My changed body: breast cancer, body image, distress and self‐compassion
Identifieur interne : 002745 ( Istex/Corpus ); précédent : 002744; suivant : 002746My changed body: breast cancer, body image, distress and self‐compassion
Auteurs : Astrid Przezdziecki ; Kerry A. Sherman ; Andrew Baillie ; Alan Taylor ; Elizabeth Foley ; Kellie Stalgis-BilinskiSource :
- Psycho‐Oncology [ 1057-9249 ] ; 2013-08.
Abstract
Bodily changes after breast cancer treatment can lead to long‐term distress. Self‐compassion, the ability to be kind to oneself, is an internal resource that may enhance a woman's ability to adjust to cancer‐related bodily changes. The aim of the present study was to test the hypothesis that self‐compassion mediates the relationship between body image and distress, controlling for alternate plausible mediators.
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DOI: 10.1002/pon.3230
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Sherman</name><affiliation><mods:affiliation>Centre for Emotional Health, Department of Psychology, Macquarie University, Sydney, NSW, Australia</mods:affiliation></affiliation><affiliation><mods:affiliation>Westmead Breast Cancer Institute, Westmead Hospital, NSW, Sydney, Australia</mods:affiliation></affiliation><affiliation><mods:affiliation>E-mail: Kerry.Sherman@mq.edu.au</mods:affiliation></affiliation></author><author><name sortKey="Baillie, Andrew" sort="Baillie, Andrew" uniqKey="Baillie A" first="Andrew" last="Baillie">Andrew Baillie</name><affiliation><mods:affiliation>Centre for Emotional Health, Department of Psychology, Macquarie University, NSW, Sydney, Australia</mods:affiliation></affiliation></author><author><name sortKey="Taylor, Alan" sort="Taylor, Alan" uniqKey="Taylor A" first="Alan" last="Taylor">Alan Taylor</name><affiliation><mods:affiliation>Centre for Emotional Health, Department of Psychology, Macquarie University, NSW, Sydney, Australia</mods:affiliation></affiliation></author><author><name sortKey="Foley, Elizabeth" sort="Foley, Elizabeth" uniqKey="Foley E" first="Elizabeth" last="Foley">Elizabeth Foley</name><affiliation><mods:affiliation>Mind Potential, NSW, Sydney, Australia</mods:affiliation></affiliation></author><author><name sortKey="Stalgis Ilinski, Kellie" sort="Stalgis Ilinski, Kellie" uniqKey="Stalgis Ilinski K" first="Kellie" last="Stalgis-Bilinski">Kellie Stalgis-Bilinski</name><affiliation><mods:affiliation>Westmead Breast Cancer Institute, Westmead Hospital, NSW, Sydney, Australia</mods:affiliation></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">ISTEX</idno><idno type="RBID">ISTEX:557ED33F2DE75EE4D6103D74EECFCC2763D3FEB6</idno><date when="2013" year="2013">2013</date><idno type="doi">10.1002/pon.3230</idno><idno type="url">https://api.istex.fr/document/557ED33F2DE75EE4D6103D74EECFCC2763D3FEB6/fulltext/pdf</idno><idno type="wicri:Area/Istex/Corpus">002745</idno><idno type="wicri:explorRef" wicri:stream="Istex" wicri:step="Corpus" wicri:corpus="ISTEX">002745</idno></publicationStmt><sourceDesc><biblStruct><analytic><title level="a" type="main">My changed body: breast cancer, body image, distress and self‐compassion</title><author><name sortKey="Przezdziecki, Astrid" sort="Przezdziecki, Astrid" uniqKey="Przezdziecki A" first="Astrid" last="Przezdziecki">Astrid Przezdziecki</name><affiliation><mods:affiliation>Centre for Emotional Health, Department of Psychology, Macquarie University, Sydney, NSW, Australia</mods:affiliation></affiliation><affiliation><mods:affiliation>Cancer Therapy Centre, Liverpool Hospital, NSW, Sydney, Australia</mods:affiliation></affiliation></author><author><name sortKey="Sherman, Kerry A" sort="Sherman, Kerry A" uniqKey="Sherman K" first="Kerry A." last="Sherman">Kerry A. 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Self‐compassion, the ability to be kind to oneself, is an internal resource that may enhance a woman's ability to adjust to cancer‐related bodily changes. The aim of the present study was to test the hypothesis that self‐compassion mediates the relationship between body image and distress, controlling for alternate plausible mediators.