ArticleFrontiers in psychology2026
Associations between psychosocial distress and health-promoting lifestyles in patients with malignant tumors: the critical role of self-perceived burden.
Article in Frontiers in psychology, 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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Abstract
Background: As cancer survivorship rates improve, the focus of oncological care has shifted toward enhancing long-term quality of life through health-promoting lifestyles (HPL). However, the adoption of such behaviors is often hindered by complex psychosocial barriers. This study aimed to investigate the associations between psychological resilience, cancer-related stigma, and self-perceived burden (SPB), and to explore their collective associations with HPL behaviors in a cohort of cancer patients. Methods: A single-center retrospective cross-sectional study was conducted involving 162 patients with malignant tumors treated at The First Hospital of Hebei Medical University between January 2024 and December 2024. Demographic and clinical data were extracted from electronic medical records. Psychosocial status was assessed using the Connor-Davidson Resilience Scale (CD-RISC), Social Impact Scale (SIS), Self-Perceived Burden Scale (SPBS-CP), and Health-Promoting Lifestyle Profile II (HPLP-II). Multivariable linear regression, mediation, moderation, and Pearson correlation analyses were performed to identify factors associated with HPL. Results: The cohort (mean age 61.3 ± 11.1 years; 54.3% male) exhibited moderate levels of resilience (65.04 ± 10.45) and high SPB (35.83 ± 6.55). The overall HPLP-II score was 122.42 ± 15.01, indicating a moderate level of health engagement. Advanced disease stage (III/IV) and longer disease duration (>6 months) were significantly associated with lower resilience and higher stigma ( Conclusion: Psychological resilience acts as a protective factor, while stigma and self-perceived burden are significant barriers negatively associated with health-promoting lifestyles among cancer patients.
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