Difficulties in identifying and describing feelings, social constraints, affect, and functional well-being among Chinese breast cancer patients: A mediation model

Yeung, Nelson C. Y.; Wang, Li Juan; Ji, Lili; Lü, Qian; Li, Guohua

doi:10.1016/j.ejon.2020.101760

Cited by 6 publications

(5 citation statements)

References 32 publications

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“…This is in line with the observations made in the study by Lumley et al, which identified similar challenges in emotional processing [33]. Further research by Yeung et al underscored the role of alexithymic characteristics such as these in influencing functional well-being, particularly noting the barriers created in emotional processing due to difficulties in identifying and describing feelings [13]. In light of the observed alexithymic traits, implementing emotion-focused therapies might also prove fruitful.…”

Section: Discussionsupporting

confidence: 82%

“…Notably not enlisted in diagnostic manuals such as ICD-10 or DSM-4, alexithymia nevertheless signifies a pervasive psychosomatic phenomenon characterized by impediments in identifying, distinguishing, and conveying emotions. Individuals with alexithymia may be unaware of their emotional states, tending to express their feelings through somatic complaints [13]. Alexithymia has been linked to a variety of psychopathological symptoms including depression, anxiety, somatization, hostility, and paranoia, and can foster a heightened susceptibility to mental disorders, diminish the efficacy of psychotherapy, and negatively influence the development and severity of psychopathological symptoms.…”

Section: Introductionmentioning

confidence: 99%

“…Collectively, these elements-resilience, cognitive emotional regulation, and alexithymia-paint a comprehensive portrait of the adaptive and maladaptive psychological tools that could potentially influence the emotional and mental well-being of cancer patients [10,11,13,15].…”

Section: Introductionmentioning

confidence: 99%

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Alexithymia, Self-Compassion, Emotional Resilience, and Cognitive Emotion Regulation: Charting the Emotional Journey of Cancer Patients

Ozonder Unal,

Ordu

2023

Current Oncology

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Cancer’s profound impact on emotional well-being necessitates an exploration into the underlying psychological mechanisms influencing depression and anxiety in patients. In this study, we explored the potential role of self-compassion, alexithymia, and cognitive emotion regulation mechanisms in influencing depressive and anxiety symptoms among cancer patients. A total of 151 stage 4 cancer patients participated. Instruments applied included the Beck Depression Scale (BDS), Beck Anxiety Inventory (BAI), Self-Compassion Scale (SCS), Cognitive Emotion Regulation Scale (CERQ), Toronto Alexithymia Scale (TAS), Visual Analogue Scale (VAS), and Brief Psychological Resilience Scale (BRS). The multivariate analysis utilizing the independent variables—SCS, adaptive and maladaptive CERQ, TAS subscales, BRS, and VAS scores—accounted for 39% of the variance seen in BDI (F (8142) = 11.539, p < 0.001). Notably, SCS, adaptive CERQ, and BRS had a negative predictive impact on BDI. Our findings substantiate a statistically significant partial mediatory role of resilience and cognitive emotion regulation in the association between self-compassion and depression. This research accentuates the central role self-compassion, emotional resilience, and cognitive regulation play in the emotional well-being of individuals diagnosed with cancer. Targeted therapeutic interventions focusing on these dimensions may enhance the psychological health of patients, ultimately improving overall treatment outcomes in the oncological setting.

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Section: Discussionsupporting

confidence: 82%

Section: Introductionmentioning

confidence: 99%

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Alexithymia, Self-Compassion, Emotional Resilience, and Cognitive Emotion Regulation: Charting the Emotional Journey of Cancer Patients

Ozonder Unal,

Ordu

2023

Current Oncology

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“…In addition, our study obtained copyright authorization for the use of the Chinese language SCS from You and Lu [ 7 ]. The Chinese version of the scale has been used to investigate Chinese breast cancer patients [ 28 ]. In addition, to ensure the reliability and stability of the factor structure of the 13-item version, a supplementary confirmatory factor analysis (CFA) was conducted.…”

