{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,8]],"date-time":"2026-10-08T22:43:27Z","timestamp":1791499407821,"version":"4.3.4"},"reference-count":43,"publisher":"Elsevier BV","license":[{"start":{"date-parts":[[2026,4,1]],"date-time":"2026-04-01T00:00:00Z","timestamp":1775001600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2026,4,1]],"date-time":"2026-04-01T00:00:00Z","timestamp":1775001600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2026,4,1]],"date-time":"2026-04-01T00:00:00Z","timestamp":1775001600000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-017"},{"start":{"date-parts":[[2026,4,1]],"date-time":"2026-04-01T00:00:00Z","timestamp":1775001600000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-037"},{"start":{"date-parts":[[2026,4,1]],"date-time":"2026-04-01T00:00:00Z","timestamp":1775001600000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-012"},{"start":{"date-parts":[[2026,4,1]],"date-time":"2026-04-01T00:00:00Z","timestamp":1775001600000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-029"},{"start":{"date-parts":[[2026,4,1]],"date-time":"2026-04-01T00:00:00Z","timestamp":1775001600000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-004"}],"content-domain":{"domain":["clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","ejoncologynursing.com","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["European Journal of Oncology Nursing"],"published-print":{"date-parts":[[2026,4]]},"DOI":"10.1016\/j.ejon.2026.103122","type":"journal-article","created":{"date-parts":[[2026,2,2]],"date-time":"2026-02-02T16:36:50Z","timestamp":1770050210000},"page":"103122","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":1,"special_numbering":"C","title":["Mediating roles of cancer stigma and resilience in the relationship between type D personality and quality of life among patients with breast cancer undergoing chemotherapy"],"prefix":"10.1016","volume":"81","author":[{"ORCID":"https:\/\/orcid.org\/0009-0003-4744-9526","authenticated-orcid":false,"given":"Sujin","family":"Kim","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5385-7604","authenticated-orcid":false,"given":"Sunki","family":"Kim","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8923-2611","authenticated-orcid":false,"given":"Hye-Ja","family":"Park","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"issue":"10","key":"10.1016\/j.ejon.2026.103122_bib1","first-page":"2042","article-title":"Disease-related stigma, stigmatizers, causes, and consequences: a systematic review","volume":"52","author":"Akbari","year":"2023","journal-title":"Iran. J. Public Health"},{"key":"10.1016\/j.ejon.2026.103122_bib2","doi-asserted-by":"crossref","DOI":"10.1016\/j.ejon.2020.101854","article-title":"Resilience in women with breast cancer: a systematic review","volume":"49","author":"Aizpurua-Perez","year":"2020","journal-title":"Eur. J. Oncol. Nurs."},{"issue":"2","key":"10.1016\/j.ejon.2026.103122_bib3","doi-asserted-by":"crossref","first-page":"109","DOI":"10.4306\/pi.2010.7.2.109","article-title":"Reliability and validity of the Korean version of the connor-davidson resilience scale","volume":"7","author":"Baek","year":"2010","journal-title":"Psychiatry Investig"},{"issue":"4","key":"10.1016\/j.ejon.2026.103122_bib4","doi-asserted-by":"crossref","first-page":"343","DOI":"10.1007\/s12529-018-09762-3","article-title":"Type D personality and health-related quality of life in vascular surgery patients","volume":"26","author":"Bouwens","year":"2019","journal-title":"Int. J. Behav. Med."},{"issue":"3","key":"10.1016\/j.ejon.2026.103122_bib5","doi-asserted-by":"crossref","first-page":"974","DOI":"10.1200\/JCO.1997.15.3.974","article-title":"Reliability and validity of the functional assessment of cancer therapy\u2013breast quality-of-life instrument","volume":"15","author":"Brady","year":"1997","journal-title":"J. Clin. Oncol."