Resilience in adults with cancer: development of a conceptual model
A partir d'une revue de la littérature, cette étude développe un modèle conceptuel permettant de définir le phénomène de résilience chez des adultes atteints de cancer
Objective : Resilience is a construct addressed in the psycho-oncology literature and is especially relevant to cancer survivorship. The purpose of this paper is to propose a model for resilience that is specific to adults diagnosed with cancer. Methods : To establish the proposed model, a brief review of the various definitions of resilience and of the resilience literature in oncology is provided. Results : The proposed model includes baseline attributes (personal and environmental) which impact how an individual responds to an adverse event, which in this paper is cancer-related. The survivor has an initial response that fits somewhere on the distress–resilience continuum; however, post-cancer experiences (and interventions) can modify the initial response through a process of recalibration. Conclusions : The literature reviewed indicates that resilience is a common response to cancer diagnosis or treatment. The proposed model supports the view of resilience as both an outcome and a dynamic process. Given the process of recalibration, a discussion is provided of interventions that might facilitate resilience in adults with cancer.