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ID Design 2012/DOOEL Skopje
Open Access Macedonian Journal of Medical Sciences.
http://dx.doi.org/10.3889/oamjms.2015.128
eISSN: 1857-9655
Public Health
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Resilience and Quality of Life
in Breast Cancer Patients
Gordana Ristevska-Dimitrоvska1*, Izabela Filov1,
Domnika Rajchanovska1, Petar Stefanovski2, Beti
Dejanova3
1University St. Kliment Ohridski Bitola, Higher Medical School
Bitola, Bitola, Republic of Macedonia; 2Clinical Hospital Dr.
Trifun Panovski, Department of Oncology, Bitola, Republic of Macedonia;
3Department of Medical and Experimental Physiology with Anthropology,
Medical Faculty, Ss Cyril and Methodius University of Skopje, Skopje,
Republic of Macedonia
BACKGROUND: Many studies have shown that a relationship exists
between quality of life (QoL) and resilience in breast cancer patients, but
few studies present information on the nature of this relationship of
resilience on QoL. Our aim was to examine the relationship between
resilience and quality of life in breast cancer patients.
METHODS: QoL was measured in 218 consequent breast cancer patients,
with EORTC - QLQ Core 30 questionnaire, and EORTC QLQ-BR23. The resilience
was measured with Connor Davidson Resilience Scale.
RESULTS: The global quality of life was positively correlated with
the levels of resilience (R = 0.39 p < 0.001). All functional scales
(physical, role, emotional, cognitive and social functioning was in a
positive correlation with resilience. The symptoms severity (fatigue, nausea
and vomitus, pain, dyspnea, insomnia, appetite loss, constipation, diarrhea,
financial difficulties) was in negative correlation with resilience. Less
resilient breast cancer patients reported worse body image and future
perspective and suffered from more severe adverse effects of systemic
therapy, and arm/breast symptoms.
CONCLUSION: Our findings show that psychological resilience affects
different aspects of health-related quality of life. More resilient patients
have significantly better quality of life in almost all aspects of QoL.
..................
Citation: Ristevska-Dimitrоvska G, Filov I,
Rajchanovska D, Stefanovski P, Dejanova B. Resilience and Quality of Life in
Breast Cancer Patients. OA Maced J Med Sci. http://dx.doi.org/10.3889/oamjms.2015.128
Key words: resilience; quality of life; breast cancer; Connor
Davidson Resilience Scale; EORTC QLQ-C30.
*Correspondence: Dr. Gordana Ristevska-Dimitrоvska. University St.
Kliment Ohridski Bitola, Higher Medical School Bitola, Vasko Karangjelevski
bb, Bitola 7000, Republic of Macedonia. Phone: +38971294310. E-Mail:
gordana.md@gmail.com
Received: 20-Nov-2015; Revised: 28-Nov-2015; Accepted: 07-Dec-2015; Online
first: 08-Dec-2015
Copyright: © 2015 Gordana Ristevska-Dimitrоvska, Izabela Filov,
Domnika Rajchanovska, Petar Stefanovski, Beti Dejanova.
This is an open access article distributed under the terms of the Creative
Commons Attribution License, which permits unrestricted use, distribution,
and reproduction in any medium, provided the original author and source are
credited.
Competing Interests: The authors have declared that no competing
interests exist.
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Rajchanovska D
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Stefanovski P
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Dejanova B
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