Bray, F. et al. Global cancer statistics 2022: GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries. CA Cancer J. Clin. 74, 229–263. https://doi.org/10.3322/caac.21834 (2024).
Google ScholarÂ
Li, N. et al. Factors influencing parenting concerns in Chinese breast cancer mothers with minor children: a path analysis using a multi-mediation model. J. Cancer Surviv. https://doi.org/10.1007/s11764-025-01813-5 (2025).
Google ScholarÂ
Inhestern, L. et al. Psychometric properties of the parenting concerns questionnaire in cancer survivors with minor and young adult children. Psycho-Oncology 25, 1092–1098. https://doi.org/10.1002/pon.4049 (2016).
Google ScholarÂ
Sung, H. et al. Global cancer statistics 2020: GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries. CA Cancer J. Clin. 71, 209–249. https://doi.org/10.3322/caac.21660 (2021).
Google ScholarÂ
Whisenant, M. et al. Living with an advanced cancer while parenting minor children: a needs assessment study. J. Pain Symptom Manage. 66, 160–167.e163. https://doi.org/10.1016/j.jpainsymman.2023.04.027 (2023).
Park, E. M. et al. Parenting concerns, quality of life, and psychological distress in patients with advanced cancer. Psycho-Oncology 25, 942–948. https://doi.org/10.1002/pon.3935 (2016).
Google ScholarÂ
Milbury, K. et al. Patients with advanced cancer and their spouses parenting minor children: the role of the relationship context in parenting concerns. Psychooncology 33, e6310. https://doi.org/10.1002/pon.6310 (2024).
Google ScholarÂ
Park, E. M. et al. Parenting while living with advanced cancer: A qualitative study. Palliat. Med. 31, 231–238. https://doi.org/10.1177/0269216316661686 (2017).
Google ScholarÂ
Jewett, P. I., Vogel, R. I., Schroeder, M. C., Neuner, J. M. & Blaes, A. H. Parental status in treatment decision making among women with nonmetastatic breast cancer. Med. Decis. Mak. 40, 540–544. https://doi.org/10.1177/0272989×20918606 (2020).
Google ScholarÂ
Inhestern, L., Haller, A. C., Wlodarczyk, O. & Bergelt, C. Psychosocial interventions for families with parental cancer and barriers and facilitators to implementation and Use – A systematic review. PLoS One. 11, e0156967. https://doi.org/10.1371/journal.pone.0156967 (2016).
Google ScholarÂ
Kroll, J. L. et al. Parenting and family concerns of couples navigating advanced breast cancer: exploring discussions around parenting challenges and targets for intervention. Psychooncology 34, e70069. https://doi.org/10.1002/pon.70069 (2025).
Google ScholarÂ
Usui, Y. et al. Parenting experiences of cancer patients with minor children and their conversations about the possibility of death: a cross-sectional web-based survey for an online cancer community. Support Care Cancer. 30, 7715–7720. https://doi.org/10.1007/s00520-022-07220-1 (2022).
Google ScholarÂ
Borstelmann, N. A. et al. Psychosocial issues and quality of life of parenting partners of young women with breast cancer. Support Care Cancer. 30, 4265–4274. https://doi.org/10.1007/s00520-022-06852-7 (2022).
Google ScholarÂ
Park, E. M. et al. Psychometric analysis of the parenting concerns questionnaire in women with metastatic cancer. J. Pain Symptom Manag. 55, 451–457. https://doi.org/10.1016/j.jpainsymman.2017.09.021 (2018).
Google ScholarÂ
Romare Strandh, M. et al. Parenting under pressure: a cross-sectional questionnaire study of psychological distress, parenting concerns, self-efficacy, and emotion regulation in parents with cancer. Acta Oncol. 63, 468–476. https://doi.org/10.2340/1651-226x.2024.40404 (2024).
Google ScholarÂ
Tavares, R., Brandão, T. & Matos, P. M. The parenting concerns questionnaire: A validation study with Portuguese parents with cancer. Eur. J. Cancer Care (Engl). 29, e13315. https://doi.org/10.1111/ecc.13315 (2020).
Google ScholarÂ
Leo, K. et al. Parenting Concerns, psychological Distress, and relationship adjustment among patients with cancer and their partners: A longitudinal study. Psychooncology 34, e70057. https://doi.org/10.1002/pon.70057 (2025).
Google ScholarÂ
Kim, S., Ko, Y. H. & Jun, E. Y. The impact of breast cancer on mother-child relationships in Korea. Psychooncology 21, 640–646. https://doi.org/10.1002/pon.1941 (2012).
