ArticleSupportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer2025
Mediating effects of sense of coherence and psychological resilience on stigma and quality of life among postoperative middle-aged and older patients with malignant gynecological tumors: a cross-sectional, structural equation model.
Article in Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.
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Who cites it
2 citing papers in PubMed.
- Time perspective status and associated factors among young and middle-aged women with gynecologic malignancies who have parenting responsibilities.Asia-Pacific journal of oncology nursing · 2026Article
- Harnessing psychological resilience in hip fracture recovery: The overlooked role of sense of coherence.World journal of psychiatry · 2026Article
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Authors and funding
5 authors.
Funding
Abstract
purposeMiddle-aged and older individuals are at a crucial stage of aging, marked by increased vulnerability to psychological and physiological challenges. Cancer has a negative impact on the quality of life of patients. Stigma is closely related to the quality of life (QoL) of middle-aged and older patients with malignant gynecological tumors, but the mechanism behind this relationship is still unclear. Sense of coherence (SOC) and psychological resilience (PR) are positive mental health factors that can alleviate psychological stress and improve the quality of life. Therefore, this study aimed to explore the mediating role of sense of coherence and psychological resilience between stigma and quality of life.
methodsA cross-sectional survey was conducted from May 2023 to January 2024, involving a total of 428 postoperative patients from the gynecological oncology departments of four tertiary grade A hospitals in Fujian Province. Assessment tools included the Functional Assessment of Cancer Therapy-General scale, the Social Impact Scale, the Connor-Davidson Resilience Scale, and the Sense of Coherence Scale-13. Data analysis was performed using IBM SPSS 26.0 and AMOS 24.0 software.
resultsDescriptive analyses showed generally low quality of life levels. Stigma negatively affected psychological resilience and quality of life, while psychological resilience positively affected quality of life. Stigma also negatively influenced the sense of coherence, whereas the sense of coherence positively affected quality of life. Furthermore, the sense of coherence had a positive effect on psychological resilience. The sense of coherence and psychological resilience partially mediated the relationship between stigma and quality of life.
conclusionsStigma has a direct impact on the quality of life and also exerts an indirect effect through the mediation of sense of coherence and psychological resilience. Clinical healthcare providers can improve patients' quality of life by reducing stigma and promoting sense of coherence and psychological resilience.
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