ArticleBMC psychiatry2025
The impact of cognitive emotion regulation and social alienation chain intermediate role in breast cancer patients experiencing postoperative recurrence of dread for post-traumatic stress disorder.
Article in BMC psychiatry, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.
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Who cites it
2 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Procrastination as a neurocognitive syndrome: evidence from VBM, RSFC, and Temporal activation patterns in executive and Default-Mode networks.Brain imaging and behavior · 2026Pooled it
- Differentiating Radiotherapy-Specific Distress From General Cancer Distress: Natural Language Processing Analysis of Patient Narratives.JMIR formative research · 2026Observational
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3 authors.
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Abstract
objectivesThis study aims to quantify the extent to which cognitive emotional regulation and social alienation independently and interactively predict the severity of post-traumatic stress disorder symptoms in patients after radical mastectomy for breast cancer. To test whether cognitive emotional regulation strategies mediate the relationship between fear of cancer recurrence and post-traumatic stress disorder, and to determine whether social alienation mediates the impact of fear of cancer recurrence on post-traumatic stress disorder. It is hypothesized that higher maladaptive cognitive emotional regulation and higher social alienation will respectively explain the unique variations in the severity of post-traumatic stress disorder, rather than merely sociodemographic and medical covariates; The higher the level of cognitive emotional regulation, the more obvious the connection between fear of cancer recurrence and post-traumatic stress disorder. Social distancing can partially mediate the pathway of fear of cancer recurrence - post-traumatic stress disorder. Clarifying these modifiable psychosocial pathways will provide a theoretical basis for alleviating post-traumatic stress disorder in postoperative breast cancer survivors.
methodsWe recruited 256 eligible patients who had undergone breast cancer surgery to participate in the study using a cross-sectional design. The study discussed the interplay among fear of cancer recurrence, social alienation, cognitive emotion regulation, and post-traumatic stress disorder and aimed to develop effective stress intervention strategies for clinical researchers.
resultspost-traumatic stress disorder was positively connected with anxiety about cancer recurrence, maladaptive cognitive emotion regulation, and social alienation in patients after breast cancer surgery. Furthermore, the connection between fear of cancer recurrence and post-traumatic stress disorder was influenced by individual maladaptive cognitive emotion regulation and social alienation.
conclusionThe fear of cancer recurrence can lead to an increase in post-traumatic stress disorder among breast cancer patients after surgery. This increase is influenced by the adaptability of cognitive emotion regulation and social alienation. Hence, Efforts should be made to prevent negative cognitive emotion regulation. Additionally, patients should be encouraged and supported to enhance their confidence in social interactions and reduce social alienation. These measures aim to alleviate the symptoms of post-traumatic stress disorder. CLINICAL TRIAL NUMBER: Not applicable.
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