The relationship between resilience, quality of life, and body image in women with breast cancer undergoing chemotherapy

Document Type : Original Article


Nursing and Midwifery Care Research Center, Isfahan University of Medical Sciences, Isfahan, Iran


Background: The diagnosis and treatment of breast cancer put women at risk of altered body image and quality of life (QOL).
Objectives: This study aimed to investigate the relationship between resilience, QOL, and body image in women with breast cancer undergoing chemotherapy.
Methods: This cross-sectional study was conducted in 2022 on 172 women with breast cancer referring to the chemotherapy department of Omid Hospital in Isfahan, Iran. Data were collected using a demographic data form, the Connor-Davidson Resilience Scale, the World Health Organization Quality of Life questionnaire (WHOQOL-BREF), and the Hopwood Body Image Scale (HBIS). The data were analysed using one-way analysis of variance, Pearson’s correlation, Spearman’s correlation, and multiple linear regression analysis.
Results: The mean total QOL score was 53.70±18.94. In addition, the mean resilience score was 69.83±14.52. The mean body image score was 8.23±6.65. Resilience was directly correlated with QOL (r=0.491, P<0.001). The psychological-spiritual dimension of QOL was a significant predictor for resilience (P<0.001). Resilience was inversely correlated with body image (r=-0.37, P<0.05).
Conclusion: The psychological-spiritual dimension of QOL was a significant predictor for resilience. Improving women’s resilience during chemotherapy can reduce their psychological symptoms and improve the QOL and body image of these patients.


Elaheh Ashouri [Pubmed] [Google Scholar]


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