</div></front></TEI><istex><corpusName>wiley</corpusName><keywords><teeft><json:string>body image</json:string><json:string>breast cancer</json:string><json:string>psychological distress</json:string><json:string>body image disturbance</json:string><json:string>breast cancer survivors</json:string><json:string>psychol</json:string><json:string>indirect effect</json:string><json:string>mediator</json:string><json:string>survivor</json:string><json:string>john wiley sons</json:string><json:string>copyright</json:string><json:string>oncol</json:string><json:string>mediation</json:string><json:string>bootstrapping</json:string><json:string>chemotherapy</json:string><json:string>indirect effects</json:string><json:string>cancer treatment</json:string><json:string>breast cancer treatment</json:string><json:string>breast cancer diagnosis</json:string><json:string>body image scale</json:string><json:string>bodily changes</json:string><json:string>total effect</json:string><json:string>present study</json:string><json:string>bootstrapping method</json:string><json:string>macquarie university</json:string><json:string>breast</json:string><json:string>depression anxiety stress scales</json:string><json:string>weight gain</json:string><json:string>physical appearance</json:string><json:string>current study</json:string><json:string>item reliability</json:string><json:string>weight pressure</json:string><json:string>internal resource</json:string><json:string>higher levels</json:string><json:string>distress</json:string><json:string>current weight</json:string><json:string>marital status</json:string><json:string>body relationship</json:string><json:string>radiation treatment</json:string><json:string>mediation analyses</json:string><json:string>cancer survivors</json:string><json:string>distress outcomes</json:string><json:string>multiple mediators</json:string><json:string>negative thoughts</json:string><json:string>younger women</json:string><json:string>hayes approach</json:string><json:string>breast cancer surgery</json:string><json:string>breast cancer patients</json:string><json:string>regression analyses</json:string><json:string>direct effect</json:string><json:string>physical changes</json:string><json:string>greater body image disturbance</json:string><json:string>lower levels</json:string><json:string>other studies</json:string><json:string>emotional health</json:string><json:string>ongoing distress</json:string><json:string>further exploration</json:string><json:string>breast reconstruction</json:string><json:string>side effects</json:string><json:string>surg oncol</json:string><json:string>clin oncol</json:string><json:string>clin psychol</json:string><json:string>psychol health</json:string><json:string>stress scale</json:string><json:string>young breast cancer survivors</json:string><json:string>weight dissatisfaction</json:string><json:string>cancer</json:string></teeft></keywords><author><json:item><name>Astrid Przezdziecki</name><affiliations><json:string>Centre for Emotional Health, Department of Psychology, Macquarie University, Sydney, NSW, Australia</json:string><json:string>Cancer Therapy Centre, Liverpool Hospital, NSW, Sydney, Australia</json:string></affiliations></json:item><json:item><name>Kerry A. Sherman</name><affiliations><json:string>Centre for Emotional Health, Department of Psychology, Macquarie University, Sydney, NSW, Australia</json:string><json:string>Westmead Breast Cancer Institute, Westmead Hospital, NSW, Sydney, Australia</json:string><json:string>E-mail: Kerry.Sherman@mq.edu.au</json:string></affiliations></json:item><json:item><name>Andrew Baillie</name><affiliations><json:string>Centre for Emotional Health, Department of Psychology, Macquarie University, NSW, Sydney, Australia</json:string></affiliations></json:item><json:item><name>Alan Taylor</name><affiliations><json:string>Centre for Emotional Health, Department of Psychology, Macquarie University, NSW, Sydney, Australia</json:string></affiliations></json:item><json:item><name>Elizabeth