Relationship between psychological resilience and cognitive function on breast cancer chemotherapy patients: a person-centered method.

IF 2.9 3区医学 Q1 OBSTETRICS & GYNECOLOGY

Breast Cancer Pub Date : 2025-07-01 Epub Date: 2025-04-10 DOI:10.1007/s12282-025-01697-4

Xiaotong Ding, Mingyue Zhu, Houming Kan, Qing Wang, Hongli Chen, Xuan Xia, Fang Zhao, Zheng Li

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引用次数: 0

Abstract

Background: Previous studies have indicated a connection between resilience and cognitive function, but critical gaps persist regarding limited data exploring the relationship between resilience profiles and cognition using person-centered methodologies, especially in the context of breast cancer patients.

Objectives: While the general correlation between resilience and cognitive function is known, how various resilience profiles impact cognitive function in breast cancer patients remains unclear. The study aimed to identify resilience profiles and explore the relationship with cognitive function in breast cancer (BC) patients.

Methods: This study was a cross-sectional study in descriptive research. BC patients (n = 425) from a tertiary oncology hospital completed the Functional Assessment of Cancer Therapy-Cognitive Function (FACT-Cog) scale and Connor-Davidson Resilience Scale (CD-RISC- 25). Latent profile analysis was adopted to identify subgroups of patients with distinct resilience profiles according to model fit indices. An ANOVA analysis and Chi-square test were also employed.

Results: Three profiles were identified, including Class 3, "High resilience-positive coping group" (n = 187, 44.7%), Class 2, "Medium resilience-effort regulation group" (n = 157, 37.6%), and Class 1, "Low resilience-negative coping" (n = 74, 17.7%). The results demonstrate that perceived cognitive impairment (CogPCI), other people's appraisal (CogOth), perceived cognitive ability (CogPCA), impact on quality of life (CogQOL), and FACT-Cog were significant differences in all three potential latent resilience profiles (P < 0.001). The CogPCI and FACT-Cog scores in Class 3 were the best, while Class 1 was the lowest.

Conclusion: The psychological resilience profile contains three classes, and the findings provide evidence that high resilience potentially serves as a crucial protective factor for cognitive function in BC patients. Healthcare providers should improve their ability to recognize and evaluate factors influencing resilience, including social support and physical activity, which will enable the development of precise nursing interventions to mitigate the long-term adverse effects of trauma and reduce the impact of cognitive impairment on BC patients.

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乳腺癌化疗患者心理弹性与认知功能的关系：以人为本的研究

背景：以往的研究已经表明心理弹性与认知功能之间存在联系，但在以人为中心的方法中，特别是在乳腺癌患者的背景下，关于心理弹性特征与认知之间关系的有限数据探索仍然存在关键差距。目的：虽然心理弹性和认知功能之间的一般相关性是已知的，但各种心理弹性特征如何影响乳腺癌患者的认知功能仍不清楚。该研究旨在确定乳腺癌（BC）患者的恢复力概况，并探讨其与认知功能的关系。方法：本研究采用横断面描述性研究。来自三级肿瘤医院的BC患者（n = 425）完成了肿瘤治疗-认知功能功能评估（FACT-Cog）量表和Connor-Davidson弹性量表（CD-RISC- 25）。根据模型拟合指数，采用潜剖面分析，识别具有不同恢复力剖面的患者亚组。采用方差分析和卡方检验。结果：研究对象分为三类，分别为第3类“高弹性-积极应对组”（n = 187, 44.7%）、第2类“中等弹性-努力调节组”（n = 157, 37.6%）和第1类“低弹性-消极应对组”（n = 74, 17.7%）。结果表明，感知认知障碍（CogPCI）、他人评价（CogOth）、感知认知能力（CogPCA）、生活质量影响（CogQOL）和FACT-Cog在三种潜在潜在弹性谱中均存在显著差异（P < 0.001）。CogPCI和FACT-Cog评分3级最高，1级最低。结论：心理弹性分为三类，研究结果表明，高弹性可能是BC患者认知功能的重要保护因素。医疗保健提供者应提高他们识别和评估影响恢复力因素的能力，包括社会支持和身体活动，这将有助于制定精确的护理干预措施，以减轻创伤的长期不良影响，并减少认知障碍对BC患者的影响。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Breast Cancer ONCOLOGY-OBSTETRICS & GYNECOLOGY

CiteScore

6.70

自引率

2.50%

发文量

105

审稿时长

6-12 weeks

期刊介绍： Breast Cancer, the official journal of the Japanese Breast Cancer Society, publishes articles that contribute to progress in the field, in basic or translational research and also in clinical research, seeking to develop a new focus and new perspectives for all who are concerned with breast cancer. The journal welcomes all original articles describing clinical and epidemiological studies and laboratory investigations regarding breast cancer and related diseases. The journal will consider five types of articles: editorials, review articles, original articles, case reports, and rapid communications. Although editorials and review articles will principally be solicited by the editors, they can also be submitted for peer review, as in the case of original articles. The journal provides the best of up-to-date information on breast cancer, presenting readers with high-impact, original work focusing on pivotal issues.