Dyadic effects of illness perception and maladaptive cognitive-emotional regulation strategies on the fear of cancer recurrence in breast cancer patients and spouses: an actor-partner interdependence mediation model
Abstract Purpose Breast cancer, as a stressful event, profoundly impacts the entire family, especially patients and their spouses. This study used a dyadic analysis approach to explore the dyadic effects of illness perception on the fear of cancer recurrence (FCR) and whether maladaptive cognitive-e...
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BMC
2025-01-01
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| Series: | BMC Psychiatry |
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| Online Access: | https://doi.org/10.1186/s12888-024-06354-2 |
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| author | Hui Ren Tianye Yang Songli Mei Zhu Zhu Jianjun Shi Lingling Tong Jia Yang Yabin Sun |
| author_facet | Hui Ren Tianye Yang Songli Mei Zhu Zhu Jianjun Shi Lingling Tong Jia Yang Yabin Sun |
| author_sort | Hui Ren |
| collection | DOAJ |
| description | Abstract Purpose Breast cancer, as a stressful event, profoundly impacts the entire family, especially patients and their spouses. This study used a dyadic analysis approach to explore the dyadic effects of illness perception on the fear of cancer recurrence (FCR) and whether maladaptive cognitive-emotional regulation strategies acted as a mediator in breast cancer patient-spouse dyads. Methods This was a cross-sectional study, and 202 dyads of breast cancer patients and their spouses were enrolled. Illness perception, maladaptive cognitive-emotional regulation strategies, and FCR were assessed by the Brief Illness Perception Questionnaire (BIPQ), the Cognitive Emotion Regulation Questionnaire (CERQ), and the Fear of Cancer Recurrence Inventory Short Form (FCRI-SF), respectively. Data were analyzed using the actor-partner interdependence mediation model. Results This study found that, for patients and spouses, maladaptive cognitive-emotional regulation strategies mediated the actor effects of illness perception on FCR. That is, illness perception was positively related to their maladaptive cognitive-emotional regulation strategies, which increased the risk of FCR. Another important finding was that patients’ illness perception had significant direct and indirect effects on spouses’ FCR through spouses’ maladaptive cognitive-emotional regulation strategies. Conclusions Negative illness perception perceived by patients and spouses can increase their FCR by adapting their maladaptive cognitive-emotional regulation strategies. Furthermore, illness perception perceived by patients can also increase spouses’ FCR through spouses’ maladaptive cognitive-emotional regulation strategies. Medical staff should identify vulnerable patients and spouses with higher illness perception and maladaptive cognitive-emotional regulation strategies and make focused interventions to decrease the risk of FCR of both breast cancer patients and their spouses. |
| format | Article |
| id | doaj-art-b21a339d73ef4f85a3db74a1fed0826d |
| institution | Kabale University |
| issn | 1471-244X |
| language | English |
| publishDate | 2025-01-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Psychiatry |
| spelling | doaj-art-b21a339d73ef4f85a3db74a1fed0826d2025-01-19T12:34:24ZengBMCBMC Psychiatry1471-244X2025-01-012511810.1186/s12888-024-06354-2Dyadic effects of illness perception and maladaptive cognitive-emotional regulation strategies on the fear of cancer recurrence in breast cancer patients and spouses: an actor-partner interdependence mediation modelHui Ren0Tianye Yang1Songli Mei2Zhu Zhu3Jianjun Shi4Lingling Tong5Jia Yang6Yabin Sun7The First Hospital of Jilin UniversityDepartment of Plastic Surgery, The First Hospital of Jilin UniversityJilin University School of Public HealthDepartment of Breast Surgery, The First Hospital of Jilin UniversityDepartment of Breast Surgery, Heping Hospital Affiliated to Changzhi Medical CollegeChina-Japan Union Hospital of Jilin UniversityChangchun Central HospitalThe First Hospital of Jilin UniversityAbstract Purpose Breast cancer, as a stressful event, profoundly impacts the entire family, especially patients and their spouses. This study used a dyadic analysis approach to explore the dyadic effects of illness perception on the fear of cancer recurrence (FCR) and whether maladaptive cognitive-emotional regulation strategies acted as a mediator in breast cancer patient-spouse dyads. Methods This was a cross-sectional study, and 202 dyads of breast cancer patients and their spouses were enrolled. Illness perception, maladaptive cognitive-emotional regulation strategies, and FCR were assessed by the Brief Illness Perception Questionnaire (BIPQ), the Cognitive Emotion Regulation Questionnaire (CERQ), and the Fear of Cancer Recurrence Inventory Short Form (FCRI-SF), respectively. Data were analyzed using the actor-partner interdependence mediation model. Results This study found that, for patients and spouses, maladaptive cognitive-emotional regulation strategies mediated the actor effects of illness perception on FCR. That is, illness perception was positively related to their maladaptive cognitive-emotional regulation strategies, which increased the risk of FCR. Another important finding was that patients’ illness perception had significant direct and indirect effects on spouses’ FCR through spouses’ maladaptive cognitive-emotional regulation strategies. Conclusions Negative illness perception perceived by patients and spouses can increase their FCR by adapting their maladaptive cognitive-emotional regulation strategies. Furthermore, illness perception perceived by patients can also increase spouses’ FCR through spouses’ maladaptive cognitive-emotional regulation strategies. Medical staff should identify vulnerable patients and spouses with higher illness perception and maladaptive cognitive-emotional regulation strategies and make focused interventions to decrease the risk of FCR of both breast cancer patients and their spouses.https://doi.org/10.1186/s12888-024-06354-2Breast cancerFear of cancer recurrenceIllness perceptionMaladaptive cognitive-emotional regulation strategiesActor-partner interdependence mediation model |
| spellingShingle | Hui Ren Tianye Yang Songli Mei Zhu Zhu Jianjun Shi Lingling Tong Jia Yang Yabin Sun Dyadic effects of illness perception and maladaptive cognitive-emotional regulation strategies on the fear of cancer recurrence in breast cancer patients and spouses: an actor-partner interdependence mediation model BMC Psychiatry Breast cancer Fear of cancer recurrence Illness perception Maladaptive cognitive-emotional regulation strategies Actor-partner interdependence mediation model |
| title | Dyadic effects of illness perception and maladaptive cognitive-emotional regulation strategies on the fear of cancer recurrence in breast cancer patients and spouses: an actor-partner interdependence mediation model |
| title_full | Dyadic effects of illness perception and maladaptive cognitive-emotional regulation strategies on the fear of cancer recurrence in breast cancer patients and spouses: an actor-partner interdependence mediation model |
| title_fullStr | Dyadic effects of illness perception and maladaptive cognitive-emotional regulation strategies on the fear of cancer recurrence in breast cancer patients and spouses: an actor-partner interdependence mediation model |
| title_full_unstemmed | Dyadic effects of illness perception and maladaptive cognitive-emotional regulation strategies on the fear of cancer recurrence in breast cancer patients and spouses: an actor-partner interdependence mediation model |
| title_short | Dyadic effects of illness perception and maladaptive cognitive-emotional regulation strategies on the fear of cancer recurrence in breast cancer patients and spouses: an actor-partner interdependence mediation model |
| title_sort | dyadic effects of illness perception and maladaptive cognitive emotional regulation strategies on the fear of cancer recurrence in breast cancer patients and spouses an actor partner interdependence mediation model |
| topic | Breast cancer Fear of cancer recurrence Illness perception Maladaptive cognitive-emotional regulation strategies Actor-partner interdependence mediation model |
| url | https://doi.org/10.1186/s12888-024-06354-2 |
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