ArticleAsia-Pacific journal of oncology nursing2025
Self-perceived burden, fear of progression and psychological flexibility in cervical cancer survivors: A moderated network analysis.
Article in Asia-Pacific journal of oncology nursing, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Objective: Self-perceived burden (SPB) and Fear of progression (FoP) have been reported in people living with cancer and together may increase overall distress. Acceptance and Commitment Theory (ACT) posits that psychological flexibility (PF) may ameliorate the effects of the co-occurrence of these symptoms, yet empirical evidence is scarce. We examined the symptoms associated with SPB and FoP in women with cervical cancer and tested whether PF moderates the association. Methods: In a cross-sectional study, 307 cervical cancer survivors enrolled in the 2024 "Be Resilient to Cervical Cancer" (BRCC) program completed the Personalized Psychological Flexibility Index (PPFI), the Self-Perceived Burden Scale for Cancer Patients (SPBS-CP), and the Fear of Progression Questionnaire-Short Form (FoP-Q-SF). We constructed symptom-level networks to identify the strongest SPB-FoP connections, and explored the moderating role of PF using Johnson-Neyman analyses. Results: Among the 307 participants, the mean scores for PPFI were 59.13 (standard deviation [SD] = 10.18), for FoP-Q-SF, 31.12 (SD = 4.98), and for SPBS-CP, 48.18 (SD = 17.12) indicating moderate levels of PF, fear of progression and SPB. Network analysis highlighted the "future worries"- "psychological burden" link as the strongest SPB-FoP link ( Conclusions: PF significantly moderates symptom-level associations between self-perceived burden on fear of progression among cervical cancer survivors. ACT-based interventions may attenuate such association to minimize patients' psychological distress.
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