Resilience and its associated factors in brain tumor patients in Karachi, Pakistan: An analytical cross‐sectional study
Objectives This study assessed resilience in brain tumor patients at a tertiary care hospital in Pakistan (a lower middle‐income country; LMIC) and explored its relationship with patients' sociodemographic factors, clinical characteristics, social support, and mental health. Methods A cross‐sec...
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| Veröffentlicht in: | Psycho-oncology (Chichester, England) England), 2021-06, Vol.30 (6), p.882-891 |
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| creator | Zahid, Nida Martins, Russell Seth Zahid, Wajeeha Khalid, Wardah Azam, Iqbal Bhamani, Shireen Shehzad Ahmad, Khabir Jabbar, AdnanAbdul Shamim, Muhammad Shahzad Khan, Rashid Jooma Javed, Gohar Bari, Ehsan Asad, Nargis Enam, Syed Ather |
| description | Objectives
This study assessed resilience in brain tumor patients at a tertiary care hospital in Pakistan (a lower middle‐income country; LMIC) and explored its relationship with patients' sociodemographic factors, clinical characteristics, social support, and mental health.
Methods
A cross‐sectional survey was conducted amongst adult (≥18 years) patients with brain tumor at the Aga Khan University Hospital, Pakistan. Resilience was assessed by Wagnild and Young's Resilience Scale, and patients' psychosocial characteristics by the Hospital Anxiety and Depression Scale and the Enriched Social Support Instrument.
Results
A total of 250 patients were included (mean age: 44 years; 68% males), with majority (97.6%) having high social support and only 4.4% and 2% having symptomatic depression and anxiety, respectively. On multivariable linear regression adjusted for covariates, lower resilience was associated with not being involved in household decision‐making (Adjusted Beta Coefficient: 4.58 [95% Confidence Interval:−7.59, −1.56]), not currently working (−2.80 [−4.61, −0.99]), undergoing multiple neurosurgical interventions such as tumor biopsies or resections (−8.64 [−13.11, −4.16]), receiving chemotherapy (−5.17 [−9.51, −0.83]) or combination adjuvant therapy (−2.91 [−5.14, −0.67]), low social support (−7.77 [−13.73, 1.81]), mild depression (−13.00 [‐17.00,‐8.99]) or symptomatic depression (−19.79 [−24.69, −14.89]), and mild anxiety (−4.24 [−7.98, −0.50]).
Conclusion
Our study highlights the function of familial/household role and working status in mediating resilience, and demonstrates the well‐known protective effect of resilience for mental health in brain tumor patients in Pakistan, a South‐Asian LMIC. These findings are of clinical relevance with regards to the development of culture‐specific evidence‐based resilience‐building interventions that may help patients with brain tumors to cope with the psychological distress of cancer. |
