[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"detail-sidebar-cat-0-en-105":3,"doc-seo-167290-105":59,"doc-detail-167290-en":130},{"code":4,"msg":5,"data":6},0,"success",[7,13,18,23,28,33,38,43,48,51,55],{"id":8,"doc_module":4,"doc_module_name":9,"category_name":10,"show_sort_weight":11,"slug":12},1,"Document","Story & Novel",90,"story-novel",{"id":14,"doc_module":4,"doc_module_name":9,"category_name":15,"show_sort_weight":16,"slug":17},2,"Literature",80,"literature",{"id":19,"doc_module":4,"doc_module_name":9,"category_name":20,"show_sort_weight":21,"slug":22},4,"Exam",70,"exam",{"id":24,"doc_module":4,"doc_module_name":9,"category_name":25,"show_sort_weight":26,"slug":27},5,"Comic",60,"comic",{"id":29,"doc_module":4,"doc_module_name":9,"category_name":30,"show_sort_weight":31,"slug":32},6,"Technology",50,"technology",{"id":34,"doc_module":4,"doc_module_name":9,"category_name":35,"show_sort_weight":36,"slug":37},7,"Healthcare",40,"healthcare",{"id":39,"doc_module":4,"doc_module_name":9,"category_name":40,"show_sort_weight":41,"slug":42},8,"Research & Report",30,"research-report",{"id":44,"doc_module":4,"doc_module_name":9,"category_name":45,"show_sort_weight":46,"slug":47},9,"Religion & Spirituality",20,"religion-spirituality",{"id":46,"doc_module":4,"doc_module_name":9,"category_name":49,"show_sort_weight":46,"slug":50},"World Cup","world-cup",{"id":52,"doc_module":4,"doc_module_name":9,"category_name":53,"show_sort_weight":52,"slug":54},10,"Lifestyle","lifestyle",{"id":56,"doc_module":4,"doc_module_name":9,"category_name":57,"show_sort_weight":24,"slug":58},19,"General","general",{"code":4,"msg":60,"data":61},"ok",{"site_id":62,"language":63,"slug":64,"title":65,"keywords":66,"description":67,"schema_data":68,"social_meta":123,"head_meta":125,"extra_data":127,"updated_unix":129},105,"en","dyadic-effects-of-family-resilience-on-post-traumatic-stress-symptoms-among-breast-cancer-patients-and-their-primary-family-caregivers-across-sectional-study","Dyadic effects of family resilience on post-traumatic stress symptoms among breast cancer patients and their primary family caregivers: Across-sectional study","","Study objectives verified actor and partner effects by examining how family resilience relates to post-traumatic stress symptoms (PTSS) in Chinese breast cancer patients and their primary family caregivers. A cross-sectional design recruited 104 patients and 104 principal caregivers from a public hospital cancer center. Participants completed self-report measures of sociodemographic factors, family resilience, and PTSS. Results showed significant associations between resilience and PTSS, with caregiver resilience predicting caregiver and patient PTSS through actor and partner pathways. Findings support family-based interventions enhancing resilience within the first year of diagnosis.",{"@graph":69,"@context":122},[70,84,105],{"@type":71,"itemListElement":72},"BreadcrumbList",[73,77,79,82],{"item":74,"name":75,"@type":76,"position":8},"https://docshare.wps.com","Home","ListItem",{"item":78,"name":9,"@type":76,"position":14},"https://docshare.wps.com/document/",{"item":80,"name":40,"@type":76,"position":81},"https://docshare.wps.com/document/research-report/",3,{"item":83,"name":65,"@type":76,"position":19},"https://docshare.wps.com/document/dyadic-effects-of-family-resilience-on-post-traumatic-stress-symptoms-among-breast-cancer-patients-and-their-primary-family-caregivers-across-sectional-study/167290/",{"url":83,"name":65,"@type":85,"image":86,"author":91,"headline":65,"publisher":94,"fileFormat":97,"inLanguage":63,"description":67,"dateModified":98,"datePublished":99,"encodingFormat":97,"isAccessibleForFree":100,"interactionStatistic":101},"DigitalDocument",{"url":87,"@type":88,"width":89,"height":90},"https://docshare.wps.com/thumbnails/dyadic-effects-of-family-resilience-on-post-traumatic-stress-symptoms-among-breast-cancer-patients-and-their-primary-family-caregivers-across-sectional-study/167290.png","ImageObject",300,407,{"name":92,"@type":93},"Ezra","Person",{"url":74,"name":95,"@type":96},"DocShare","Organization","application/pdf","2026-09-18","2026-08-31",true,{"@type":102,"interactionType":103,"userInteractionCount":24},"InteractionCounter",{"@type":104},"ViewAction",{"@type":106,"mainEntity":107},"FAQPage",[108,114,118],{"name":109,"@type":110,"acceptedAnswer":111},"What