Evidence map›Paper›PMID 41324780›Full record

ArticleJournal of cancer survivorship : research and practice2025

Chain-mediating effect of illness acceptance and perceived control on the relationship between family caring and self-perceived burden in elderly patients with breast cancer: a cross-sectional study.

Yingjie Cai, Qi Zhang, Mi Li, Harue Masaki, Tieying Shi

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In one paragraph

Article in Journal of cancer survivorship : research and practice, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

5 authors.

Yingjie Cai *Department of Nursing, The First Affiliated Hospital of Dalian Medical University, Dalian, China.
Qi Zhang *Department of Nursing, The First Affiliated Hospital of Dalian Medical University, Dalian, China.
Mi LiDepartment of Nursing, The First Affiliated Hospital of Dalian Medical University, Dalian, China.
Harue Masaki *Chiba University, Chiba, Japan. hmasaki@faculty.chiba-u.jp.
Tieying Shi *Department of Nursing, The First Affiliated Hospital of Dalian Medical University, Dalian, China. sty11177@163.com.

Funding

Guangzhou Taihe Medical Humanities Research and Education Foundation 202311
6 · The paper itself

Abstract

aimTo establish a chain mediating model examining family caring, illness acceptance, perceived control, and self-perceived burden, based on the middle-range theory of adaptation to chronic illness, and to empirically test this model.

methodsFrom June 2023 and March 2024, 254 elderly breast cancer patients were enrolled. Data were collected using a general information questionnaire, the family APGAR questionnaire, the self-perceived burden scale for breast cancer patients, the acceptance of illness scale, and the cancer experience and efficacy scale. IBM SPSS v26.0 and IBM AMOS v26.0 were used for data analysis.

resultsFamily caring, illness acceptance, and perceived control demonstrated direct and statistically significant associations with self-perceived burden. Family caring indirectly affected self-perceived burden through five identified pathways. Three served as independent partial mediators in the relationship between family caring and self-perceived burden: illness acceptance (β = -0.172, [-0.110, -0.042]), perceived control (cancer experience) (β = -0.115, [-0.183, -0.056]), and perceived control (control efficacy) (β = -0.136, [-0.182, -0.098]). Two others were serial mediation pathways in the relationship: one through illness acceptance and perceived control (cancer experience) (β = 0.046, [0.016, 0.088]), and another through illness acceptance and perceived control (control efficacy) (β = 0.029, [0.013, 0.052]). CONCLUSIONS AND IMPLICATIONS FOR CANCER SURVIVORS: The study confirmed that family caring primarily alleviates self-perceived burden by enhancing illness acceptance and reducing negative cancer-related experiences in elderly breast cancer patients. Thus, the assessment of family caring should be integrated into routine nursing practice, and psychoeducational programs designed to promote illness acceptance and reduce negative cancer-related experiences should be implemented.

Indexed as

Breast cancerElderlyFamily caringIllness acceptancePerceived controlSelf-perceived burden

Identifiers

PMID41324780

What OpenQuestion holds

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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.