{Reference Type}: Journal Article
{Title}: Body image, self-efficacy, and sleep quality among patients with breast cancer: A latent profile and mediation analysis.
{Author}: Li S;Xiang Y;Li H;Yang C;He W;Wu J;Knobf MT;Ye Z;
{Journal}: Eur J Oncol Nurs
{Volume}: 71
{Issue}: 0
{Year}: 2024 Jun 27
{Factor}: 2.588
{DOI}: 10.1016/j.ejon.2024.102652
{Abstract}: <B>OBJECTIVE: </B>As a sign of femininity, impaired breast after surgery causes particularly confusion for patients with breast cancer resulting in increased body image distress, which has negative impacts on sleep quality. And self-efficacy enables patients to use positive and effective coping strategies to maintain a favorable night's sleep. Therefore, our study is to explore the heterogeneity in body image experienced by patients with breast cancer and to examine the mediation effects of self-efficacy between body image and sleep quality.<BR><B>METHODS: </B>Between July 2023 and October 2023, 251 patients with breast cancer were recruited for the Be Resilient to Breast Cancer program. They responded to the General Perceived Self-Efficacy Scale, Body Image Scale, and Pittsburgh Sleep Quality Index Scale. Data were analyzed using a latent profile analysis (LPA) and mediation analysis.<BR><B>RESULTS: </B>Results of the LPA indicated that body image could be classified into three subgroups as follows: low (43.0%), moderate (45.5%), and high (11.5%). Furthermore, the mediation analysis demonstrated two partially mediated effects upon comparing the low and moderate (standard error, SE = 0.548, 95% confidence interval, CI = 0.009, 0.366) and the high and low (SE = 0.848, 95% CI = 0.570, 3.909) body image groups.<BR><B>CONCLUSIONS: </B>Heterogeneity exists in body image, and self-efficacy mediates the relationship between body image and sleep quality. Hence, promoting self-efficacy can buffer the negative impacts of body image on sleep quality in patients with breast cancer, and self-efficacy-orientated interventions should also receive more attention in clinic.