Depression and Resilience in Breast Cancer Patients.
OBJECTIVE
A significant number of breast cancer patients, during their life with the diagnosis, experience emotional distress in the form of depression and anxiety. Psychological resilience is the ability of a person to protect his/her mental health when faced with adverse circumstances such as the cancer diagnosis. This study aims to assess the resilience in breast cancer patients and to explore whether depression affects the resilience.


METHODS
Two hundred eighteen (218) women, treated for early breast cancer responded to Connor - Davidson Resilience Scale and Hospital Depression and Anxiety Scale, in order to assess the level of psychological resilience and the level of depression.


RESULTS
There is a significant negative correlation between depression and resilience in our sample (r = - 0.562, p < 0.001). Individuals with higher levels of depression have lower levels of psychological resilience. There is no statistically significant correlation between the ages of the participants; time passed since diagnosis, cancer stage and resilience levels.


CONCLUSIONS
This study shows that patients who are less depressed have higher levels of resilience and that psychological resilience may independently contribute to lower levels of depression among breast cancer patients. The level of psychological resilience may be a protective factor for depression and psychological distress.
University St. Kliment Ohridski Bitola, Higher Medical School Bitola, Bitola, Republic of Macedonia.
Gordana
G
Ristevska-Dimitrovska
Clinical Hospital Dr. Trifun Panovski, Department of Oncology, Bitola, Republic of Macedonia.
Petar
P
Stefanovski
University Clinic for Radiotherapy and Oncology, Medical Faculty, Ss Cyril and Methodius University of Skopje, Skopje, Republic of Macedonia.
Snezhana
S
Smichkoska
University Clinic of Psychiatry, Faculty of Medicine, Ss Cyril and Methodius University of Skopje, Skopje, Republic of Macedonia.
Marija
M
Raleva
Department of Medical and Experimental Physiology with Anthropology, Medical Faculty, Ss Cyril and Methodius University of Skopje, Skopje, Republic of Macedonia.
Beti
B
Dejanova
Connor Davidson Resilience Scale; Hospital Anxiety Depression Scale; breast cancer; depression; resilience