Stigma and self-perceived burden in postoperative liver cancer patients: the mediating role of financial toxicity
PurposeTo investigate the mediating effect of financial toxicity on stigma and self-perceived burden in patients with liver cancer after surgery.MethodsUsing a convenience sampling method, 236 postoperative liver cancer patients treated at a tertiary hospital in Nanjing from April 2024 to July 2024...
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Frontiers Media S.A.
2025-02-01
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| Series: | Frontiers in Psychiatry |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fpsyt.2025.1481752/full |
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| author | Yue Zhang Yiqin Cao Yanyan Wang Di Wang Hongfang Ye Chunlei Nie |
| author_facet | Yue Zhang Yiqin Cao Yanyan Wang Di Wang Hongfang Ye Chunlei Nie |
| author_sort | Yue Zhang |
| collection | DOAJ |
| description | PurposeTo investigate the mediating effect of financial toxicity on stigma and self-perceived burden in patients with liver cancer after surgery.MethodsUsing a convenience sampling method, 236 postoperative liver cancer patients treated at a tertiary hospital in Nanjing from April 2024 to July 2024 were selected for the study. Questionnaires were administered, including a general information survey, the Social Impact Scale (SIS), the Self-Perceived Burden Scale for Cancer Patients (SPBS-CP), and the Comprehensive Score for Financial Toxicity-Functional Assessment of Chronic Illness Therapy Version 2 (COST-FACIT-V2). Data were analyzed using SPSS 22.0 for descriptive statistics, correlation analysis, and regression analysis. MPlus 8.3 was employed to examine the mediating effect of financial toxicity between stigma and self-perceived burden, and the Bootstrap method was used to test the significance of the mediation effect.ResultsThe self-perceived burden score, stigma score, and financial toxicity score were (31.72 ± 7.52), (58.92 ± 8.69), and (18.62 ± 6.80), respectively. The financial toxicity and self-perceived burden were negatively correlated (r=−0.270,P=0.001). There was a positive correlation between stigma and self-perceived burden (r=0.586,P=0.000). Financial toxicity partially mediated the relationship between stigma and self-perceived burden, accounting for 4.84% of the total effect.ConclusionStigma can influence the self-perceived burden of liver cancer patients through financial toxicity. Clinical nurses should prioritize alleviating patients’ stigma while also paying close attention to their financial toxicity status, providing feasible assistance in a timely manner to reduce their self-perceived burden. |
| format | Article |
| id | doaj-art-d791a6d38c0c47fbb16fa7bba767e34b |
| institution | DOAJ |
| issn | 1664-0640 |
| language | English |
| publishDate | 2025-02-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Psychiatry |
| spelling | doaj-art-d791a6d38c0c47fbb16fa7bba767e34b2025-08-20T02:45:32ZengFrontiers Media S.A.Frontiers in Psychiatry1664-06402025-02-011610.3389/fpsyt.2025.14817521481752Stigma and self-perceived burden in postoperative liver cancer patients: the mediating role of financial toxicityYue Zhang0Yiqin Cao1Yanyan Wang2Di Wang3Hongfang Ye4Chunlei Nie5Department of Nursing, Nanjing Drum Tower Hospital, Affiliated Hospital of Medical School, Nanjing University, Nanjing, ChinaSchool of Nursing, Nanjing University of Chinese Medicine, Nanjing, ChinaDepartment of Nursing, Nanjing Drum Tower Hospital, Affiliated Hospital of Medical School, Nanjing University, Nanjing, ChinaDepartment of Vascular Surgery, Nanjing Drum Tower Hospital, Affiliated Hospital of Medical School, Nanjing University, Nanjing, ChinaSchool of Nursing, Nanjing University of Chinese Medicine, Nanjing, ChinaSchool of Humanities, Southeast University, Nanjing, ChinaPurposeTo investigate the mediating effect of financial toxicity on stigma and self-perceived burden in patients with liver cancer after surgery.MethodsUsing a convenience sampling method, 236 postoperative liver cancer patients treated at a tertiary hospital in Nanjing from April 2024 to July 2024 were selected for the study. Questionnaires were administered, including a general information survey, the Social Impact Scale (SIS), the Self-Perceived Burden Scale for Cancer Patients (SPBS-CP), and the Comprehensive Score for Financial Toxicity-Functional Assessment of Chronic Illness Therapy Version 2 (COST-FACIT-V2). Data were analyzed using SPSS 22.0 for descriptive statistics, correlation analysis, and regression analysis. MPlus 8.3 was employed to examine the mediating effect of financial toxicity between stigma and self-perceived burden, and the Bootstrap method was used to test the significance of the mediation effect.ResultsThe self-perceived burden score, stigma score, and financial toxicity score were (31.72 ± 7.52), (58.92 ± 8.69), and (18.62 ± 6.80), respectively. The financial toxicity and self-perceived burden were negatively correlated (r=−0.270,P=0.001). There was a positive correlation between stigma and self-perceived burden (r=0.586,P=0.000). Financial toxicity partially mediated the relationship between stigma and self-perceived burden, accounting for 4.84% of the total effect.ConclusionStigma can influence the self-perceived burden of liver cancer patients through financial toxicity. Clinical nurses should prioritize alleviating patients’ stigma while also paying close attention to their financial toxicity status, providing feasible assistance in a timely manner to reduce their self-perceived burden.https://www.frontiersin.org/articles/10.3389/fpsyt.2025.1481752/fullliver cancerfinancial toxicitystigmaself-perceived burdenmediating effects |
| spellingShingle | Yue Zhang Yiqin Cao Yanyan Wang Di Wang Hongfang Ye Chunlei Nie Stigma and self-perceived burden in postoperative liver cancer patients: the mediating role of financial toxicity Frontiers in Psychiatry liver cancer financial toxicity stigma self-perceived burden mediating effects |
| title | Stigma and self-perceived burden in postoperative liver cancer patients: the mediating role of financial toxicity |
| title_full | Stigma and self-perceived burden in postoperative liver cancer patients: the mediating role of financial toxicity |
| title_fullStr | Stigma and self-perceived burden in postoperative liver cancer patients: the mediating role of financial toxicity |
| title_full_unstemmed | Stigma and self-perceived burden in postoperative liver cancer patients: the mediating role of financial toxicity |
| title_short | Stigma and self-perceived burden in postoperative liver cancer patients: the mediating role of financial toxicity |
| title_sort | stigma and self perceived burden in postoperative liver cancer patients the mediating role of financial toxicity |
| topic | liver cancer financial toxicity stigma self-perceived burden mediating effects |
| url | https://www.frontiersin.org/articles/10.3389/fpsyt.2025.1481752/full |
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