ArticleSupportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer2025
The relationship between time perspective and fear of cancer recurrence among Chinese gastric cancer patients: the chain mediating role of rumination and catastrophizing.
Article in Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer, 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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Who cites it
3 citing papers in PubMed.
- The Impact of a Physical Activity Intervention on Cognitive and Mental Health Outcomes in Cancer Survivors.Psycho-oncology · 2026Trial
- Time perspective status and associated factors among young and middle-aged women with gynecologic malignancies who have parenting responsibilities.Asia-Pacific journal of oncology nursing · 2026Article
- Advancing Dimensional Models of Psychopathology in Cancer: Insights From Applying the Hierarchical Taxonomy of Psychopathology (HiTOP).Psycho-oncology · 2026Article
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Authors and funding
5 authors.
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Abstract
purposeGastric cancer patients often experience significant fear of recurrence, impacting their physical and mental health. This study explores how time perspective influences fear of cancer recurrence, considering the roles of intrusive rumination and catastrophizing.
methodsA cross-sectional design was employed with 394 gastric cancer patients. Participants completed self-report measures assessing fear of cancer recurrence, time perspective, intrusive rumination, and catastrophizing. Pearson correlation analysis and bias-corrected percentile bootstrap methods were used to conduct chain mediation tests.
resultsThe findings revealed that time perspective had significant direct and indirect effects on fear of cancer recurrence, with intrusive rumination and catastrophizing partially mediating this relationship. Negative past perspectives and fatalistic present perspectives were associated with increased levels of fear of recurrence through heightened intrusive rumination and catastrophizing. Conversely, positive past perspectives and future perspectives were linked to reduced fear of recurrence by decreasing intrusive rumination and catastrophizing. Distorted from the balanced time perspective significantly increased levels of intrusive rumination and catastrophizing, thereby heightening patients' fear of recurrence.
conclusionThe results indicate that intrusive rumination and catastrophizing are key pathways through which time perspective influences fear of cancer recurrence. This study enhances our understanding of these psychological dynamics and underscores the importance of interventions targeting these mediating factors to prevent fear of recurrence in this population. IMPLICATIONS FOR CANCER SURVIVORS: The chain mediating roles of rumination and Catastrophizing highlight that tailored interventions, such as time perspective therapy, can be targeted for this population, considering this population's unique needs.
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