Evidence map›Paper›PMID 40839188›Full record

ArticleSupportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer2025

The chain mediating roles of spiritual well-being and hope between self-control and depressive symptoms among breast cancer patients: a cross-sectional study.

Yang Tan, Minghong Tang, Zhihui Gu, Li Liu, Hui Wu, Mengyao Li

Abstract read
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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 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  2. The role of spirituality in improving psychosocial well-being in women with breast cancer: a qualitative study.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2026
    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

6 authors.

Yang TanDepartment of Social Medicine, School of Health Management, China Medical University, No. 77 Puhe Road, Shenyang North New District, Shenyang, Liaoning, 110122, PR China.
Minghong TangDepartment of Social Medicine, School of Health Management, China Medical University, No. 77 Puhe Road, Shenyang North New District, Shenyang, Liaoning, 110122, PR China.
Zhihui GuDepartment of Social Medicine, School of Health Management, China Medical University, No. 77 Puhe Road, Shenyang North New District, Shenyang, Liaoning, 110122, PR China.
Li LiuDepartment of Social Medicine, School of Health Management, China Medical University, No. 77 Puhe Road, Shenyang North New District, Shenyang, Liaoning, 110122, PR China.
Hui WuDepartment of Social Medicine, School of Health Management, China Medical University, No. 77 Puhe Road, Shenyang North New District, Shenyang, Liaoning, 110122, PR China.
Mengyao LiDepartment of Social Medicine, School of Health Management, China Medical University, No. 77 Puhe Road, Shenyang North New District, Shenyang, Liaoning, 110122, PR China. myli@cmu.edu.cn.

Funding

Department of Science and Technology of Liaoning Province 2023JH2/20200098National Natural Science Foundation of China 71904204
6 · The paper itself

Abstract

backgroundDepressive symptoms were prevalent among breast cancer (BC) patients. This study aimed to examine the associations among self-control, spiritual well-being, hope, and depressive symptoms and to explore the chain mediating effect of spiritual well-being and hope in these associations among BC patients in China.

methodsA total of 458 BC patients (effective response rate: 91.6%) entered this cross-sectional study. Questionnaires included the Functional Assessment of Chronic Illness Therapy-Spiritual Well-Being, the Brief Self-Control Scale, the Herth Hope Index, the Self-Rating Depression Scale, and demographic variables. The Bootstrap analysis was used to test the mediating effect of spiritual well-being and hope.

resultsThe mean score of depressive symptoms was 57.59 ± 6.17. The prevalence of depressive symptoms was 79.3% among Chinese BC patients. Depressive symptoms were significantly negatively associated with self-control, spiritual well-being, and hope (P < 0.01). Self-control negatively affected depressive symptoms (P < 0.01). BC patients` depressive symptoms were affected by self-control through 3 different pathways: the mediating role of spiritual well-being (95% CI: -0.062, -0.003), the mediating role of hope (95% CI: -0.119, -0.039); and the chain mediating roles of both spiritual well-being and hope (95% CI: -0.030, -0.001).

conclusionsIn this study, the prevalence of depressive symptoms was 79.3% among Chinese BC patients. Spiritual well-being and hope played chain mediating roles in the relationship between self-control and depressive symptoms among BC patients. In addition to improving self-control, the development of spiritual well-being and hope should also be included in BC patients' mental health treatment strategies.

Indexed as

Breast NeoplasmsDepressionHopeSelf-ControlSpiritualityAdultAgedChinaCross-Sectional StudiesFemaleHumansMiddle AgedPrevalenceSurveys and QuestionnairesBreast cancerChain mediationDepressive symptomsHopeSelf-controlSpiritual well-being

Identifiers

PMID40839188

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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.