| doi_str_mv | 10.1002/pon.5661 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_wiley</sourceid><recordid>TN_cdi_proquest_journals_2536837828</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2536837828</sourcerecordid><originalsourceid>FETCH-LOGICAL-c4151-eb17ae5e9b4d4edc3efd2e7b72a55623bbbd94eefed7bffd82d3c160d6768fcd3</originalsourceid><addsrcrecordid>eNqNkcuKFTEQhoMozjgKPoEE3AjaYy7dScfdcPCGgzOIrptcKpixT-eYpJHe-Qg-o09i-sxxBEFwkxTFVz9_1Y_QQ0pOKSHs-S5Op50Q9BY6pkSphgpKb691JxvFWnWE7uV8RUiFlbiLjjgXRJG2P0bLB8hhDDBZwHpyOJSMdc7RBl3AYa9tiSnjMGGTdH3LvI0J73SpI2Xff6eTtp_DM3ypv4Rc9PQCn01VS49LCVaP2KaY88_vPzLYEmLt41xmt9xHd7weMzw4_Cfo06uXHzdvmvOL1283Z-eNbWlHGzBUauhAmda14CwH7xhII5nuOsG4McapFsCDk8Z71zPHLRXECSl6bx0_QU-udXcpfp0hl2EbsoVx1BPEOQ_1PFS1kila0cd_oVdxTtVxpTouei571v8R3C-WwA-7FLY6LQMlwxrHUOMY1jgq-uggOJstuBvw9_0r8PQa-AYm-mz3QdxghBDBJOGkrRVZ5fr_pzeh6PXemzhPpY42h9EwwvJPx8Plxfu9819BvLfb</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2536837828</pqid></control><display><type>article</type><title>Resilience and its associated factors in brain tumor patients in Karachi, Pakistan: An analytical cross‐sectional study</title><source>Access via Wiley Online Library</source><source>Applied Social Sciences Index & Abstracts (ASSIA)</source><source>Web of Science - Science Citation Index Expanded - 2021<img src="https://exlibris-pub.s3.amazonaws.com/fromwos-v2.jpg" /></source><source>Web of Science - Social Sciences Citation Index – 2021<img src="https://exlibris-pub.s3.amazonaws.com/fromwos-v2.jpg" /></source><creator>Zahid, Nida ; Martins, Russell Seth ; Zahid, Wajeeha ; Khalid, Wardah ; Azam, Iqbal ; Bhamani, Shireen Shehzad ; Ahmad, Khabir ; Jabbar, AdnanAbdul ; Shamim, Muhammad Shahzad ; Khan, Rashid Jooma ; Javed, Gohar ; Bari, Ehsan ; Asad, Nargis ; Enam, Syed Ather</creator><creatorcontrib>Zahid, Nida ; Martins, Russell Seth ; Zahid, Wajeeha ; Khalid, Wardah ; Azam, Iqbal ; Bhamani, Shireen Shehzad ; Ahmad, Khabir ; Jabbar, AdnanAbdul ; Shamim, Muhammad Shahzad ; Khan, Rashid Jooma ; Javed, Gohar ; Bari, Ehsan ; Asad, Nargis ; Enam, Syed Ather</creatorcontrib><description>Objectives
This study assessed resilience in brain tumor patients at a tertiary care hospital in Pakistan (a lower middle‐income country; LMIC) and explored its relationship with patients' sociodemographic factors, clinical characteristics, social support, and mental health.
Methods
A cross‐sectional survey was conducted amongst adult (≥18 years) patients with brain tumor at the Aga Khan University Hospital, Pakistan. Resilience was assessed by Wagnild and Young's Resilience Scale, and patients' psychosocial characteristics by the Hospital Anxiety and Depression Scale and the Enriched Social Support Instrument.
Results
A total of 250 patients were included (mean age: 44 years; 68% males), with majority (97.6%) having high social support and only 4.4% and 2% having symptomatic depression and anxiety, respectively. On multivariable linear regression adjusted for covariates, lower resilience was associated with not being involved in household decision‐making (Adjusted Beta Coefficient: 4.58 [95% Confidence Interval:−7.59, −1.56]), not currently working (−2.80 [−4.61, −0.99]), undergoing multiple neurosurgical interventions such as tumor biopsies or resections (−8.64 [−13.11, −4.16]), receiving chemotherapy (−5.17 [−9.51, −0.83]) or combination adjuvant therapy (−2.91 [−5.14, −0.67]), low social support (−7.77 [−13.73, 1.81]), mild depression (−13.00 [‐17.00,‐8.99]) or symptomatic depression (−19.79 [−24.69, −14.89]), and mild anxiety (−4.24 [−7.98, −0.50]).