Phillips, F., Prezio, E. A., Currin-McCulloch, J. & Jones, B. L. Wonders & worries: A randomized clinical trial of a psychosocial intervention for children who have a parent with cancer. Psychooncology 31, 1399–1411. https://doi.org/10.1002/pon.5943 (2022).
Google ScholarÂ
Milbury, K. et al. Supporting patients with advanced cancer and their spouses in parenting minor children: results of a randomized controlled trial. Oncologist https://doi.org/10.1093/oncolo/oyae351 (2024).
Google ScholarÂ
Liénard, A., Lamal, S., Merckaert, I. & Razavi, D. Efficacy of a support intervention designed to improve parents’ communication with children dealing with parental cancer: a randomized pilot trial. Support Care Cancer. 30, 9823–9832. https://doi.org/10.1007/s00520-022-07380-0 (2022).
Google ScholarÂ
Walczak, A., McDonald, F., Patterson, P., Dobinson, K. & Allison, K. How does parental cancer affect adolescent and young adult offspring? A systematic review. Int. J. Nurs. Stud. 77, 54–80. https://doi.org/10.1016/j.ijnurstu.2017.08.017 (2018).
Google ScholarÂ
Yuan, Q. et al. The mediating role of parenting competence between psychological capital and parenting concerns in breast cancer patients: a multicenter study. Curr. Psychol. 43, 27815–27825. https://doi.org/10.1007/s12144-024-06418-2 (2024).
Google ScholarÂ
Shin, Y. et al. Factors in parenting stress in young patients with breast cancer and implications for children’s emotional development. Jama Netw. Open 6 https://doi.org/10.1001/jamanetworkopen.2023.44835 (2023).
Kuswanto, C. N., Stafford, L., Schofield, P. & Sharp, J. Self-compassion and parenting efficacy among mothers who are breast cancer survivors: implications for psychological distress. J. Health Psychol. 29, 425–437. https://doi.org/10.1177/13591053231222162 (2024).
Google ScholarÂ
Lysecki, D. L. et al. Integration of child life into adult oncology: A mixed-methods feasibility study. Psycho Oncol. 33 https://doi.org/10.1002/pon.6365 (2024).
Ann-Yi, S. et al. Supportive care for dual caregivers who care for their partner with cancer and their young children. J. Pain Symptom Manage. 66, e603–e609. https://doi.org/10.1016/j.jpainsymman.2023.07.012 (2023).
Google ScholarÂ
Howell, D. M. et al. Risk factors for psychological morbidity and the protective role of coping self-efficacy in young women with breast cancer early in diagnosis: a National multicentre cohort study. Breast Cancer Res. Treat. 194, 91–102. https://doi.org/10.1007/s10549-022-06576-6 (2022).
Google ScholarÂ
Wang, Y. F. et al. The effect of illness perception on psychosocial adjustment of patients with breast cancer and their spouses: actor-partner independence model. BMC Psychol. 12, 310. https://doi.org/10.1186/s40359-024-01741-6 (2024).
Google ScholarÂ
Babore, A., Trumello, C., Brandao, T., Cavallo, A. & Bramanti, S. M. Maternal cancer and perception of child psychological adjustment: the role of mother’s anxiety, depression, and parenting stress. Cancers 15 https://doi.org/10.3390/cancers15030910 (2023).
Park, E. M. et al. Adaptation and psychometric evaluation of the parenting concerns Questionnaire-Advanced disease. Am. J. Hosp. Palliat. Care. 39, 918–925. https://doi.org/10.1177/10499091211049801 (2022).
Google ScholarÂ
Cessna, J. M., Pidala, J. & Jacobsen, P. B. Relationships between parenting self-efficacy and distress in parents who have school-aged children and have been treated with hematopoietic stem cell transplant or have no cancer history. Psychooncology 25, 339–346. https://doi.org/10.1002/pon.3848 (2016).
Google ScholarÂ
Goetze, H. et al. Psychological distress of cancer patients with children under 18 years and their partners-a longitudinal study of family relationships using dyadic data analysis. Support. Care Cancer. 25, 255–264. https://doi.org/10.1007/s00520-016-3411-z (2017).
Google ScholarÂ
Chong, Y. Y., Temesgen, W. A., Chan, H., Wong, C. L. & Cheng, H. Y. Psychosocial interventions for improving mental health and family functioning in families with parental cancer: A systematic review. Eur. J. Oncol. Nurs. 68 https://doi.org/10.1016/j.ejon.2024.102505 (2024).
