Psychosocial Adaptation and Quality of Life of Female Breast Cancer Survivors

Authors

DOI:

https://doi.org/10.47152/ziksi2026012

Keywords:

breast cancer, resilience, psychosocial adjustment, family support, quality of life

Abstract

Women with breast cancer face numerous challenges not only in the domain of physical health but also in mental well-being. Their psychosocial adjustment occurs under continuous health-related, psycho-emotional, and social burdens. The aim of this study was to examine psychosocial adaptation and resilience in a sample of women with breast cancer using the Psychosocial Adjustment to Illness Scale (PAIS-SR) and the Resilience Scale (RS). The sample consisted of 33 women aged 40–76 years (M = 55.82, SD = 8.35). Data were analysed using descriptive and multivariate statistical methods. The findings indicate generally adaptive psychosocial adjustment alongside moderate to high levels of resilience. Higher resilience was positively associated with better personal health care orientation, more positive emotional responses, greater understanding of treatment, stronger social and family support, and higher satisfaction with medical services. These findings underscore the need for holistic approaches that integrate psychosocial support with medical care. Future research should build upon these findings by employing larger samples, longitudinal designs, and mixed-method approaches to inform the development of individualized support models and tailored intervention strategies.

References

Abdelsalam, A.E., & Bayomi, M.A. (2022). Assessment of supportive care needs, satisfaction and quality of life among breast cancer survivors. The Egyptian Family Medicine Journal, 6, 3–18. DOI: https://doi.org/10.21608/efmj.2022.249543

Anguiano, L., Mayer, D., Piven, M. L., & Rosenstein, D. (2012). A Literature Review of Suicide in Cancer Patients. Cancer Nursing, 35(4), 14–26. DOI: https://doi.org/10.1097/NCC.0b013e31822fc76c

Annunziata, M.A., Muzzatti, B., Flaiban, C., Gipponi, K., Carnaghi, C., Tralongo, P., Caruso, M., Cavina, R. & Tirelli, U. (2018). Long-term quality of life profile in oncology: a comparison between cancer survivors and the general population. Support Care Cancer, 26, 651–656. DOI: https://doi.org/10.1007/s00520-017-3880-8

Arnold, M., Morgan, E., Rumgay, H., Mafra, A., Singh, D., Laversanne, M., Vignat, J., Gralow, J.R., Cardoso, F., Siesling, S. & Soerjomataram, I. (2022). Current and future burden of breast cancer: Global statistics for 2020 and 2040. The Breast, 66, 15–23. DOI: https://doi.org/10.1016/j.breast.2022.08.010

Batrićević, A., & Kubiček, A. (2021). The right to life and quality of living of women suffering and recovered from breast cancer in Serbia. In Z. Pavlović (Ed.), Yearbook No. 4: Human rights protection: Right to life (pp. 631–651). Provincial Protector of Citizens – Ombudsman; Institute of Criminological and Sociological Research.

Bellur, Z., Aydın, A., & Alpay, E. H. (2018). Mediating role of coping styles in personal, environmental and event related factors and posttraumatic growth relationships in women with breast cancer. Klinik Psikiyatri Dergisi, 21(1). DOI: https://doi.org/10.5505/kpd.2018.65365

Boland, V., Brady, A. M., & Drury, A. (2020). The physical, psychological and social experiences of alopecia among women receiving chemotherapy: An integrative literature review. European Journal of Oncology Nursing, 49. DOI: https://doi.org/10.1016/j.ejon.2020.101840

Bray, F., Laversanne, M., Sung, H., Ferlay, J., Siegel, R., Soerjomataram, I. & Jemal, A. (2024). Global cancer statistics 2022: GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries. CA: A Cancer Journal for Clinicians, 74(3), 229–263. DOI: https://doi.org/10.3322/caac.21834

Capewell, C., Ralph, S. & Symonds, M. (2020). Listening to Women’s Voices: Using an Adapted Photovoice Methodology to Access Their Emotional Responses to Diagnosis and Treatment of Breast Cancer. Journal of Patient Experience, 7(6), 1316–1323. DOI: https://doi.org/10.1177/2374373520930463

Cella, F. (1994). Quality of Life: Concepts and Definition. Journal of Pain and Symptom Mallagement, 9(3), 186–192. DOI: https://doi.org/10.1016/0885-3924(94)90129-5

Cohler, B. J. (1987). Adversity, resilience, and the study of lives. In E. J. Anthony & B. J. Cohler (Eds.), The invulnerable child (pp. 363–424). The Guilford Press.

