{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,13]],"date-time":"2026-10-13T16:53:42Z","timestamp":1791910422688,"version":"4.3.4"},"reference-count":48,"publisher":"Elsevier BV","license":[{"start":{"date-parts":[[2026,12,1]],"date-time":"2026-12-01T00:00:00Z","timestamp":1796083200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2026,12,1]],"date-time":"2026-12-01T00:00:00Z","timestamp":1796083200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2026,9,7]],"date-time":"2026-09-07T00:00:00Z","timestamp":1788739200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100010882","name":"TianJin Education Committee","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100010882","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["apjon.org","clinicalkey.com","clinicalkey.com.au","clinicalkey.es","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Asia-Pacific Journal of Oncology Nursing"],"published-print":{"date-parts":[[2026,12]]},"DOI":"10.1016\/j.apjon.2026.101025","type":"journal-article","created":{"date-parts":[[2026,9,11]],"date-time":"2026-09-11T09:54:35Z","timestamp":1789120475000},"page":"101025","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":0,"special_numbering":"C","title":["Social alienation among people with bladder cancer: A combined structural equation modeling and fuzzy-set qualitative comparative analysis"],"prefix":"10.1016","volume":"13","author":[{"ORCID":"https:\/\/orcid.org\/0009-0005-8680-7511","authenticated-orcid":false,"given":"Yixuan","family":"Yang","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lu","family":"Han","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jie","family":"Li","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jun","family":"Xue","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ting","family":"Wang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Qiuzhi","family":"Zhao","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cui","family":"Xie","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jiaping","family":"Wang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xue","family":"Wang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9224-3330","authenticated-orcid":false,"given":"Li","family":"Fu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"issue":"5","key":"10.1016\/j.apjon.2026.101025_bib1","doi-asserted-by":"crossref","first-page":"287","DOI":"10.1038\/s41571-023-00744-3","article-title":"Global trends in the epidemiology of bladder cancer: challenges for public health and clinical practice","volume":"20","author":"van Hoogstraten","year":"2023","journal-title":"Nat Rev Clin Oncol"},{"issue":"13","key":"10.1016\/j.apjon.2026.101025_bib2","doi-asserted-by":"crossref","first-page":"3789","DOI":"10.3390\/jcm13133789","article-title":"Epirubicin and non-muscle invasive bladder cancer treatment: a systematic review","volume":"13","author":"Chiujdea","year":"2024","journal-title":"J Clin Med"},{"issue":"1","key":"10.1016\/j.apjon.2026.101025_bib3","doi-asserted-by":"crossref","first-page":"77","DOI":"10.1186\/s12939-023-01885-8","article-title":"Cost of bladder cancer in Lebanon before and after the economic collapse: a probabilistic modeling study","volume":"22","author":"Raad","year":"2023","journal-title":"Int J Equity Health"},{"issue":"1","key":"10.1016\/j.apjon.2026.101025_bib4","doi-asserted-by":"crossref","first-page":"1444","DOI":"10.1186\/s12885-024-13092-x","article-title":"Perceived unmet needs and impact on quality of life of patients living with advanced bladder cancer and their caregivers: results of a social media listening study conducted in five European countries","volume":"24","author":"Schuck","year":"2024","journal-title":"BMC Cancer"},{"issue":"11","key":"10.1016\/j.apjon.2026.101025_bib5","doi-asserted-by":"crossref","first-page":"1869","DOI":"10.1002\/pon.5990","article-title":"Psychological distress, understanding of cancer and illness uncertainty in patients with Cancer of