Foley</name><affiliations><json:string>Mind Potential, NSW, Sydney, Australia</json:string></affiliations></json:item><json:item><name>Kellie Stalgis‐Bilinski</name><affiliations><json:string>Westmead Breast Cancer Institute, 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University</orgName><address><settlement type="city">Sydney</settlement><region>NSW</region><country key="AU">Australia</country></address></affiliation><affiliation><orgName>Cancer Therapy Centre</orgName><orgName>Liverpool Hospital</orgName><address><settlement type="city">Sydney</settlement><region>NSW</region><country key="AU">Australia</country></address></affiliation></author><author xml:id="author-0001" role="corresp"><persName><forename type="first">Kerry A.</forename><surname>Sherman</surname></persName><affiliation><orgName>Centre for Emotional Health, Department of Psychology</orgName><orgName>Macquarie University</orgName><address><settlement type="city">Sydney</settlement><region>NSW</region><country key="AU">Australia</country></address></affiliation><affiliation><orgName>Westmead Breast Cancer Institute</orgName><orgName>Westmead Hospital</orgName><address><settlement type="city">Sydney</settlement><region>NSW</region><country key="AU">Australia</country></address></affiliation><affiliation>Correspondence to: Centre for Emotional Health, Department of Psychology, Macquarie University, 2109, Sydney, NSW, Australia. E‐mail: Kerry.Sherman@mq.edu.au</affiliation></author><author xml:id="author-0002"><persName><forename type="first">Andrew</forename><surname>Baillie</surname></persName><affiliation><orgName>Centre for Emotional Health, Department of Psychology</orgName><orgName>Macquarie University</orgName><address><settlement type="city">Sydney</settlement><region>NSW</region><country key="AU">Australia</country></address></affiliation></author><author xml:id="author-0003"><persName><forename type="first">Alan</forename><surname>Taylor</surname></persName><affiliation><orgName>Centre for Emotional Health, Department of Psychology</orgName><orgName>Macquarie University</orgName><address><settlement type="city">Sydney</settlement><region>NSW</region><country key="AU">Australia</country></address></affiliation></author><author xml:id="author-0004"><persName><forename type="first">Elizabeth</forename><surname>Foley</surname></persName><affiliation><orgName>Mind Potential</orgName><address><settlement type="city">Sydney</settlement><region>NSW</region><country key="AU">Australia</country></address></affiliation></author><author xml:id="author-0005"><persName><forename type="first">Kellie</forename><surname>Stalgis‐Bilinski</surname></persName><affiliation><orgName>Westmead Breast Cancer Institute</orgName><orgName>Westmead Hospital</orgName><address><settlement type="city">Sydney</settlement><region>NSW</region><country key="AU">Australia</country></address></affiliation></author><idno type="istex">557ED33F2DE75EE4D6103D74EECFCC2763D3FEB6</idno><idno type="DOI">10.1002/pon.3230</idno><idno type="unit">PON3230</idno><idno type="toTypesetVersion">file:PON.PON3230.pdf</idno></analytic><monogr><title level="j" type="main">Psycho‐Oncology</title><title level="j" type="alt">PSYCHO-ONCOLOGY</title><idno type="pISSN">1057-9249</idno><idno type="eISSN">1099-1611</idno><idno type="book-DOI">10.1002/(ISSN)1099-1611</idno><idno type="book-part-DOI">10.1002/pon.v22.8</idno><idno type="product">PON</idno><imprint><biblScope unit="vol">22</biblScope><biblScope unit="issue">8</biblScope><biblScope unit="page" from="1872">1872</biblScope><biblScope unit="page" to="1879">1879</biblScope><biblScope unit="page-count">8</biblScope><date type="published" when="2013-08"></date></imprint></monogr></biblStruct></sourceDesc></fileDesc><profileDesc><abstract style="main"><head>Abstract</head>
Background
<p>Bodily changes after breast cancer treatment can lead to long‐term distress. Self‐compassion, the ability to be kind to oneself, is an internal resource that may enhance a woman's ability to adjust to cancer‐related bodily changes. The aim of the present study was to test the hypothesis that self‐compassion mediates the relationship between body image and distress, controlling for alternate plausible mediators.</p>
