Effects of self-disclosure and resilience on reproductive concern in patients of childbearing age with breast cancer: a cross-sectional survey study

Abstract

ObjectivesTo assess reproductive concerns in patients of childbearing age with breast cancer and examine the relationship between self-disclosure, resilience and reproductive concerns.DesignCross-sectional survey.SettingFive tertiary first-class general hospitals in Sichuan Province, Southwest China.ParticipantsA total of 319 patients with breast cancer of reproductive age who were hospitalised in the breast oncology department participated in this study.Main outcome measuresPrimary outcomes were the relationship between resilience, self-disclosure and reproductive concerns, and mediating effect analyses. Secondary outcomes included the status of reproductive concerns.ResultsThe model accounted for 39.1% of the variance in reproductive concerns. Self-disclosure had a direct negative effect on reproductive concerns (β= −0.371, p=0.001). Resilience had a direct negative effect on reproductive concerns (β= −0.349, p=0.001) and a direct positive effect on self-disclosure (β=0.507, p=0.001). Furthermore, self-disclosure partially mediated the relation between resilience and reproductive concerns (β= −0.177; SE=0.041; 95% CI −0.261 to –0.104; p<0.050), with a bootstrap of 10 000 samples.ConclusionsThe findings suggest that self-disclosure and resilience may ease reproductive concern. Therefore, self-disclosure education and resilience-oriented interventions should be provided to patients of childbearing age with breast cancer, to reduce reproductive concerns.

A study of the mediating effect of social support on self-disclosure and demoralization in Chinese older adult homebound breast cancer patients

“…The median self--disclosure score of the older adult homebound breast cancer patients in this study was 37 (moderate level), lower than that of Zhu et al (2023) (40.41 ± 7.34) for resident breast cancer patients. There are several reasons for the low self-disclosure scores of older adult homebound breast cancer patients.…”

“…There are several reasons for the low self-disclosure scores of older adult homebound breast cancer patients. First, for age-related reasons, Zhu et al (2023) found that the study population was 25–49 years old, which belonged to the middle-aged and young stage, whereas the study population was older adults aged over 60 years. The difference in age between the two groups may also be an important factor influencing the lower self-disclosure level of older adults with breast cancer in this study.…”

Relationship between self-disclosure and anticipatory grief in patients with advanced lung cancer: the mediation role of illness uncertainty

“…Introverts tend to have higher AG scores, most introverts are not very expressive and with their own illnesses they may prefer to choose to keep themselves to themselves. In contrast, extroverts are willing to talk to others and like to express their thoughts, and in the exposure emotional cognition might change thereby lowering AG (Zhu et al, 2023). Symptoms affect the patient's view of the disease, causing biased perceptions (Guan et al, 2020).…”