Conclusion
Our study highlights the function of familial/household role and working status in mediating resilience, and demonstrates the well‐known protective effect of resilience for mental health in brain tumor patients in Pakistan, a South‐Asian LMIC. These findings are of clinical relevance with regards to the development of culture‐specific evidence‐based resilience‐building interventions that may help patients with brain tumors to cope with the psychological distress of cancer.</description><identifier>ISSN: 1057-9249</identifier><identifier>EISSN: 1099-1611</identifier><identifier>DOI: 10.1002/pon.5661</identifier><identifier>PMID: 33609048</identifier><language>eng</language><publisher>HOBOKEN: Wiley</publisher><subject>Adjuvant therapy ; Anxiety ; Biomedical Social Sciences ; Biopsy ; Brain cancer ; brain tumor ; Brain tumors ; Cancer ; Chemotherapy ; Combination therapy ; Cross-sectional studies ; depression ; developing countries ; Intervention ; Life Sciences & Biomedicine ; Males ; Men ; Mental depression ; Mental disorders ; Mental health ; Oncology ; Psychological distress ; Psychology ; Psychology, Multidisciplinary ; Psychosocial factors ; psycho‐oncology ; Resilience ; Science & Technology ; Social Sciences ; Social Sciences, Biomedical ; Social support ; Sociodemographics ; Tumors</subject><ispartof>Psycho-oncology (Chichester, England), 2021-06, Vol.30 (6), p.882-891</ispartof><rights>2021 John Wiley & Sons Ltd.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>true</woscitedreferencessubscribed><woscitedreferencescount>9</woscitedreferencescount><woscitedreferencesoriginalsourcerecordid>wos000627030400001</woscitedreferencesoriginalsourcerecordid><citedby>FETCH-LOGICAL-c4151-eb17ae5e9b4d4edc3efd2e7b72a55623bbbd94eefed7bffd82d3c160d6768fcd3</citedby><cites>FETCH-LOGICAL-c4151-eb17ae5e9b4d4edc3efd2e7b72a55623bbbd94eefed7bffd82d3c160d6768fcd3</cites><orcidid>0000-0001-8812-9463 ; 0000-0002-7776-0281</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1002%2Fpon.5661$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1002%2Fpon.5661$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>315,782,786,1419,27931,27932,31006,39264,39265,45581,45582</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/33609048$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Zahid, Nida</creatorcontrib><creatorcontrib>Martins, Russell Seth</creatorcontrib><creatorcontrib>Zahid, Wajeeha</creatorcontrib><creatorcontrib>Khalid, Wardah</creatorcontrib><creatorcontrib>Azam, Iqbal</creatorcontrib><creatorcontrib>Bhamani, Shireen Shehzad</creatorcontrib><creatorcontrib>Ahmad, Khabir</creatorcontrib><creatorcontrib>Jabbar, AdnanAbdul</creatorcontrib><creatorcontrib>Shamim, Muhammad Shahzad</creatorcontrib><creatorcontrib>Khan, Rashid Jooma</creatorcontrib><creatorcontrib>Javed, Gohar</creatorcontrib><creatorcontrib>Bari, Ehsan</creatorcontrib><creatorcontrib>Asad, Nargis</creatorcontrib><creatorcontrib>Enam, Syed Ather</creatorcontrib><title>Resilience and its associated factors in brain tumor patients in Karachi, Pakistan: An analytical cross‐sectional study</title><title>Psycho-oncology (Chichester, England)</title><addtitle>PSYCHO-ONCOLOGY</addtitle><addtitle>Psychooncology</addtitle><description>Objectives
This study assessed resilience in brain tumor patients at a tertiary care hospital in Pakistan (a lower middle‐income country; LMIC) and explored its relationship with patients' sociodemographic factors, clinical characteristics, social support, and mental health.
Methods
A cross‐sectional survey was conducted amongst adult (≥18 years) patients with brain tumor at the Aga Khan University Hospital, Pakistan. Resilience was assessed by Wagnild and Young's Resilience Scale, and patients' psychosocial characteristics by the Hospital Anxiety and Depression Scale and the Enriched Social Support Instrument.
