ArticleBMC psychiatry2024
Psychological resilience and post-traumatic stress disorder as chain mediators between personality traits and cognitive functioning in patients with breast cancer.
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 10 papers, 1 of them a synthesis that pooled it.
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Who cites it
10 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Effects of cognitive behavioral therapy on resilience among adult cancer patients: a systematic review and meta-analysis.BMC psychiatry · 2025Pooled it
- The Cultural Face of Physical, Emotional, and Social Resilience: Turkish Validation of the Essential Resilience Scale (ERS).The Psychiatric quarterly · 2026Article
- The effects of posttraumatic stress symptoms on anxiety and depression in patients with breast cancer: mediating role of negative interpretation bias.BMC psychology · 2025Article
- Profiles of resilience and patient activation among patients with colorectal cancer and an enterostomy: A latent profile analysis.Asia-Pacific journal of oncology nursing · 2025Article
- Risk factors for posttraumatic stress disorder in patients with multiple injuries and its relationship with anxiety and depression.World journal of psychiatry · 2025Article
- The interplay of psychological distress, social support, and post-traumatic growth in a libyan cancer clinical population.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2025Observational
- Relationship between psychological resilience and cognitive function on breast cancer chemotherapy patients: a person-centered method.Breast cancer (Tokyo, Japan) · 2025Article
- The chain mediating role of resilience and stress perception between mindfulness and PTSD among college students after campus violence.BMC psychiatry · 2025Article
- Sports atmosphere and psychological resilience in college students: mediating role of growth mindset.Frontiers in psychology · 2025Article
- Influence of Negative Attentional Bias on Self-Management and Health-Promoting Behaviors in Orthopedic Patients with Chronic Refractory Wounds: A Structural Equation Modeling Approach.Risk management and healthcare policy · 2025Article
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Abstract
backgroundPersonality is a unique behavioral trait; cognition is how an individual knows and understands things. It is essential for everyday daily living. In patients with breast cancer, despite the growing body of research on personality and cognitive functioning, exploration of the underlying mechanisms is still relatively scarce. Therefore, this study aimed to investigate the impact of Big Five personality traits on cognitive functioning and the mediating role of psychological resilience and post-traumatic stress disorder(PTSD) between personality traits and cognitive functioning in patients with breast cancer.
methodsConvenience sampling was used, and a cross-sectional survey of 288 patients clinically diagnosed with breast cancer was conducted in the Department of Breast Surgery of the First Hospital of Jinzhou Medical University. The general information questionnaire, the Ten-Item Personality Inventory in China, the 10-item Connor-Davidson Resilience Scale, the Post-traumatic Stress Disorder Checklist-Civilian Version, and the Montreal Cognitive Assessment were used to measure the patient's general condition, personality traits, psychological resilience, PTSD, and cognitive function, respectively. Descriptive and correlation analyses were performed using SPSS 26.0 software, and mediation effect tests using SPSS PROCESS macro 3.3 software.
results(1) Psychological resilience, PTSD, Big Five personality traits, and cognitive functioning were significantly correlated. (2) The effects of the Big Five personality traits (extraversion, conscientiousness, agreeableness, emotional stability, and openness) on cognitive functioning can be mediated through three indirect pathways: the separate mediating effects of psychological resilience and PTSD and the chain mediating effects of psychological resilience and PTSD, with a chain mediation effect of 0.014, 0.018, 0.014, 0.018, and 0.014, respectively. None of the 95% CI contained 0.
conclusionPersonality traits can indirectly influence cognitive functioning in patients with breast cancer through the separate mediating roles of psychological resilience and PTSD and their chained mediating roles. This result suggests we pay more comprehensive attention to patients' cognitive function. Workers can be guided to assess patients' personality, psychological, and spiritual characteristics promptly in their work and adopt personalized care to safeguard good cognitive functioning.
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