ArticleAsia-Pacific journal of oncology nursing2026
The mediating role of illness perception between Type D personality and psychological distress in preoperative patients with gynecologic cancers: A cross-sectional study.
Article in Asia-Pacific journal of oncology nursing, 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
Objective: To investigate the prevalence and influencing factors of psychological distress in preoperative gynecologic cancer patients, and to examine the mediating role of illness perception between Type D personality and psychological distress. Methods: A cross-sectional study was conducted among 218 newly diagnosed gynecologic cancer patients from a provincial tertiary hospital in Hefei, China. Self-reported questionnaires were used to assess demographic and clinical characteristics, Type D personality, illness perception, and psychological distress. Mediation analysis was performed using bootstrapping (5000 resamples) to estimate unstandardized path coefficients ( Results: The prevalence of preoperative psychological distress was 39.9%, which was associated with marital status, primary tumor site, Type D personality, and illness perception. Our results indicated the positive correlations of psychological distress with Type D personality ( Conclusions: Preoperative psychological distress was prevalent among gynecologic cancer patients. Both Type D personality and illness perception were significantly associated with psychological distress. The study indicated that Type D personality is associated with preoperative psychological distress, and this association may be partially explained by illness perception. Routine screening for Type D personality and targeted cognitive interventions addressing illness perception during the perioperative period may help reduce psychological distress in gynecologic cancer patients.
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