Evidence map›Paper›PMID 40621127›Full record

ArticleCancer management and research2025

Latent Profile Analysis of Emotional Expression Conflicts and Associated Influencing Factors in Breast Cancer Patients Receiving Postoperative Chemotherapy.

Zhaoxia Tian, Ruishan Sheng, Yutong Zhang, Hongmei Li

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Article in Cancer management and research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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1citing 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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1 citing paper in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

4 authors.

Zhaoxia Tian *Department of Nursing, Fenyang College of Shanxi Medical University, Fenyang City, Shanxi Province, People's Republic of China.
Ruishan Sheng *Department of Nursing, Fenyang College of Shanxi Medical University, Fenyang City, Shanxi Province, People's Republic of China.ORCID 0009-0005-6138-8947
Yutong ZhangDepartment of Nursing, Fenyang College of Shanxi Medical University, Fenyang City, Shanxi Province, People's Republic of China.
Hongmei LiDepartment of Nursing, Fenyang College of Shanxi Medical University, Fenyang City, Shanxi Province, People's Republic of China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Purpose: Emotional expression conflicts, characterized by approach-avoidance dilemmas in self-disclosure, are prevalent among breast cancer patients undergoing postoperative chemotherapy. This study identifies emotional expression conflict subtypes and their predictors to inform targeted interventions. Methods: This cross-sectional study employed convenience sampling to recruit 238 postoperative breast cancer patients. The assessment protocol comprised three validated instruments: the Ambivalence over Emotional Expressiveness Questionnaire-G28 for emotional conflict evaluation, the Cognitive Fusion Questionnaire for cognitive assessment, and the Family Resilience Assessment Scale for family dynamics measurement. Latent profile analysis was conducted to characterize distinct emotional expression conflict subtypes, with subsequent multivariate logistic regression modeling to identify significant predictors. Results: Three distinct emotional expression conflict profiles emerged: (a) Low conflict-emotion expression (33.6%): Proactive emotional sharing with minimal ambivalence. (b) Medium conflict-emotion expression (42.4%): Context-dependent disclosure with moderate ambivalence. (c) High conflict-expression blocked (23.9%): Suppression-dominated behavior with severe ambivalence. Younger age, lower education, reduced income, poor sleep quality, and higher cognitive fusion significantly increased the likelihood of high emotional conflict. Conversely, stronger family resilience was associated with reduced conflict risk. Conclusion: This study highlights the clinical significance of heterogeneity in emotional expression conflicts among breast cancer patients. By targeting modifiable factors (such as sleep quality, cognitive fusion), oncology nursing may advance personalized psychosocial support to address these conflicts. Such strategies demonstrate global applicability for effectively alleviating patient distress and enhancing patient-centered care outcomes.

Indexed as

breast cancercognitive fusionemotional expression conflictfamily resiliencenursing intervention

Identifiers

PMID40621127
PMCPMC12228487

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