Derogatis, L. R. (1986). The Psychosocial Adjustment to Illness Scale (PAIS). Journal of Psychosomatic Research, 30(1), 77–91. DOI: https://doi.org/10.1016/0022-3999(86)90069-3

Dooley, L., Slavich, G., Moreno, P. & Bower, J. (2017). Strength through adversity: Moderate lifetime stress exposure is associated with psychological resilience in breast cancer survivors. Stress Health, 33(5), 549–57. DOI: https://doi.org/10.1002/smi.2739

Dutta-Bergman, M. J. (2005). Developing a profile of consumer intention to seek out additional information beyond a doctor: the role of communicative and motivation variables. Health Communication, 17(1), 1–16. DOI: https://doi.org/10.1207/s15327027hc1701_1

Erden, Y., Cecen Celik, H. & Karakurt, N. (2025). Women’s body image after mastectomy: a photovoice study. Supportive Care in Cancer, 33, 501. DOI: https://doi.org/10.1007/s00520-025-09541-3

Falagas, M., Zarkadoulia1, E., Ioannidou1, E., Peppas, G., Christodoulou, C. & Rafailidis, P. (2007). The effect of psychosocial factors on breast cancer outcome: A systematic review. Breast Cancer Research, 9(R44). DOI: https://doi.org/10.1186/bcr1744

Fletcher, D., & Sarkar, M. (2013). Psychological resilience: A review and critique of definitions, concepts and theory. European Psychologist, 18(1), 12–23. DOI: https://doi.org/10.1027/1016-9040/a000124

Gaspar, T., Ferreira, J., & Coelho, A. (2025). Survivors of Oncological Disease: Experience and Satisfaction with National Health Care and Service. Healthcare, 13(18), 2330. DOI: https://doi.org/10.3390/healthcare13182330

Herrman, H., Stewart, D. E., Diaz-Granados, N., Berger, E. L., Jackson, B., & Yuen, T. (2011). What is resilience?. The Canadian Journal of Psychiatry, 56(5), 258–265. DOI: https://doi.org/10.1177/070674371105600504

IARC- International Agency for Research on Cancer – World Health Organization. (2025, February 24). Breast cancer cases and deaths are projected to rise globally Press Release No. 361. https://www.iarc.who.int/wp-content/uploads/2025/02/pr361_E.pdf

Jin, Y., Bhattarai, M., Kuo, W.C. & Bratzke, L. (2022). Relationship between resilience and self‐care in people with chronic conditions: A systematic review and meta‐analysis. Journal of Clinical Nursing, 32(9–10), 2041–2055. DOI: https://doi.org/10.1111/jocn.16258

Kim, J., Harper, A., McCormack,V., Sung, H., Houssami, N., Morgan, E., Mutebi, M., Garvey, G., Soerjomataram, I. & Fidler-Benaoudia, M. M. (2025). Global patterns and trends in breast cancer incidence and mortality across 185 countries. Nature Medicine, 31, 1154–1162. DOI: https://doi.org/10.1038/s41591-025-03502-3

Lee, E. S., Lee, M. K., Kim, S. H., Ro, J. S., Kang, H. S., Kim, S. W., Lee, K. S. & Yun, Y. H. (2011). Health-related quality of life in survivors with breast cancer 1 year after diagnosis compared with the general population: a prospective cohort study. Annals of Surgery, 253(1), 101–108. DOI: https://doi.org/10.1097/SLA.0b013e3181f662ce