Vila, M. M., Berron, B., Gil-Gil, S. D., Ochoa-Arnedo, M., Vázquez, R. V. & C. & Psychosocial aspects and life project disruption in young women diagnosed with metastatic hormone-sensitive HER2-negative breast cancer. Breast 53, 44–50. https://doi.org/10.1016/j.breast.2020.06.007 (2020).
Google ScholarÂ
Qianjin, J. The 12th Annual Meeting of the Psychosomatic Medicine Society of the Chinese Medical Association. 6.
von Elm, E. et al. The strengthening the reporting of observational studies in epidemiology (STROBE) statement: guidelines for reporting observational studies. Lancet 370, 1453–1457. https://doi.org/10.1016/s0140-6736(07)61602-x (2007).
Google ScholarÂ
Wang, X. & Ji, X. Sample size Estimation in clinical research: from randomized controlled trials to observational studies. Chest 158, S12–s20. https://doi.org/10.1016/j.chest.2020.03.010 (2020).
Google ScholarÂ
Tein, J. Y., Coxe, S. & Cham, H. Statistical power to detect the correct number of classes in latent profile analysis. Struct. Equ Model. 20, 640–657. https://doi.org/10.1080/10705511.2013.824781 (2013).
Google ScholarÂ
Woo, S. E., Jebb, A. T., Tay, L. & Parrigon, S. Putting the person in the center: review and synthesis of person-Centered approaches and methods in organizational science. ORGANIZATIONAL Res. METHODS. 21, 814–845. https://doi.org/10.1177/1094428117752467 (2018).
Google ScholarÂ
Muriel, A. C. et al. Measuring psychosocial distress and parenting concerns among adults with cancer: the parenting concerns questionnaire. Cancer 118, 5671–5678. https://doi.org/10.1002/cncr.27572 (2012).
Google ScholarÂ
Kang Tingting, Z. W. et al. The Chinese translation and reliability of the parenting concerns questionnaire for cancer patients. Nurs. J. Chin. People’s Liberation Army. 38, 33–36. https://doi.org/10.3969/j.issn.1008-9993.2021.11.009 (2021).
Google ScholarÂ
Feifel, H., Strack, S. & Nagy, V. T. Degree of life-threat and differential use of coping modes. J. Psychosom. Res. 31, 91–99. https://doi.org/10.1016/0022-3999(87)90103-6 (1987).
Google ScholarÂ
Shen Xiaohong, J. Q. Test report of 701 items of medical coping modes questionnaire (Chinese Version). Chin. J. Behav. Med. Sci. 22–24 (2000).
Broadbent, E., Petrie, K. J., Main, J. & Weinman, J. The brief illness perception questionnaire. J. Psychosom. Res. 60, 631–637. https://doi.org/10.1016/j.jpsychores.2005.10.020 (2006).
Google ScholarÂ
Lubben, J. et al. Performance of an abbreviated version of the Lubben social network scale among three European community-dwelling older adult populations. Gerontologist 46, 503–513. https://doi.org/10.1093/geront/46.4.503 (2006).
Google ScholarÂ
Chang, Q., Sha, F., Chan, C. H. & Yip, P. S. F. Validation of an abbreviated version of the Lubben social network scale (LSNS-6) and its associations with suicidality among older adults in China. PLoS One. 13, e0201612. https://doi.org/10.1371/journal.pone.0201612 (2018).
Google ScholarÂ
Muthén, B. & Muthén, L. K. Integrating person-centered and variable-centered analyses: growth mixture modeling with latent trajectory classes. Alcohol Clin. Exp. Res. 24, 882–891 (2000).
Google ScholarÂ
Spurk, D., Hirschi, A., Wang, M., Valero, D. & Kauffeld, S. Latent profile analysis: A review and how to guide of its application within vocational behavior research. J. Vocat. Behav. 120, 103445. https://doi.org/10.1016/j.jvb.2020.103445 (2020).
Google ScholarÂ
Nylund, K. L., Tihomir, A., Muthén, B. O. & and Deciding on the number of classes in latent class analysis and growth mixture modeling: A Monte Carlo simulation study. Struct. Equation Modeling: Multidisciplinary J. 14, 535–569. https://doi.org/10.1080/10705510701575396 (2007).
Google ScholarÂ
Lewis, F. M. et al. The enhancing connections program: a six-state randomized clinical trial of a cancer parenting program. J. Consult Clin. Psychol. 83, 12–23. https://doi.org/10.1037/a0038219 (2015).
Google ScholarÂ
Stinesen Kollberg, K., Wilderäng, U., Möller, A. & Steineck, G. Worrying about one’s children after breast cancer diagnosis: desired timing of psychosocial intervention. Support Care Cancer. 22, 2987–2995. https://doi.org/10.1007/s00520-014-2307-z (2014).
