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Revista de la Facultad de Medicina Humana
versión impresa ISSN 1814-5469versión On-line ISSN 2308-0531
Rev. Fac. Med. Hum. vol.24 no.2 Lima abr./jun. 2024 Epub 29-Abr-2024
http://dx.doi.org/10.25176/rfmh.v24i2.6584
Letter to the Editor
Exploring resilience in breast cancer patients: Wagnild & young resilience scale
1Instituto de Investigaciones en Ciencias Biomédicas. Universidad Ricardo Palma. Lima, Perú
Dear Editor,
I am writing to you in relation to the article titled "Emotional intelligence and stress coping strategies in health care workers", published in volume 23, number 3, in 2023 of the journal you manage. In that work, a significant correlation between emotional intelligence and stress in workers at a tertiary care hospital is highlighted1.. However, given the increasing number of breast cancer patients, it is crucial to explore how to measure a fundamental dimension for the mental and emotional health of these patients: resilience. Resilience is related to psychological adjustment, treatment adherence, survival, and quality of life2.
Several studies use the Wagnild and Young Resilience Scale to measure resilience in breast cancer patients3-5.. We present preliminary results of a pilot study conducted at the National Institute of Biomedical Research (INICIB) within the project "Inflammatory Markers and Their Prognostic Value in Women with Breast Cancer." In this study, we evaluated 25 Peruvian patients with breast cancer using the Wagnild and Young test, obtaining a reliability of 0.960 according to Cronbach's alpha. Table shows the comparative values reported in this study.
Table. Reliability of the Wagnild and Young Resilience Scale for female patients diagnosed with breast cancer
| Author | Country | Cronbach's Alpha | Number of Items | n |
| Wagnild GM, Young HM (6) | United States | 0,91 | 25 | 625 |
| Abiola T, Udofia O (7) | Nigeria | 0,87 | 25 | 70 |
| Rodríguez M et al. (8) | Argentina | 0,72 | 25 | 222 |
| Castilla H et al. (9) | Peru | 0,89 | 20 | 322 |
| Gómez MA (10) | Peru | 0,87 | 25 | 468 |
| De La Cruz-Vargas JA, Rentería R (en prensa) | Peru | 0,96 | 25 | 50 |
Moreover, there is evidence supporting the importance of measuring resilience in breast cancer patients. For example, Chiesi et al.11studied the relationship between resilience, psychological distress, and positive personal resources in women with breast cancer and survivors during the COVID-19 pandemic. They concluded that, although the pandemic caused treatment interruptions and delays in follow-ups, the relationships between positive personal resources, resilience, and psychological distress remained strong.
In another study, effective interventions to foster resilience in cancer patients were reviewed. It was concluded that anxious and motivated patients should have access to interventions that promote resilience, which should begin as soon as the diagnosis is made and be combined with somatic therapy, ideally lasting more than 12 sessions12.
Almanza13compared the effects of social support and self-esteem based on the level of resilience in 160 women diagnosed with cancer, using the Cooper Smith Self-Esteem Inventory, the MOS Social Support Survey, and the Wagnild and Young Resilience Scale. The findings demonstrated the importance of these factors in cancer treatment.
In conclusion, given the relevance of resilience in breast cancer patients and its impact on treatment, it is essential to have validated and reliable scales in Latin American populations. In Peru, it is estimated that there are 28 cases of breast cancer per 100,000 inhabitants, with a mortality rate of 8.5 cases per 100,000 inhabitants14. Resilience can contribute to more adaptive coping with oncological diseases, improving treatment adherence5,15. Therefore, promoting research on resilience in cancer patients has significant practical implications for quality of life and clinical treatment.
REFERENCES
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2. Rueda P, Cerezo MV. Resiliencia y cáncer: una relación necesaria. Escr Psicol Internet. 2020;13(2):90-7. doi:10.24310/espsiescpsi.v13i2.10032 [ Links ]
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11. Chiesi F, Vizza D, Valente M, Bruno R, Lau C, Campagna MR, et al. Positive personal resources and psychological distress during the COVID-19 pandemic: resilience, optimism, hope, courage, trait mindfulness, and self-efficacy in breast cancer patients and survivors. Support Care Cancer. 2022;30(8):7005-14. doi:10.1007/s00520-022-07123-1 [ Links ]
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13. Almanza JE. Influencia de la autoestima y el apoyo social en el nivel de resiliencia de pacientes mujeres del instituto regional de enfermedades neoplásicas, Arequipa, 2018. Univ Católica St María [Internet]. 2019 [citado el 12 de septiembre de 2023]; doi:10.26439/ulima.tesis/5848 [ Links ]
14. Ministerio de Salud. Plan nacional para la prevención y control de cáncer de mama en el Perú 2017- 2021 [Internet]. Dirección General de Intervenciones Estratégicas en Salud Pública. Dirección de Prevención y Control de Cáncer; 2017 [citado el 5 de septiembre de 2023]. Disponible en: http://bvs.minsa.gob.pe/local/MINSA/4234.pdf [ Links ]
15. Li L, Hou Y, Li L, Hou Y, Kang F, Wei X. The mediating and moderating roles of resilience in the relationship between anxiety, depression, and post-traumatic growth among breast cancer patients based on structural equation modeling. Medicine (Baltimore). 2020;99(50):e23273. doi:10.1097/MD.0000000000023273 [ Links ]
8Article published by the Journal of the faculty of Human Medicine of the Ricardo Palma University. It is an open access article, distributed under the terms of the Creatvie Commons license: Creative Commons Attribution 4.0 International, CC BY 4.0 (https://creativecommons.org/licenses/by/4.0/), that allows non-commercial use, distribution and reproduction in any medium, provided that the original work is duly cited. For commercial use, please contact revista.medicina@urp.edu.pe.
Received: March 05, 2024; Accepted: April 29, 2024
Este es un artículo publicado en acceso abierto bajo una licencia Creative Commons
