Resilience and Coping Strategies Influencing the Quality of Life in Patients With Brain Tumor

Abstract

The study purpose was to evaluate how much of the variance in quality of life (QOL) among Taiwanese patients with brain tumor could be accounted for by resilience and coping strategy. This cross-sectional study included 95 patients who had undergone a treatment of operations or chemotherapy or radiotherapy relevant to brain tumor after at least 1 month and completed the European Organization for Research and Treatment of Cancer QOL Questionnaire–Brain Cancer Module (EORTC QLQ-BN20), Resilience Scale (RS), and Ways of Coping Checklist–Revised (WCC-R). There was a significant negative correlation between resilience and future uncertainty QOL and motor dysfunction QOL. In addition, there was a significant positive correlation between the emotion-focused coping and future uncertainty QOL, as well as a significant negative correlation between problem-focused coping and motor dysfunction QOL. Resilience accounted for 4.8% and the emotion-focused coping accounted for 10.20% of the variance in separately predicting the future uncertainty QOL. This study highlights the potential importance of resilience and coping strategies in patients’ QOL, which is relevant to brain tumor treatment.

Keywords

resilience coping quality of life

Get full access to this article

View all access options for this article.

References

Akeyson

E. W.

McCutcheon

I. E.

(1996). Management of benign and aggressive intracranial meningiomas. Oncology, 10, 747-756.

al-Mefty

Kersh

J. E.

Routh

Smith

R. R.

(1990). The long-term side effects of radiation therapy for benign brain tumors in adults. Journal of Neurosurgery, 73, 502-512.

Baker

Denniston

Smith

West

M. M.

(2005). Adult cancer survivors: How are they faring? Cancer, 104, 2565-2576.

Buchanan

D. R.

O’Mara

A. M.

Kelaghan

J. W.

Minasian

L. M.

(2005). Quality-of-life assessment in the symptom management trials of the national cancer institute-supported community clinical oncology program. Journal of Clinical Oncology, 23, 591-598.

Butow

Price

Bell

Fardell

Aldridge

McGowan

. . . Webb

(2013). Quality of life, distress and coping in women with ovarian cancer: A population based, longitudinal study. Psycho-Oncology, 22, 44-55.

Dubey

De Maria

Hoeppli

Betticher

D. C.

Eicher

(2015). Resilience and unmet supportive care needs in patients with cancer during early treatment: A descriptive study. European Journal of Oncology Nursing, 19, 582-588.

Elsheshtawy

E. A.

Abo-Elez

W. F.

Ashour

H. S.

Farouk

El Zaafarany

M. I.

(2014). Coping strategies in Egyptian ladies with breast cancer. Breast Cancer, 8, 97-102.

Faithfull

(1991). Patients’ experiences following cranial radiotherapy: A study of the somnolence syndrome. Journal of Advanced Nursing, 16, 939-946.

Folkman

Lazarus

R. S.

Dunkel-Shetter

Delongis

Gruen

R. J.

(1986). Dynamics of a stressful encounter: Cognitive appraisal, coping, and encounter outcomes. Journal of Personality and Social Psychology, 50, 992-1003.

10.

Folkman

Lazarus

R. S.

Gruen

R. J.

Delongis

(1986). Appraisal, coping, health status, and psychological symptoms. Journal of Personality and Social Psychology, 50, 571-579.

11.

Fredrickson

B. L.

(2001). The role of positive emotions in positive psychology: The broaden-and-build theory of positive emotions. American Psychologist, 56, 218-226.

12.

Health Promotion Administration, Ministry of Health and Welfare, Taiwan. (2016). Research & statistic. Retrieved from http://www.hpa.gov.tw/BHPNet/Web/Stat/StatisticsShow.aspx?No=201604210001

13.

Jalali

Dutta

(2012). Factors influencing quality of life in adult patients with primary brain tumors. Neuro-Oncology, 14(Suppl. 4), iv8-iv16. doi:10.1093/neuonc/nos205

14.

