ArticleFrontiers in psychology2026
Psychological resilience and marital adjustment in breast cancer patients: a multi-center study of serial mediation by anxiety and depression.
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.
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.
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.
Who cites it
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
10 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Background: Breast cancer patients experience significant psychological distress and marital strain during treatment. Psychological resilience may protect marital adjustment through emotional pathways, yet evidence of serial mediation mechanisms remains limited in nursing research. Objective: To examine anxiety and depression as serial mediators between psychological resilience and marital adjustment. Methods: A multicenter cross-sectional study recruited 408 breast cancer patients from oncology departments in Shenzhen, Beijing, and Hebei. Standardized instruments assessed psychological resilience (Connor-Davidson Resilience Scale, CD-RISC), anxiety/depression (Hospital Anxiety and Depression Scale, HADS), and marital adjustment (Dyadic Adjustment Scale, DAS). Serial mediation analysis (PROCESS Macro Model 6) with 5,000 bootstrap resamples was conducted, adjusting for 15 clinical and sociodemographic covariates. Results: Psychological resilience significantly correlated with marital adjustment ( Conclusion: Psychological resilience is positively associated with marital adjustment through sequential associations with lower anxiety and depression. Oncology nurses should implement resilience-focused psychoeducation and couples' communication training, particularly targeting anxiety in the early treatment phase, to enhance patients' perceived marital adjustment.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
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.