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A scoping review of resilience in adults with cancer based on the NIH resilience concept model

  • 0School of Nursing, University of Rochester, Helen Wood Hall, 255 Crittenden Blvd, Rochester, NY, 14620, USA. zz3238@columbia.edu.
Supportive Care in Cancer : Official Journal of the Multinational Association of Supportive Care in Cancer +

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May 1, 2025

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May 1, 2025

View abstract on PubMed

Summary

This summary is machine-generated.

This review of cancer resilience research highlights varied definitions and measures. Gaps exist in understanding resilience in older adults and physiological/molecular aspects of cancer survivorship.

Area Of Science

  • Oncology
  • Psychology
  • Gerontology

Background

  • Resilience is crucial for adults with cancer, particularly older adults (65+).
  • The NIH Resilience Concept Model (NIH-RCM) provides a framework for understanding resilience through stressors, systems, and responses.
  • A comprehensive review is needed to synthesize current research on cancer resilience using the NIH-RCM.

Purpose Of The Study

  • To conduct a scoping review of resilience in adults with cancer, focusing on those 65 and older.
  • To organize and summarize existing research using the NIH-RCM framework.
  • To identify research gaps in cancer resilience.

Main Methods

  • Systematic literature search of PubMed, CINAHL, PsycINFO, and Web of Science (inception to July 2022).
  • Included studies examined resilience in adults with cancer (including those 65+).
  • Studies were categorized by NIH-RCM components: stressor, system, and responses, including definitions and measures.

Main Results

  • Eighty-nine studies were included; most focused on all adult ages, with only ten on older adults.
  • Cancer-related events were stressors in 78% of studies; the psychosocial system was the focus in 94%.
  • Diverse resilience definitions (60%) and measures (99%) were found, with 15% using pre/post stressor comparisons.

Conclusions

  • Significant variation exists in defining and measuring resilience in cancer research.
  • Key research gaps include a lack of focus on older adults with cancer.
  • Further investigation is needed into the physiological and molecular/genetic systems' roles in cancer resilience.

Keywords:

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