ArticlePsycho-oncology2025
The Mediating Role of Early Maladaptive Schemas in the Relationship Between Attachment Styles and Adjustment to Early-Stage Breast Cancer.
Article in Psycho-oncology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.
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Who cites it
2 citing papers in PubMed.
- The Relationship Between Guilt and Self-Blame with Early Maladaptive Schemas in Patients with Cancer:Sultan Qaboos University medical journal · 2026Article
- Nasogastric tube nutrition support enhances chemoradiotherapy compliance and alleviates mucosal reactions in nasopharyngeal carcinoma: a 856-case retrospective cohort study.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2025Observational
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Authors and funding
6 authors.
Funding
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Abstract
backgroundIndividual differences play an important role in adjustment to breast cancer. This longitudinal study explored the potential mediating role of Early Maladaptive Schemas (EMSs) in the relationship between attachment styles and psychological adjustment.
methodsNinety-five early-stage female breast cancer patients participated in this longitudinal study and completed validated self-report questionnaires within 4 weeks and 12 months post-surgery measuring attachment styles (ECR-R), EMSs (YSQ-S3), anxiety (HADS-A), depression (HADS-D), and quality of life (EORTC-QLQ C30). Structural equation modeling was utilized to test direct and indirect effects.
resultsVulnerability to harm/illness schema had a direct effect on all outcomes, while the enmeshment EMS had a direct effect on anxiety only. Moreover, vulnerability to harm/illness schema fully mediated the relationship between attachment anxiety and psychological outcomes. No significant direct or indirect effects were observed for attachment avoidance.
conclusionThe findings underscore the role of the illness-specific EMS -vulnerability to harm/illness-in psychological distress pathways among breast cancer patients. In non-clinical samples, cancer-related demands and stressors likely amplify the activation of only those schemas closely tied to the psychological challenges of living with cancer, while other EMSs may hold little relevance. Interventions targeting illness-specific EMSs may enhance coping and emotional well-being in this population.
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