{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,29]],"date-time":"2026-09-29T06:22:02Z","timestamp":1790662922962,"version":"4.1.0"},"reference-count":40,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2023,4,3]],"date-time":"2023-04-03T00:00:00Z","timestamp":1680480000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Psycho-Oncology"],"published-print":{"date-parts":[[2023,5]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>As the proportion of older people worldwide increases, cancer cases and deaths from cancer are rising. Suffering from cancer has a profound impact on the daily lives of patients and their families. Cancer patients often perceive themselves as a burden, which affects their quality of life; therefore, this study investigated the relationship between intolerance of uncertainty, cognitive fusion, and self\u2010perception as burdens and the mediating role of coping self\u2010efficacy in patients diagnosed with cancer.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>In this descriptive, correlational, and structural equation modeling study, 400 patient diagnosed with cancer who were hospitalized in the oncology ward of Imam Khomeini Hospital in Ardabil in the first half of 2022 were selected as the sample and answered Casino et\u00a0al. self\u2010perceived burden questionnaire, Gillanders et\u00a0al. cognitive fusion questionnaire, Carleton et\u00a0al. uncertainty intolerance scale, and Merleau et\u00a0al. cancer behavior scale.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Based on the results, the fitting indices of the research conceptual model were confirmed. Intolerance of uncertainty, cognitive fusion, and coping self\u2010efficacy had a direct and significant relationship with self\u2010perceived burden in patients diagnosed with cancer (<jats:italic>p<\/jats:italic>\u00a0&lt;\u00a00.01); also, intolerance of uncertainty and cognitive fusion through coping self\u2010efficacy had an indirect effect on self\u2010perceived burden in patients diagnosed with cancer (<jats:italic>p<\/jats:italic>\u00a0&lt;\u00a00.05).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Therefore, intolerance of uncertainty, cognitive fusion, and coping self\u2010efficacy plays a substantial role in the incidence of self\u2010perceived burden in patients diagnosed with cancer and targeting these three components by psychological therapies can reduce the perception of self\u2010perception as burden which is effective in patients diagnosed with cancer.<\/jats:p><\/jats:sec>","DOI":"10.1002\/pon.6125","type":"journal-article","created":{"date-parts":[[2023,3,29]],"date-time":"2023-03-29T05:11:25Z","timestamp":1680066685000},"page":"800-809","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":24,"title":["Intolerance of uncertainty, cognitive fusion, coping self\u2010efficacy and self\u2010perceived burden in patients diagnosed with cancer"],"prefix":"10.1002","volume":"32","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9650-9167","authenticated-orcid":false,"given":"Sanaz","family":"Eyni","sequence":"first","affiliation":[{"name":"Department of Psychology University of Kurdistan Sanandaj Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0566-7512","authenticated-orcid":false,"given":"Seyede Elham","family":"Mousavi","sequence":"additional","affiliation":[{"name":"Department of Educational Science Psychological 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