},{"issue":"22","key":"10.1016\/j.ejon.2026.103122_bib6","doi-asserted-by":"crossref","DOI":"10.3390\/ijerph192214650","article-title":"Type D personality and health behaviors in people living with obesity","volume":"19","author":"Buczkowska","year":"2022","journal-title":"Int. J. Environ. Res. Publ. Health"},{"issue":"1","key":"10.1016\/j.ejon.2026.103122_bib7","doi-asserted-by":"crossref","first-page":"E46","DOI":"10.1188\/11.ONF.E46-E54","article-title":"Measuring stigma in people with lung cancer: psychometric testing of the cataldo lung cancer stigma scale","volume":"38","author":"Cataldo","year":"2011","journal-title":"Oncol. Nurs. Forum"},{"issue":"3","key":"10.1016\/j.ejon.2026.103122_bib8","doi-asserted-by":"crossref","first-page":"570","DOI":"10.1200\/JCO.1993.11.3.570","article-title":"The functional assessment of cancer therapy scale: development and validation of the general measure","volume":"11","author":"Cella","year":"1993","journal-title":"J. Clin. Oncol."},{"issue":"2","key":"10.1016\/j.ejon.2026.103122_bib9","doi-asserted-by":"crossref","first-page":"76","DOI":"10.1002\/da.10113","article-title":"Development of a new resilience scale: the connor-davidson resilience scale (CD-RISC)","volume":"18","author":"Connor","year":"2003","journal-title":"Depress. Anxiety"},{"key":"10.1016\/j.ejon.2026.103122_bib10","doi-asserted-by":"crossref","first-page":"113","DOI":"10.3389\/fpsyt.2016.00113","article-title":"The clinical link between type D personality and diabetes","volume":"7","author":"Conti","year":"2016","journal-title":"Front. Psychiatr."},{"issue":"4","key":"10.1016\/j.ejon.2026.103122_bib11","doi-asserted-by":"crossref","first-page":"255","DOI":"10.1016\/S0022-3999(00)00177-X","article-title":"Type D personality: a potential risk factor refined","volume":"49","author":"Denollet","year":"2000","journal-title":"J. Psychosom. Res."},{"issue":"1","key":"10.1016\/j.ejon.2026.103122_bib12","doi-asserted-by":"crossref","first-page":"89","DOI":"10.1097\/01.psy.0000149256.81953.49","article-title":"DS14: standard assessment of negative affectivity, social inhibition, and type D personality","volume":"67","author":"Denollet","year":"2005","journal-title":"Psychosom. Med."},{"issue":"1","key":"10.1016\/j.ejon.2026.103122_bib13","doi-asserted-by":"crossref","first-page":"245","DOI":"10.1007\/s10549-025-07641-6","article-title":"The regulation mechanism of perceived stress on cognitive function of patients with breast cancer undergoing chemotherapy: a multiple mediation analysis","volume":"211","author":"Ding","year":"2025","journal-title":"Breast Cancer Res. Treat."},{"issue":"3","key":"10.1016\/j.ejon.2026.103122_bib14","doi-asserted-by":"crossref","first-page":"38","DOI":"10.1007\/s11912-021-01049-3","article-title":"Psychological aspects to consider in breast cancer diagnosis and treatment","volume":"23","author":"DiNapoli","year":"2021","journal-title":"Curr. Oncol. Rep."},{"issue":"3","key":"10.1016\/j.ejon.2026.103122_bib15","doi-asserted-by":"crossref","first-page":"233","DOI":"10.1111\/j.1467-9280.2007.01882.x","article-title":"Required sample size to detect the mediated effect","volume":"18","author":"Fritz","year":"2007","journal-title":"Psychol. Sci."},{"issue":"6","key":"10.1016\/j.ejon.2026.103122_bib16","doi-asserted-by":"crossref","first-page":"1027","DOI":"10.1007\/s00296-022-05118-z","article-title":"Type D personality and self-esteem in patients with fibromyalgia: a cross-sectional case-control study","volume":"42","author":"Gokcen","year":"2022","journal-title":"Rheumatol. Int."},{"issue":"1","key":"10.1016\/j.ejon.2026.103122_bib17","doi-asserted-by":"crossref","first-page":"271","DOI":"10.2174\/1745017902117010271","article-title":"Association between type D personality and affective symptoms and maladaptive coping in breast cancer patients: a longitudinal study","volume":"17","author":"Grassi","year":"2021","journal-title":"Clin. Pract. Epidemiol. Ment. Health"},{"issue":"6","key":"10.1016\/j.ejon.2026.103122_bib18","doi-asserted-by":"crossref","first-page":"454","DOI":"10.1097\/NCC.0000000000000450","article-title":"The resilience in illness model part 2: confirmatory evaluation in adolescents and young adults with cancer","volume":"40","author":"Haase","year":"2017","journal-title":"Cancer Nurs."},{"key":"10.1016\/j.ejon.2026.103122_bib19","series-title":"A Primer on Partial Least Squares Structural Equation Modeling (PLS-SEM)","author":"Hair","year":"2022"},{"issue":"4","key":"10.1016\/j.ejon.2026.103122_bib20","doi-asserted-by":"crossref","DOI":"10.1111\/jjns.12359","article-title":"The mediating effect of resilience on the relationship between type D personality and self-care behavior in patients with heart failure","volume":"17","author":"Heo","year":"2020","journal-title":"Jpn. J. Nurs. Sci."