Results
A total of 250 patients were included (mean age: 44 years; 68% males), with majority (97.6%) having high social support and only 4.4% and 2% having symptomatic depression and anxiety, respectively. On multivariable linear regression adjusted for covariates, lower resilience was associated with not being involved in household decision‐making (Adjusted Beta Coefficient: 4.58 [95% Confidence Interval:−7.59, −1.56]), not currently working (−2.80 [−4.61, −0.99]), undergoing multiple neurosurgical interventions such as tumor biopsies or resections (−8.64 [−13.11, −4.16]), receiving chemotherapy (−5.17 [−9.51, −0.83]) or combination adjuvant therapy (−2.91 [−5.14, −0.67]), low social support (−7.77 [−13.73, 1.81]), mild depression (−13.00 [‐17.00,‐8.99]) or symptomatic depression (−19.79 [−24.69, −14.89]), and mild anxiety (−4.24 [−7.98, −0.50]).
Conclusion
Our study highlights the function of familial/household role and working status in mediating resilience, and demonstrates the well‐known protective effect of resilience for mental health in brain tumor patients in Pakistan, a South‐Asian LMIC. These findings are of clinical relevance with regards to the development of culture‐specific evidence‐based resilience‐building interventions that may help patients with brain tumors to cope with the psychological distress of cancer.</description><subject>Adjuvant therapy</subject><subject>Anxiety</subject><subject>Biomedical Social Sciences</subject><subject>Biopsy</subject><subject>Brain cancer</subject><subject>brain tumor</subject><subject>Brain tumors</subject><subject>Cancer</subject><subject>Chemotherapy</subject><subject>Combination therapy</subject><subject>Cross-sectional studies</subject><subject>depression</subject><subject>developing countries</subject><subject>Intervention</subject><subject>Life Sciences & Biomedicine</subject><subject>Males</subject><subject>Men</subject><subject>Mental depression</subject><subject>Mental disorders</subject><subject>Mental health</subject><subject>Oncology</subject><subject>Psychological distress</subject><subject>Psychology</subject><subject>Psychology, Multidisciplinary</subject><subject>Psychosocial factors</subject><subject>psycho‐oncology</subject><subject>Resilience</subject><subject>Science & Technology</subject><subject>Social Sciences</subject><subject>Social Sciences, Biomedical</subject><subject>Social support</subject><subject>Sociodemographics</subject><subject>Tumors</subject><issn>1057-9249</issn><issn>1099-1611</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><sourceid>GIZIO</sourceid><sourceid>HGBXW</sourceid><sourceid>7QJ</sourceid><recordid>eNqNkcuKFTEQhoMozjgKPoEE3AjaYy7dScfdcPCGgzOIrptcKpixT-eYpJHe-Qg-o09i-sxxBEFwkxTFVz9_1Y_QQ0pOKSHs-S5Op50Q9BY6pkSphgpKb691JxvFWnWE7uV8RUiFlbiLjjgXRJG2P0bLB8hhDDBZwHpyOJSMdc7RBl3AYa9tiSnjMGGTdH3LvI0J73SpI2Xff6eTtp_DM3ypv4Rc9PQCn01VS49LCVaP2KaY88_vPzLYEmLt41xmt9xHd7weMzw4_Cfo06uXHzdvmvOL1283Z-eNbWlHGzBUauhAmda14CwH7xhII5nuOsG4McapFsCDk8Z71zPHLRXECSl6bx0_QU-udXcpfp0hl2EbsoVx1BPEOQ_1PFS1kila0cd_oVdxTtVxpTouei571v8R3C-WwA-7FLY6LQMlwxrHUOMY1jgq-uggOJstuBvw9_0r8PQa-AYm-mz3QdxghBDBJOGkrRVZ5fr_pzeh6PXemzhPpY42h9EwwvJPx8Plxfu9819BvLfb</recordid><startdate>202106</startdate><enddate>202106</enddate><creator>Zahid, Nida</creator><creator>Martins, Russell Seth</creator><creator>Zahid, Wajeeha</creator><creator>Khalid, Wardah</creator><creator>Azam, Iqbal</creator><creator>Bhamani, Shireen Shehzad</creator><creator>Ahmad, Khabir</creator><creator>Jabbar, AdnanAbdul</creator><creator>Shamim, Muhammad Shahzad</creator><creator>Khan, Rashid Jooma</creator><creator>Javed, Gohar</creator><creator>Bari, Ehsan</creator><creator>Asad, Nargis</creator><creator>Enam, Syed Ather</creator><general>Wiley</general><general>Wiley Subscription Services, Inc</general><scope>17B</scope><scope>BLEPL</scope><scope>DTL</scope><scope>DVR</scope><scope>EGQ</scope><scope>GIZIO</scope><scope>HGBXW</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QJ</scope><scope>ASE</scope><scope>FPQ</scope><scope>K6X</scope><scope>K9.