The role of Psychological Flexibility in Adjustment to Breast Cancer
Research type
Research Study
Full title
The role of Psychological Flexibility in Psychological Adjustment, Distress and Health-related Quality of Life in People with Breast Cancer
IRAS ID
356420
Contact name
Reddy Neharika Puligundla
Contact email
Sponsor organisation
University of Edinburgh
Duration of Study in the UK
0 years, 8 months, 24 days
Research summary
Being diagnosed with breast cancer can affect both physical health and emotional wellbeing. While many people adapt over time, some experience ongoing stress, anxiety, or low mood, which can reduce their quality of life. Research has shown that certain coping styles such as feeling hopeless (helplessness-hopelessness), constantly worrying about cancer (anxious preoccupation), or avoiding thinking about it (cognitive avoidance) may be linked to poorer mental health. Although often described as maladaptive adjustment responses, they can also be normal reactions to a serious condition like cancer.
This research focuses on a concept called psychological flexibility. This is the ability to accept difficult thoughts and feelings without being overwhelmed by them, and to continue doing things that are important and matter to the individual, such as spending time with loved ones or taking part in a valued hobby. Studies have shown that people with cancer who have higher psychological flexibility tend to experience less emotional distress and enjoy a better quality of life. This research will explore whether psychological flexibility helps people adjust better after a breast cancer diagnosis. The findings may help shape future psychological therapies and improve the provision of emotional support.
The study is a non-interventional, online survey. Participation involves completing one 20-minute survey at a convenient time and place. The survey includes an information sheet, online consent form, questionnaires on coping, wellbeing and psychological flexibility, and basic demographic questions.
Participants will be recruited through NHS breast cancer clinics, cancer charities, and online forums or social media groups for people affected by breast cancer. Eligible participants must be adults who received a breast cancer diagnosis within the last ten years who can provide informed consent.
The study is being carried out as part of an academic research project, with oversight from academic and clinical supervisors within NHS Lothian and the University of Edinburgh.
REC name
East Midlands - Derby Research Ethics Committee
REC reference
25/EM/0285
Date of REC Opinion
15 Dec 2025
REC opinion
Favourable Opinion