was the main purpose of the study?","Question",{"text":112,"@type":113},"To verify actor and partner effects by examining how family resilience influences post-traumatic stress symptoms (PTSS) in breast cancer patients and their primary family caregivers.","Answer",{"name":115,"@type":110,"acceptedAnswer":116},"How were participants selected and what was the study design?",{"text":117,"@type":113},"A cross-sectional study recruited 104 breast cancer patients and their principal caregivers from a comprehensive cancer center of a public hospital in China.",{"name":119,"@type":110,"acceptedAnswer":120},"What did the study find about family resilience and PTSS?",{"text":121,"@type":113},"Caregivers’ perceived family resilience was negatively related to their own PTSS (actor effect) and to patients’ PTSS (partner effect), while patients’ perceived family resilience showed no significant association with PTSS for either themselves or caregivers.","https://schema.org",{"og:url":83,"og:type":124,"og:title":65,"og:site_name":95,"og:description":67},"article",{"robots":126,"canonical":83},"index,follow",{"doc_id":128,"site_id":62},167290,1788211576,{"code":4,"msg":5,"data":131},{"doc_id":128,"user_id":132,"nickname":92,"user_avatar":133,"doc_module":4,"category_id":39,"category_name":40,"doc_title":65,"doc_description":67,"doc_content":134,"file_id":135,"file_url":136,"file_type":137,"file_size":138,"view_count":24,"is_deleted":4,"is_public":8,"is_downloadable":8,"audit_status":8,"page_count":24,"language":139,"language_code":63,"site_id":62,"html_lang":63,"table_of_contents":140,"faqs":141,"seo_title":142,"seo_description":67,"update_tm":129,"read_time":143},1099514068035,"https://ap-avatar.wpscdn.com/davatar_276721f389ce27ea32af1340a28f341c","European Journal of Oncology Nursing 53 (2021) 101998  \nContents lists available at ScienceDirect  \nEuropean Journal of Oncology Nursing  \njournal [homepage:](homepage: www.elsevier.com/locate/ejon)[ www.elsevier.com/locate/ejon](homepage: www.elsevier.com/locate/ejon)  \n| Dyadic effects of family resilience on post-traumatic stress symptoms among breast cancer patients and their primary family caregivers: Across-sectional study |  |  | |\n| --- | --- | --- | --- |\n| Zeping Yana, Qin Zhang a, Lixia Chang a, Ye Liu b, Yuli Lia, *\u003Cbr>a School of Nursing and Rehabilitation, Cheeloo College of Medicine, Shandong University, Jinan, 250012, China b Qilu Hospital (Qingdao), Cheeloo College of Medicine, Shandong University, Qingdao, 200011, China |  |  |  |\n| A R T I C L E I N F O |  | A B S T R A C T |  |\n| Keywords:\u003Cbr>Actor-partner interdependence model Breast neoplasms\u003Cbr>Caregiver Family Resilience Post-traumatic Stress |  | Purpose: The aims of this study were to verify actor and partner effects, by examining the effects of family resilience on post-traumatic stress symptoms (PTSS) among Chinese breast cancer patients and their primary family caregivers.\u003Cbr>Methods: In this cross-sectional study, 104 breast cancer patients (age range 20–75, Mean = 47, Standard Deviation = 10), and their principal caregivers (n = 104), were recruited from a comprehensive cancer center of a public hospital in China. The patients and their caregivers self-reported sociodemographic, family resilience, and PTSS factors. The actor-partner interdependence model were adopted to examine whether the patients and caregivers’ perceived family resilience could contribute to their own (“actor effect”) and each other’s (“partner effect”) PTSS.