</scope><scope>NAPCQ</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0001-8812-9463</orcidid><orcidid>https://orcid.org/0000-0002-7776-0281</orcidid></search><sort><creationdate>202106</creationdate><title>Resilience and its associated factors in brain tumor patients in Karachi, Pakistan: An analytical cross‐sectional study</title><author>Zahid, Nida ; Martins, Russell Seth ; Zahid, Wajeeha ; Khalid, Wardah ; Azam, Iqbal ; Bhamani, Shireen Shehzad ; Ahmad, Khabir ; Jabbar, AdnanAbdul ; Shamim, Muhammad Shahzad ; Khan, Rashid Jooma ; Javed, Gohar ; Bari, Ehsan ; Asad, Nargis ; Enam, Syed Ather</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4151-eb17ae5e9b4d4edc3efd2e7b72a55623bbbd94eefed7bffd82d3c160d6768fcd3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>Adjuvant therapy</topic><topic>Anxiety</topic><topic>Biomedical Social Sciences</topic><topic>Biopsy</topic><topic>Brain cancer</topic><topic>brain tumor</topic><topic>Brain tumors</topic><topic>Cancer</topic><topic>Chemotherapy</topic><topic>Combination therapy</topic><topic>Cross-sectional studies</topic><topic>depression</topic><topic>developing countries</topic><topic>Intervention</topic><topic>Life Sciences & Biomedicine</topic><topic>Males</topic><topic>Men</topic><topic>Mental depression</topic><topic>Mental disorders</topic><topic>Mental health</topic><topic>Oncology</topic><topic>Psychological distress</topic><topic>Psychology</topic><topic>Psychology, Multidisciplinary</topic><topic>Psychosocial factors</topic><topic>psycho‐oncology</topic><topic>Resilience</topic><topic>Science & Technology</topic><topic>Social Sciences</topic><topic>Social Sciences, Biomedical</topic><topic>Social support</topic><topic>Sociodemographics</topic><topic>Tumors</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Zahid, Nida</creatorcontrib><creatorcontrib>Martins, Russell Seth</creatorcontrib><creatorcontrib>Zahid, Wajeeha</creatorcontrib><creatorcontrib>Khalid, Wardah</creatorcontrib><creatorcontrib>Azam, Iqbal</creatorcontrib><creatorcontrib>Bhamani, Shireen Shehzad</creatorcontrib><creatorcontrib>Ahmad, Khabir</creatorcontrib><creatorcontrib>Jabbar, AdnanAbdul</creatorcontrib><creatorcontrib>Shamim, Muhammad Shahzad</creatorcontrib><creatorcontrib>Khan, Rashid Jooma</creatorcontrib><creatorcontrib>Javed, Gohar</creatorcontrib><creatorcontrib>Bari, Ehsan</creatorcontrib><creatorcontrib>Asad, Nargis</creatorcontrib><creatorcontrib>Enam, Syed Ather</creatorcontrib><collection>Web of Knowledge</collection><collection>Web of Science Core Collection</collection><collection>Science Citation Index Expanded</collection><collection>Social Sciences Citation Index</collection><collection>Web of Science Primary (SCIE, SSCI & AHCI)</collection><collection>Web of Science - Social Sciences Citation Index – 2021</collection><collection>Web of Science - Science Citation Index Expanded - 2021</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Applied Social Sciences Index & Abstracts (ASSIA)</collection><collection>British Nursing Index</collection><collection>British Nursing Index (BNI) (1985 to Present)</collection><collection>British Nursing Index</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Premium</collection><collection>MEDLINE - Academic</collection><jtitle>Psycho-oncology (Chichester, England)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Zahid, Nida</au><au>Martins, Russell