ORIGINAL RESEARCH article
Front. Psychiatry
Sec. Anxiety and Stress Disorders
Volume 16 - 2025 | doi: 10.3389/fpsyt.2025.1550777
Influencing Factors of Emotional Well-being in Chinese Patients with Gastroenteric Tumours: The Role of Mindfulness Practice, Social Support and Patient-Centred Communication
Provisionally accepted
- 1School of Nursing, Health Science Center,Xi 'an Jiaotong University, Xi 'an, China
- 2School of Journalism and New Media, Xi'an Jiaotong University, Xi’an, Shaanxi, China
- 3Lanzhou Petrochemical General Hospital(The Fourth Affiliated Hospital of Gansu University of Chinese Medicine), Lanzhou, China
- 4Faculty of Biology, Medicine and Health, The University of Manchester, Manchester, England, United Kingdom
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Objective: This study aimed to explore the factors influencing the emotional well-being of patients with gastroenteric tumours and to examine the mediating roles of beliefs about cancer and health self-efficacy in mindfulness practice, social support and patient-centred communication (PCC). Methods: A convenience sample of 517 patients with gastroenteric tumours who visited the oncology department of six tertiary hospitals in Lanzhou City, Gansu Province, between 26 July 2022 and 30 September 2022 was selected for this study. General demographic and disease information of the patients was collected, and the relationships among mindfulness practice, social support, PCC, beliefs about cancer, health self-efficacy and emotional well-being were analysed. Results: Mindfulness practice, social support, beliefs about cancer and health self-efficacy had positive effects on emotional well-being (p < 0.05). Beliefs about cancer mediated the relationships between mindfulness practice (effect size, 0.025), social support (effect size, 0.033), and PCC (effect size, 0.079) and emotional well-being. Notably, health self-efficacy also served as a mediator in the relationships between mindfulness practice (effect size, 0.093), social support (effect size, 0.040), PCC (effect size, 0.057) and emotional well-being, with all these mediation effects reaching statistical significance (p < 0.05). Conclusion: Social support, beliefs about cancer, mindfulness practice and health self-efficacy had positive effects on the emotional well-being of patients with gastroenteric tumours. Beliefs about cancer and health self-efficacy mediated the effects of mindfulness practice, social support and PCC on emotional well-being.
Keywords: Neoplasms, Mental Health, structural equation modelling, social support, Cancer
Received: 24 Dec 2024; Accepted: 21 Oct 2025.
Copyright: © 2025 Peng, Liu, Liu, Li and Zhang. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
* Correspondence: Yin-Ping Zhang, zhangyinping3338@163.com
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