},{"issue":"6","key":"10.1016\/j.ejon.2026.103122_bib21","doi-asserted-by":"crossref","first-page":"1181","DOI":"10.3390\/ijerph15061181","article-title":"Psychological resilience as a protective factor for body image in post-mastectomy women with breast cancer","volume":"15","author":"Izydorczyk","year":"2018","journal-title":"Int. J. Environ. Res. Publ. Health"},{"key":"10.1016\/j.ejon.2026.103122_bib22","doi-asserted-by":"crossref","DOI":"10.1016\/j.ejon.2021.101972","article-title":"Stigma and its influencing factors among breast cancer survivors in China","volume":"52","author":"Jin","year":"2021","journal-title":"Eur. J. Oncol. Nurs."},{"issue":"10","key":"10.1016\/j.ejon.2026.103122_bib23","doi-asserted-by":"crossref","first-page":"1458","DOI":"10.5498\/wjp.v14.i10.1458","article-title":"Effect of resilience on quality of life and anxiety in patients with breast cancer","volume":"14","author":"Kong","year":"2024","journal-title":"World J. Psychiatr."},{"issue":"5","key":"10.1016\/j.ejon.2026.103122_bib25","doi-asserted-by":"crossref","first-page":"3347","DOI":"10.1002\/nop2.1587","article-title":"Relationship between type D personality and adverse health outcomes in people with type 2 diabetes: the parallel mediating roles of diabetes distress and social isolation","volume":"10","author":"Lee","year":"2023","journal-title":"Nurs. Open"},{"issue":"19","key":"10.1016\/j.ejon.2026.103122_bib26","doi-asserted-by":"crossref","first-page":"6938","DOI":"10.3390\/ijerph17196938","article-title":"Quality of life of cancer patients treated with chemotherapy","volume":"17","author":"Lewandowska","year":"2020","journal-title":"Int. J. Environ. Res. Publ. Health"},{"issue":"1","key":"10.1016\/j.ejon.2026.103122_bib27","doi-asserted-by":"crossref","first-page":"116","DOI":"10.3346\/jkms.2011.26.1.116","article-title":"Assessment of the type D personality construct in the Korean population: a validation study of the Korean DS14","volume":"26","author":"Lim","year":"2011","journal-title":"J. Kor. Med. Sci."},{"issue":"3","key":"10.1016\/j.ejon.2026.103122_bib28","article-title":"Type D personality and its relationship with perceived stress among women with breast cancer attending a referral center in northern Iran in 2017. Iran","volume":"14","author":"Moradi","year":"2020","journal-title":"J. Psychiatry Behav. Sci"},{"issue":"4","key":"10.1016\/j.ejon.2026.103122_bib30","first-page":"208","article-title":"Relationships among type D personality, fatigue, and quality of life in infertile women. Asian nurs","volume":"16","author":"Nho","year":"2022","journal-title":"Res."},{"key":"10.1016\/j.ejon.2026.103122_bib31","doi-asserted-by":"crossref","DOI":"10.1016\/j.ejon.2022.102098","article-title":"Relationship between type D personality, symptoms, cancer stigma, and quality of life among patients with lung cancer","volume":"57","author":"Park","year":"2022","journal-title":"Eur. J. Oncol. Nurs."},{"issue":"2","key":"10.1016\/j.ejon.2026.103122_bib32","doi-asserted-by":"crossref","first-page":"459","DOI":"10.31557\/APJCP.2023.24.2.459","article-title":"Exploring discomfort experienced during chemotherapy in Thai breast cancer patients","volume":"24","author":"Phongnopakoon","year":"2023","journal-title":"Asian Pac. J. Cancer Prev. APJCP"},{"key":"10.1016\/j.ejon.2026.103122_bib33","doi-asserted-by":"crossref","first-page":"adv00846","DOI":"10.2340\/actadv.v103.2741","article-title":"Type D personality as a marker of poorer quality of life and mood status disturbances in patients with skin diseases: a systematic review","volume":"103","author":"S\u00e1nchez-D\u00edaz","year":"2023","journal-title":"Acta Derm. Venereol."},{"issue":"1","key":"10.1016\/j.ejon.2026.103122_bib34","doi-asserted-by":"crossref","first-page":"121","DOI":"10.4040\/jkan.2017.47.1.121","article-title":"Reliability and validity of the Korean version of the cancer stigma scale","volume":"47","author":"So","year":"2017","journal-title":"J. Korean Acad. Nurs"},{"issue":"1","key":"10.1016\/j.ejon.2026.103122_bib35","doi-asserted-by":"crossref","first-page":"31","DOI":"10.1186\/s12916-019-1271-3","article-title":"The health stigma and discrimination framework: a global, crosscutting framework to inform research, intervention development, and policy on health-related stigmas","volume":"17","author":"Stangl","year":"2019","journal-title":"BMC Med."