title: Resilience, Positive Coping, and Quality of Life Among Women Newly Diagnosed With Gynecological Cancers.
abstract: BACKGROUND
  Resilience has been linked to psychological adaptation to many challenging life events.
  
  
  OBJECTIVE
  The goal was to examine 3 coping strategies--expressing positive emotions, positive reframing of the cancer experience, and cultivating a sense of peace and meaning in life--as potential mechanisms by which resilience translates to quality of life among women recently diagnosed with gynecological cancer.
  
  
  METHODS
  This cross-sectional study utilized baseline data from women diagnosed with gynecological cancer participating in an ongoing randomized clinical trial (n = 281; mean age, 55 years; 80% were white). Participants completed measures of resilience, positive emotional expression, positive reappraisal, cultivating a sense of peace and meaning, and quality of life. Univariate and multiple mediation analyses were conducted.
  
  
  RESULTS
  Greater resilience was related to higher quality of life (P < .001). Multiple mediation analyses indicated that the coping strategies, as a set, accounted for 62.6% of the relationship between resilience and quality of life. When considered as a set, cultivating a sense of peace and meaning had the strongest indirect effect (b = 0.281, SE = 0.073, P < .05).
  
  
  CONCLUSIONS
  The findings suggested that resilient women may report higher quality of life during gynecological cancer diagnosis because they are more likely to express positive emotions, reframe the experience positively, and cultivate a sense of peace and meaning in their lives.
  
  
  CONCLUSIONS
  Interventions promoting a sense of purpose in one's life and facilitating expression of positive emotions may prove beneficial, particularly for women reporting higher levels of resilience.
authors.affiliation: Author Affiliations: Department of Medical Oncology, Rutgers Cancer Institute of New Jersey, New Brunswick (Drs Manne and Myers-Virtue); Department of Psychology, Michigan State University, East Lansing (Dr Kashy); Department of Psychiatry and Behavioral Sciences, Memorial Sloan-Kettering Cancer Center, New York (Drs Ozga and Kissane); Cancer Prevention and Control, Fox Chase Cancer Center, Philadelphia, Pennsylvania (Dr Heckman); Department of Gynecologic Oncology, Hospital of the University of Pennsylvania, Perelman Center for Advanced Medicine, Philadelphia (Dr Rubin); and Department of Gynecologic Oncology, Jefferson University Hospital, Philadelphia, Pennsylvania (Dr Rosenblum).
authors.forename: Sharon L
authors.initials: SL
authors.lastname: Manne
authors.forename: Shannon
authors.initials: S
authors.lastname: Myers-Virtue
authors.forename: Deborah
authors.initials: D
authors.lastname: Kashy
authors.forename: Melissa
authors.initials: M
authors.lastname: Ozga
authors.forename: David
authors.initials: D
authors.lastname: Kissane
authors.forename: Carolyn
authors.initials: C
authors.lastname: Heckman
authors.forename: Stephen C
authors.initials: SC
authors.lastname: Rubin
authors.forename: Norman
authors.initials: N
authors.lastname: Rosenblum
mesh_terms: D000223:Adaptation, Psychological; D000328:Adult; D000368:Aged; D003430:Cross-Sectional Studies; D005260:Female; D005833:Genital Neoplasms, Female / Q000175:diagnosis / Q000523:psychology*; D006801:Humans; D008875:Middle Aged; D011788:Quality of Life / Q000523:psychology*; D055500:Resilience, Psychological; D055815:Young Adult