Table 1.

Q samples.

No.	Statement
1	I feel helpless because cancer is a disease that is beyond my control.
2	I feel flustered when I cannot control my emotions, leading me to have sudden feelings of depression and anxiety.
3	I always feel exhausted from lack of sleep due to continual worry about having breast cancer.
4	I feel lonely and isolated.
5	I am angry because I feel it is unfair that I got breast cancer.
6	Not knowing when I will die fills me with fear.
7	I feel pathetic when I see myself trying so hard not to feel anxious.
8	I feel helpless because I cannot plan for my future.
9	I feel like I am suffering from severe pain due to chemotherapy.
10	I feel doubtful about whether I will ever be cancer-free.
11	I feel a sense of loss about losing my breasts after undergoing mastectomy surgery.
12	I am afraid my partner will treat me differently regarding our sex life.
13	It is uncomfortable for me to go to public places like saunas.
14	I find it difficult to accept how I look due to hair loss.
15	I feel that I have lost my feminine identity.
16	I fear my nails falling off and my skin discolouring during treatment.
17	My family cannot understand my suffering.
18	I am worried that I will burden my family.
19	I am worried about not being able to fulfil my role and responsibilities at home during treatment.
20	I feel easily hurt when people around me try to console me with superficial greetings.
21	I am afraid that my breast cancer might be genetic.
22	I feel drained when people who had the same experience overwhelm me with excessive emotional expression and information.
23	I feel that my family and colleagues do not care when they still expect me to fulfil my roles and responsibilities.
24	I have resentment because I feel I got breast cancer due to continual stress from my family and work.
25	I do not want people to gossip about me being a breast cancer patient.
26	I am worried about chemotherapy treatment because of its possible side effects that can lead to other illnesses.
27	I feel that the immense amount of examinations I undergo at the hospital is burdensome and a hassle.
28	I am afraid that my breast cancer might spread or that I might have complications.
29	I am afraid that my breast cancer might return.
30	I feel that it is difficult to find a reliable surgeon.
31	It makes me sad when I think about the possibility of a day when I will have to accept that I will die because my breast cancer returned and I ran out of treatment options.
32	I feel degraded when medical professionals treat me without empathy, as if our relationship is strictly business.
33	I am frustrated because it is difficult to understand what the medical professionals say regarding my treatment process and the resultant symptoms.
34	It is difficult to accept that I no longer have a normal life.
35	I am worried that my coworkers will judge me and lower their expectations concerning my work ability because of my cancer.
36	I am worried that I might no longer be able to work.
37	I feel like everything I have built throughout my life has become meaningless.
38	I feel burdened about having to care more about my health.
39	I feel that treatment is too expensive.
40	I think that I will eventually have to end my career.