Evidence map›Paper›PMID 40343525›Full record

ArticleSupportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer2025

Illness perception, cognitive emotion regulation strategies and psychological distress in breast cancer patients and spouses: an actor-partner interdependence mediation model.

Xiaoting Zheng, Baoxin Huang, Carmen Wing Han Chan, Jian Zhou, Feng Liu, Ka Ming Chow, Wenli Xiao

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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 4 papers.

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4citing papers in PubMed
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1 · What the graph read from it

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3 · Its place in the literature

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4 citing papers in PubMed.

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5 · Who and what money

Authors and funding

7 authors.

Xiaoting ZhengSchool of Nursing, Guangzhou University of Chinese Medicine, Guangzhou, 510006, Guangdong, P. R. China.
Baoxin HuangSchool of Nursing, Guangzhou University of Chinese Medicine, Guangzhou, 510006, Guangdong, P. R. China.
Carmen Wing Han ChanThe Nethersole School of Nursing, The Chinese University of Hong Kong, Shatin, N.T., Hong Kong SAR, China.
Jian ZhouDepartment of Surgery, The First Affiliated Hospital of Guangzhou University of Chinese Medicine, Guangzhou, 510405, Guangdong, P. R. China.
Feng LiuDepartment of Breast Oncology, Sun Yat-sen University Cancer Center, Guangzhou, 510060, Guangdong, P. R. China.
Ka Ming ChowThe Nethersole School of Nursing, The Chinese University of Hong Kong, Shatin, N.T., Hong Kong SAR, China. kmchow@cuhk.edu.hk.
Wenli XiaoSchool of Nursing, Guangzhou University of Chinese Medicine, Guangzhou, 510006, Guangdong, P. R. China. 021095allison@gzucm.edu.cn.ORCID http://orcid.org/0009-0001-1738-2928

Funding

2022 Joint Development Project of the 14th 5-Year Plan for Guangzhou Philosophy and Social Science 2022GZGJ1832023 Featured Innovative Project in Colleges and Universities of Guangdong 2023WTSCX0142023 Planned Project of Guangdong Education Science (Higher Education Program) 2023GXJK095
6 · The paper itself

Abstract

purposeThis study aimed to examine the relationships between illness perception, cognitive emotion regulation strategies (CERS), and psychological distress, and the mediating role of CERS in breast cancer patients and their spouses.

methodsA cross-sectional study recruited 305 pairs of breast cancer patients and their spouses to complete the sociodemographic and clinical characteristics questionnaire, the Cognitive Emotion Regulation Questionnaire-short, and the Hospital Anxiety and Depression Scale. Descriptive statistics, difference analysis, Pearson's correlation coefficient, and the actor-partner interdependence mediation model were conducted.

resultsThere was a significant correlation between illness perception, CERS, and psychological distress in breast cancer patients and their spouses (r = -0.416 ~ 0.522, P < 0.05). Both patients' and spouses' illness perception could directly produce significant actor effects on psychological distress, or indirectly through the mediator of maladaptive or adaptive CERS of their own. Only spouses' illness perception could produce significant partner effect on patients' psychological distress. Moreover, only spouses' illness perception could produce significant effects on patients' psychological distress through patients' or spouses' maladaptive CERS.

conclusionOur findings offered a new perspective on how illness perception, CERS, and psychological distress were interconnected at both personal and dyadic levels. The findings underscored the significance of intervening with breast cancer patients and spouses as a closely knit dyad to promote the adoption of adaptive CERS while reduce the use of maladaptive CERS, which may be associated with lower levels of psychological distress.

Indexed as

Breast NeoplasmsEmotional RegulationPsychological DistressSpousesStress, PsychologicalAdultAgedCognitionCross-Sectional StudiesDepressionFemaleHumansMaleMiddle AgedPerceptionSurveys and QuestionnairesActor–partner interdependence mediation modelBreast cancerCognitive emotion regulationIllness perceptionPsychological distressSpouse

Identifiers

PMID40343525

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.