ArticleSupportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer2025
Association analysis of family resilience with sleep quality and hope levels in post-modified radical mastectomy breast cancer patients.
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 1 paper.
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1 citing paper in PubMed.
- The effects of family resilience and body image on psychosocial adaptation among young and middle-aged breast cancer patients.Frontiers in psychology · 2026Article
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Authors and funding
7 authors.
Funding
Abstract
backgroundBreast cancer is China's top threat to women's health, causing physical and emotional distress that affects sleep and recovery outlook.
objectiveTo investigate the effect of family resilience on sleep quality and hope level in patients undergoing radical mastectomy for breast cancer.
methodsA cross-sectional survey was conducted among 200 patients who underwent modified radical mastectomy in the breast surgery department. The self-made general information questionnaire, Family Resilience Questionnaire (FaRE), Pittsburgh Sleep Quality Index (PSQI), and Herth Hope Scale (HHI) were used to investigate their family resilience, sleep quality, and hope level. At the same time, the Spearman correlation was used to analyze the relationship between family resilience, sleep quality, and hope level. The mediating role of family resilience on sleep and hope was analyzed using stepwise regression and validated with the bootstrap method.
resultFinally, 185 valid questionnaires were collected. The FaRE score of 185 patients after modified radical mastectomy was (101.32 ± 17.98), the PSQI score was (7.58 ± 2.03), and the HHI score was (35.30 ± 5.43). Family resilience was negatively correlated with sleep quality (r = - 0.497, P < 0.001) and positively correlated with hope level (r = 0.551, P < 0.001). Sleep quality was negatively correlated with hope level (r = - 0.405, P < 0.001). Family resilience played a partial mediating role between sleep quality and hope level, with a mediating effect of 53.11%.
conclusionsFamily resilience can indirectly affect the hope level of patients by regulating their sleep quality.
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