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The Role of Resilience in Coping With Future Uncertainty Among People With Brain Tumors: Cross-Sectional Study.

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Title: The Role of Resilience in Coping With Future Uncertainty Among People With Brain Tumors: Cross-Sectional Study.
Authors: Longcoy LH; College of Nursing, University of Illinois Chicago, Chicago, IL, United States., Liang SY; National Taipei University of Nursing and Health Sciences, Taipei City, Taiwan., Doorenbos AZ; College of Nursing, University of Illinois Chicago, Chicago, IL, United States.
Source: JMIR cancer [JMIR Cancer] 2026 Jan 06; Vol. 12, pp. e71674. Date of Electronic Publication: 2026 Jan 06.
Publication Type: Journal Article
Language: English
Journal Info: Publisher: JMIR Publications Country of Publication: Canada NLM ID: 101666844 Publication Model: Electronic Cited Medium: Internet ISSN: 2369-1999 (Electronic) Linking ISSN: 23691999 NLM ISO Abbreviation: JMIR Cancer Subsets: MEDLINE
Imprint Name(s): Original Publication: Toronto, ON : JMIR Publications, [2015]-
MeSH Terms: Brain Neoplasms*/psychology , Resilience, Psychological* , Coping Skills* , Uncertainty*, Cross-Sectional Studies ; Taiwan ; Secondary Data Analysis ; Quality of Life ; Humans ; Male ; Female ; Adult ; Middle Aged ; Psychological Tests
Abstract: Background: Adults with brain tumors learn to navigate unpredictable physical and psychological symptoms along with the possibilities of tumor recurrence. As a result, they tend to become resilient to confronting profound uncertainty and actively employ coping strategies. Yet, the impact of resilience on coping strategies among people with brain tumors has not been fully explored.
Objective: This study aimed to examine the effects of resilience on the association between future uncertainty and two distinct types of coping strategies (problem-focused coping and emotion-focused coping) among people with brain tumors in Taiwan.
Methods: A parent study recruited 95 adults with brain tumors undergoing at least 1 month of chemotherapy or radiotherapy at a veterans general hospital in northern Taiwan. We assessed resilience, future uncertainty, and coping strategies via a secondary analysis of data from the parent study collected using the Chinese versions of the Resilience Scale, the European Organization for Research and Treatment of Cancer's Quality of Life Questionnaire for brain cancer, and the revised Ways of Coping Checklist. Simple mediation models were conducted to examine the role of resilience between future uncertainty and the two types of coping strategies.
Results: Most participants demonstrated low resilience and responded to stress with both problem- and emotion-focused coping strategies. Simple mediation analyses showed a statistically significant association between an increase in resilience and adoption of each type of coping strategy. In addition, resilience was a statistically significant mediator in the association between future uncertainty and both problem- and emotion-focused coping strategies.
Conclusions: Brain tumor disease trajectories require people to effectively adopt both problem- and emotion-focused coping strategies to confront uncertainty. Health care providers play a crucial role in evaluating and fostering their patients' resilience to promote adaptability through effective coping strategies.
(©Li-Ting Huang Longcoy, Shu-Yuan Liang, Ardith Z Doorenbos. Originally published in JMIR Cancer (https://cancer.jmir.org), 06.01.2026.)
References: Asian Nurs Res (Korean Soc Nurs Sci). 2020 Feb;14(1):50-55. (PMID: 31996321)
Psychooncology. 2017 Jun;26(6):829-835. (PMID: 27479936)
Int J Nurs Pract. 2022 Aug;28(4):e13033. (PMID: 34913227)
Eur J Oncol Nurs. 2022 Feb;56:102079. (PMID: 34844135)
Clin Nurs Res. 2019 Jan;28(1):107-124. (PMID: 28658969)
Pediatrics. 2018 Mar;141(3):. (PMID: 29437139)
Neurooncol Pract. 2022 Sep 07;10(1):71-78. (PMID: 36659970)
Image J Nurs Sch. 1988 Winter;20(4):225-32. (PMID: 3203947)
Psychooncology. 2022 Jan;31(1):21-29. (PMID: 34344061)
Am J Cancer Res. 2025 Feb 15;15(2):652-660. (PMID: 40084376)
Psychooncology. 2014 Jan;23(1):9-19. (PMID: 23897834)
Psychol Health Med. 2025 Jun;30(5):1043-1055. (PMID: 39758004)
Cancer Nurs. 2023 Nov-Dec 01;46(6):467-476. (PMID: 36480344)
J Palliat Med. 2013 Jun;16(6):645-52. (PMID: 23646887)
Oncol Nurs Forum. 2017 Nov 1;44(6):645-649. (PMID: 29052657)
Hu Li Yan Jiu. 2001 Apr;9(2):159-71. (PMID: 11548461)
Eur J Cancer. 2010 Apr;46(6):1033-40. (PMID: 20181476)
J Nurs Scholarsh. 2012 Jun;44(2):145-55. (PMID: 22564342)
Grant Information: K99 NR020358 United States NR NINR NIH HHS
Contributed Indexing: Keywords: adaptation; emotion-focused coping; problem-focused coping; resilience; uncertainty in illness theory
SCR Protocol: The Brief Resilience Scale
Entry Date(s): Date Created: 20260106 Date Completed: 20260107 Latest Revision: 20260930
Update Code: 20261001
PubMed Central ID: PMC12820541
DOI: 10.2196/71674
PMID: 41493800
Database: MEDLINE
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  Data: The Role of Resilience in Coping With Future Uncertainty Among People With Brain Tumors: Cross-Sectional Study.
