ArticleBMC psychiatry2025
Dyadic effects of illness perception and maladaptive cognitive-emotional regulation strategies on the fear of cancer recurrence in breast cancer patients and spouses: an actor-partner interdependence mediation model.
Article in BMC psychiatry, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.
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3 citing papers in PubMed.
- Somatosensory amplification and fear of cancer recurrence: Moderating effects of emotion regulation difficulties.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2026Article
- The influence of pain on the cognitive function of middle-aged and older couples in China.BMC psychology · 2026Article
- Couple-Level Coping and Hope Interdependence in Hepatocellular Carcinoma After Transcatheter Arterial Chemoembolisation: Insights From an Actor-Partner Interdependence Model.Journal of nursing management · 2026Article
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8 authors.
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Abstract
purposeBreast cancer, as a stressful event, profoundly impacts the entire family, especially patients and their spouses. This study used a dyadic analysis approach to explore the dyadic effects of illness perception on the fear of cancer recurrence (FCR) and whether maladaptive cognitive-emotional regulation strategies acted as a mediator in breast cancer patient-spouse dyads.
methodsThis was a cross-sectional study, and 202 dyads of breast cancer patients and their spouses were enrolled. Illness perception, maladaptive cognitive-emotional regulation strategies, and FCR were assessed by the Brief Illness Perception Questionnaire (BIPQ), the Cognitive Emotion Regulation Questionnaire (CERQ), and the Fear of Cancer Recurrence Inventory Short Form (FCRI-SF), respectively. Data were analyzed using the actor-partner interdependence mediation model.
resultsThis study found that, for patients and spouses, maladaptive cognitive-emotional regulation strategies mediated the actor effects of illness perception on FCR. That is, illness perception was positively related to their maladaptive cognitive-emotional regulation strategies, which increased the risk of FCR. Another important finding was that patients' illness perception had significant direct and indirect effects on spouses' FCR through spouses' maladaptive cognitive-emotional regulation strategies.
conclusionsNegative illness perception perceived by patients and spouses can increase their FCR by adapting their maladaptive cognitive-emotional regulation strategies. Furthermore, illness perception perceived by patients can also increase spouses' FCR through spouses' maladaptive cognitive-emotional regulation strategies. Medical staff should identify vulnerable patients and spouses with higher illness perception and maladaptive cognitive-emotional regulation strategies and make focused interventions to decrease the risk of FCR of both breast cancer patients and their spouses.
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