Enhancing well-being and resilience in people living with cancer. Part 1

Receiving a new diagnosis of cancer or recurrent disease is distressing. Increasing numbers of people are living with cancer, as well as those who have been cured. Living with cancer and the possibility of recurrence requires psychological strength to deal with the treatment, effects of the illness and uncertainty about the future. Self-efficacy and psychological well-being can reduce the effects of chronic stress. Excellent symptom control is essential and fatigue, the most prevalent symptom for those with cancer, requires targeted support. Well-being and psychological resilience may be improved by specific actions and psychological approaches, some of which are encompassed by the ‘five ways to well-being’ framework, which can be used to deliver personalised care. The first of this two-part article reviews interventions that promote well-being and resilience in patients living with cancer. Part two describes the ‘five ways to well-being’ framework and suggests practical ways in which clinicians can integrate this and other interventions into clinical practice.