Factors Affecting Depression and Resilience in Women with Breast Cancer

Gayatri Kintan Larasati1), Rita Benya Adriani2), Bhisma Murti1)


1)Masters Program in Public Health, Universitas Sebelas Maret

2)Department of Occupational Therapy, School of Health Polytechnics Surakarta



Background: Breast cancer patients often experience a high level of distress that leads to depression. Depression is a psychological symptom perceived by breast cancer patients and it also impacts the quality of life. This study aimed to determine factors affecting depression and resilience in women with breast cancer.

Subjects and Method: A cross sectional study was carried out in Kerten, Surakarta, from November to December 2018. A sample of 200 women with breast cancer was selec­ted by simple random sampling. The dependent variable was the resilience of breast cancer. The independent variables were depression, family support, peer sup­port, group support, self-efficacy, and coping mechanism.

Results: The resilience of women with breast cancer increased with family support (b= 0.22; 95% CI= 0.11 to 0.32; p<0.001), peer support (b= 0.23; 95% CI= 0.12 to 0.33; p<0.001), group support (b= 0.18; 95% CI= 0.06 to 0.29; p= 0.003), self-efficacy (b= 0.15; 95% CI= 0.06 to 0.25; p= 0.002), and good coping mechanism (b= 0.06; 95% CI= 0.03 to 0.09; p= 0.001). It was decreased by depression (b= -0.09; 95% CI= -0.14 to -0.05; p<0.001). Adjusted R-square= 58.49%.

Conclusion: The resilience of women with breast cancer increases with family sup­port, peer support, group support, self-efficacy, and good coping mechanism. It is dec­reased by depression.

Keywords: resilience, breast cancer, depression, coping mechanism, family support

Correspondence: Gayatri Kintan Larasati. Masters Program in Public Health, Universitas Sebelas Maret, Jl. Ir. Sutami 36A, Surakarta 57126, Central Java, Indonesia. Email: gayatrikintanlarasati@gmail.com. Mobile: +6285655084332.

DOI: https://doi.org/10.26911/theicph.2019.05.01

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