Unknown Primary","volume":"31","author":"Wolyniec","year":"2022","journal-title":"Psycho-oncology"},{"issue":"1","key":"10.1016\/j.apjon.2026.101025_bib6","doi-asserted-by":"crossref","first-page":"114","DOI":"10.1186\/s12985-023-02055-6","article-title":"Psychological capital and alienation among patients with COVID-19 infection: the mediating role of social support","volume":"20","author":"Wu","year":"2023","journal-title":"Virol J"},{"issue":"1","key":"10.1016\/j.apjon.2026.101025_bib7","doi-asserted-by":"crossref","first-page":"275","DOI":"10.1186\/s12912-025-02932-1","article-title":"Social alienation and related factors in patients with head and neck tumors undergoing radiotherapy: a cross-sectional study","volume":"24","author":"Gao","year":"2025","journal-title":"BMC Nurs"},{"issue":"5","key":"10.1016\/j.apjon.2026.101025_bib8","doi-asserted-by":"crossref","first-page":"E254","DOI":"10.1097\/NCC.0000000000000718","article-title":"Toward an understanding of Patients' and Their Partners' experiences of bladder cancer","volume":"43","author":"Heyes","year":"2020","journal-title":"Cancer Nurs"},{"issue":"1","key":"10.1016\/j.apjon.2026.101025_bib9","doi-asserted-by":"crossref","first-page":"21","DOI":"10.1002\/pon.5770","article-title":"Psychological resilience of patients with bladder cancer after radical cystectomy and urinary diversion: a cross-sectional study","volume":"31","author":"Dong","year":"2022","journal-title":"Psychooncology"},{"issue":"1","key":"10.1016\/j.apjon.2026.101025_bib10","doi-asserted-by":"crossref","first-page":"26","DOI":"10.1186\/s41687-020-00189-7","article-title":"What are the optimal measures to identify anxiety and depression in people diagnosed with head and neck cancer (HNC): a systematic review","volume":"4","author":"Shunmugasundaram","year":"2020","journal-title":"J Patient-Rep Outcomes"},{"issue":"1","key":"10.1016\/j.apjon.2026.101025_bib11","doi-asserted-by":"crossref","first-page":"327","DOI":"10.1186\/s12888-025-06792-6","article-title":"Associations between social isolation, withdrawal, and depressive symptoms in young adults: a cross-sectional study","volume":"25","author":"Kim","year":"2025","journal-title":"BMC Psychiatry"},{"issue":"1","key":"10.1016\/j.apjon.2026.101025_bib12","doi-asserted-by":"crossref","first-page":"10","DOI":"10.4103\/ua.ua_9_25","article-title":"Psychological distress among bladder cancer patients: a systematic review","volume":"18","author":"Indraswari","year":"2026","journal-title":"Urol Ann"},{"issue":"1","key":"10.1016\/j.apjon.2026.101025_bib13","doi-asserted-by":"crossref","first-page":"36","DOI":"10.1177\/01939459231214604","article-title":"Factors associated with loneliness among Chinese patients with cancer: a cross-sectional study","volume":"46","author":"Lin","year":"2024","journal-title":"West J Nurs Res"},{"issue":"3","key":"10.1016\/j.apjon.2026.101025_bib14","first-page":"228","article-title":"Family resilience in adult oncology: a systematic review and meta-analysis","volume":"52","author":"Ashley","year":"2025","journal-title":"Oncol Nurs Forum"},{"key":"10.1016\/j.apjon.2026.101025_bib15","doi-asserted-by":"crossref","first-page":"102589","DOI":"10.1016\/j.ejon.2024.102589","article-title":"Co-creation of a digital platform for peer support in a community of adolescent and young adult patients during and after cancer","volume":"70","author":"Olsson","year":"2024","journal-title":"Eur J Oncol Nurs : the official journal of European Oncology Nursing Society"},{"issue":"1","key":"10.1016\/j.apjon.2026.101025_bib16","doi-asserted-by":"crossref","first-page":"69","DOI":"10.1111\/jopy.12319","article-title":"Cognitive-adaptive trait theory: A shift in perspective on personality","volume":"86","author":"Matthews","year":"2018","journal-title":"J Pers"},{"issue":"8","key":"10.1016\/j.apjon.2026.101025_bib17","doi-asserted-by":"crossref","DOI":"10.1002\/gps.5791","article-title":"Social isolation and psychological well-being among older