Background The mediating role of coping strategies and its relationship with psychological well-being and quality of life has been considered in the literature. However, there is little research to explore the mechanism of coping strategies on stigma and fertility quality of life (FertiQoL) in infertile women undergoing In Vitro Fertilization Embryo Transfer (IVF-ET). The aim of this study was to examine the mediating effect of coping strategies on the relationship between stigma and fertility quality of life (FertiQoL) in Chinese infertile women undergoing In Vitro Fertilization Embryo Transfer (IVF-ET). Methods In this cross-sectional study, a total of 768 infertile women undergoing IVF-ET were recruited from Assisted Reproductive Center of Shaanxi Province, China. The personal information, infertility stigma scale, coping strategy scale and FertiQoL scale were measured using a set of questionnaires. The multiple mediator model was performed using AMOS 21.0. Results The model showed a significant negative direct effect between stigma on FertiQoL. There were significantly negative indirect effects of stigma on FertiQoL through active-avoidance, active-confronting and passive-avoidance, respectively. The meaning-based coping played a positive intermediary role. The model explained 69.4% of the variance in FertiQoL. Conclusion Active-avoidance coping strategy is the most important mediator factor between stigma and FertiQoL in infertile women undergoing IVF-ET treatment. Meaning-based coping strategy plays a positive mediating role between stigma and FertiQoL.

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Background Type C behavior is a cancer-prone behavior that can affect the occurrence and development of cancer. This study aimed to investigate the prevalence of type C behavior in patients with breast cancer during postoperative chemotherapy and determine its associated factors. Methods This study enrolled 161 patients with breast cancer who received postoperative chemotherapy. Type C personality behavior pattern questionnaire was used to assess type C behavior patterns. The following instruments were employed: medical coping modes questionnaire, social support scale, social relational quality scale, Herth hope index. logistic regression was used to identify the factors affecting type C behavior. Results The incidence of type C behavior was 28%. Participants aged 45–59 years (OR = 3.62, 95% CI = 1.04–12.56, P = 0.043), and who adopted a resignation coping style (OR = 1.25, 95% CI = 1.03–1.50, P = 0.021), were more likely to develop type C behavior. Type C behavior was less common in patients with employment (OR = 0.38, 95% CI = 0.15–0.97, P = 0.043), with a high level of social support (OR = 0.89, 95% CI= 0.80–0.98, P = 0.023), and more hope (OR = 0.83, 95% CI = 0.71–0.98, P = 0.079). Conclusion In this study, 28% patients with breast cancer during postoperative chemotherapy exhibited type C behavior. Associated factors with type C behavior were identified, which could guide health care professionals to reduce the prevalence of type C behavior through guiding patients to adopt positive coping styles and improving their level of social support and hope, especially in those aged 45 to 59 years or in those without employment.

Objective: Previous studies have shown that the hope of breast cancer survivors is related to the social relational quality, and personality is related to acceptance of disability. However, research is still limited about the underlying potential psychological mechanisms of various psycho-social factors for this population. This study aims to investigate the impact of breast cancer survivors' hope and type C personality on social relational quality and acceptance of disability, and to evaluate the mediating effect of medical coping styles.Methods: A total of 150 breast cancer survivors during chemotherapy were recruited from Harbin, China completed a self-reported questionnaire containing the personal information questionnaire, Herth hope index (HHI), Type C behavior scale, Medical coping modes questionnaire (MCMQ), Social relationship quality scale (SRQS) and acceptance of disability scale (ADS). Results: Results showed that the proposed model fitted the data very well (c2=8.357, df=7, p=0.302, c2/df=1.194, GFI=0.981, CFI=0.991, TLI=0.982, RMSEA=0.037). Further analyses revealed that, Confrontation mediated the relationship between hope and social relationship quality (indirect effect=0.034, BC 95%CI=0.001~0.106), and acceptance-Resignation mediated the relationship between type C personality and acceptance of disability (indirect effect=-0.379, BC 95%CI=-0.637~-0.145).Conclusions: Confrontation and acceptance-Resignation played critical roles in the relationship between hope, type C personality and social relational quality, the acceptance of disability. Healthcare practitioners should be aware of the coping strategies of breast cancer survivors, and psycho-social interventions and supportive care should focus on these cognitive and emotional processes to improve social relational quality and acceptance of disability for this population.

Background The mediating role of coping strategies and its relationship with psychological well-being and quality of life has been considered in the literature. However, there is little research to explore the mechanism of coping strategies on stigma and fertility quality of life (FertiQoL) in infertile women undergoing In Vitro Fertilization Embryo Transfer (IVF-ET). The aim of this study was to examine the mediating effect of coping strategies on the relationship between stigma and fertility quality of life (FertiQoL) in Chinese infertile women undergoing In Vitro Fertilization Embryo Transfer (IVF-ET).Methods: In this cross-sectional study, a total of 768 infertile women undergoing IVF-ET were recruited from Assisted Reproductive Center of Shaanxi Province, China. The personal information, infertility stigma scale, coping strategy scale and FertiQoL scale were measured using a set of questionnaires. The multiple mediator model was performed using AMOS 21.0.Results: The model showed a significant negative direct effect between stigma on FertiQoL (direct effect= -2.375, BC 95% CI= -2.764, -1.987). There were significantly negative indirect effects of stigma on FertiQoL through active-avoidance (indirect effect = -0.706; BC 95% CI = -0.950, -0.497), active-confronting (indirect effect = -0.267; BC 95% CI= -0.414, -0.136) and passive-avoidance (indirect effect= -0.244; BC 95% CI = -0.368, -0.142), respectively. The meaning-based coping played a positive intermediary role (indirect effect=0.105; BC 95% CI = 0.046, 0.190). The model explained 69.4% of the variance in FertiQoL.Conclusion: Active-avoidance coping strategy is the most important mediator factor between stigma and FertiQoL in infertile women undergoing IVF-ET treatment. Meaning-based coping strategy plays a positive mediating role between stigma and FertiQoL.