Lee, S. H., Min, Y. S., Park, H. Y. & Jung, T. D. (2012). Health-related quality of life in breast cancer patients with lymphedema who survived more than one year after surgery. Journal of Breast Cancer, 15(4), 449–453. DOI: https://doi.org/10.4048/jbc.2012.15.4.449

Lee, S. T., Dutta, M. J., Luk, P., Kaur-Gill, S., & Lin, J. (2023). Health Orientation as a Psychographic Framework for Understanding Physical Exercise Behavior. Health Communication, 38(3), 460–467. DOI: https://doi.org/10.1080/10410236.2021.1956037

Liu, Y., Li, Y., Chen, L., Li, Y., Qi, W. & Yu, L. (2018). Relationships between family resilience and posttraumatic growth in breast cancer survivors and caregiver burden. Psycho-Oncology, 27(4), 1284–1290. DOI: https://doi.org/10.1002/pon.4668

Napoles, A. M., Gregorich, S.E., Santoyo-Olsson, J., O'Brien, H. & Stewart, A. L. (2009). Interpersonal processes of care and patient satisfaction: do associations differ by race, ethnicity, and language? Health Services Research, 44(4),1326–1344. DOI: https://doi.org/10.1111/j.1475-6773.2009.00965.x

Owczarek, K. (2010). The Concept of Quality of Life. Acta Neuropsychologica, 8(3), 207-213.

Pieters, H. C. (2016). I’m still here: Resilience among older sur vivors of breast cancer. Cancer Nursing, 39(1), E20–E28. DOI: https://doi.org/10.1097/NCC.0000000000000248

Riegel, B., Jaarsma, T., & Strömberg, A. (2012). A middle-range theory of self-care of chronic illness. Advances in Nursing Science, 35(3), 194–204. DOI: https://doi.org/10.1097/ANS.0b013e318261b1ba

Ristevska-Dimitrоvska, G., Filov, I., Rajchanovska, D., Stefanovski, P. & Dejanova, B. (2015). Resilience and Quality of Life in Breast Cancer Patients. Open Access Macedonian Journal of Medical Sciences, 3(4), 727–731. DOI: https://doi.org/10.3889/oamjms.2015.128

Roine, E., Sintonen, H., Kellokumpu-Lehtinen, P. L., Penttinen, H., Utriainen, M., Vehmanen, L., Huovinen, R., Kautiainen, H., Nikander, R., Blomqvist, C., Hakamies-Blomqvist, L., & Saarto, T. (2021). Long-term health-related quality of life of breast cancer survivors remains impaired compared to the age-matched general population especially in young women. Results from the prospective controlled BREX exercise study. The Breast, 59, 110–116. DOI: https://doi.org/10.1016/j.breast.2021.06.012

Segerstrom, S. C., Taylor, S. E., Kemeny, M. E., & Fahey, J. L. (1998). Optimism is associated with mood, coping, and immune change in response to stress. Journal of Personality and Social Psychology, 74(6), 1646–1655. DOI: https://doi.org/10.1037/0022-3514.74.6.1646

Schomberg, J., Teismann, T., Gerlach, A. L., & Cwik, J. (2025). Testing the predictions of the interpersonal-psychological theory of suicide in a sample of female cancer patients. Support Care Cancer, 33, 1157. DOI: https://doi.org/10.1007/s00520-025-10224-2

Schulze, T., Maercker, A., & Horn, A. B. (2014). Mental health and multimorbidity: psychosocial adjustment as an important process for quality of life. Gerontology, 60(3), 249– 254. DOI: https://doi.org/10.1159/000358559

Simancas Fernández, M., Zapata Ruedab, C., & Galván Patrignania, G. (2023). Adaptation to the disease, resilience and optimism in woman with breast cancer. Revista Colombiana de Psiquiatría, 52(4), 280-286. DOI: https://doi.org/10.1016/j.rcpeng.2021.06.016

