12 June 2018 : Clinical Research
Mediating Effects of Patients’ Stigma and Self-Efficacy on Relationships Between Doctors’ Empathy Abilities and Patients’ Cellular Immunity in Male Breast Cancer PatientsNingxi Yang12ABEF, Yingnan Cao3BCDE, Xiaoyan Li1BCD, Shiyue Li1AEG*, Hong Yan1BEG, Qingshan Geng4AEF
Med Sci Monit 2018; 24: CLR3978-3986
BACKGROUND: Doctors’ empathy is closely related to patients’ health. This study aimed to examine whether patients’ stigma and self-efficacy play a mediating role in the relationship between doctors’ empathy abilities and patients’ cellular immunity in male patients with breast cancer.
MATERIAL AND METHODS: Doctors’ empathy scores and patients’ demographic data, disease condition, stigma, and self-efficacy were measured. Patient T cell subset was tested at admission and 3 months after the operation and was compared by paired t test. The multivariate linear regression model was applied to analyze the factors influencing the immune index. Pearson correlation analysis and structural equation modeling were applied to explore the relationships among patients’ stigma, self-efficacy, and cellular immunity and doctors’ empathy abilities.
RESULTS: At the 2 time points, only the change in NK subset was statistically significant, while the changes in percentage of CD3+, CD4+, CD8+, and B cells were not statistically significant. The doctors’ empathy abilities were negatively correlated with patients’ stigma and were positively related to patients’ self-efficacy. Patients’ stigma was negatively related to NK subset, while self-efficacy was positively associated with NK subset. Patients’ stigma and self-efficacy played a mediating role in the relationship between doctors’ empathy abilities and patients’ NK subset, and stigma had a stronger effect than self-efficacy.
CONCLUSIONS: Doctors’ empathy abilities affected breast cancer patients’ NK subset through their stigma and self-efficacy. The mental health of male breast cancer patients need more attention and empathy education needs to be improved.
Keywords: Breast Neoplasms, Male, Empathy, Immunity, Cellular, Self Efficacy
01 May 2022 : EditorialEditorial: Cardiovascular Complications at One Year After SARS-CoV-2 Infection are Independent of Underlying Cardiovascular Risk Factors or Severity of COVID-19
Med Sci Monit 2022; 28:e937048
16 May 2022 : Clinical ResearchImportance of Influenza Anti-Hemagglutinin Antibodies During the SARS-CoV-2 Pandemic in the 2019/2020 Epide...
Med Sci Monit In Press; DOI: 10.12659/MSM.936495
04 May 2022 : Clinical ResearchEffects of Wearing Face Masks on Exercise Capacity and Ventilatory Anaerobic Threshold in Healthy Subjects ...
Med Sci Monit In Press; DOI: 10.12659/MSM.936069
22 April 2022 : Clinical ResearchFactors Associated with Falls During Hospitalization for Coronavirus Disease 2019 (COVID-19)
Med Sci Monit In Press; DOI: 10.12659/MSM.936547
18 May 2022 : Clinical ResearchPhysical and Psychosocial Concept Domains Related to Health-Related Quality of Life (HRQL) in 50 Girls and ...
Med Sci Monit In Press; DOI: 10.12659/MSM.936801
18 May 2022 : Clinical ResearchAssociation Between Variants of the Mannose-Binding Lectin 2 Gene and Susceptibility to Sepsis in the Haina...
Med Sci Monit In Press; DOI: 10.12659/MSM.936134
17 May 2022 : Clinical ResearchClinical Application of C-TIRADS Category and Contrast-Enhanced Ultrasound in Differential Diagnosis of Sol...
Med Sci Monit In Press; DOI: 10.12659/MSM.936368
Most Viewed Current Articles
30 Dec 2021 : Clinical ResearchRetrospective Study of Outcomes and Hospitalization Rates of Patients in Italy with a Confirmed Diagnosis o...
Med Sci Monit 2021; 27:e935379
08 Mar 2022 : Review articleA Review of the Potential Roles of Antioxidant and Anti-Inflammatory Pharmacological Approaches for the Man...
Med Sci Monit 2022; 28:e936292
01 Nov 2020 : Review articleLong-Term Respiratory and Neurological Sequelae of COVID-19
Med Sci Monit 2020; 26:e928996