Evidence map›Paper›PMID 40461922›Full record

ArticleThe Psychiatric quarterly2026

Effect of Psychological Inflexibility and Cancer-Related Dysfunctional Beliefs About Sleep on the Relationship Between Depression and Fear of Progression in Patients with Cancer.

Sungmin Yun, Jana Sleiman, Soyoung Yoo, Seockhoon Chung

Abstract read
PubMed Publisher
In one paragraph

Article in The Psychiatric quarterly, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Sungmin YunDepartment of Psychiatry, Asan Medical Center, University of Ulsan College of Medicine, 88 Olympic-ro 43-gil, Songpa-gu, Seoul, 05505, Korea.ORCID 0000-0002-1852-2478
Jana SleimanDepartment of Internal Medicine, American University of Beirut Medical Center, Beirut, Lebanon.ORCID 0000-0002-2060-9732
Soyoung YooBig Data Research Center, Asan Medical Center, University of Ulsan College of Medicine, 88 Olympic-ro, 43-gil, Songpa-gu, Seoul, 05505, Republic of Korea. mesoyoung@gmail.com.ORCID 0000-0002-2953-508X
Seockhoon ChungDepartment of Psychiatry, Asan Medical Center, University of Ulsan College of Medicine, 88 Olympic-ro 43-gil, Songpa-gu, Seoul, 05505, Korea. schung@amc.seoul.kr.ORCID 0000-0002-9798-3642

Funding

National Research Foundation RS-2023-00265393
6 · The paper itself

Abstract

This study examines the relationship between fear of cancer progression and depression in patients with cancer, emphasizing whether psychological inflexibility and cancer-related dysfunctional beliefs about sleep mediate this relationship. We retrospectively reviewed medical records from 170 patients with cancer who visited a Stress Management Clinic between September 2022 and August 2023. Collected data included demographic information and responses to self-reported rating scales, including the Action and Acceptance Questionnaire-II (AAQ-II), Fear of Progression Questionnaire-Short Form (FoP-Q-SF), Patient Health Questionnaire-9 (PHQ-9), State subcategory of the State-Trait Anxiety Inventory (STAI-S), Insomnia Severity Index (ISI), and Cancer-related Dysfunctional Beliefs about Sleep scale (C-DBS). Pearson's correlation, linear regression, and mediation analyses were performed. Higher FoP-Q-SF scores were significantly correlated with elevated PHQ-9 (r = 0.56), STAI-S (r = 0.17), ISI (r = 0.21), C-DBS (r = 0.34), and AAQ-II (r = 0.53) scores. Linear regression analysis showed that FoP-Q-SF scores were significantly associated with younger age (β = -0.25, p < 0.001), higher depression levels (PHQ-9; β = 0.35, p < 0.001), stronger cancer-related dysfunctional beliefs about sleep (C-DBS; β = 0.20, p = 0.002), and greater psychological instability (AAQ-II; β = 0.24, p = 0.002). Mediation analysis indicated that depression directly influenced fear of progression. Furthermore, psychological inflexibility and cancer-related dysfunctional beliefs about sleep partially mediated the relationship between depression and fear of progression. Psychological inflexibility and cancer-related dysfunctional beliefs about sleep mediate the relationship between depression and fear of cancer progression in patients with cancer.

Indexed as

AnxietyDepressionFearNeoplasmsAdultAgedDisease ProgressionFemaleHumansMaleMiddle AgedRetrospective StudiesSleepCancerDepressionFearPsychological inflexibilitySleep initiation and maintenance disorders

Identifiers

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.