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Background <p>While perceived stress in non-small cell lung cancer (NSCLC) is typically associated with psychological distress, it can also co-occur with positive adaptation, such as benefit finding. It is unclear whether resourcefulness may mediate this association.</p> Aims <p>To examine whether resourcefulness mediates the association between perceived stress and benefit finding in patients with NSCLC.</p> Methods <p>A cross-sectional study was conducted among NSCLC patients at a single oncology hospital between February and June 2025. Data were collected using a structured questionnaire comprising demographic and clinical characteristics, the Perceived Stress Scale (PSS), the Resourcefulness Scale (RSS), and the Benefit Finding (BF) Scale. Data analysis was performed using SPSS 27.0 and Amos 28.0. Descriptive statistics, independent <i>t</i>-tests, one-way <i>ANOVA</i>, <i>Pearson</i>'s correlation, and multiple regression were conducted. To examine the potential mediating pathway of resourcefulness, a structural equation model (SEM) was constructed. The model's goodness-of-fit was assessed using common indices, including χ2/df, GFI, AGFI, NFI, RFI, TLI, CFI, and RMSEA.</p> Results <p>A total of 326 NSCLC patients participated. The structural equation model demonstrated a good fit. Path analysis revealed that perceived stress was significantly associated with benefit finding, both directly (<i>β</i> = 0.345, <i>p</i> &lt; 0.001) and indirectly via resourcefulness (<i>β</i> = 0.039, <i>p</i> &lt; 0.001). This provides evidence that resourcefulness partially mediates the relationship between perceived stress and benefit finding in this patient group.</p> Conclusion <p>This study found that, among NSCLC patients, higher perceived stress was associated with greater benefit finding, both directly and indirectly through increased resourcefulness. These results suggest that moderate perceived stress may stimulate resourcefulness, which, in turn, helps patients find positive aspects of their experience. Supporting patients' resourcefulness may help them manage stress and achieve better psychological adaptation.</p>

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The mediating role of resourcefulness in the relationship between perceived stress and benefit finding among non-small cell lung cancer patients: a cross-sectional study

  • 期刊论文

  • 发表日期：

    2026年2月14日

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  • Yanhua Teng,
  • Ruirui Jia,
  • Ning Ma,
  • Jing Han,
  • Chang Liu

摘要

Background

While perceived stress in non-small cell lung cancer (NSCLC) is typically associated with psychological distress, it can also co-occur with positive adaptation, such as benefit finding. It is unclear whether resourcefulness may mediate this association.

Aims

To examine whether resourcefulness mediates the association between perceived stress and benefit finding in patients with NSCLC.

Methods

A cross-sectional study was conducted among NSCLC patients at a single oncology hospital between February and June 2025. Data were collected using a structured questionnaire comprising demographic and clinical characteristics, the Perceived Stress Scale (PSS), the Resourcefulness Scale (RSS), and the Benefit Finding (BF) Scale. Data analysis was performed using SPSS 27.0 and Amos 28.0. Descriptive statistics, independent t-tests, one-way ANOVA, Pearson's correlation, and multiple regression were conducted. To examine the potential mediating pathway of resourcefulness, a structural equation model (SEM) was constructed. The model's goodness-of-fit was assessed using common indices, including χ2/df, GFI, AGFI, NFI, RFI, TLI, CFI, and RMSEA.

Results

A total of 326 NSCLC patients participated. The structural equation model demonstrated a good fit. Path analysis revealed that perceived stress was significantly associated with benefit finding, both directly (β = 0.345, p < 0.001) and indirectly via resourcefulness (β = 0.039, p < 0.001). This provides evidence that resourcefulness partially mediates the relationship between perceived stress and benefit finding in this patient group.

Conclusion

This study found that, among NSCLC patients, higher perceived stress was associated with greater benefit finding, both directly and indirectly through increased resourcefulness. These results suggest that moderate perceived stress may stimulate resourcefulness, which, in turn, helps patients find positive aspects of their experience. Supporting patients' resourcefulness may help them manage stress and achieve better psychological adaptation.