Modeling of resilience based on the five-factor of personality with the mediation of coping strategies and psychological capital in breast cancer

Abstract

Objective: Important factors such as personality type, coping styles, and psychological capital have an effect on the resilience of women with breast cancer. The purpose of the study is to investigate the structural relationship of these factors with each other. Method: The subjects of this study included 231 women (20-55 years old) diagnosed with breast cancer who were treated in the breast cancer department of Imam Khomeini Hospital in Tehran from 2022-2023. The formula proposed by Tebachnik and Fidel (2007) was used to estimate the sample size. Psychological resilience (Connor and Davidson, 2003), NEO-PI personality questionnaire (Costa and McCree, 1992), and Coping strategies questionnaire (Endler and Parker, 1990) were used to measure research variables.Results: The results of structural analysis showed that five personality factors directly explain 0.447 of changes in resilience. Based on the coefficients of 0.974 and 0.207, five indirect personality factors and coping strategies have a 0.21 effect on resilience, and based on the coefficients of 0.914 and 0.365, five indirect personality factors and Psychological capital have a 0.33 effect on resilience. Therefore, five personality factors can lead to an increase in resilience through coping strategies and psychological capital. In addition, the path coefficients about the two-way relationship of the variables showed that 44% of changes in resilience were influenced by personality, 97% of changes in coping strategies were influenced by personality, 91% of changes in psychological capital were influenced by personality, and 20% of changes in resilience were influenced by personality. The effect of coping strategies and 36% of resilience changes was influenced by psychological capital. Conclusion: One of the determining factors of resilience in a chronic disease such as breast cancer is the role of personality traits, which is influenced by positive psychological variables such as coping strategies and psychological capital of the patient