\u003Cbr>Results: There were significant correlations between patients’ and caregivers’ shortened Chinese version of Family Resilience Assessment Scale scores (r = 0.58, p \u003C 0.01) and Post-traumatic Stress Disorder ChecklistCivilian Version scores (r = 0.69, p \u003C 0.01). Caregivers’ perceived family resilience was negatively related to their PTSS (actor effect), and the patients’ PTSS (partner effect). However, the patients’ perceived family resilience was not significantly related to their or the caregivers’ PTSS.\u003Cbr>Conclusions: The primary caregivers’ perceived family resilience had both actor and partner effects on patient/ caregiver PTSS within the first year of breast cancer diagnosis. Family-based interventions should be designed to enhance family resilience to decrease PTSS within families dealing with cancer patients. Supportive care should focus on the primary family caregivers within the first year of breast cancer diagnosis. |  |\n\n1. Introduction  \nBreast cancer is the most common carcinoma among women worldwide and is the leading cause of female cancer death (Li et al., 2016). According to recent statistics, new breast cancer cases in China in 2014 account for 11.2% of the total number of new breast cancer cases worldwide. The prevalence of breast cancer in China places a substantial burden on society and families (Li et al., 2018).  \nAs a life-threatening event, the diagnosis of breast cancer followed by examination and treatment acts as an increased risk factor for the development of post-traumatic stress symptoms (PTSS), characterized by intense fear, nightmares, and helplessness (Liu et al., 2020). Two  \nmeta-analyses of cancer patient-partner dyads showed that highly distressed patients have highly distressed caregivers (Hagedoorn et al., 2008; Hodges et al., 2005), indicating that breast cancer caregivers may also suffer PTSS. In some cancer patients, symptoms of cancer related PTSS exist for many years and also affect the caregivers (Moschopoulou et al., 2018). Experiencing PTSS can exhaust the family more than the cancer itself because PTSS not only hinders patients’ healing and recovery process but also negatively impacts caregivers’ social function and psychological health (Choi et al., 2018; Kazlauskiene a","cbCaipaFSUaACqgr","https://ap.wps.com/l/cbCaipaFSUaACqgr","pdf",711371,"English","# Introduction\n## Breast cancer as a traumatic, life-threatening event and PTSS risk\n## Family resilience as a protective factor\n## Interdependence theory and the actor-partner framework\n# Methods (cross-sectional study)\n## Participants and recruitment\n## Measures and self-report instruments\n## Actor-partner interdependence model analysis","[{\"question\":\"What was the main purpose of the study?\",\"answer\":\"To verify actor and partner effects by examining how family resilience influences post-traumatic stress symptoms (PTSS) in breast cancer patients and their primary family caregivers.\"},{\"question\":\"How were participants selected and what was the study design?\",\"answer\":\"A cross-sectional study recruited 104 breast cancer patients and their principal caregivers from a comprehensive cancer center of a public hospital in China.\"},{\"question\":\"What did the study find about family resilience and PTSS?\",\"answer\":\"Caregivers’ perceived family resilience was negatively related to their own PTSS (actor effect) and to patients’ PTSS (partner effect), while patients’ perceived family resilience showed no significant association with PTSS for either themselves or caregivers.\"}]","Dyadic effects of family resilience on post-traumatic stress symptoms among breast cancer patients and their primary family caregivers: Across-sectional study | PDF",13]