Effect of family resilience on subjective well-being in patients with advanced cancer: the chain mediating role of perceived social support and psychological resilience

Yating Yang; Fei He; Dongfang Li; Yuanyuan Zhao; Ya Wang; Haoran Zhang; Chan Qiao; Yingfang Cui; Leyun Lin; Hao Guan

doi:10.3389/fpsyg.2023.1222792

Effect of family resilience on subjective well-being in patients with advanced cancer: the chain mediating role of perceived social support and psychological resilience

Front Psychol. 2024 Apr 4:14:1222792. doi: 10.3389/fpsyg.2023.1222792. eCollection 2023.

Authors

Yating Yang^#¹, Fei He^#¹, Dongfang Li¹, Yuanyuan Zhao¹, Ya Wang¹, Haoran Zhang¹, Chan Qiao¹, Yingfang Cui¹, Leyun Lin², Hao Guan³

Affiliations

¹ School of Public Administration (School of Emergency Management), Northwest University, Xi'an, Shaanxi, China.
² Viterbi School of Engineering, University of Southern California, Los Angeles, CA, United States.
³ Department of Burns and Cutaneous Surgery, Xijing Hospital, Xi'an, China.

^# Contributed equally.

Abstract

Purposes: Domestic and international research has found that patients with advanced cancer prioritize increasing their quality of life above extending their lives with simple or intensive treatments. The current study investigates the pathways to improve patients' sense of well-being from the family, social, and individual levels, that is to say, it investigates the mediating roles of comprehending social support as well as psychological resilience in the relationship between family resilience and subjective well-being, and it also provides references for future intervention.

Method: The Family Resilience Questionnaire (FRQ), General Well-being Schedule (GWB), Perceived Social Support Scale (PSSS), and the Chinese version of the Cornor-Davidson Resilience Scale 10-item (CD-RISC) were all completed by 338 patients with advanced cancer who took part in the study.

Results: The study's findings demonstrated a significant and positive correlation between family resilience, subjective well-being, perceived social support, and psychological resilience. Additionally, there was a significant direct effect of family resilience on subjective well-being as well as a mediating and chain mediating effect between perceived social support and psychological resilience. The findings of this study will be very helpful in the future when it comes to enhancing the quality of life for patients with advanced cancer through intervention.

Conclusion: Subjective well-being can be influenced directly by the family resilience of advanced cancer patients, or indirectly through the psychological resilience and perceived social support.

Keywords: patients with advanced cancer; perceived social support; psychological resilience; quality of life; subjective well-being.

Grants and funding

This work was supported by Social Science Foundation of Shaanxi Province (No. 2019G021) and Nature Science Foundation of Shaanxi Province (2023-JC-YB-208).