Evidence map›Paper›PMID 42219543›Full record

ArticleCancer medicine2026

Association Between Maladaptive Cognitive Emotion Regulation and Fear of Cancer Recurrence in Breast Cancer Patients With a History of Suicide Attempts: A Cross-Sectional Study.

XinWei Zhang, Hui Tan

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Article in Cancer medicine, 2026. 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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5 · Who and what money

Authors and funding

2 authors.

XinWei ZhangDaxinganling Vocational College, Jiagedaqi, China.
Hui TanHanchuan Secondary Vocational and Technical School, Hanchuan, China.ORCID https://orcid.org/0000-0001-6271-690X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo investigate the relationship between maladaptive cognitive-emotional regulation and fear of cancer recurrence in breast cancer patients with a history of suicide attempts.

methodsA cross-sectional study was conducted on 289 breast cancer patients from January to April 2025. The cognitive-emotional regulation questionnaire was used to assess maladaptive cognitive-emotional regulation, and the cancer recurrence fear scale was used to assess fear of cancer recurrence. Demographic, clinical, and psychosocial data were collected. Univariate and multivariate analyses were conducted, and smooth curve fitting was used to explore nonlinear relationships.

resultsThe women in this group were aged 20-79 years. Non-adaptive cognitive-emotional regulation was associated with cancer recurrence fear in a non-linear positive association with a mid-range convexity relationship (p < 0.001). Fear of cancer recurrence increased with higher scores on non-adaptive cognitive-emotional regulation until reaching a plateau around 69 points (β = 0.45, 95% CI: 0.38-0.52, p < 0.001 below the threshold; β = 0.08, 95% CI: 0.01-0.15, p = 0.03 above the threshold). Age, educational level, and time since diagnosis significantly moderated this relationship (all interaction terms p < 0.05).

conclusionThis study identified a non-linear positive association with a mid-range convexity correlation between adaptive and maladaptive cognitive-emotional regulation and fear of cancer recurrence, highlighting a threshold effect. These findings emphasize the importance of addressing maladaptive cognitive-emotional regulation processes in psychological interventions targeting this vulnerable population.

Indexed as

Breast NeoplasmsEmotional RegulationFearNeoplasm Recurrence, LocalSuicide, AttemptedAdultAgedCognitionCross-Sectional StudiesFemaleHumansMiddle AgedSurveys and QuestionnairesYoung Adultbreast cancercross‐sectional studyfear of cancer recurrencemaladaptive cognitive‐emotional regulationsuicide

Identifiers

PMID42219543
PMCPMC13239120

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