Section: Methodsmentioning

confidence: 99%

Profiles of social constraints and associated factors among breast cancer patients: a latent profile analysis

Cui

Wang

2022

BMC Psychiatry

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Background The present study aimed to identify profiles of social constraints among Chinese breast cancer patients and to explore the variables associated with these patterns. Methods The study recruited 133 Chinese breast cancer patients in Liaoning Province, China, between June 2021 and February 2022. The questionnaire package included the Social Constraints Scale (SCS), the Multidimensional Scale of Perceived Social Support (MSPSS), the Fear of Progression Questionnaire-Short Form (FoP-Q-SF), and the Social Impact Scale (SIS). The methods of statistical analysis used included latent profile analysis (LPA) and multinomial logistic regression. Results Three latent patterns of social constraints were found: class 1-the low social constraints group (51.9%), class 2-the moderate social constraints group (35.3%), and class 3-the high social constraints group (12.8%). Patients with high social support were more likely to report a low level of social constraint, while patients with a greater fear of progression were more likely to report a moderate or high level of social constraints. Significant differences existed among the latent classes identified by reference to social constraint in terms of education. Conclusion These results suggest that breast cancer patients’ perceptions of social constraints vary and exhibit individual differences. Health care providers should take into account patients’ fear of progression as well as their social support when developing interventions for patients with a high level of social constraints.

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“…However, most research studying social constraints has been performed among Caucasian or Asian American BC cancer patients, and few studies have evaluated social constraint levels and explored the effect of social constraints on integrative HRQOL among Chinese BC patients living in mainland China. There is only a study conducted by Yeung et al [ 30 ] to explore the adverse effect of social constraints on functional well-being among BC patients living in Shandong Province, China. Owing to cultural differences, Chinese emotional disclosure is difficult to practice.…”

Section: Introductionmentioning

confidence: 99%

Health-related quality of life and social constraints among Chinese breast cancer patients: a cross-sectional study

Cui

Wang

2021

Health Qual Life Outcomes

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Background Most research studying social constraints has been performed among Caucasian or Asian American breast cancer (BC) patients, but few studies have evaluated social constraint levels and explored the effect of social constraints on the integrative health-related quality of life (HRQOL) of Chinese BC patients. Therefore, our study aimed to examine the association of social constraints with HRQOL among Chinese women with BC. Methods This was a cross-sectional study of 136 Chinese women diagnosed with BC in Liaoning Province, China, from December 2020 to May 2021. Questionnaire information contained HRQOL, social constraints, social support, social stigma, and sociodemographic and clinical characteristics. Multiple linear regression was used to analyse the association of psychological factors with HRQOL. Results The mean score of FACT-B was 96.05 (SD = 18.70). After controlling for potential confounders, social constraints (Beta = − 0.301, P < 0.001) and social stigma (Beta = − 0.241, P = 0.001) were negatively associated with HRQOL and social support (Beta = 0.330, P < 0.001) was positively associated with HRQOL, which explained 44.3% of the variance in HRQOL. Conclusions The findings of the current study suggest that Chinese BC patients’ HRQOL needs to be enhanced after treatment. Social constraints have a strong association with HRQOL. Intervention strategies focusing on less personal disclosure should be considered to avoid social constraints and improve HRQOL among Chinese patients with BC.

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Difficulties in identifying and describing feelings, social constraints, affect, and functional well-being among Chinese breast cancer patients: A mediation model

Cited by 6 publications

References 32 publications

Alexithymia, Self-Compassion, Emotional Resilience, and Cognitive Emotion Regulation: Charting the Emotional Journey of Cancer Patients

Alexithymia, Self-Compassion, Emotional Resilience, and Cognitive Emotion Regulation: Charting the Emotional Journey of Cancer Patients

Profiles of social constraints and associated factors among breast cancer patients: a latent profile analysis

Health-related quality of life and social constraints among Chinese breast cancer patients: a cross-sectional study

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