Evidence map›Paper›PMID 42827918›Full record

ArticleFrontiers in psychology2026

Cognitive appraisal, negative coping, and family resilience among acute leukemia patients and their primary family caregivers: an actor-partner interdependence mediation model of quality of life.

Hezi Mu, Changchang Chen, Jinquan Li, Yi Cui, Xia Chen, Yinling Zhang, Weihong Li

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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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1 · What the graph read from it

What it found

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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

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3 · Its place in the literature

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No citing paper in PubMed yet.

4 · The record

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5 · Who and what money

Authors and funding

7 authors.

Hezi MuSchool of Nursing, Beijing University of Chinese Medicine, Beijing, China.
Changchang ChenDepartment of Nursing, Air Force Medical University, Xi'an, China.
Jinquan LiSchool of Nursing, Beijing University of Chinese Medicine, Beijing, China.
Yi CuiDepartment of Nursing, Air Force Medical University, Xi'an, China.
Xia Chen *Nursing Department, Peking University Shenzhen Hospital, Shenzhen, China.
Yinling Zhang *Department of Nursing, Air Force Medical University, Xi'an, China.
Weihong LiSchool of Nursing, Beijing University of Chinese Medicine, Beijing, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objectives: This study used a dyadic approach to examine the association between cognitive appraisal and quality of life (QoL), and to test whether negative coping and family resilience mediate this association in dyads of acute leukemia (AL) patients and their primary family caregivers. Methods: Three hundred and eight AL patient-caregiver dyads were recruited from five hospitals in China. QoL was measured using the Functional Assessment of Cancer Therapy-Leukemia (FACT-Leu) for patients and the 12-Item Short-Form Health Survey (SF-12) for primary family caregivers. Cognitive appraisal, negative coping, and family resilience were assessed using the Cognitive Appraisal of Health Scale (CAHS), the Trait Coping Style Questionnaire (TCSQ), and the Family Hardiness Index (FHI), respectively. The Actor-Partner Interdependence Mediation Model (APIMeM) was performed in R to examine direct and indirect effects. Results: Patients' QoL was significantly correlated with their own positive coping ( Conclusion: Acute leukemia patients and their primary family caregivers demonstrate divergent stress-coping pathways. For patients, mitigating maladaptive coping such as avoidance and resignation may protect QoL, whereas caregivers may benefit from interventions directly targeting threat perception and emotional burden. Family resilience shows a distinct pattern. It exerts protective effects on patient QoL but not on caregiver QoL, pointing to the need for tailored dyadic psychosocial care.

Indexed as

acute leukemiacognitive appraisalcoping stylefamily resilienceprimary family caregiversquality of life

Identifiers

PMID42827918
PMCPMC13630955

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