Evidence map›Paper›PMID 42765017›Full record

ArticleJournal of multidisciplinary healthcare2026

Trajectories of Psychological Detachment and Associated Factors Among Family Caregivers of Patients with Breast Cancer Receiving Postoperative Chemotherapy.

Jing-En Dai, Yan Zhang, Cheng-Jin Ma, Chen-Rong Mao, Xian-Wen Li, Ling Jiang

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Article in Journal of multidisciplinary healthcare, 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

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6 authors.

Jing-En DaiDepartment of General Surgery, The Affiliated Suzhou Hospital of Nanjing Medical University, Suzhou Municipal Hospital, Suzhou, People's Republic of China.
Yan ZhangDepartment of General Surgery, The Affiliated Suzhou Hospital of Nanjing Medical University, Suzhou Municipal Hospital, Suzhou, People's Republic of China.
Cheng-Jin MaDepartment of General Surgery, The Affiliated Suzhou Hospital of Nanjing Medical University, Suzhou Municipal Hospital, Suzhou, People's Republic of China.
Chen-Rong MaoDepartment of General Surgery, The Affiliated Suzhou Hospital of Nanjing Medical University, Suzhou Municipal Hospital, Suzhou, People's Republic of China.
Xian-Wen LiInstitute of Nursing, Nanjing Medical University, Nanjing, People's Republic of China.
Ling JiangDepartment of Nursing, The Affiliated Suzhou Hospital of Nanjing Medical University, Suzhou, People's Republic of China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: The aim of this study was to identify latent trajectory classes of psychological detachment and examine factors associated with class membership among family caregivers of patients with breast cancer (BC) undergoing postoperative chemotherapy. Methods: A convenience sample of 220 family caregivers of patients with BC undergoing postoperative chemotherapy was recruited from the breast surgery departments of two tertiary Grade A hospitals in Suzhou Municipal Hospital between December 2023 and December 2024. Baseline data were collected from caregivers prior to the first chemotherapy cycle (T0). Follow-up assessments were conducted using the Psychological Detachment Scale (PD) at three time points: after the first chemotherapy cycle (T1), at the midpoint of chemotherapy (T2), and after completion of chemotherapy (T3). Growth Mixture Modeling was applied to identify latent trajectory classes of psychological detachment. Multinomial logistic regression analysis was performed to assess factors associated with trajectory class membership. Results: A total of 200 caregivers completed the full follow-up assessment. At T0, T1, T2, and T3, the mean PD scores among caregivers were 6.74 ± 1.30, 5.75 ± 0.96, 9.14 ± 1.49, and 11.85 ± 1.66, respectively. Three distinct trajectory classes were identified: a high-level detachment group (69.0%), a moderate-level detachment group (25.5%), and a low-level slow-increase detachment group (5.5%). Patient age, tumor stage, molecular subtype, caregiver burden, social support, and fear of cancer recurrence were significantly associated with psychological detachment trajectory class membership ( Conclusion: Psychological detachment trajectories differed among family caregivers of patients with BC undergoing postoperative chemotherapy, indicating population heterogeneity. Targeted interventions tailored to trajectory class characteristics and associated factors may support improvements in psychological detachment among caregivers. Given the small size of the low-level group, further validation in larger samples is warranted.

Indexed as

breast neoplasmsdevelopmental trajectoryfamily caregiverspostoperative chemotherapypsychological detachment

Identifiers

PMID42765017
PMCPMC13589985

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