Chinese Americans: does resilience mediate the association?","volume":"37","author":"Qi","year":"2022","journal-title":"Int J Geriatr Psychiatr"},{"issue":"1","key":"10.1016\/j.apjon.2026.101025_bib18","doi-asserted-by":"crossref","first-page":"778","DOI":"10.1186\/s40359-025-03077-1","article-title":"The dual-path impact of role stress on employees' work engagement: based on the cognitive-affective system theory of personality","volume":"13","author":"Fan","year":"2025","journal-title":"BMC Psychol"},{"key":"10.1016\/j.apjon.2026.101025_bib19","doi-asserted-by":"crossref","first-page":"1105334","DOI":"10.3389\/fpsyt.2023.1105334","article-title":"The influence of social alienation on maintenance hemodialysis patients' coping styles: chain mediating effects of family resilience and caregiver burden","volume":"14","author":"Liu","year":"2023","journal-title":"Front Psychiatr"},{"issue":"5","key":"10.1016\/j.apjon.2026.101025_bib20","doi-asserted-by":"crossref","first-page":"2564","DOI":"10.3390\/ijerph19052564","article-title":"A structural model of quality of life in patients after colorectal cancer surgery","volume":"19","author":"Yeom","year":"2022","journal-title":"Int J Environ Res Publ Health"},{"key":"10.1016\/j.apjon.2026.101025_bib21","doi-asserted-by":"crossref","first-page":"836194","DOI":"10.3389\/fpsyg.2022.836194","article-title":"Does health consciousness matter to adopt new technology? An integrated model of UTAUT2 with SEM-fsQCA approach","volume":"13","author":"Mustafa","year":"2022","journal-title":"Front Psychol"},{"key":"10.1016\/j.apjon.2026.101025_bib22","doi-asserted-by":"crossref","first-page":"e21","DOI":"10.1017\/SJP.2023.21","article-title":"Fuzzy-set qualitative comparative analysis (fsQCA) in organizational psychology: theoretical overview, research guidelines, and A step-by-step tutorial using R software","volume":"26","author":"Cangialosi","year":"2023","journal-title":"Spanish J Psychol"},{"issue":"1","key":"10.1016\/j.apjon.2026.101025_bib23","doi-asserted-by":"crossref","first-page":"21875","DOI":"10.1038\/s41598-026-52767-2","article-title":"Toward contextualized research integrity in higher education: a fuzzy-set analysis of individual and organizational configurations among university faculty","volume":"16","author":"Chen","year":"2026","journal-title":"Sci Rep"},{"key":"10.1016\/j.apjon.2026.101025_bib24","series-title":"Redesigning Social Inquiry: Fuzzy Sets and Beyond","author":"Ragin","year":"2010"},{"key":"10.1016\/j.apjon.2026.101025_bib25","series-title":"Set-Theoretic Methods for the Social Sciences: A Guide to Qualitative Comparative Analysis","author":"Schneider","year":"2012"},{"key":"10.1016\/j.apjon.2026.101025_bib26","doi-asserted-by":"crossref","first-page":"723344","DOI":"10.3389\/fpsyt.2021.723344","article-title":"The role of socioeconomic status, family resilience, and social support in predicting psychological resilience among Chinese maintenance hemodialysis patients","volume":"12","author":"Qiu","year":"2021","journal-title":"Front Psychiatr"},{"issue":"12","key":"10.1016\/j.apjon.2026.101025_bib27","doi-asserted-by":"crossref","first-page":"2865","DOI":"10.1002\/pon.4869","article-title":"The development and preliminary evaluation of the cancer peer support scale in adolescents living with cancer","volume":"27","author":"Patterson","year":"2018","journal-title":"Psychooncology"},{"issue":"5","key":"10.1016\/j.apjon.2026.101025_bib28","doi-asserted-by":"crossref","first-page":"450","DOI":"10.6004\/jnccn.2023.0026","article-title":"NCCN guidelines\u00ae insights: distress management, version 2.2023: featured updates to the NCCN guidelines","volume":"21","author":"Riba","year":"2023","journal-title":"J Natl Compr Cancer Netw"},{"issue":"2","key":"10.1016\/j.apjon.2026.101025_bib29","doi-asserted-by":"crossref","first-page":"231","DOI":"10.17219\/acem\/204102","article-title":"Psychological distress in Chinese women with benign breast disease and breast cancer