Evidence map›Paper›PMID 42830779›Full record

ArticleAsia-Pacific journal of oncology nursing2026

Character strengths, psychological distress, anxiety, and depression in adolescents and young adults with gynecologic cancer: A network analysis.

Ning Qin, Yuxuan Li, Huiyi Zhang, Juan Luo, Dongren Qin, Jie Zhu, Jian Peng, Zitong Lu, Jianfei Xie, Shuijing Yi and 1 more

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Article in Asia-Pacific journal of oncology nursing, 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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0cells of the map it votes in
0citing papers in PubMed
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1 · What the graph read from it

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.

2 · The registry

The trial behind it

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Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

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5 · Who and what money

Authors and funding

11 authors.

Ning QinNursing Department, The Third Xiangya Hospital, Central South University, Changsha, Hunan Province, China.
Yuxuan LiNursing Department, The Third Xiangya Hospital, Central South University, Changsha, Hunan Province, China.
Huiyi ZhangXiangya School of Nursing, Central South University, Changsha, Hunan Province, China.
Juan LuoXiangya School of Nursing, Central South University, Changsha, Hunan Province, China.
Dongren QinXiangya School of Nursing, Central South University, Changsha, Hunan Province, China.
Jie ZhuXiangya School of Nursing, Central South University, Changsha, Hunan Province, China.
Jian PengNursing Department, The Third Xiangya Hospital, Central South University, Changsha, Hunan Province, China.
Zitong LuXiangya School of Nursing, Central South University, Changsha, Hunan Province, China.
Jianfei XieNursing Department, The Third Xiangya Hospital, Central South University, Changsha, Hunan Province, China.
Shuijing YiDepartment of Gynecology, The Third Xiangya Hospital, Central South University, Changsha, Hunan Province, China.
Peter H F NgDepartment of Computing and Department of Rehabilitation Science, The Hong Kong Polytechnic University, Hong Kong SAR, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: Adolescents and young adults with gynecologic cancer face distinctive psychosocial challenges. We examined associations between character strengths and psychological distress, anxiety, and depression and identified candidate strength-related nodes for future psychosocial research. Methods: This cross-sectional study included 271 participants diagnosed with gynecologic cancer during adolescence or young adulthood. Gaussian graphical models estimated conditional associations and central and bridge nodes. Bayesian networks explored directed probabilistic dependencies under theory-constrained and unconstrained specifications. In silico simulations estimated model-implied outcome changes following hypothetical 1-standard deviation (SD) increases in individual character strengths. Results: The prespecified character-strength and psychological-outcome communities showed dense within-community and sparse between-community connections. Leadership, Creativity, Curiosity, and Teamwork had the highest strength centrality among character strengths. Psychological distress had the highest bridge strength among psychological-outcome nodes (0.148); Curiosity and Zest had the highest bridge strengths among character-strength nodes (both = 0.112). Results were similar after covariate adjustment. The theory-constrained and unconstrained Bayesian networks each retained 31 directed edges, 28 of which overlapped. The Curiosity-depression dependency was retained in both models, whereas the orientation of the Zest-distress dependency varied by model specification. A hypothetical 1-SD increase in Curiosity corresponded to the largest model-implied decrease in overall outcome severity (-0.230 SD), including depression (-0.306 SD); the model-implied change for Zest was primarily observed for distress (-0.123 SD). Conclusions: Curiosity and Zest were candidate strength-related nodes with distinct, model-dependent associations with psychological outcomes. These hypothesis-generating findings require confirmation in longitudinal and intervention studies before clinical application.

Indexed as

AdolescentCharacter strengthsGenital neoplasmsNetwork analysisPsychological distressYoung adult

Identifiers

PMID42830779
PMCPMC13634094

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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.