ArticleFrontiers in psychiatry2025
The impact of illness perception on self-transcendence in gastric cancer patients undergoing chemotherapy: the chain mediating effect of hope levels and coping styles.
Article in Frontiers in psychiatry, 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: To investigate the current status of illness perception, hope levels, coping styles, and self-transcendence among gastric cancer patients undergoing chemotherapy, and to explore the chain-mediating role of hope levels and coping styles in illness perception and self-transcendence. Methods: This study is a cross-sectional study. A convenience sampling method was used to select 507 gastric cancer patients undergoing chemotherapy from a tertiary hospital in Wuxi City, China, from October 2024 to May 2025. A questionnaire survey was conducted using Demographic Characteristics Questionnaire, Brief Illness Perception Questionnaire, Herth Hope Index, Medical Coping Modes Questionnaire, and Self-Transcendence Scale. Data were analyzed by SPSS 27.0, R Studio and Amos 24.0. Results: The mean scores for illness perception, hope levels, confrontation, avoidance, yield and self-transcendence were 42.79 ± 9.30, 34.10 ± 9.21, 24.50 ± 9.51, 20.69 ± 6.30, 14.70 ± 4.61 and 44.08 ± 10.38, respectively. The importance ranking of the random forest model was: illness perception, avoidance, confrontation, hope levels, self-rated health status and yield. The mediation model analysis indicated that illness perception had a significant direct effect on self-transcendence (confrontation, avoidance, and yield dimensions: 55.47%, 56.04%, 53.73%), the independent mediating effect of hope levels (30.90%, 32.13%, 32.05%), the independent mediating effect of coping styles (6.81%, 6.28%, 7.95%), and the chain mediating effect of hope levels and coping styles (6.81%, 5.85%, 6.27%). Conclusion: Illness perception directly influences self-transcendence in gastric cancer patients undergoing chemotherapy, indirectly influences self-transcendence through the mediating effects of hope levels, coping styles, and the chain mediating effect of hope levels and coping styles.
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