during diagnosis: a cross-sectional study","volume":"35","author":"Gao","year":"2026","journal-title":"Adv Clin Exp Med"},{"issue":"7","key":"10.1016\/j.apjon.2026.101025_bib30","doi-asserted-by":"crossref","first-page":"1901","DOI":"10.1007\/s11136-017-1518-4","article-title":"The cancer loneliness scale and cancer-related negative social expectations scale: development and validation","volume":"26","author":"Adams","year":"2017","journal-title":"Qual Life Res"},{"issue":"2","key":"10.1016\/j.apjon.2026.101025_bib31","doi-asserted-by":"crossref","first-page":"98","DOI":"10.1097\/CU9.0000000000000243","article-title":"Prevalence and influencing factors of social alienation among elderly patients undergoing radical prostatectomy for prostate cancer","volume":"18","author":"Fang","year":"2024","journal-title":"Curr Urol"},{"issue":"8","key":"10.1016\/j.apjon.2026.101025_bib32","doi-asserted-by":"crossref","first-page":"5745","DOI":"10.1007\/s12144-020-01220-2","article-title":"A diary study of impulsive buying during the COVID-19 pandemic","volume":"41","author":"Xiao","year":"2022","journal-title":"Curr Psychol"},{"key":"10.1016\/j.apjon.2026.101025_bib33","doi-asserted-by":"crossref","first-page":"85","DOI":"10.1146\/annurev-clinpsy-032813-153700","article-title":"Exploratory structural equation modeling: an integration of the best features of exploratory and confirmatory factor analysis","volume":"10","author":"Marsh","year":"2014","journal-title":"Annu Rev Clin Psychol"},{"key":"10.1016\/j.apjon.2026.101025_bib34","doi-asserted-by":"crossref","first-page":"122081","DOI":"10.1016\/j.jad.2026.122081","article-title":"Risk configurations for anxiety symptoms among medical postgraduate students: a fuzzy-set qualitative comparative analysis","volume":"412","author":"Huang","year":"2026","journal-title":"J Affect Disord"},{"issue":"3","key":"10.1016\/j.apjon.2026.101025_bib35","doi-asserted-by":"crossref","first-page":"439","DOI":"10.3390\/children9030439","article-title":"Do COVID-19 worries, resilience and emotional distress influence life satisfaction? Outcomes in adolescents in Ecuador during the pandemic: SEM vs. QCA","volume":"9","author":"Herrera","year":"2022","journal-title":"Children"},{"issue":"2","key":"10.1016\/j.apjon.2026.101025_bib36","doi-asserted-by":"crossref","first-page":"393","DOI":"10.5465\/amj.2011.60263120","article-title":"Building better causal theories: a fuzzy set approach to typologies in organization research","volume":"54","author":"Fiss","year":"2011","journal-title":"Acad Manag J"},{"key":"10.1016\/j.apjon.2026.101025_bib37","doi-asserted-by":"crossref","first-page":"e12915","DOI":"10.1590\/1414-431x2023e12915","article-title":"Loneliness, spiritual well-being, and death perception, as well as their risk factors in urological cancer patients","volume":"56","author":"Xia","year":"2023","journal-title":"Braz J Med Biol Res"},{"issue":"1","key":"10.1016\/j.apjon.2026.101025_bib38","doi-asserted-by":"crossref","first-page":"335","DOI":"10.1186\/s12888-025-06692-9","article-title":"Association of social participation and patterns with depression: analysis of data from the China health and retirement longitudinal study","volume":"25","author":"Chen","year":"2025","journal-title":"BMC Psychiatry"},{"issue":"3","key":"10.1016\/j.apjon.2026.101025_bib39","doi-asserted-by":"crossref","first-page":"481","DOI":"10.1016\/j.ygyno.2022.07.021","article-title":"Navigating job and cancer demands during treatment: a qualitative study of ovarian cancer patients","volume":"166","author":"Liang","year":"2022","journal-title":"Gynecol Oncol"},{"issue":"1","key":"10.1016\/j.apjon.2026.101025_bib40","doi-asserted-by":"crossref","first-page":"202","DOI":"10.1186\/s12888-025-06641-6","article-title":"Is the social withdrawal subscale a valid instrument to assess social withdrawal among colorectal cancer survivors with permanent stomas? A validation study","volume":"25","author":"Li","year":"2025","journal-title":"BMC