Janda

Steginga

Langbecker

Dunn

Walker

Eakin

(2007). Quality of life among patients with a brain tumor and their carers. Journal of Psychosomatic Research, 63, 617-623.

15.

Karnofsky

D. A.

Abelmann

W. H.

Craver

L. F.

(1978). The use of the nitrogen mustards in the palliative treatment of carcinoma. Cancer, 1, 634-656.

16.

Lafaye

Petit

Richaud

Houédé

Baguet

Cousson-Gélie

(2014). Dyadic effects of coping strategies on emotional state and quality of life in prostate cancer patients and their spouses. Psychooncology, 23, 797-803.

17.

Lazarus

R. S.

(1993). Coping theory and research: Past, present, and future. Psychosomatic Medicine, 55, 234-247.

18.

Lazarus

R. S.

Folkman

(1984). Stress, appraisal, and coping. New York, NY: Springer.

19.

Lim

J. W.

(2014). Communication, coping, and quality of life of breast cancer survivors and family/friend dyads: A pilot study of Chinese-Americans and Korean-Americans. Psychooncology, 23, 1243-1251.

20.

Loprinzi

C. E.

Prasad

Schroeder

D. R.

Sood

(2011). Stress management and resilience training (SMART) program to decrease stress and enhance resilience among breast cancer survivors: A pilot randomized clinical trial. Clinical Breast Cancer, 11, 364-368.

21.

Luthar

S. S.

Cicchetti

Becker

(2007). The construct of resilience: A critical evaluation and guidelines for future work. Child Development, 71, 543-562.

22.

Mancini

A. D.

Bonanno

G. A.

(2009). Predictors and parameters of resilience to loss: Toward an individual differences model. Journal of Personality, 77, 1805-1832.

23.

Manne

S. L.

Myers-Virtue

Kashy

Ozga

Kissane

Heckman

. . . Rosenblum

(2015). Resilience, positive coping, and quality of life among women newly diagnosed with gynecological cancers. Cancer Nursing, 38, 375-382.

24.

Masten

A. S.

(2001). Resilience processes in development. American Psychologist, 56, 227-238.

25.

Masten

A. S.

(2014). Global perspectives on resilience in children and youth. Child Development, 85, 6-20. doi:10.1111/cdev.12205

26.

Molassiotis

Aapro

Dicato

Gascon

Novoa

S. A.

Isambert

. . . Roila

(2014). Evaluation of risk factors predicting chemotherapy-related nausea and vomiting: Results from a European prospective observational study. Journal of Pain and Symptom Management, 47, 839-848.e4. doi:10.1016/j.jpainsymman.2013.06.012

27.

Molina

J. C.

Martinez-Gutierrez

Reding

K. W.

Yi-Frazier

J. P.

Rosenberg

A. R.

(2014). Resilience among patients across the cancer continuum: Diverse perspectives. Clinical Journal of Oncology Nursing, 18, 93-101.

28.

Mukand

J. A.

Blackinton

D. D.

Crincoli

Lee

J. J.

Santos

B. B.

(2001). Incidence of neurologic deficits and rehabilitation of patients with brain tumors. American Journal of Physical Medicine & Rehabilitation, 80, 346-350.

29.

Osoba

Aaronson

N. K.

Muller

Sneeuw

Hsu

M. A.

Yung

W. K.

. . . Newlands

(1996). The development and psychometric validation of a brain cancer quality-of-life questionnaire for use in combination with general cancer-specific questionnaires. Quality of Life Research, 5, 139-150.

30.

Rosenberg

A. R.

Syrjala

K. L.

Martin

P. J.

Flowers

M. E.

Carpenter

P. A.

Salit

R. B.

. . . Lee

S. J.

(2015). Resilience, health, and quality of life among long-term survivors of hematopoietic cell transplantation. Cancer, 121, 4250-4257.

31.

Sehlen

Lenk

Hollenhorst

Schymura

Aydemir

Herschbach

Dühmke

(2003). Quality of life (QoL) as a predictive mediator variable for survival in patients with intracerebral neoplasma during radiotherapy. Onkologie, 26, 38-43.