Methods
<p>Members of a nationwide breast cancer consumer network were invited to participate. A total of 279 women who had finished active cancer treatment completed the online survey. Assessments included the Body Image Scale; Self‐compassion Scale; Depression, Anxiety and Stress Scale and items measuring perceived normative pressure and comfort with one's weight. Possible mediating effects of proposed variables on the body image–distress relationship were assessed.</p>
Results
<p>Tests using a bootstrapping approach with multiple mediators were significant for self‐compassion on distress. Body image disturbance was indirectly associated with distress through low self‐compassion.</p>
Conclusions
<p>Body image disturbance and lower self‐compassion were associated with increased psychological distress among these breast cancer survivors. This study provides preliminary evidence for a mediating role of self‐compassion between body image disturbance and psychological distress, suggesting a potentially protective effect of higher levels of self‐compassion for women at risk of experiencing body image disturbance. Copyright © 2012 John Wiley & Sons, Ltd.</p></abstract><textClass><keywords><term xml:id="pon3230-kwd-0001">oncology</term><term xml:id="pon3230-kwd-0002">cancer</term><term xml:id="pon3230-kwd-0003">breast cancer</term><term xml:id="pon3230-kwd-0004">body image</term><term xml:id="pon3230-kwd-0005">psychological distress</term><term xml:id="pon3230-kwd-0006">self‐compassion</term></keywords><classCode scheme="articleCategory">Paper</classCode><classCode scheme="tocHeading1">Papers</classCode></textClass><langUsage><language ident="EN"></language></langUsage></profileDesc></teiHeader></istex:fulltextTEI><json:item><extension>txt</extension><original>false</original><mimetype>text/plain</mimetype><uri>https://api.istex.fr/document/557ED33F2DE75EE4D6103D74EECFCC2763D3FEB6/fulltext/txt</uri></json:item></fulltext><metadata><istex:metadataXml wicri:clean="Wiley, elements deleted: body"><istex:xmlDeclaration>version="1.0" encoding="UTF-8" standalone="yes"</istex:xmlDeclaration><istex:document><component type="serialArticle" version="2.0" xml:lang="en" xml:id="pon3230"><header><publicationMeta level="product"><doi>10.1002/(ISSN)1099-1611</doi><issn type="print">1057-9249</issn><issn type="electronic">1099-1611</issn><idGroup><id type="product" value="PON"></id></idGroup><titleGroup><title type="main" sort="PSYCHO-ONCOLOGY">Psycho‐Oncology</title><title type="short">Psycho‐Oncology</title></titleGroup></publicationMeta><publicationMeta level="part" position="08108"><doi>10.1002/pon.v22.8</doi><copyright ownership="publisher">Copyright © 2013 John Wiley & Sons, Ltd.</copyright><numberingGroup><numbering type="journalVolume" number="22">22</numbering><numbering type="journalIssue">8</numbering></numberingGroup><coverDate startDate="2013-08">August 2013</coverDate></publicationMeta><publicationMeta level="unit" position="260" type="article" status="forIssue"><doi>10.1002/pon.3230</doi><idGroup><id type="unit" value="PON3230"></id></idGroup><countGroup><count type="pageTotal" number="8"></count></countGroup><titleGroup><title type="articleCategory">Paper</title><title type="tocHeading1">Papers</title></titleGroup><copyright ownership="publisher">Copyright © 2012 John Wiley & Sons, Ltd.