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  Data: <searchLink fieldCode="AU" term="%22Longcoy+LH%22">Longcoy LH</searchLink>; College of Nursing, University of Illinois Chicago, Chicago, IL, United States.<br /><searchLink fieldCode="AU" term="%22Liang+SY%22">Liang SY</searchLink>; National Taipei University of Nursing and Health Sciences, Taipei City, Taiwan.<br /><searchLink fieldCode="AU" term="%22Doorenbos+AZ%22">Doorenbos AZ</searchLink>; College of Nursing, University of Illinois Chicago, Chicago, IL, United States.
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  Data: <searchLink fieldCode="JN" term="%22101666844%22">JMIR cancer</searchLink> [JMIR Cancer] 2026 Jan 06; Vol. 12, pp. e71674. <i>Date of Electronic Publication: </i>2026 Jan 06.
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  Data: <i>Publisher: </i><searchLink fieldCode="PB" term="%22JMIR+Publications%22">JMIR Publications </searchLink><i>Country of Publication: </i>Canada <i>NLM ID: </i>101666844 <i>Publication Model: </i>Electronic <i>Cited Medium: </i>Internet <i>ISSN: </i>2369-1999 (Electronic) <i>Linking ISSN: </i><searchLink fieldCode="IS" term="%2223691999%22">23691999 </searchLink><i>NLM ISO Abbreviation: </i>JMIR Cancer <i>Subsets: </i>MEDLINE
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  Data: <searchLink fieldCode="MM" term="%22Brain+Neoplasms%22">Brain Neoplasms*</searchLink>/<searchLink fieldCode="MM" term="%22Brain+Neoplasms+psychology%22">psychology</searchLink> <br /><searchLink fieldCode="MM" term="%22Resilience%2C+Psychological%22">Resilience, Psychological*</searchLink> <br /><searchLink fieldCode="MM" term="%22Coping+Skills%22">Coping Skills*</searchLink> <br /><searchLink fieldCode="MM" term="%22Uncertainty%22">Uncertainty*</searchLink><br /><searchLink fieldCode="MH" term="%22Cross-Sectional+Studies%22">Cross-Sectional Studies</searchLink> ; <searchLink fieldCode="MH" term="%22Taiwan%22">Taiwan</searchLink> ; <searchLink fieldCode="MH" term="%22Secondary+Data+Analysis%22">Secondary Data Analysis</searchLink> ; <searchLink fieldCode="MH" term="%22Quality+of+Life%22">Quality of Life</searchLink> ; <searchLink fieldCode="MH" term="%22Humans%22">Humans</searchLink> ; <searchLink fieldCode="MH" term="%22Male%22">Male</searchLink> ; <searchLink fieldCode="MH" term="%22Female%22">Female</searchLink> ; <searchLink fieldCode="MH" term="%22Adult%22">Adult</searchLink> ; <searchLink fieldCode="MH" term="%22Middle+Aged%22">Middle Aged</searchLink> ; <searchLink fieldCode="MH" term="%22Psychological+Tests%22">Psychological Tests</searchLink>
– Name: Abstract
  Label: Abstract
  Group: Ab
  Data: Background: Adults with brain tumors learn to navigate unpredictable physical and psychological symptoms along with the possibilities of tumor recurrence. As a result, they tend to become resilient to confronting profound uncertainty and actively employ coping strategies. Yet, the impact of resilience on coping strategies among people with brain tumors has not been fully explored.<br />Objective: This study aimed to examine the effects of resilience on the association between future uncertainty and two distinct types of coping strategies (problem-focused coping and emotion-focused coping) among people with brain tumors in Taiwan.