title: Assessment of the relationship between resilience and quality of life in patients with digestive cancer.
abstract: OBJECTIVE
  To study the relationship between resilience and quality of life (QOL) in patients with digestive cancer.
  
  
  METHODS
  The resilience of patients was measured prior to treatment, and their psychological distress, fatigue status, and treatment side effects were assessed 3 wk after. Their QOL was measured after their treatment ended. A relationship model of these variables was constructed using path analysis.
  
  
  RESULTS
  Resilience explained 33.2% of the variance in psychological distress, 16.1% of the variance in fatigue, and 1.23% of the variance in side effects. The relationship between resilience and QOL was statistically significant (β = 0.119, t = 4.499, P < 0.001) when psychological distress, fatigue, and side effects were absent from the regression model, whereas the adjusted regression coefficient of resilience was not statistically significant (t = 1.562, P > 0.05) when these variables were added. Psychological distress, together with fatigue and side effects, could explain 52.40% of the variance in QOL (P < 0.05). Physiological distress accounted for 28.94% of the total effect on QOL, fatigue accounted for 33.72%, side effects accounted for 22.53%, and resilience accounted for 14.80%.
  
  
  CONCLUSIONS
  Resilience is not an independent predictor of QOL in patients with digestive cancer, but it is a main factor influencing psychological distress and side effects.
authors.affiliation: Jun Tian, Department of Epidemiology and Health Statistics, Fujian Medical University, Fuzhou 350004, Fujian Province, China.
authors.forename: Jun
authors.initials: J
authors.lastname: Tian
authors.affiliation: Jun Tian, Department of Epidemiology and Health Statistics, Fujian Medical University, Fuzhou 350004, Fujian Province, China.
authors.forename: Jin-Sheng
authors.initials: JS
authors.lastname: Hong
mesh_terms: D000328:Adult; D000368:Aged; D002681:China / Q000453:epidemiology; D017281:Cost of Illness; D004067:Digestive System Neoplasms / Q000453:epidemiology / Q000523:psychology* / Q000628:therapy; D005221:Fatigue / Q000175:diagnosis / Q000453:epidemiology / Q000523:psychology*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D011788:Quality of Life; D055500:Resilience, Psychological; D012307:Risk Factors; D013315:Stress, Psychological / Q000175:diagnosis / Q000453:epidemiology / Q000523:psychology*; D011795:Surveys and Questionnaires; D013997:Time Factors
keywords: Digestive cancer; Fatigue; Path analysis; Psychological distress; Quality of life; Resilience