Total Pain and Fear of Recurrence in Post-Treatment Cancer Patients: Serial Mediation of Psychological Flexibility and Mentalization and Gender Moderation

<b>Background</b>: The research indicates that painful experiences can significantly affect the fear of cancer recurrence among cancer survivors, which is a distressing concern that influences both physiological and psychological recovery. This cross-sectional study aims to advance our c...

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Main Authors: Dariusz Krok, Ewa Telka, Adam Falewicz, Małgorzata Szcześniak
Format: Article
Language:English
Published: MDPI AG 2024-03-01
Series:Journal of Clinical Medicine
Subjects:
Online Access:https://www.mdpi.com/2077-0383/13/7/1974
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author Dariusz Krok
Ewa Telka
Adam Falewicz
Małgorzata Szcześniak
author_facet Dariusz Krok
Ewa Telka
Adam Falewicz
Małgorzata Szcześniak
author_sort Dariusz Krok
collection DOAJ
description <b>Background</b>: The research indicates that painful experiences can significantly affect the fear of cancer recurrence among cancer survivors, which is a distressing concern that influences both physiological and psychological recovery. This cross-sectional study aims to advance our comprehension of the associations between total pain and the fear of recurrence in post-treatment cancer patients by examining two potential mediators: psychological flexibility and mentalization. <b>Methods:</b> Three hundred and thirty-five participants (aged 22 to 88, 49.1% female) who had finished their cancer treatment completed self-report assessments of total pain, their fear of recurrence, psychological flexibility, and mentalization. <b>Results:</b> The serial mediation analysis showed that all dimensions of total pain were positively and indirectly related to the fear of recurrence through psychological flexibility and mentalization in serial. Additionally, gender was found to moderate these serial mediational effects. <b>Conclusions:</b> In line with the psychological flexibility model, personal capacities to face difficult internal/external problems and interpret one’s behavior in motivational terms can counterbalance a patient’s negative emotions and feelings related to the illness. Gender factors also determine the way in which post-treatment cancer patients manage potential future anxiety and fears.
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spelling doaj.art-8cf577e1292b487eb8ef300449cc90fc2024-04-12T13:21:11ZengMDPI AGJournal of Clinical Medicine2077-03832024-03-01137197410.3390/jcm13071974Total Pain and Fear of Recurrence in Post-Treatment Cancer Patients: Serial Mediation of Psychological Flexibility and Mentalization and Gender ModerationDariusz Krok0Ewa Telka1Adam Falewicz2Małgorzata Szcześniak3Institute of Psychology, University of Opole, 45-040 Opole, PolandDepartment of Radiotherapy, Maria Sklodowska-Curie National Research Institute of Oncology, Gliwice Branch, 44-101 Gliwice, PolandInstitute of Psychology, University of Szczecin, 70-111 Szczecin, PolandInstitute of Psychology, University of Szczecin, 70-111 Szczecin, Poland<b>Background</b>: The research indicates that painful experiences can significantly affect the fear of cancer recurrence among cancer survivors, which is a distressing concern that influences both physiological and psychological recovery. This cross-sectional study aims to advance our comprehension of the associations between total pain and the fear of recurrence in post-treatment cancer patients by examining two potential mediators: psychological flexibility and mentalization. <b>Methods:</b> Three hundred and thirty-five participants (aged 22 to 88, 49.1% female) who had finished their cancer treatment completed self-report assessments of total pain, their fear of recurrence, psychological flexibility, and mentalization. <b>Results:</b> The serial mediation analysis showed that all dimensions of total pain were positively and indirectly related to the fear of recurrence through psychological flexibility and mentalization in serial. Additionally, gender was found to moderate these serial mediational effects. <b>Conclusions:</b> In line with the psychological flexibility model, personal capacities to face difficult internal/external problems and interpret one’s behavior in motivational terms can counterbalance a patient’s negative emotions and feelings related to the illness. Gender factors also determine the way in which post-treatment cancer patients manage potential future anxiety and fears.https://www.mdpi.com/2077-0383/13/7/1974total painfear of recurrencepsychological flexibilitymentalizationpost-treatment cancer patients
spellingShingle Dariusz Krok
Ewa Telka
Adam Falewicz
Małgorzata Szcześniak
Total Pain and Fear of Recurrence in Post-Treatment Cancer Patients: Serial Mediation of Psychological Flexibility and Mentalization and Gender Moderation
Journal of Clinical Medicine
total pain
fear of recurrence
psychological flexibility
mentalization
post-treatment cancer patients
title Total Pain and Fear of Recurrence in Post-Treatment Cancer Patients: Serial Mediation of Psychological Flexibility and Mentalization and Gender Moderation
title_full Total Pain and Fear of Recurrence in Post-Treatment Cancer Patients: Serial Mediation of Psychological Flexibility and Mentalization and Gender Moderation
title_fullStr Total Pain and Fear of Recurrence in Post-Treatment Cancer Patients: Serial Mediation of Psychological Flexibility and Mentalization and Gender Moderation
title_full_unstemmed Total Pain and Fear of Recurrence in Post-Treatment Cancer Patients: Serial Mediation of Psychological Flexibility and Mentalization and Gender Moderation
title_short Total Pain and Fear of Recurrence in Post-Treatment Cancer Patients: Serial Mediation of Psychological Flexibility and Mentalization and Gender Moderation
title_sort total pain and fear of recurrence in post treatment cancer patients serial mediation of psychological flexibility and mentalization and gender moderation
topic total pain
fear of recurrence
psychological flexibility
mentalization
post-treatment cancer patients
url https://www.mdpi.com/2077-0383/13/7/1974
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