - physiopathology; Cancer; Cohort Studies; Female; General Nursing; Hematology, Oncology, and Palliative Medicine; Humans; Male; Middle Aged; Multivariate Analysis; Needs Assessment; Neoplasms - diagnosis; Neoplasms - psychology; Neoplasms - therapy; Psychological stress; Regression Analysis; Resilience; Resilience, Psychological; Risk Assessment; Sex Factors; Social Support; Stress, Psychological - epidemiology; Stress, Psychological - physiopathology; Supportive care needs; Switzerland; Time Factors; Treatment Outcome; Switzerland; Psychological stress; Supportive care needs; Resilience; Cancer
• ISSN: 1462-3889; 1532-2122
• DOI: 10.1016/j.ejon.2015.03.004

The concept of resilience is gaining increasing importance as a key component of supportive care but to date has rarely been addressed in studies with adult cancer patients. The purpose of our study was to describe resilience and its potential predictors and supportive care needs in cancer patients during early treatment and to explore associations between both concepts. This descriptive study included adult cancer patients under treatment in ambulatory cancer services of a Swiss hospital. Subjects completed the 25-item Connor-Davidson-Resilience Scale and the 34-item Supportive Care Needs Survey. Descriptive, correlational and regression analysis were performed. 68 patients with cancer were included in the study. Compared to general population, resilience scores were significantly lower (74.4 ± 12.6 vs. 80.4 ± 12.8, p = .0002). Multiple regression analysis showed predictors (“age”, “metastasis”, “recurrence” and “living alone”) of resilience (adjusted R2 = .19, p < .001). Highest unmet needs were observed in the domain of psychological needs. Lower resilience scores were significantly and strongly associated with higher levels of unmet psychological needs (Rho = −.68, p < .001), supportive care needs (Rho = −.49, p < .001) and information needs (Rho = −.42, p = .001). Ambulatory patients with higher levels of resilience express fewer unmet needs. Further work is needed to elucidate the mechanism of the observed relationships and if interventions facilitating resilience have a positive effect on unmet needs.