Psychiatry"},{"issue":"1","key":"10.1016\/j.apjon.2026.101025_bib41","doi-asserted-by":"crossref","first-page":"1391","DOI":"10.1186\/s12889-021-11460-x","article-title":"Verification of a theory of planned behavior model of medication adherence in Korean adults: focused on moderating effects of optimistic or present bias","volume":"21","author":"Suh","year":"2021","journal-title":"BMC Public Health"},{"issue":"1","key":"10.1016\/j.apjon.2026.101025_bib42","doi-asserted-by":"crossref","first-page":"18534","DOI":"10.1038\/s41598-022-22031-4","article-title":"Optimism bias and its relation to scenario valence, gender, sociality, and insecure attachment","volume":"12","author":"Dricu","year":"2022","journal-title":"Sci Rep"},{"key":"10.1016\/j.apjon.2026.101025_bib43","doi-asserted-by":"crossref","first-page":"2189","DOI":"10.2147\/PPA.S534058","article-title":"Emotional suppression characteristics and influencing factors of ovarian cancer patients - latent profile analysis","volume":"19","author":"Wu","year":"2025","journal-title":"Patient Prefer Adherence"},{"issue":"8","key":"10.1016\/j.apjon.2026.101025_bib44","doi-asserted-by":"crossref","first-page":"3146","DOI":"10.1111\/jan.16057","article-title":"Analyzing the concept of toxic positivity for nursing: a dimensional analysis approach","volume":"80","author":"Shipp","year":"2024","journal-title":"J Adv Nurs"},{"issue":"3","key":"10.1016\/j.apjon.2026.101025_bib45","first-page":"217","article-title":"Self-management engagement in adults with hematologic cancers: a meta-synthesis of qualitative studies","volume":"34","author":"Liao","year":"2026","journal-title":"Support Care Cancer"},{"issue":"3","key":"10.1016\/j.apjon.2026.101025_bib46","doi-asserted-by":"crossref","first-page":"645","DOI":"10.1007\/s13187-020-01861-8","article-title":"Identification and characterization of peer support for cancer prevention and care: a practice review","volume":"37","author":"Brodar","year":"2022","journal-title":"J Cancer Educ"},{"key":"10.1016\/j.apjon.2026.101025_bib47","doi-asserted-by":"crossref","first-page":"e65892","DOI":"10.2196\/65892","article-title":"Schema-informed digital mental health intervention for maladaptive cognitive-emotional patterns: randomized controlled trial","volume":"27","author":"Jeong","year":"2025","journal-title":"J Med Internet Res"},{"issue":"3","key":"10.1016\/j.apjon.2026.101025_bib48","doi-asserted-by":"crossref","first-page":"191.e113","DOI":"10.1016\/j.urolonc.2024.11.012","article-title":"Integrated care among patients with kidney or urinary bladder cancer: an NCI patterns-of-care analysis","volume":"43","author":"Eom","year":"2025","journal-title":"Urol Oncol"}],"container-title":["Asia-Pacific Journal of Oncology Nursing"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S2347562526001757?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S2347562526001757?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2026,10,13]],"date-time":"2026-10-13T16:33:15Z","timestamp":1791909195000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S2347562526001757"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,12]]},"references-count":48,"alternative-id":["S2347562526001757"],"URL":"https:\/\/doi.org\/10.1016\/j.apjon.2026.101025","relation":{},"ISSN":["2347-5625"],"issn-type":[{"value":"2347-5625","type":"print"}],"subject":[],"published":{"date-parts":[[2026,12]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Social alienation among people with bladder cancer: A combined structural equation modeling and fuzzy-set qualitative comparative analysis","name":"articletitle","label":"Article Title"},{"value":"Asia-Pacific Journal of Oncology Nursing","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.apjon.2026.101025","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2026 The Authors. Published by Elsevier Inc. on behalf of Asian Oncology Nursing Society.","name":"copyright","label":"Copyright"}],"article-number":"101025"}}