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Social Avoidance Trajectories, Core Characteristics and Maintenance Factors in Postoperative Breast Cancer Patients:
He Chunyan1, Ding Xiaoping2, Peng Xiao3
1School of Nursing, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.
Journal of Advanced Nursing
|June 13, 2026
Summary
Breast cancer patients exhibit varied social avoidance patterns post-surgery. Melancholic temperament increases risk, while choleric temperament offers protection, highlighting the need for tailored nursing interventions.
Area of Science:
- Oncology
- Psychology
- Sociology
Background:
- Social avoidance is a significant concern for breast cancer patients post-surgery.
- Understanding its trajectories and influencing factors is crucial for effective patient care.
Purpose of the Study:
- To investigate the dynamic patterns of social avoidance in breast cancer patients during their first year after surgery.
- To identify core characteristics and factors that maintain social avoidance behavior.
Main Methods:
- A longitudinal, explanatory sequential mixed-method design was used with 176 breast cancer patients.
- Latent class growth analysis identified distinct social avoidance trajectories, followed by qualitative interviews for in-depth understanding.
Main Results:
- Two subgroups emerged: 'persistent high social avoidance' and 'persistent low social avoidance'.
- Melancholic temperament was a risk factor, while choleric temperament was protective.
- Four themes emerged: affective, behavioral, psychological, and environmental factors influencing social avoidance.
Conclusions:
- Social avoidance in breast cancer patients is heterogeneous and dynamic, influenced by personality, psychological, and environmental factors.
- Findings support precision screening, early prevention, and tailored interventions in clinical nursing.
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