ArticleSupportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer2025
A scoping review of resilience in adults with cancer based on the NIH resilience concept model.
Article in Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
purposeThe NIH Resilience Concept Model (NIH-RCM) is a comprehensive model that conceptualizes resilience through three components: challenge or stressor, system, and the system's responses, providing a clear definition and measurement approach for resilience research. This scoping review uses the NIH-RCM as a framework to organize and summarize research on resilience in adults with cancer, especially those aged 65 + , and identify research gaps.
methodsA systematic search of PubMed, CINAHL, PsycINFO, and Web of Science was conducted to identify studies that examined resilience in the individual domain of adults (including those ≥ 65 years) with cancer from inception to July 2022. Included studies were organized into the components (stressor, system, and responses), definition, and measures of resilience.
resultsEighty-nine studies were included. Most (88%) studies included adults of all ages, with only ten focusing exclusively on older adults. Of the 89 studies, 78% identified cancer-related events as stressors, and 94% of studies identified the individual psychosocial system as the system affected by the stressor and measured the system's responses within the psychosocial subdomain. Several resilience definitions were identified from 60% of studies, with 44% conceptualizing resilience as an ability. Five types of resilience measures were identified in 99% of studies, with 15% measuring resilience by comparing pre- and post-stressor changes in the system's responses.
conclusionsThere was a range of definitions and measures for resilience. Gaps in research include a minimal focus on older adults with cancer and individuals' physiological and molecular/genetic systems and their responses within these subdomains.
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