Google ScholarÂ
Phillips, F. & Prezio, E. A. Wonders & worries: evaluation of a child centered psychosocial intervention for families who have a parent/primary caregiver with cancer. Psycho-Oncology 26, 1006–1012. https://doi.org/10.1002/pon.4120 (2017).
Google ScholarÂ
Inhestern, L., Johannsen, L. M. & Bergelt, C. Families affected by parental cancer: quality of life, impact on children and psychosocial care needs. Front. Psychiatry 12 https://doi.org/10.3389/fpsyt.2021.765327 (2021).
Senneseth, M. et al. Facing spousal cancer during child-rearing years: the short-term effects of the Cancer-PEPSONE programme-a single-center randomized controlled trial. Psychooncology 26, 1541–1547. https://doi.org/10.1002/pon.4329 (2017).
Google ScholarÂ
Zimmermann, T. Partnership and family aspects of cancer. Bundesgesundheitsblatt-Gesundheitsforschung-Gesundheitsschutz 65, 446–452. https://doi.org/10.1007/s00103-022-03495-1 (2022).
Google ScholarÂ
Sklenarova, H. et al. When do we need to care about the caregiver? Supportive care needs, anxiety, and depression among informal caregivers of patients with cancer and cancer survivors. Cancer 121, 1513–1519. https://doi.org/10.1002/cncr.29223 (2015).
Google ScholarÂ
Hagedoorn, M., Sanderman, R., Bolks, H. N., Tuinstra, J. & Coyne, J. C. Distress in couples coping with cancer: a meta-analysis and critical review of role and gender effects. Psychol. Bull. 134, 1–30. https://doi.org/10.1037/0033-2909.134.1.1 (2008).
Google ScholarÂ
Kuswanto, C. N., Stafford, L., Sharp, J. & Schofield, P. Psychological distress, role, and identity changes in mothers following a diagnosis of cancer: A systematic review. Psycho-Oncology 27, 2700–2708. https://doi.org/10.1002/pon.4904 (2018).
Google ScholarÂ
Fugmann, D. et al. Caring for dependent children impacts practical and emotional problems and need for support, but not perceived distress among cancer patients. Psychooncology 32, 1231–1239. https://doi.org/10.1002/pon.6173 (2023).
Google ScholarÂ
Diao, Y. et al. Impact of public health insurance coverage of novel anticancer medication on medical expenditure and patient affordability in a provincial medical centre of china: a propensity score-matching analysis with the quasi-experimental design. BMJ Open. 12, e054713. https://doi.org/10.1136/bmjopen-2021-054713 (2022).
Google ScholarÂ
Chen, X. et al. Financial toxicity, family resilience and negative emotions among young and middle-aged breast cancer patients: A multicentre cross-sectional study. Breast 75, 103735. https://doi.org/10.1016/j.breast.2024.103735 (2024).
Google ScholarÂ
Hubbeling, H. G. et al. Psychosocial needs of young breast cancer survivors in Mexico City, Mexico. PLoS ONE 13 https://doi.org/10.1371/journal.pone.0197931 (2018).
Melnyk, H., Djukic, M. & Merriman, J. Vaughan Dickson, V. An integrative review: women’s psychosocial vulnerability in relation to paid work after a breast cancer diagnosis. J. Adv. Nurs. 77, 2144–2154. https://doi.org/10.1111/jan.14730 (2021).
Google ScholarÂ
Alvarez-Pardo, S. et al. Factors associated with body image and self-esteem in mastectomized breast cancer survivors. Int. J. Environ. Res. Public Health 20 https://doi.org/10.3390/ijerph20065154 (2023).
Andersen, I. S. et al. Body image and psychosocial effects in women after treatment of breast cancer: A prospective study. Am. J. Surg. 237, 115895. https://doi.org/10.1016/j.amjsurg.2024.115895 (2024).
Google ScholarÂ
Montagnese, C. et al. Quality of life in women diagnosed with breast cancer after a 12-month treatment of lifestyle modifications. Nutrients 13 https://doi.org/10.3390/nu13010136 (2020).
Rosenberg, S. M. et al. Association of breast cancer surgery with quality of life and psychosocial Well-being in young breast cancer survivors. JAMA Surg. 155, 1035–1042. https://doi.org/10.1001/jamasurg.2020.3325 (2020).
Google ScholarÂ
Xiong, M. et al. Attributes and influencing factors of hope levels in breast cancer patients: A latent profile analysis. Br. J. Health Psychol. 30, e12773. https://doi.org/10.1111/bjhp.12773 (2025).
