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Investigating the relationship between family resilience and symptom burden with the mediating role of functional exercise adherence in women with breast cancer

Document Type : Scientific Research

Author

Assistant Professor of Psychology, Department of Sociology and Communication, Faculty of Humanities, Golestan University, Gorgan, Iran

Abstract

Objective: Patients with breast cancer often experience symptom burden, functional deterioration, and other concerns inherent to a progressive and life-limiting disease. The aim of this study was to investigate the relationship between family resilience and symptom burden with the mediating role of functional exercise adherence in women with breast cancer. Method: The method of the research was fundamental in terms of its purpose and of the correlation type based on structural equation modeling (SEM). The statistical population included all women with breast cancer living in Saqoz city in 2022 who referred to hospitals that 150 women were selected by convenience sampling. Research tools included Family Resilience Questionnaire (FRQ), Symptom Burden Questionnaire (SBQ) and Functional Exercise Adherence Scale (FECS). Data were analyzed using SPSS and AMOS software with path analysis method.
Results: The results of correlation coefficients showed that there is a negative and significant correlation between family resilience and symptom burden subscales and a positive and significant correlation with functional exercise adherence (P<0.01). Also, there is a negative and significant relationship between functional exercise adherence and the burden of symptoms (P < 0.01). According to the results the proposed model has a good fit (x2/df=0.86, p<0.001, CFI= 0.99, RMSEA=0.06). Also, the direct effect of resilience and functional exercise adherence on symptom burden is significant (P<0.01). When functional exercise adherence is included as a mediator in the relationship between family resilience and symptom burden, the indirect effect of family resilience on symptom burden is 0.51, which is significant (P<0.01). Finally, family resilience indirectly affects symptom burden through functional exercise adherence.
Conclusion: These results have important implications for clinical practice and research in the field of breast cancer patients and show the need to develop approaches and better management of these patients in self-care behaviors. Family resilience as a positive psychological factor can indirectly affect the breast cancer patients’ physical performance after chemotherapy and reduce the burden of symptoms to some extent. In fact, increasing the family resilience helps patients to increase their self-management in how to deal with cancer and control their symptoms and indirectly reduce the amount of disease symptoms. It can also be said that increasing the family resilience can be achieved through reducing negative emotions and improving the feeling of control over the disease with the help of post-surgery treatments through compliance and receiving appropriate services and as a result reducing physical limitations. So, it seems that the family resilience  leads the patient's ability to make rational decisions and more cooperation with the treatment team, which in turn reduces the burden symptoms.

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References
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Health Psychology
Volume 12, Issue 48
February 2024
Pages 1-14
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