32.

Shahid

(2016). Review of hematological indices of cancer patients receiving combined chemotherapy & radiotherapy or receiving radiotherapy alone. Critical Reviews in Oncology/Hematology, 105, 145-155. doi:10.1016/j.critrevonc.2016.06.001

33.

Sharma

Walker

L. G.

Monson

J. R. T.

(2013). Baseline quality of life factors predict long term survival after elective resection for colorectal cancer. International Journal of Surgical Oncology, 2013, Article ID 269510. doi:10.1155/2013/269510

34.

Sheu

S. L.

(2001). Uncertainty and anxiety in patients with initial attack of myocardial infarction: The effect of coping methods. The Journal of Nursing, 9, 159-171. (In Taiwan)

35.

Shin

Y. S.

Kim

J. H.

(2013). Validation of the Korean version of the European Organization for Research and Treatment of Cancer brain cancer module (EORTC QLQ-BN20) in patients with brain tumors. Health and Quality of Life Outcomes, 11, Article 145.

36.

Szanton

S. L.

Gill

J. M.

(2010). Facilitating resilience using a society-to-cells framework: A theory of nursing essentials applied to research and practice. Advances in Nursing Science, 33, 329-343.

37.

Taphoorn

M. J.

Claassens

Aaronson

N. K.

Coens

Mauer

Osoba

. . . Bottomley

(2010). An international validation study of the EORTC brain cancer module (EORTC QLQ-BN20) for assessing health-related quality of life and symptoms in brain cancer patients. European Journal of Cancer, 46, 1033-1040.

38.

Tian

Hong

J. S.

(2014). Assessment of the relationship between resilience and quality of life in patients with digestive cancer. World Journal of Gastroenterology, 20, 18439-18444.

39.

Tuncay

(2014). Coping and quality of life in Turkish women living with ovarian cancer. Asian Pacific Journal of Cancer Prevention, 15, 4005-4012.

40.

Ullrich

N. J.

Scott

R. M.

Pomeroy

S. L.

(2005). Craniopharyngioma therapy: Long-term effects on hypothalamic function. The Neurologist, 11, 55-60.

41.

Velikova

Coens

Efficace

Greimel

Groenvold

Johnson

. . . Bottomley

(2012). Health-related quality of life in EORTC clinical trials—30 years of progress from methodological developments to making a real impact on oncology practice. European Journal of Cancer Supplements, 10, 141-149.

42.

Vitaliano

P. P.

Russo

Carr

J. E.

Maiuro

R. D.

Becker

(1985). The Ways of Coping Checklist: Revision and psychometric properties. Multivariate Behavioral Research, 20, 3-26.

43.

Wagnild

G. M.

Young

H. M.

(1993). Development and psychometric evaluation of the Resilience Scale. Journal of Nursing Measurement, 1, 165-178.

44.

Wen

P. Y.

Quant

Drappatz

Beroukhim

Norden

A. D.

(2010). Medical therapies for meningiomas. Journal of Neuro-Oncology, 99, 365-378. doi:10.1007/s11060-010-0349-8

45.

W. W.

Tsai

S. Y.

Liang

S. Y.

Liu

C. Y.

Jou

S. T.

Berry

D. L.

(2015). The mediating role of resilience on quality of life and cancer symptom distress in adolescent patients with cancer. Journal of Pediatric Oncology Nursing, 32, 304-313.

46.

Yahaya

N. A.

Subramanian

Bustam

A. Z.

Taib

N. A.

(2015). Symptom experiences and coping strategies among multi-ethnic solid tumor patients undergoing chemotherapy in Malaysia. Asian Pacific Journal of Cancer Prevention, 16, 723-730.

47.

Yang

H. L.

(2009). Depressive symptoms, self-esteem, resilience and related factors among older adults with cancer (Unpublished master’s thesis). Taipei Medical University, Taiwan.