Unveiling the power of optimism, social support, and psychological resilience in kidney cancer patients

  • Zekeriya Temircan * Department of Psychology, Humanities and Social Sciences Faculty, University of Cappadocia, Nevsehir 50420, Turkey
  • Kelly Schuller Florida Gulf Coast University, Florida 33965-6502, USA
Article ID: 5480
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Keywords: kidney cancer; optimism; social support; resilience

Abstract

The present study aimed to examine the relationships among optimism, social support, and psychological resilience in kidney cancer patients. A cross-sectional design was employed with 131 participants, who completed a questionnaire including demographic information, the Connor-Davidson Psychological Resilience Scale, the Multidimensional Perceived Social Support Scale, and the Optimism Scale. Results indicated that males reported higher levels of optimism and social support than females, although gender did not significantly influence psychological resilience. Younger patients exhibited higher social support, optimism, and resilience compared to older adults. Regarding disease stage, optimism was highest in Stage I, whereas perceived social support and psychological resilience peaked in Stage II, suggesting greater coping efforts and engagement with support during treatment. Correlation and regression analyses demonstrated that higher optimism and social support particularly from family and friends were significantly associated with enhanced psychological resilience, with optimism moderating the impact of social support on resilience. The strong interrelationships among the sub-dimensions of social support highlight the integrated role of social resources in promoting well-being. These findings underscore the importance of fostering optimism and social support through tailored psychosocial interventions, which may strengthen coping strategies and overall quality of life throughout the kidney cancer trajectory.

Published
2026-01-09
How to Cite
Temircan, Z., & Schuller, K. (2026). Unveiling the power of optimism, social support, and psychological resilience in kidney cancer patients. Psycho-Oncologie, 20(1), 5480. https://doi.org/10.18282/po5480
Section
Article

References

1. Bray F, Ferlay J, Soerjomataram I, et al. Global cancer statistics 2018: GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries. A Cancer Journal for Clinicians. 2020;70[4]: 313. doi: 10.3322/caac.21492

2. Turkish Cancer Statistics. Available online: https://hsgm.saglik.gov.tr/depo/birimler/kanser-db/Dokumanlar/Istatistikler/Turkiye_Kanser_Istatistikleri_2020.pdf (accessed on 23 June 2025).

3. Smittenaar CR, Petersen KA, Stewart K, et al. Cancer incidence and mortality projections in the UK until 2035. British Journal of Cancer. 2016; 115(9): 1147–1155. doi: 10.1038/bjc.2016.304

4. Cumberbatch MG, Rota M, Catto JWF, et al. The Role of Tobacco Smoke in Bladder and Kidney Carcinogenesis: A Comparison of Exposures and Meta-analysis of Incidence and Mortality Risks. European Urology. 2016; 70(3): 458–466. doi: 10.1016/j.eururo.2015.06.042

5. Lauby-Secretan B, Scoccianti C, Loomis D, et al. International Agency for Research on Cancer Handbook Working Group Body Fatness and Cancer--Viewpoint of the IARC Working Group. The New England journal of medicine. 2016; 375(8): 794–798. doi: 10.1056/nejmsr1606602

6. Ancoli-Israel S, Liu L, Rissling M, et al. Sleep, fatigue, depression, and circadian activity rhythms in women with breast cancer before and after treatment: a 1-year longitudinal study. Supportive Care in Cancer. 2014; 22(9): 2535–2545. doi: 10.1007/s00520-014-2204-5

7. Aydın Sayılan A, Demir Doğan M. Illness perception, perceived social support and quality of life in patients with diagnosis of cancer. European Journal of Cancer Care. 2020; 29(4). doi: 10.1111/ecc.13252

8. Ruiz-Rodríguez I, Hombrados-Mendieta I, Melguizo-Garín A, et al. The Association of Sources of Support, Types of Support and Satisfaction with Support Received on Perceived Stress and Quality of Life of Cancer Patients. Integrative Cancer Therapies. 2021; 20. doi: 10.1177/1534735421994905

9. Fong AJ, Scarapicchia TMF, McDonough MH, et al. Changes in social support predict emotional well-being in breast cancer survivors. Psycho-Oncology. 2016; 26(5): 664–671. doi: 10.1002/pon.4064

10. Yağmur Y, Duman M. The relationship between the social support level perceived by patients with gynecologic cancer and mental adjustment to cancer. International Journal of Gynecology & Obstetrics. 2016; 134(2): 208–211. doi: 10.1016/j.ijgo.2015.12.010

11. Thompson T, Pérez M, Kreuter M, et al. Perceived social support in African American breast cancer patients: Predictors and effects. Social Science & Medicine. 2019; 223: 117–120. doi: 10.1016/j.socscimed.2017.09.035

12. Saboonchi F, Petersson LM, Alexanderson K, et al. Expecting the best and being prepared for the worst: structure, profiles, and 2-year temporal stability of dispositional optimism in women with breast cancer. Psychooncology. 2016; 25(8): 957–963. doi: 10.1002/pon.4045

