ArticlePsycho-oncology2021
Self-stigma and quality of life among Chinese American breast cancer survivors: A serial multiple mediation model.
Article in Psycho-oncology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
20 citing papers in PubMed, 28 citations in OpenAlex.
- Uncharted stigma: a descriptive report exploring HIV- and cancer-related stigma among cancer survivors living with HIV.AIDS research and therapy · 2026Article
- Chinese people's experience of cancer in the UK: a reflexive thematic analysis.Frontiers in psychology · 2026Article
- Psychosocial Adaptation in Breast Cancer Patients: A Mixed-Methods sequential Explanatory Study.Journal of multidisciplinary healthcare · 2026Article
- Study on the Pathway Mechanism of Social Support and Quality of Life Between Self-Disclosure and Stigma Among Breast Cancer Patients During Recovery.The breast journal · 2026Article
- Mediating effects of sense of coherence and psychological resilience on stigma and quality of life among postoperative middle-aged and older patients with malignant gynecological tumors: a cross-sectional, structural equation model.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2025Article
- Quality of life, insomnia, attitudes and beliefs in women undergoing chemotherapy for breast cancer: a cross-sectional study in Amol city Northern Iran.BMC women's health · 2025Article
- Quitting smoking after a cancer diagnosis is associated with reductions in stigma and anxiety: A longitudinal mediation analysis.Stigma and health · 2025Article
- Impact of cancer-related fatigue on quality of life in patients with cancer: multiple mediating roles of psychological coherence and stigma.BMC cancer · 2025Article
- Getting back on track after treatment of cancer: A qualitative interview study of cancer survivors' experiences.PloS one · 2025Article
- The role expectations of young women as wives after breast cancer treatment: A qualitative study.International journal of nursing sciences · 2024Article
- Demand analysis of health care services for community-dwelling breast cancer survivors based on the Kano model: A cross-sectional study.International journal of nursing sciences · 2024Article
- Development and Psychometric Validation of the Breast Cancer Stigma Assessment Scale for Women with Breast Cancer and Its Survivors.Healthcare (Basel, Switzerland) · 2024Article
- Development and validation of the Convalescence Symptom Assessment Scale for EsophageCtomy patients.Nursing open · 2024Review
- Factors influencing social avoidance and distress after radical lung cancer resection: a mediation analysis.American journal of translational research · 2024Article
- The Characteristics of Asian American Breast Cancer Survivors with Low Quality of Life: a Decision Tree Analysis.Journal of cancer education : the official journal of the American Association for Cancer Education · 2023Article
- Stigma and related factors among renal dialysis patients in China.Frontiers in psychiatry · 2023Article
- Construction of the structural equation model of stigma, self-disclosure, social support, and quality of life of breast cancer patients after surgery-a multicenter study.Frontiers in oncology · 2023Article
- Stigma and related influencing factors in postoperative oral cancer patients in China: a cross-sectional study.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2022Article
- Stigma and Quality of Life in Women With Breast Cancer: Mediation and Moderation Model of Social Support, Sense of Coherence, and Coping Strategies.Frontiers in psychology · 2022Article
- The Correlation Between Quality of Life and Positive Psychological Resources in Cancer Patients: A Meta-Analysis.Frontiers in psychology · 2022Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors at 3 institutions in 2 countries.
Funding
Abstract
objectiveDespite the increasing scholarly attention toward self-stigma among Asian breast cancer survivors, research is limited about the underlying psychological mechanisms by which self-stigma may influence quality of life for this population. The present study investigated how self-stigma is associated with quality of life among Chinese American breast cancer survivors by examining the serial mediating effects of concerns about breast cancer, self-efficacy for coping with cancer, and depressive symptoms.
methodsChinese American breast cancer survivors (n = 112) completed a questionnaire packet assessing self-stigma related to breast cancer, concerns about breast cancer, self-efficacy for coping with cancer, depressive symptoms, and quality of life. Path analysis was conducted to test the hypothesized serial multiple mediation model.
resultsThe hypothesized model was supported: self-stigma was negatively associated with quality of life through concerns about breast cancer, self-efficacy, and depressive symptoms. After the mediators were controlled for, the direct effect of self-stigma on quality of life was no longer significant.
conclusionsOur findings suggest that concerns about breast cancer, self-efficacy for coping, and depressive symptoms are important pathways through which self-stigma may influence quality of life among Chinese American breast cancer survivors. Healthcare practitioners should be aware of survivors' self-stigma and make efforts to alleviate survivors' excessive cancer concerns, facilitate their self-efficacy, and offer emotional support to improve quality of life for this population.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.