Purpose

Stigma, a subjective internal shame, arises from the association of cancer with death. Sleep quality can be considered a product of stigma. However, the extent of overlap or difference between the two remains unclear.

Methods

In total, 512 survivors with breast cancer were recruited from the “Be Resilient to Breast Cancer” project between May and August 2023. This study estimated the stigma, sleep quality, and their relationship by conducting a cross-sectional network analysis. The social impact scale and Pittsburgh Sleep Quality Index scale were employed in this study.

Results

The core symptom for stigma from the network analysis was alienation by people (Strength = 1.213, Betweenness = 13, Closeness = 0.00211). The core symptom for sleep quality were the sleep quality (Str = 1.114, Bet = 17, Clo = 0.01586). Regarding the combination network, results showed that self-isolation and daytime dysfunction were the bridge nodes and that daytime dysfunction was positively associated with feeling less capable than before (according to self) (r = 0.15).

Conclusion

Our study demonstrates the core symptoms in different symptomatic networks, which can be targeted for treatment personalization and aid in the improvement of sleep quality and stigma in breast cancer patients.

中文翻译：

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乳腺癌耻辱感与睡眠质量之间的相互作用：横断面网络分析

目的

耻辱是一种主观的内在耻辱，源于癌症与死亡的联系。睡眠质量可以被认为是耻辱的产物。然而，两者之间的重叠或差异程度仍不清楚。

方法

2023 年 5 月至 8 月期间，“Be Resilient to Breast Cancer”项目总共招募了 512 名乳腺癌幸存者。这项研究通过进行横断面网络分析来估计耻辱感、睡眠质量及其关系。本研究采用了社会影响量表和匹兹堡睡眠质量指数量表。

结果

网络分析得出的耻辱的核心症状是人的疏远（强度 = 1.213，介数 = 13，紧密度 = 0.00211）。睡眠质量的核心症状是睡眠质量（Str = 1.114，Bet = 17，Clo = 0.01586）。关于组合网络，结果表明，自我隔离和日间功能障碍是桥梁节点，日间功能障碍与感觉能力不如以前（根据自我）呈正相关（r = 0.15）。

结论

我们的研究揭示了不同症状网络中的核心症状，可以作为个性化治疗的目标，并帮助改善乳腺癌患者的睡眠质量和耻辱感。