},{"issue":"1","key":"10.1016\/j.ejon.2026.103122_bib36","doi-asserted-by":"crossref","first-page":"39","DOI":"10.1016\/j.jpainsymman.2017.08.008","article-title":"Stability of symptom clusters in patients with breast cancer receiving chemotherapy","volume":"55","author":"Sullivan","year":"2018","journal-title":"J. Pain Symptom Manag."},{"issue":"1","key":"10.1016\/j.ejon.2026.103122_bib37","first-page":"55","article-title":"Correlates of stigma for patients with breast cancer: a systematic review and meta-analysis","volume":"31","author":"Tang","year":"2022","journal-title":"Support. Care Cancer"},{"issue":"2","key":"10.1016\/j.ejon.2026.103122_bib38","first-page":"171","article-title":"Breast cancer treatment","volume":"104","author":"Trayes","year":"2021","journal-title":"Am. Fam. Physician"},{"key":"10.1016\/j.ejon.2026.103122_bib39","series-title":"Developing a Protocol for Observational Comparative Effectiveness Research: a User's Guide","year":"2013"},{"key":"10.1016\/j.ejon.2026.103122_bib40","doi-asserted-by":"crossref","DOI":"10.3389\/fpsyt.2022.723795","article-title":"Type D personality and big five personality traits and the risk of breast cancer: a case-control study","volume":"13","author":"Wojciechowska","year":"2022","journal-title":"Front. Psychiatr."},{"issue":"10","key":"10.1016\/j.ejon.2026.103122_bib41","doi-asserted-by":"crossref","DOI":"10.1016\/j.apjon.2023.100293","article-title":"The stigma in patients with breast cancer: a concept analysis","volume":"10","author":"Wu","year":"2023","journal-title":"Asia Pac. J. Oncol. Nurs."},{"key":"10.1016\/j.ejon.2026.103122_bib42","doi-asserted-by":"crossref","first-page":"204","DOI":"10.1186\/s12888-025-06628-3","article-title":"Effects of cognitive behavioral therapy on resilience among adult cancer patients: a systematic review and meta-analysis","volume":"25","author":"Xiang","year":"2025","journal-title":"BMC Psychiatry"},{"issue":"11","key":"10.1016\/j.ejon.2026.103122_bib43","doi-asserted-by":"crossref","first-page":"729","DOI":"10.1093\/abm\/kaae048","article-title":"Interventions to reduce lung cancer and COPD-Related stigma: a systematic review","volume":"58","author":"Yamazaki-Tan","year":"2024","journal-title":"Ann. Behav. Med."},{"issue":"3","key":"10.1016\/j.ejon.2026.103122_bib44","doi-asserted-by":"crossref","first-page":"1964","DOI":"10.1007\/s10943-022-01668-5","article-title":"Effect of spirituality on psychological resilience in women with breast cancer who have received chemotherapy: a cross-sectional study from Turkey","volume":"62","author":"Y\u0131ld\u0131r\u0131m \u00dc\u015fenmez","year":"2023","journal-title":"J. Relig. Health"},{"key":"10.1016\/j.ejon.2026.103122_bib45","doi-asserted-by":"crossref","DOI":"10.3389\/fpsyg.2022.657992","article-title":"Stigma and quality of life in women with breast cancer: mediation and moderation model of social support, sense of coherence, and coping strategies","volume":"13","author":"Zamanian","year":"2022","journal-title":"Front. Psychol."}],"container-title":["European Journal of Oncology Nursing"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S146238892600027X?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S146238892600027X?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2026,4,3]],"date-time":"2026-04-03T05:45:31Z","timestamp":1775195131000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S146238892600027X"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,4]]},"references-count":43,"alternative-id":["S146238892600027X"],"URL":"https:\/\/doi.org\/10.1016\/j.ejon.2026.103122","relation":{},"ISSN":["1462-3889"],"issn-type":[{"value":"1462-3889","type":"print"}],"subject":[],"published":{"date-parts":[[2026,4]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Mediating roles of cancer stigma and resilience in the relationship between type D personality and quality of life among patients with breast cancer undergoing chemotherapy","name":"articletitle","label":"Article Title"},{"value":"European Journal of Oncology Nursing","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.ejon.2026.103122","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2026 Elsevier Ltd. All rights are reserved, including those for text and data mining, AI training, and similar technologies.","name":"copyright","label":"Copyright"}],"article-number":"103122"}}