Relationship between family functioning and self-transcendence in patients with breast cancer: A network analysis

BackgroundFor patients with breast cancer, family functioning is an important factor affecting self-transcendence, which is a key source of happiness. However, network analysis studies of family functioning and self-transcendence are lacking, particularly among patients with breast cancer.PurposeThe...

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Main Authors: Chunyan He, Tianqi Yang, Yang He, Sijin Guo, Yawei Lin, Chao Wu, Li Gao, Xufeng Liu, Shengjun Wu, Baohua Cao
Format: Article
Language:English
Published: Frontiers Media S.A. 2022-11-01
Series:Frontiers in Public Health
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fpubh.2022.1028860/full
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author Chunyan He
Tianqi Yang
Yang He
Sijin Guo
Yawei Lin
Chao Wu
Li Gao
Xufeng Liu
Shengjun Wu
Baohua Cao
author_facet Chunyan He
Tianqi Yang
Yang He
Sijin Guo
Yawei Lin
Chao Wu
Li Gao
Xufeng Liu
Shengjun Wu
Baohua Cao
author_sort Chunyan He
collection DOAJ
description BackgroundFor patients with breast cancer, family functioning is an important factor affecting self-transcendence, which is a key source of happiness. However, network analysis studies of family functioning and self-transcendence are lacking, particularly among patients with breast cancer.PurposeThe present study investigated the network structure of family functioning and self-transcendence in patients with breast cancer and aimed to identify bridge items to provide some theoretical support for the improvement and intervention of self-transcendence in patients with breast cancer.MethodsA total of 294 patients with breast cancer were enrolled in our study. Self-transcendence was evaluated with the Self-Transcendence Scale. Family functioning was evaluated with the Family Adaptation, Participation, Growth, Affection, Resolution (APGAR) Scale. Network analyses were used for the statistical analysis.ResultsIn the network of family functioning and self-transcendence in patients with breast cancer, there were 22 edges across communities, of which the 5 strongest edges connected to the 5 dimensions of family functioning are “Adaptation” with “Enjoyment of hobbies”, “Participation” with “Life enjoyment”, “Growth” with “Acceptance of bodily changes”, “Affection” with “Life enjoyment”, “Resolution” with “Help acceptance”. “Adaptation” had the highest bridge expected influence value (0.30) in the family functioning community, while “Life enjoyment” had the highest bridge expected influence value (0.27) in the self-transcendence community.ConclusionComplex patterns of associations existed in the fine-grained relationship between family functioning and self-transcendence in patients with breast cancer. From the perspective of network analysis, the “Adaptation” aspect of family functioning and the “Life enjoyment” aspect of self-transcendence may be the best targets for improving self-transcendence. These results have important implications to clinical practice, which provided potential targets for interventions to improve self-transcendence from the perspective of family functioning.
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spelling doaj.art-e14076037ed74c418c21bb396c7a89502022-12-22T04:14:55ZengFrontiers Media S.A.Frontiers in Public Health2296-25652022-11-011010.3389/fpubh.2022.10288601028860Relationship between family functioning and self-transcendence in patients with breast cancer: A network analysisChunyan He0Tianqi Yang1Yang He2Sijin Guo3Yawei Lin4Chao Wu5Li Gao6Xufeng Liu7Shengjun Wu8Baohua Cao9Department of Nursing, Fourth Military Medical University, Xi'an, ChinaDepartment of Psychology, Fourth Military Medical University, Xi'an, ChinaDepartment of Psychology, Fourth Military Medical University, Xi'an, ChinaXijing Hospital Affiliated With Air Force Medical University, Xi'an, ChinaDepartment of Nursing, Fourth Military Medical University, Xi'an, ChinaDepartment of Nursing, Fourth Military Medical University, Xi'an, ChinaDepartment of Nursing, Fourth Military Medical University, Xi'an, ChinaDepartment of Psychology, Fourth Military Medical University, Xi'an, ChinaDepartment of Psychology, Fourth Military Medical University, Xi'an, ChinaDepartment of Nursing, Fourth Military Medical University, Xi'an, ChinaBackgroundFor patients with breast cancer, family functioning is an important factor affecting self-transcendence, which is a key source of happiness. However, network analysis studies of family functioning and self-transcendence are lacking, particularly among patients with breast cancer.PurposeThe present study investigated the network structure of family functioning and self-transcendence in patients with breast cancer and aimed to identify bridge items to provide some theoretical support for the improvement and intervention of self-transcendence in patients with breast cancer.MethodsA total of 294 patients with breast cancer were enrolled in our study. Self-transcendence was evaluated with the Self-Transcendence Scale. Family functioning was evaluated with the Family Adaptation, Participation, Growth, Affection, Resolution (APGAR) Scale. Network analyses were used for the statistical analysis.ResultsIn the network of family functioning and self-transcendence in patients with breast cancer, there were 22 edges across communities, of which the 5 strongest edges connected to the 5 dimensions of family functioning are “Adaptation” with “Enjoyment of hobbies”, “Participation” with “Life enjoyment”, “Growth” with “Acceptance of bodily changes”, “Affection” with “Life enjoyment”, “Resolution” with “Help acceptance”. “Adaptation” had the highest bridge expected influence value (0.30) in the family functioning community, while “Life enjoyment” had the highest bridge expected influence value (0.27) in the self-transcendence community.ConclusionComplex patterns of associations existed in the fine-grained relationship between family functioning and self-transcendence in patients with breast cancer. From the perspective of network analysis, the “Adaptation” aspect of family functioning and the “Life enjoyment” aspect of self-transcendence may be the best targets for improving self-transcendence. These results have important implications to clinical practice, which provided potential targets for interventions to improve self-transcendence from the perspective of family functioning.https://www.frontiersin.org/articles/10.3389/fpubh.2022.1028860/fullbreast cancerself-transcendencefamily functioningnetwork analysisnursing
spellingShingle Chunyan He
Tianqi Yang
Yang He
Sijin Guo
Yawei Lin
Chao Wu
Li Gao
Xufeng Liu
Shengjun Wu
Baohua Cao
Relationship between family functioning and self-transcendence in patients with breast cancer: A network analysis
Frontiers in Public Health
breast cancer
self-transcendence
family functioning
network analysis
nursing
title Relationship between family functioning and self-transcendence in patients with breast cancer: A network analysis
title_full Relationship between family functioning and self-transcendence in patients with breast cancer: A network analysis
title_fullStr Relationship between family functioning and self-transcendence in patients with breast cancer: A network analysis
title_full_unstemmed Relationship between family functioning and self-transcendence in patients with breast cancer: A network analysis
title_short Relationship between family functioning and self-transcendence in patients with breast cancer: A network analysis
title_sort relationship between family functioning and self transcendence in patients with breast cancer a network analysis
topic breast cancer
self-transcendence
family functioning
network analysis
nursing
url https://www.frontiersin.org/articles/10.3389/fpubh.2022.1028860/full
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