Latent psychological resilience profiles and their association with physical resilience in older patients after robot-assisted radical prostatectomy: a cross-sectional study

Objective To identify latent psychological resilience profiles in older patients after robot-assisted radical prostatectomy (RARP) and examine their association with physical resilience. Methods A total of 300 patients with prostate cancer were recruited from a Class III Grade A hospital in Sichuan Province between December 2025 and May 2026. Assessments were conducted on postoperative day 3 using the general information questionnaire, Connor-Davidson Resilience Scale, and Physical Resilience Instrument for Older Adults. Latent profile analysis was performed using the total score on the Connor-Davidson Resilience Scale. Generalized linear regression was used to analyze the relationship between psychological and physical resilience across categories among elderly patients after RARP. Results Three latent psychological resilience profiles were identified among older patients after RARP. Physical resilience scores differed among people with different psychological resilience. The results of generalized regression analysis showed that patients in different psychological resilience profiles of RARP patients were related to their physical resilience ( P < 0.05). Conclusions Older patients after RARP showed heterogeneous psychological resilience profiles, and profile membership was associated with physical resilience. Longitudinal and intervention studies are needed to determine the temporal direction and clinical utility of these profiles.