13. Fischer IC, Cripe LD, Rand KL. Predicting symptoms of anxiety and depression in patients living with advanced cancer: the differential roles of hope and optimism. Supportive Care in Cancer. 2018; 26(10): 3471–3477. doi: 10.1007/s00520-018-4215-0

14. Luo D, Eicher M, White K. Individual resilience in adult cancer care: A concept analysis. International Journal of Nursing Studies. 2020; 102: 103467. doi: 10.1016/j.ijnurstu.2019.103467

15. Lee SY, Lee H, Fawcett J, et al. Resilience in Koreans with Cancer. Journal of Hospice & Palliative Nursing. 2019; 21(5): 358–364. doi: 10.1097/njh.0000000000000543

16. Stainton A, Chisholm K, Kaiser N, et al. Resilience as a multimodal dynamic process. Early Intervention in Psychiatry. 2018; 13(4): 725–732. doi: 10.1111/eip.12726

17. Zhang H, Zhao Q, Cao P, et al. Resilience and Quality of Life: Exploring the Mediator Role of Social Support in Patients with Breast Cancer. Medical Science Monitor. 2017; 23: 5969–5979. doi: 10.12659/msm.907730

18. Çakir H, Küçükakça Çelik G, Çirpan R. Correlation between social support and psychological resilience levels in patients undergoing colorectal cancer surgery: a descriptive study. Psychology, Health & Medicine. 2020; 26(7): 899–910. doi: 10.1080/13548506.2020.1859561

19. Zimet GD, Dahlem NW, Zimet SG, Farley GK. The Multidimensional Scale of Perceived Social Support. Journal of Personality Assessment. 1988; 52: 30–41. doi: 10.1207/s15327752jpa5201_2.

20. Eker D, Arkar H, Yaldız H. Factor structure, validity, and reliability of the revised form of the Multidimensional Scale of Perceived Social Support in a Turkish sample. Turkish Journal of Psychiatry. 2001; 12(1): 17–25.

21. Scheier MF, Carver CS. Optimism, coping, and health: Assessment and implications of generalized outcome expectancies. Health Psychology. 1985; 4(3): 219–247. doi: 10.1037/0278-6133.4.3.219.

22. Perez-Tejada J, Aizpurua-Perez I, Labaka A, et al. Distress, proinflammatory cytokines and self-esteem as predictors of quality of life in breast cancer survivors. Physiology & Behavior. 2021; 230: 113297. doi: 10.1016/j.physbeh.2020.113297

23. Deno M, Tashiro M, Miyashita M, et al. The mediating effects of social support and self‐efficacy on the relationship between social distress and emotional distress in head and neck cancer outpatients with facial disfigurement. Psycho-Oncology. 2010; 21(2): 144–152. doi: 10.1002/pon.1877

24. Hou CH, Chen PL. Optimism, Social Support, and Caregiving Burden among the Long-Term Caregivers: The Mediating Effect of Psychological Resilience. International Journal of Mental Health Promotion. 2024; 26(9): 697–708. doi: 10.32604/ijmhp.2024.051751

25. Cui C, Wang L. Role of social support in the relationship between resilience and sleep quality among cancer patients. Frontiers in Psychiatry. 2024; 15. doi: 10.3389/fpsyt.2024.1310118

26. Schou I, Ekeberg Ø, Ruland CM, et al. Pessimism as a predictor of emotional morbidity one year following breast cancer surgery. Psycho-Oncology. 2003; 13(5): 309–320. doi: 10.1002/pon.747

27. Shahrokni A, Sun CL, Tew WP, et al. The association between social support and chemotherapy-related toxicity in older patients with cancer. Journal of Geriatric Oncology. 2020; 11(2): 274–279. doi: 10.1016/j.jgo.2019.08.015

28. Nenova M, DuHamel K, Zemon V, et al. Posttraumatic growth, social support, and social constraint in hematopoietic stem cell transplant survivors. Psychooncology. 2013; 22[1]: 195–202. doi: 10.1002/pon.2073

29. Jafari A, Hesampoor F. The Comparison of Coping Strategies and Psychological Hardiness between Parents of Children with Cancer of Positive and Negative Responding to Treatment. journal of ilam university of medical sciences. 2017; 24(6): 189–202. doi: 10.18869/acadpub.sjimu.24.6.189

30. Costa ALS, Heitkemper MM, Alencar GP, et al. Social Support Is a Predictor of Lower Stress and Higher Quality of Life and Resilience in Brazilian Patients with Colorectal Cancer. Cancer Nursing. 2017; 40(5): 352–360. doi: 10.1097/ncc.0000000000000388

31. Applebaum AJ, Stein EM, Lord‐Bessen J, et al. Optimism, social support, and mental health outcomes in patients with advanced cancer. Psycho-Oncology. 2013; 23(3): 299–306. doi: 10.1002/pon.3418

32. Marton G, Monzani D, Vergani L, et al. “Optimism Is a Strategy for Making a Better Future.” European Psychologist. 2022; 27(1): 41–61. doi: 10.1027/1016-9040/a000422