RNSurveyInternational journal of nursing sciences2025

Latent profiles of ambivalence over emotional expression in young breast cancer patients: A cross-sectional study.

Xiaocen Chen, Zhao Wang, Sibo Wang and 3 others

PMID 40786852

WHAT IT FOUND

Four emotional-expression conflict patterns emerged among 217 young breast cancer patients.

The group with 95 cases (43.9%) strongly inhibited emotions and was linked to divorce, low family income, rural residence, and lower family cohesion. This may help nurses identify patients who may need emotional support.

Key findings

01Four ambivalence-over-emotional-expression profiles were identified among 217 young breast cancer patients.

02A profile had 95 cases (43.9%) and showed the highest overall ambivalence, with high inhibition of positive and negative emotions.

03Divorced status, lower per capita monthly family income, rural residence, and lower family intimacy were associated with the high-conflict-high-inhibition profile.

STILL TO COME

How it was doneWhat they foundWhat it means for RNs

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What it does not show

The study was cross-sectional, so it cannot show that marital status, income, residence, cancer stage, or family cohesion caused emotional-expression conflict. It used convenience sampling in a hospital in Tianjin, China, so the groups may not represent patients elsewhere. It did not test any intervention, so it cannot support claims that expressive writing, cognitive-behavioral therapy, or mindfulness reduce ambivalence over emotional expression.

Declared interests

This research was funded by the Tianjin Key Medical Discipline (Specialty) Construction Project and the Tianjin Medical University Cancer Institute & Hospital Nursing Special Fund Project. The authors declared no conflict of interest.

The easy way to misread this

Do not treat the four profiles as proof that a nursing intervention works. The study measured associations at a single time point and did not test expressive writing, cognitive-behavioral therapy, or mindfulness, so it cannot show that any of these reduce ambivalence over emotional expression.

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