Google ScholarÂ
(Gennari et al., 2021; Marks et al., 2022).
Grimm, M. et al. Living with advanced breast cancer: A descriptive analysis of survivorship strategies. J. Clin. Med. 11 https://doi.org/10.3390/jcm11143992 (2022).
Zhao, R., Liu, H. L. & Gao, J. N. Side effects of endocrine therapy are associated with depression and anxiety in breast cancer patients accepting endocrine therapy: A cross-sectional study in China. Front. Psychol. 13. https://doi.org/10.3389/fpsyg.2022.905459 (2022).
Kim, K. W. et al. Fulfilling the role of a parent while undergoing treatment for cancer. Am. J. Clin. Oncology-Cancer Clin. Trials. 47, 445–447. https://doi.org/10.1097/coc.0000000000001102 (2024).
Google ScholarÂ
Zamir, O., Bentley, G. & He, Y. A. Promotive process of resource gain against harsh and inconsistent discipline in mothers coping with breast cancer: A serial mediation model. Front. Psychiatry. 13, 859604. https://doi.org/10.3389/fpsyt.2022.859604 (2022).
Google ScholarÂ
Ehsan, A. N. et al. Financial toxicity among patients with breast cancer worldwide: a systematic review and meta-analysis. JAMA Netw. Open 6, e2255388. https://doi.org/10.1001/jamanetworkopen.2022.55388 (2023).
Ma, C., Yan, J., Wu, Y. & Huang, W. Illness perceptions of Chinese women with breast cancer and relationships with socio-demographic and clinical characteristics. Int. J. Nurs. Pract. 24, e12677. https://doi.org/10.1111/ijn.12677 (2018).
Google ScholarÂ
Bürger Lazar, M. & Musek, J. Well-being in parents of children with cancer: the impact of parental personality, coping, and the child’s quality of life. Scand. J. Psychol. 61, 652–662. https://doi.org/10.1111/sjop.12653 (2020).
Google ScholarÂ
Pereira, I., Pereira, M., Leite, Â. & Pereira, M. G. Quality of life in women with breast cancer receiving chemotherapy and the moderating role of cortisol. Cancer Nurs. 45, E856–e864. https://doi.org/10.1097/ncc.0000000000001081 (2022).
Google ScholarÂ
Liu, Y., Jiang, T. & Shi, T. The relationship among Rumination, coping Strategies, and subjective Well-being in Chinese patients with breast cancer: A Cross-sectional study. ASIAN Nurs. Res. 14, 206–211. https://doi.org/10.1016/j.anr.2020.07.005 (2020).
Google ScholarÂ
Zhang, Q. Y. et al. Psychosocial predictors of adjustment to disability among patients with breast cancer: A cross-sectional descriptive study. J. Nurs. Res. 27 https://doi.org/10.1097/jnr.0000000000000283 (2019).
Hasson-Ohayon, I., Goldzweig, G., Braun, M. & Galinsky, D. Women with advanced breast cancer and their spouses: diversity of support and psychological distress. Psychooncology 19, 1195–1204. https://doi.org/10.1002/pon.1678 (2010).
Google ScholarÂ
Hammersen, F., Pursche, T., Fischer, D., Katalinic, A. & Waldmann, A. Psychosocial and family-centered support among breast cancer patients with dependent children. Psychooncology 30, 361–368. https://doi.org/10.1002/pon.5585 (2021).
Google ScholarÂ
Wang, L., Geng, X., Ji, L., Lu, G. & Lu, Q. Treatment decision-making, family influences, and cultural influences of Chinese breast cancer survivors: a qualitative study using an expressive writing method. Support Care Cancer. 28, 3259–3266. https://doi.org/10.1007/s00520-019-05161-w (2020).
Google ScholarÂ
Tavares, R., Brandao, T. & Matos, P. M. Mothers with breast cancer: A mixed-method systematic review on the impact on the parent-child relationship. Psycho-Oncology 27, 367–375. https://doi.org/10.1002/pon.4451 (2018).
Google ScholarÂ
Oshiro, R. et al. Anxiety and related factors among parents of patients with breast cancer after surgery in japan: A multi-informant and multilevel study. Jpn J. Nurs. Sci. 19, e12452. https://doi.org/10.1111/jjns.12452 (2022).
Google ScholarÂ
Romare Strandh, M. et al. The complexity of being a parent in the hospital and a patient at home: A qualitative study on parenting concerns and challenges among parents with cancer. Cancer Nurs. 48, E9–e17. https://doi.org/10.1097/ncc.0000000000001276 (2025).
Google ScholarÂ
