ArticleCancer reports (Hoboken, N.J.)2026
Healing the Mind to Ease Pain and Fatigue: The Role of Attachment, Mindfulness, and Cognitive Emotion Regulation in Early-Stage Breast Cancer Survivors.
Article in Cancer reports (Hoboken, N.J.), 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
backgroundPain and cancer-related fatigue (CRF) are common and debilitating symptoms among breast cancer survivors, significantly impairing quality of life. Psychological factors, including attachment styles, mindfulness skills, and cognitive emotion regulation strategies (CERS), are essential for symptom management.
aimsThis study examined the predictive roles of attachment styles, mindfulness skills, and CERS on pain perception and CRF severity in women with early-stage breast cancer. METHODS AND
resultsA descriptive-correlational design was applied to 201 women recruited from Tehran Shohada Hospital. Participants completed the Adult Attachment Styles (AAS), Kentucky Inventory of Mindfulness Skills (KIMS), Cognitive Emotion Regulation Questionnaire-Short (CERQ-Short), McGill Pain Questionnaire (MPQ), and Fatigue Severity Scale (FSS). Regression analyses revealed that attachment styles accounted for 20% of the variance in pain perception and 24% in CRF, with secure attachment reducing and ambivalent attachment exacerbating symptoms. Mindfulness skills explained 45% of pain perception and 26% of CRF variance, with accepting without judgment being the strongest predictor. CERS contributed to 46% of the variance in pain perception and 21% in CRF, with adaptive strategies mitigating and maladaptive strategies amplifying symptoms.
conclusionsPromoting secure attachment, cultivating mindfulness skills, particularly accepting without judgment, and training adaptive CERS can significantly alleviate pain and fatigue in breast cancer survivors. These findings underscore the value of psychological interventions in enhancing treatment outcomes and quality of life in this population.
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