Seth</au><au>Zahid, Wajeeha</au><au>Khalid, Wardah</au><au>Azam, Iqbal</au><au>Bhamani, Shireen Shehzad</au><au>Ahmad, Khabir</au><au>Jabbar, AdnanAbdul</au><au>Shamim, Muhammad Shahzad</au><au>Khan, Rashid Jooma</au><au>Javed, Gohar</au><au>Bari, Ehsan</au><au>Asad, Nargis</au><au>Enam, Syed Ather</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Resilience and its associated factors in brain tumor patients in Karachi, Pakistan: An analytical cross‐sectional study</atitle><jtitle>Psycho-oncology (Chichester, England)</jtitle><stitle>PSYCHO-ONCOLOGY</stitle><addtitle>Psychooncology</addtitle><date>2021-06</date><risdate>2021</risdate><volume>30</volume><issue>6</issue><spage>882</spage><epage>891</epage><pages>882-891</pages><issn>1057-9249</issn><eissn>1099-1611</eissn><abstract>Objectives
This study assessed resilience in brain tumor patients at a tertiary care hospital in Pakistan (a lower middle‐income country; LMIC) and explored its relationship with patients' sociodemographic factors, clinical characteristics, social support, and mental health.
Methods
A cross‐sectional survey was conducted amongst adult (≥18 years) patients with brain tumor at the Aga Khan University Hospital, Pakistan. Resilience was assessed by Wagnild and Young's Resilience Scale, and patients' psychosocial characteristics by the Hospital Anxiety and Depression Scale and the Enriched Social Support Instrument.
Results
A total of 250 patients were included (mean age: 44 years; 68% males), with majority (97.6%) having high social support and only 4.4% and 2% having symptomatic depression and anxiety, respectively. On multivariable linear regression adjusted for covariates, lower resilience was associated with not being involved in household decision‐making (Adjusted Beta Coefficient: 4.58 [95% Confidence Interval:−7.59, −1.56]), not currently working (−2.80 [−4.61, −0.99]), undergoing multiple neurosurgical interventions such as tumor biopsies or resections (−8.64 [−13.11, −4.16]), receiving chemotherapy (−5.17 [−9.51, −0.83]) or combination adjuvant therapy (−2.91 [−5.14, −0.67]), low social support (−7.77 [−13.73, 1.81]), mild depression (−13.00 [‐17.00,‐8.99]) or symptomatic depression (−19.79 [−24.69, −14.89]), and mild anxiety (−4.24 [−7.98, −0.50]).
Conclusion
Our study highlights the function of familial/household role and working status in mediating resilience, and demonstrates the well‐known protective effect of resilience for mental health in brain tumor patients in Pakistan, a South‐Asian LMIC. These findings are of clinical relevance with regards to the development of culture‐specific evidence‐based resilience‐building interventions that may help patients with brain tumors to cope with the psychological distress of cancer.</abstract><cop>HOBOKEN</cop><pub>Wiley</pub><pmid>33609048</pmid><doi>10.1002/pon.5661</doi><tpages>10</tpages><orcidid>https://orcid.org/0000-0001-8812-9463</orcidid><orcidid>https://orcid.org/0000-0002-7776-0281</orcidid></addata></record> |
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| subjects | Adjuvant therapy Anxiety Biomedical Social Sciences Biopsy Brain cancer brain tumor Brain tumors Cancer Chemotherapy Combination therapy Cross-sectional studies depression developing countries Intervention Life Sciences & Biomedicine Males Men Mental depression Mental disorders Mental health Oncology Psychological distress Psychology Psychology, Multidisciplinary Psychosocial factors psycho‐oncology Resilience Science & Technology Social Sciences Social Sciences, Biomedical Social support Sociodemographics Tumors |
| title | Resilience and its associated factors in brain tumor patients in Karachi, Pakistan: An analytical cross‐sectional study |
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