Mothers' experiences of having a daughter with breast cancer in Chinese families: A qualitative study

Abstract

Objective This study aimed to explore the psychological and emotional experiences, as well as coping strategies, of mothers of young women with breast cancer in Chinese families. Methods A descriptive qualitative study was conducted from March to July 2025. Semi-structured interviews were carried out with 16 mothers of daughters diagnosed with breast cancer at a tertiary hospital in China. Data were analyzed using thematic analysis, and reporting followed the Consolidated Criteria for Reporting Qualitative Research (COREQ) guidelines. Results Four overarching themes were identified: (1) emotional turmoil, including shock, emotional suppression, guilt, self-blame, and persistent anxiety; (2) cultural silence and social withdrawal, reflected in linguistic avoidance, fatalistic interpretations of illness, and the protection of family privacy; (3) reconfiguring care and family roles, characterized by reactivated maternal caregiving and strengthened family cohesion; and (4) meaning-making in the face of illness, involving spiritual coping, preservation of memories, reframing life meaning, and efforts to balance caregiving with self-care. The findings suggest that mothers often experience substantial psychological distress shaped by Confucian familism, gender norms, and filial expectations. Conclusions Mothers of patients with breast cancer in Chinese families experience profound emotional burden and role disruption, yet many also demonstrate resilience through family-centered and meaning-focused coping. Oncology nurses should provide culturally sensitive, family-oriented psychological support that addresses guilt, anxiety, and emotional suppression while strengthening coping resources and supportive communication.