Correlation Of Negative Emotions,cognitive Emotion Regulation And Quality Of Life In Postoperative Breast Cancer Patients

Objective: This study investigated the development of negative emotions,cognitive emotion regulation and quality of life in post-operative breast cancer patients by collecting questionnaire data,analysed the correlation between negative emotions,cognitive emotion regulation and quality of life in post-operative breast cancer patients,and explored the pathways of negative emotions,cognitive emotion regulation and quality of life in post-operative breast cancer patients.The aim is to provide an objective basis for improving the quality of life of postoperative breast cancer patients,and to provide actionable ideas for establishing individualized psychological care strategies in clinical practice.Methods: A total of 246 postoperative breast cancer patients from a total of four tertiary class A hospitals and specialist oncology hospitals in Jilin Province and Inner Mongolia Autonomous Region between December 2019 and October 2020 were selected and surveyed using a self-administered general information questionnaire,the Hospital Anxiety and Depression Scale,the Cognitive Emotion Regulation Questionnaire and the Quality of Life Measurement Scale for Breast Cancer Patients.The valid data obtained were collated and entered in an EXCEL sheet,followed by descriptive statistics,independent samples t-test,one-way analysis of variance(ANOVA),Pearson correlation analysis,multiple linear regression analysis using SPSS26.0,and testing and analysis of the mediated effects model using Amos26.0.Results:(1)In the negative emotion questionnaire for post-breast cancer patients,the total score for anxiety is(10.96±5.21)and depression is(9.53±5.14);in the cognitive emotion regulation questionnaire,the total score for non-adaptive cognitive emotion regulation is(35.54±10.13)and for adaptive cognitive emotion regulation is(69.49±14.39);in the quality of life questionnaire the total score is(95.27±23.82).(2)Univariate analysis showed that the quality of life of patients after breast cancer surgery showed significant differences(P<0.05)in the general data in terms of family location,education level,marital status,occupational status,per capita monthly income,stage of disease,number of chemotherapy sessions,and whether the breast was preserved.(3)Correlation analysis showed that in post-operative breast cancer patients negative emotions(anxiety and depression)were positively correlated with non-adaptive cognitive emotion regulation(r=0.490,P<0.01)and negatively correlated with adaptive cognitive emotion regulation(r=-0.319,P<0.01);negative emotions(anxiety and depression)were negatively correlated with quality of life(r=-0.609,P<0.01);quality of life was negatively correlated with non-adaptive cognitive emotion regulation(r=-0.481,P<0.01)and positively correlated with adaptive cognitive emotion regulation(r=0.669,P<0.01).(4)Multiple linear regression analysis showed that the factors influencing the quality of life of patients after breast cancer surgery were family location,education level,per capita monthly income,stage of disease,whether to preserve the breast,negative emotions,and cognitive-emotional regulation,which together explained 72.4% of the variance in quality of life.(5)Structural equation modelling analysis showed that the model test for the mediating role of cognitive emotion regulation between negative emotion and quality of life in postoperative breast cancer patients was 1.357 for CMIN/DF,>0.9 for GFI,AGFI,NFI,TLI,IFI and CFI,0.038 <0.08 for RMSEA and 0.049 <0.05 for SRMR.The model has a good fit.And according to the results of Bootstrap mediated effects test,the direct and indirect effects of negative emotions(anxiety and depression)on quality of life were significant,the indirect effect of mediated path negative emotions-non-adaptive cognitive emotion regulation-quality of life was significant,the indirect effect of mediated path negative emotions-adaptive cognitive emotion regulation-quality of life was significant,and the total effect of negative emotions on quality of life was significant.Conclusions:(1)Negative emotions(anxiety and depression)in postoperative breast cancer patients are at moderate level.Both non-adaptive and adaptive cognitive emotion regulation were at moderate level in post-breast cancer patients and patients preferred to use adaptive cognitive emotion regulation.Quality of life in post-breast cancer patients was at a high level.(2)There is a correlation between negative emotions,cognitive emotion regulation and quality of life in postoperative breast cancer patients,among which adaptive cognitive emotion regulation can improve patients’ negative emotions and contribute to their quality of life.(3)Factors influencing the quality of life of patients after breast cancer surgery are family location,education level,per capita monthly income,stage of disease,whether or not to keep the breast,negative emotions and cognitive-emotional regulation.(4)Cognitive emotion regulation(non-adaptive cognitive emotion regulation,adaptive cognitive emotion regulation)in postoperative breast cancer patients mediates the relationship between negative emotions and quality of life.