ArticleBMJ open2023
Contribution of coping style to the association between illness uncertainty and demoralisation in patients with breast cancer: a cross-sectional mediation analysis.
Article in BMJ open, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.
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Who cites it
14 citing papers in PubMed.
- A Mobile-Based Mindfulness Intervention for Reducing Demoralization in Patients on Maintenance Hemodialysis: Randomized Controlled Trial.Journal of medical Internet research · 2026Trial
- The association between uncertainty in illness and fear of cancer recurrence or progression in breast cancer patients: the parallel mediating roles of coping styles and the moderating role of perceived social support.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2026Article
- Effect of mobile phone addiction on sleep quality in patients aged 18-45 years with acute myocardial infarction: a chain mediation analysis of coping style, anxiety, and depression.Scientific reports · 2026Article
- Case Report: Family-mediated prognostic non-disclosure and psychological deterioration in terminal cancer.Frontiers in psychology · 2026Article
- Illness uncertainty in individuals with gynecologic and breast cancer: A latent profile analysis and structural equation modeling.PloS one · 2026Article
- Positive psychological changes and associated factors among community health workers post-COVID-19 in China: a mixed-methods study.Frontiers in public health · 2026Article
- Demoralization: A concept analysis through a scoping review methodology.International journal of nursing studies advances · 2025Article
- Article
- The mediating role of coping style in the relationship between fear of childbirth and psychological birth trauma among natural childbirth women in China: a structural equation model analysis.BMC pregnancy and childbirth · 2025Article
- Association between family functioning and delay in seeking medical care of Chinese bladder cancer patients: the mediating effect of coping styles.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2024Article
- Article
- Uncertainty affects cancer-related fatigue among breast cancer women undergoing peripherally inserted central catheter chemotherapy: the chain mediating role of psychological resilience and self-care.BMC women's health · 2024Article
- A study of the mediating effect of social support on self-disclosure and demoralization in Chinese older adult homebound breast cancer patients.Frontiers in psychology · 2024Article
- Article
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5 authors.
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Abstract
objectiveDemoralisation is a common psychological issue in patients with cancer and aggravates depression, reduces the quality of life and even causes suicidal ideation. There is a lack of knowledge about illness uncertainty, coping style and demoralisation in patients with breast cancer. The current study explored the relationship between illness uncertainty and demoralisation among those patients, as well as the potential mediating role of coping style.
designA cross-sectional study.
settingParticipants were recruited from the Breast Tumor Center in a tertiary hospital in Shijiazhuang, Hebei province.
participantsA total of 211 patients with breast cancer completed the survey. OUTCOME MEASURES: A total of 211 patients with breast cancer completed the Mishel's Uncertainty in Illness Scale, Trait Coping Style Questionnaire and the Mandarin version of Demoralization Scale (DS-MV).
resultsOf the patients, 47.40% exhibited symptoms of demoralisation (DS-MV>30), and the mean of demoralisation score was (29.55±13.21). The results demonstrated that illness uncertainty and negative coping styles were positively related to demoralisation (p<0.001), while active coping styles were negatively related to demoralisation (p<0.001). Importantly, coping styles could partially mediate the relationship between illness uncertainty and demoralisation (p<0.01).
conclusionOur study illustrated that illness uncertainty was associated with demoralisation in patients with breast cancer, and coping style acted as a mediator in this relationship. The findings highlighted the critical role of reducing negative coping styles to the early prevention and efficient treatment of demoralisation among those patients.
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