Stanton, A., & Bower, J. (2015). Psychological adjustment in breast cancer survivors. In A. Ganz (Ed.), Improving Outcomes for Breast Cancer Survivors: Perspectives on Research Challenges and Opportunities (pp. 231–242). Springer. DOI: https://doi.org/10.1007/978-3-319-16366-6_15

Stanton, A., Revenson, T. & Tennen, H. (2007). Health Psychology: Psychological Adjustment to Chronic Disease. Annual Review of Psychology, 58(1), 565–592. DOI: https://doi.org/10.1146/annurev.psych.58.110405.085615

Thind, A., Liu, Y. & Maly, R. C. (2011). Patient satisfaction with breast cancer follow-up care provided by family physicians. Journal of the American Board of Family Medicine, 24(6), 710–716. DOI: https://doi.org/10.3122/jabfm.2011.06.100288

Togas, C., & Parlalis, S. (2021). Translation and Psychometric Evaluation of the Health Orientation Scale in a Greek Speaking Sample (Greece-Cyprus). Health Psychology Research. 9(1). DOI: https://doi.org/10.52965/001c.24766

Tu, P., Yeh, D., & Hsieh, H. (2020). Positive psychological changes after breast cancer diagnosis and treatment: The role of trait resilience and coping styles. Journal of Psychosocial Oncology, 38, 156–170. DOI: https://doi.org/10.1080/07347332.2019.1649337

Vella, S. L. C. & Pai, N. (2019). A Theoretical Review of Psychological Resilience: Defining Resilience and Resilience Research over the Decades. Archives of Medicine and Health Sciences 7(2), 233–239. DOI: https://doi.org/10.4103/amhs.amhs_119_19

Veličković, K., Johnsson, P., Månsson, J., & Lundberg, T. (2024). “You Can’t Influence Illness, But You Can Influence Everything Else”: Women’s Diverse Experiences of Important Resilience Aspects in the Context of Breast Cancer. Sage Open, 14(4). DOI: https://doi.org/10.1177/21582440241292710

Vicko, F. (Ed.). (2025). Dijagnostikovanje i lečenje karcinoma dojke: nacionalni vodič dobre kliničke prakse. Ministarstvo zdravlja Republike Srbije.

Wagnild, G. M., & Young, H. M. (1993). Development and psychometric evaluation of the Resilience Scale. Journal of Nursing Measurement, 1(2), 165–178.

World Health Organisation. (2025). Leading causes of death, Serbia, World Health Organization. https://data.who.int/countries/688

Waljee, J. F., Hu, E. S., Newman, L. A. & Alderman, A.K. (2008). Correlates of patient satisfaction and provider trust after breast-conserving surgery. Cancer, 112, 1679– 1687. DOI: https://doi.org/10.1002/cncr.23351

Wang, Y. F., Liu, A. K., Dai, J. Z., Zhang, J. P., Chen, H. H., Jiang, X. H., Tang, L., He, Y. Y., & Yang, Q. H. (2024). The effect of illness perception on psychosocial adjustment of patients with breast cancer and their spouses: actor–partner independence model. BMC Psychology, 12, 310. DOI: https://doi.org/10.1186/s40359-024-01741-6

Zhang, T., Li, H., Liu, A., Wang, H., Mei, Y., & Dou, W. (2018). Factors promoting resilience among breast cancer patients: A qualitative study. Contemporary Nurse, 54(3), 293–303. DOI: https://doi.org/10.1080/10376178.2018.1502615

Zhu, H., Yang, L., Yin, H., Yuan, X., Gu, J., & Yang, Y. (2024) The Influencing Factors of Psychosocial Adaptation of Cancer Patients: A Systematic Review and Meta-Analysis. Health Services Insights, 17. DOI: https://doi.org/10.1177/11786329241278814

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Published

2026-05-21

How to Cite

Tadić, V., & Batrićević, A. (2026). Psychosocial Adaptation and Quality of Life of Female Breast Cancer Survivors. Zbornik Instituta Za kriminološka I sociološka istraživanja, 45(1), 23–44. https://doi.org/10.47152/ziksi2026012

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