<br />Methods: A parent study recruited 95 adults with brain tumors undergoing at least 1 month of chemotherapy or radiotherapy at a veterans general hospital in northern Taiwan. We assessed resilience, future uncertainty, and coping strategies via a secondary analysis of data from the parent study collected using the Chinese versions of the Resilience Scale, the European Organization for Research and Treatment of Cancer's Quality of Life Questionnaire for brain cancer, and the revised Ways of Coping Checklist. Simple mediation models were conducted to examine the role of resilience between future uncertainty and the two types of coping strategies.<br />Results: Most participants demonstrated low resilience and responded to stress with both problem- and emotion-focused coping strategies. Simple mediation analyses showed a statistically significant association between an increase in resilience and adoption of each type of coping strategy. In addition, resilience was a statistically significant mediator in the association between future uncertainty and both problem- and emotion-focused coping strategies.<br />Conclusions: Brain tumor disease trajectories require people to effectively adopt both problem- and emotion-focused coping strategies to confront uncertainty. Health care providers play a crucial role in evaluating and fostering their patients' resilience to promote adaptability through effective coping strategies.<br /> (©Li-Ting Huang Longcoy, Shu-Yuan Liang, Ardith Z Doorenbos. Originally published in JMIR Cancer (https://cancer.jmir.org), 06.01.2026.)
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  Data: Asian Nurs Res (Korean Soc Nurs Sci). 2020 Feb;14(1):50-55. (PMID: <searchLink fieldCode="PM" term="%2231996321%22">31996321)</searchLink><br />Psychooncology. 2017 Jun;26(6):829-835. (PMID: <searchLink fieldCode="PM" term="%2227479936%22">27479936)</searchLink><br />Int J Nurs Pract. 2022 Aug;28(4):e13033. (PMID: <searchLink fieldCode="PM" term="%2234913227%22">34913227)</searchLink><br />Eur J Oncol Nurs. 2022 Feb;56:102079. (PMID: <searchLink fieldCode="PM" term="%2234844135%22">34844135)</searchLink><br />Clin Nurs Res. 2019 Jan;28(1):107-124. (PMID: <searchLink fieldCode="PM" term="%2228658969%22">28658969)</searchLink><br />Pediatrics. 2018 Mar;141(3):. (PMID: <searchLink fieldCode="PM" term="%2229437139%22">29437139)</searchLink><br />Neurooncol Pract. 2022 Sep 07;10(1):71-78. (PMID: <searchLink fieldCode="PM" term="%2236659970%22">36659970)</searchLink><br />Image J Nurs Sch. 1988 Winter;20(4):225-32. (PMID: <searchLink fieldCode="PM" term="%223203947%22">3203947)</searchLink><br />Psychooncology. 2022 Jan;31(1):21-29. (PMID: <searchLink fieldCode="PM" term="%2234344061%22">34344061)</searchLink><br />Am J Cancer Res. 2025 Feb 15;15(2):652-660. (PMID: <searchLink fieldCode="PM" term="%2240084376%22">40084376)</searchLink><br />Psychooncology. 2014 Jan;23(1):9-19. (PMID: <searchLink fieldCode="PM" term="%2223897834%22">23897834)</searchLink><br />Psychol Health Med. 2025 Jun;30(5):1043-1055. (PMID: <searchLink fieldCode="PM" term="%2239758004%22">39758004)</searchLink><br />Cancer Nurs. 2023 Nov-Dec 01;46(6):467-476. (PMID: <searchLink fieldCode="PM" term="%2236480344%22">36480344)</searchLink><br />J Palliat Med. 2013 Jun;16(6):645-52. (PMID: <searchLink fieldCode="PM" term="%2223646887%22">23646887)</searchLink><br />Oncol Nurs Forum. 2017 Nov 1;44(6):645-649. (PMID: <searchLink fieldCode="PM" term="%2229052657%22">29052657)</searchLink><br />Hu Li Yan Jiu. 2001 Apr;9(2):159-71. (PMID: <searchLink fieldCode="PM" term="%2211548461%22">11548461)</searchLink><br />Eur J Cancer. 2010 Apr;46(6):1033-40. (PMID: <searchLink fieldCode="PM" term="%2220181476%22">20181476)</searchLink><br />J Nurs Scholarsh. 2012 Jun;44(2):145-55. (PMID: <searchLink fieldCode="PM" term="%2222564342%22">22564342)</searchLink>
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