Impact of self-disclosure on fertility anxiety in women of childbearing age with thyroid cancer: the mediating role of dyadic coping
10.3760/cma.j.cn115682-20241101-05961
- VernacularTitle:育龄期甲状腺癌女性患者自我表露对生育忧虑的影响：二元应对的中介作用
- Author:
Zekun YAO
1
;
Zhensu LI
;
Jin ZHANG
;
Yixia YU
;
Jiayu ZHANG
;
Zemin ZHANG
;
Xin YAN
Author Information
1. 山西医科大学护理学院，太原 030001
- Publication Type:Journal Article
- Keywords:
Thyroid neoplasms;
Childbearing age;
Dyadic coping;
Self-disclosure;
Fertility anxiety;
Mediating effect
- From:
Chinese Journal of Modern Nursing
2025;31(20):2742-2747
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the mediating effect of dyadic coping on the relationship between self-disclosure and fertility anxiety in women of childbearing age with thyroid cancer.Methods:A total of 258 women of childbearing age diagnosed with thyroid cancer who received treatment at the Department of Thyroid Surgery, First Hospital of Shanxi Medical University between January and October 2024 were selected using convenience sampling. Participants completed a general information questionnaire, the Chinese version of the Reproductive Concerns After Cancer scale (RCAC), the Dyadic Coping Inventory (DCI), and the Distress Disclosure Index (DDI). Structural equation modeling was constructed using SPSS PROCESS v4.1 to examine the mediating role of dyadic coping between self-disclosure and fertility anxiety. Pearson correlation analysis was used to assess the relationships among self-disclosure, dyadic coping, and fertility anxiety.Results:A total of 258 questionnaires were distributed, and 245 valid responses were collected, with an effective response rate of 94.96% (245/258). Among the 245 participants, the mean score of DDI was (37.38±8.42), RCAC was (53.54±12.53), and DCI was (117.10±29.07). Self-disclosure was positively correlated with dyadic coping ( P<0.01), while both self-disclosure and dyadic coping were negatively correlated with fertility anxiety ( P<0.01). Dyadic coping played a partial mediating role between self-disclosure and fertility anxiety, accounting for 43.38% of the total effect. Conclusions:Fertility anxiety in women of childbearing age with thyroid cancer deserves close clinical attention. Interventions should focus on enhancing patients' self-disclosure and dyadic coping abilities to effectively reduce fertility-related anxiety.
