{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,10]],"date-time":"2026-04-10T10:31:34Z","timestamp":1775817094247,"version":"3.50.1"},"reference-count":45,"publisher":"MDPI AG","issue":"3","license":[{"start":{"date-parts":[[2025,2,1]],"date-time":"2025-02-01T00:00:00Z","timestamp":1738368000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Healthcare"],"abstract":"<jats:p>Background\/Objectives: The purpose of this study was to analyze the mediating effects of coping styles on the relationship between satisfaction with social support (SSS) and quality of life (QoL) in breast cancer patients. Methods: A cross-sectional structural equation modeling (SEM) approach was used to examine the mediating effects. The participants were 311 women who were breast cancer patients, aged between 27 and 86 years (M = 46.61, SD = 9.53). Results: SEM analyses showed that SSS was positively associated with fighting spirit (\u03b2 = 0.31, p &lt; 0.05), cognitive avoidance (\u03b2 = 0.19, p &gt; 0.05), and QoL (\u03b2 = 0.21, p &lt; 0.05), and negatively associated with helplessness\u2013hopelessness (\u03b2 = \u22120.28, p &lt; 0.05). Furthermore, fighting spirit and helplessness\u2013hopelessness showed significant relationships with QoL. Anxious preoccupation was negatively related to QoL. Furthermore, fighting spirit and helplessness\u2013hopelessness showed significant relationships with quality of life (\u03b2 = 0.18, p &lt; 0.05; \u03b2 = \u22120.15, p &lt; 0.05, respectively). In addition, the mediation analysis revealed that coping styles (i.e., fighting spirit and helplessness\u2013hopelessness) mediated the relationship between SSS and QoL. Conclusions: The findings suggest that perceptions of SSS from family and friends may promote perceived QoL via adaptive coping, such as fighting spirit and helplessness\u2013hopelessness strategies to deal with the cancer experience.<\/jats:p>","DOI":"10.3390\/healthcare13030297","type":"journal-article","created":{"date-parts":[[2025,2,3]],"date-time":"2025-02-03T08:47:57Z","timestamp":1738572477000},"page":"297","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Satisfaction with Social Support and Quality of Life Among Portuguese Patients with Breast Cancer: Mediating Effects of Coping Styles\u2014Cross-Sectional Study"],"prefix":"10.3390","volume":"13","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4083-200X","authenticated-orcid":false,"given":"Joana","family":"Carreiro","sequence":"first","affiliation":[{"name":"Department of Social Sciences and Behavior, University of Maia, 4475-690 Maia, Portugal"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5296-0930","authenticated-orcid":false,"given":"Susana","family":"Cardoso","sequence":"additional","affiliation":[{"name":"Research Center in Sports Sciences, Health Sciences and Human Development (CIDESD), 5000-801 Vila Real, Portugal"},{"name":"Laboratory of Neuropsychophysiology, Faculty of Psychology and Education Sciences, University of Porto, 4200-135 Porto, Portugal"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4338-553X","authenticated-orcid":false,"given":"Pedro","family":"Teques","sequence":"additional","affiliation":[{"name":"Research Center in Sports Sciences, Health Sciences and Human Development (CIDESD), 5000-801 Vila Real, Portugal"},{"name":"N2i Polytechnic Institute of Maia, 4475-690 Maia, Portugal"}]},{"given":"Andreia P.","family":"Teques","sequence":"additional","affiliation":[{"name":"N2i Polytechnic Institute of Maia, 4475-690 Maia, Portugal"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2882-8056","authenticated-orcid":false,"given":"Jos\u00e9 Lu\u00eds","family":"Pais-Ribeiro","sequence":"additional","affiliation":[{"name":"Faculty of Psychology and Education Sciences, University of Porto, 4200-135 Porto, Portugal"},{"name":"William James Center for Research, ISPA, 1149-041 Lisboa, Portugal"}]}],"member":"1968","published-online":{"date-parts":[[2025,2,1]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"146","DOI":"10.1080\/0284186X.2017.1406141","article-title":"Quality of life and care needs in women with estrogen positive metastatic breast cancer: A qualitative study","volume":"57","author":"Mortensen","year":"2018","journal-title":"Acta Oncol."},{"key":"ref_2","unstructured":"Ferlay, J., Ervik, M., Lam, F., Laversanne, M., Colombet, M., Mery, L., Pi\u00f1eros, M., Znaor, A., Soerjomataram, I., and Bray, F. 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