title: Resilience and unmet supportive care needs in patients with cancer during early treatment: A descriptive study.
abstract: OBJECTIVE
  The concept of resilience is gaining increasing importance as a key component of supportive care but to date has rarely been addressed in studies with adult cancer patients. The purpose of our study was to describe resilience and its potential predictors and supportive care needs in cancer patients during early treatment and to explore associations between both concepts.
  
  
  METHODS
  This descriptive study included adult cancer patients under treatment in ambulatory cancer services of a Swiss hospital. Subjects completed the 25-item Connor-Davidson-Resilience Scale and the 34-item Supportive Care Needs Survey. Descriptive, correlational and regression analysis were performed.
  
  
  RESULTS
  68 patients with cancer were included in the study. Compared to general population, resilience scores were significantly lower (74.4 ± 12.6 vs. 80.4 ± 12.8, p = .0002). Multiple regression analysis showed predictors ("age", "metastasis", "recurrence" and "living alone") of resilience (adjusted R2 = .19, p < .001). Highest unmet needs were observed in the domain of psychological needs. Lower resilience scores were significantly and strongly associated with higher levels of unmet psychological needs (Rho = -.68, p < .001), supportive care needs (Rho = -.49, p < .001) and information needs (Rho = -.42, p = .001).
  
  
  CONCLUSIONS
  Ambulatory patients with higher levels of resilience express fewer unmet needs. Further work is needed to elucidate the mechanism of the observed relationships and if interventions facilitating resilience have a positive effect on unmet needs.
authors.affiliation: University of Applied Arts and Sciences Western Switzerland, School of Health Fribourg, Route des Cliniques 15, CH 1700 Fribourg, Switzerland; Institut universitaire de formation et de recherche en soins-IUFRS, Faculté de biologie et de médecine, Université de Lausanne-UNIL, Switzerland. Electronic address: catherine.dubey@hefr.ch.
authors.forename: C
authors.initials: C
authors.lastname: Dubey
authors.affiliation: Department of Medicine, University Hospital, 1002 Lausanne, Switzerland; Institut universitaire de formation et de recherche en soins-IUFRS, Faculté de biologie et de médecine, Université de Lausanne-UNIL, Switzerland. Electronic address: januska.demaria@chuv.ch.
authors.forename: J
authors.initials: J
authors.lastname: De Maria
authors.affiliation: University of Applied Arts and Sciences Western Switzerland, School of Health Fribourg, Switzerland.
authors.forename: C
authors.initials: C
authors.lastname: Hoeppli
authors.affiliation: Department of Medicine and Medical Oncology, Hôpital Fribourgeois, 1708 Fribourg, Switzerland. Electronic address: daniel.betticher@h-fr.ch.
authors.forename: D C
authors.initials: DC
authors.lastname: Betticher
authors.affiliation: University of Applied Arts and Sciences Western Switzerland, School of Health Fribourg, Route des Cliniques 15, CH 1700 Fribourg, Switzerland; Institut universitaire de formation et de recherche en soins-IUFRS, Faculté de biologie et de médecine, Université de Lausanne-UNIL, Switzerland. Electronic address: manuela.eicher@hefr.ch.
authors.forename: M
authors.initials: M
authors.lastname: Eicher
mesh_terms: D000328:Adult; D000367:Age Factors; D000368:Aged; D000369:Aged, 80 and over; D001007:Anxiety / Q000453:epidemiology / Q000503:physiopathology; D015331:Cohort Studies; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D015999:Multivariate Analysis; D020380:Needs Assessment; D009369:Neoplasms / Q000175:diagnosis / Q000523:psychology* / Q000628:therapy; D012044:Regression Analysis; D055500:Resilience, Psychological; D018570:Risk Assessment; D012737:Sex Factors; D012944:Social Support; D013315:Stress, Psychological / Q000453:epidemiology / Q000503:physiopathology; D013557:Switzerland; D013997:Time Factors; D016896:Treatment Outcome
keywords: Cancer; Psychological stress; Resilience; Supportive care needs