ArticleBMC psychiatry2024
The mediating role of perceived stress in the association between family resilience and psychological distress among gynecological cancer patients: a cross-sectional study.
Article in BMC psychiatry, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.
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11 citing papers in PubMed.
- The Correlation of Psychological Symptoms, Quality of Life and Resilience in Patients with Recurrent Non-Melanoma Skin Cancer.Healthcare (Basel, Switzerland) · 2026Article
- Effects of psychosocial interventions on sexual function, quality of life, and stress in women with gynecologic cancer: a systematic review and meta-analysis.Irish journal of medical science · 2026Article
- Psychological Resilience and Associated Factors in Cancer Patients: A Cross-Sectional Analysis.Cancer reports (Hoboken, N.J.) · 2026Article
- Sleep disturbance, anxiety, and depression in postoperative ovarian cancer patients: prevalence, associated factors, and symptom interrelationships.Frontiers in oncology · 2026Article
- Identifying psychosocial distress phenotypes in postoperative patients with breast cancer: A latent profile analysis.Asia-Pacific journal of oncology nursing · 2025Article
- Trajectories and determinants of family resilience following radical surgery for gynecological malignancies: A prospective longitudinal study.Asia-Pacific journal of oncology nursing · 2025Article
- Dyadic associations of cancer-related communication, family resilience, and demoralization in patients with gynecological cancer and their spouses: An actor-partner interdependence model.Asia-Pacific journal of oncology nursing · 2025Article
- Primary caregiver-reported family resilience in children with cancer in central China: a latent profile analysis.BMC nursing · 2025Article
- Effects of preoperative stress, depression, social support, and self-compassion on resilience in surgical patients.PloS one · 2025Article
- The mediating effect of family resilience between readiness for hospital discharge and self-management efficacy among breast cancer patients.Frontiers in psychology · 2025Article
- The Mediating Effect of Emotional Regulation Between Psychological Resilience and Psychological Distress in Young and Middle-Aged Lymphoma Patients.Psychology research and behavior management · 2025Article
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Abstract
backgroundGynecological cancer patients face various stressors and suffer from severe psychological distress. The activation of family resilience supports patients to overcome daily stressors, yet the relationship between family resilience and psychological distress is poorly understood. The purpose of this study is to investigate the degree of psychological distress in patients diagnosed with gynecological cancer, and whether perceived stress mediate the relationship between family resilience and psychological distress.
methodsA cross-sectional study was undertaken on 358 gynecological cancer patients in China from September 2021 to November 2022. The participants completed surveys that included the Chinese Version of the Family Resilience Assessment Scale, the Perceived Stress Scale, the Hospital Anxiety and Depression Scale, the Distress Management Screening Measure, and socio-demographic questions. Using Pearson's correlation analysis to investigate the association between variables, and the bias corrected bootstrapping method was utilized to establish perceived stress as a mediator.
resultsChinese patients with gynecological cancer experienced a moderate psychological distress. In addition, psychological distress exhibited a negative correlation with family resilience and a positive correlation with perceived stress in gynecological cancer patients (both P < 0.01). Perceived stress partially mediated the correlation between family resilience and psychological distress (β=-0.182; 95% CI: -0.224 to -0.140; P < 0.001). The total indirect effect value was - 0.182, and the total effect value was - 3.060.
conclusionsThe findings indicate that higher family resilience and lower perceived stress can reduce psychological distress in gynecological cancer patients, and family resilience also tends to reduce perceived stress in cancer patients. Clinical staff and psychologist should consciously cultivate patients' family resilience to reduce psychological distress. Meanwhile, identifying potential mediators between family resilience and psychological distress are able to promote the development and assessment of interventions in the future.
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