Evidence map›Paper›PMID 42159793›Full record

ArticleSupportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer2026

Gratitude and psychological distress among cancer patients undergoing radiotherapy: The chain-mediating roles of optimism and sense of coherence.

Shuman Wang, Rong Ge, Yu Zhang, Wenjie Xu, Zeling Zhang, Aoxing Sun, Wenlong Zhang, Yu Zhu, Hongwei Wan

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Article in Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer, 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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1 · What the graph read from it

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2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

9 authors.

Shuman WangDepartment of Nursing, Shanghai Proton and Heavy Ion Center, Fudan University Cancer Hospital, Shanghai, China.
Rong GeNursing Department, Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China.
Yu ZhangDepartment of Nursing, Shanghai Proton and Heavy Ion Center, Fudan University Cancer Hospital, Shanghai, China.
Wenjie XuDepartment of Nursing, Shanghai Proton and Heavy Ion Center, Fudan University Cancer Hospital, Shanghai, China.
Zeling ZhangDepartment of Nursing, Shanghai Proton and Heavy Ion Center, Fudan University Cancer Hospital, Shanghai, China.
Aoxing SunDepartment of Nursing, Shanghai Proton and Heavy Ion Center, Fudan University Cancer Hospital, Shanghai, China.
Wenlong ZhangDepartment of Nursing, Shanghai Proton and Heavy Ion Center, Fudan University Cancer Hospital, Shanghai, China.
Yu ZhuDepartment of Nursing, Shanghai Proton and Heavy Ion Center, Fudan University Cancer Hospital, Shanghai, China.
Hongwei WanDepartment of Nursing, Shanghai Proton and Heavy Ion Center, Fudan University Cancer Hospital, Shanghai, China. hong_whw@aliyun.com.

Funding

Fudan University Fosun Nursing Research Fund FNF202404Science and Technology and Economic Program of Shanghai Pudong New District PKJ2024-Y56Tang Zhongying Foundation C60-0174-2401
6 · The paper itself

Abstract

purposeThis study examined how optimism and sense of coherence mediated the relationships between gratitude and psychological distress among cancer patients in China.

methodsThis cross-sectional study was conducted between September 2023 and June 2024. A total of 215 cancer patients undergoing radiotherapy completed questionnaires assessing sociodemographic variables, disease-related factors, gratitude, optimism, sense of coherence, and psychological distress. A chain mediation model was tested using the PROCESS macro in SPSS to examine the chain mediating roles of optimism and sense of coherence in the relationship between gratitude and psychological distress.

resultsPsychological distress was negatively correlated with gratitude, optimism, and sense of coherence. Gratitude had a negative effect on psychological distress through three distinct pathways: the mediating effect of optimism (effect =  - 0.017), the mediating effect of sense of coherence (effect =  - 0.015), and the chain mediating effect of optimism and sense of coherence (effect =  - 0.008), accounting for 17%, 15%, and 8% of the total effect, respectively.

conclusionsGratitude influences psychological distress in cancer patients both directly and indirectly through optimism and sense of coherence. The improvement of psychological distress should not be limited to symptom relief, but should also focus on enhancing patients' positive emotional experiences and fostering positive psychological resources to improve psychological distress.

Indexed as

NeoplasmsOptimismPsychological DistressSense of CoherenceStress, PsychologicalAdultAgedChinaCross-Sectional StudiesFemaleHumansMaleMiddle AgedSurveys and QuestionnairesCancerChain mediating effectGratitudeOptimismPsychological distressSense of coherence

Identifiers

PMID42159793

What Socratic holds

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.