</copyright><eventGroup><event type="manuscriptReceived" date="2012-02-23"></event><event type="manuscriptRevised" date="2012-10-25"></event><event type="manuscriptAccepted" date="2012-11-02"></event><event type="xmlCreated" agent="SPi Global" date="2012-11-19"></event><event type="publishedOnlineEarlyUnpaginated" date="2012-12-02"></event><event type="publishedOnlineFinalForm" date="2013-07-22"></event><event type="firstOnline" date="2012-12-02"></event><event type="xmlConverted" agent="Converter:WILEY_ML3G_TO_WILEY_ML3GV2 version:3.8.8" date="2014-02-07"></event><event type="xmlConverted" agent="Converter:WML3G_To_WML3G version:4.6.4 mode:FullText" date="2015-10-02"></event></eventGroup><numberingGroup><numbering type="pageFirst">1872</numbering><numbering type="pageLast">1879</numbering></numberingGroup><correspondenceTo>Correspondence to: Centre for Emotional Health, Department of Psychology, Macquarie University, 2109, Sydney, NSW, Australia. E‐mail: <email>Kerry.Sherman@mq.edu.au</email></correspondenceTo><linkGroup><link type="toTypesetVersion" href="file:PON.PON3230.pdf"></link></linkGroup></publicationMeta><contentMeta><titleGroup><title type="main">My changed body: breast cancer, body image, distress and self‐compassion</title><title type="short">My changed body: breast cancer, body image, distress and self‐compassion</title><title type="shortAuthors">A. Przezdziecki <i>et al.</i></title></titleGroup><creators><creator creatorRole="author" xml:id="pon3230-cr-0001" affiliationRef="#pon3230-aff-0001 #pon3230-aff-0002"><personName><givenNames>Astrid</givenNames><familyName>Przezdziecki</familyName></personName></creator><creator creatorRole="author" xml:id="pon3230-cr-0002" affiliationRef="#pon3230-aff-0001 #pon3230-aff-0003" corresponding="yes"><personName><givenNames>Kerry A.</givenNames><familyName>Sherman</familyName></personName></creator><creator creatorRole="author" xml:id="pon3230-cr-0003" affiliationRef="#pon3230-aff-0001"><personName><givenNames>Andrew</givenNames><familyName>Baillie</familyName></personName></creator><creator creatorRole="author" xml:id="pon3230-cr-0004" affiliationRef="#pon3230-aff-0001"><personName><givenNames>Alan</givenNames><familyName>Taylor</familyName></personName></creator><creator creatorRole="author" xml:id="pon3230-cr-0005" affiliationRef="#pon3230-aff-0004"><personName><givenNames>Elizabeth</givenNames><familyName>Foley</familyName></personName></creator><creator creatorRole="author" xml:id="pon3230-cr-0006" affiliationRef="#pon3230-aff-0003"><personName><givenNames>Kellie</givenNames><familyName>Stalgis‐Bilinski</familyName></personName></creator></creators><affiliationGroup><affiliation countryCode="AU" type="organization" xml:id="pon3230-aff-0001"><orgDiv>Centre for Emotional Health, Department of Psychology</orgDiv><orgName>Macquarie University</orgName><address><city>Sydney</city><countryPart>NSW</countryPart><country>Australia</country></address></affiliation><affiliation countryCode="AU" type="organization" xml:id="pon3230-aff-0002"><orgDiv>Cancer Therapy Centre</orgDiv><orgName>Liverpool Hospital</orgName><address><city>Sydney</city><countryPart>NSW</countryPart><country>Australia</country></address></affiliation><affiliation countryCode="AU" type="organization" xml:id="pon3230-aff-0003"><orgDiv>Westmead Breast Cancer Institute</orgDiv><orgName>Westmead Hospital</orgName><address><city>Sydney</city><countryPart>NSW</countryPart><country>Australia</country></address></affiliation><affiliation countryCode="AU" type="organization" xml:id="pon3230-aff-0004"><orgName>Mind Potential</orgName><address><city>Sydney</city><countryPart>NSW</countryPart><country>Australia</country></address></affiliation></affiliationGroup><keywordGroup type="author"><keyword xml:id="pon3230-kwd-0001">oncology</keyword><keyword xml:id="pon3230-kwd-0002">cancer</keyword><keyword xml:id="pon3230-kwd-0003">breast cancer</keyword><keyword xml:id="pon3230-kwd-0004">body image</keyword><keyword xml:id="pon3230-kwd-0005">psychological distress</keyword><keyword xml:id="pon3230-kwd-0006">self‐compassion</keyword></keywordGroup><abstractGroup><abstract type="main"><title type="main">Abstract</title><section xml:id="pon3230-sec-0001"><title type="main">Background</title><p>Bodily changes after breast cancer treatment can lead to long‐term distress. Self‐compassion, the ability to be kind to oneself, is an internal resource that may enhance a woman's ability to adjust to cancer‐related bodily changes. The aim of the present study was to test the hypothesis that self‐compassion mediates the relationship between body image and distress, controlling for alternate plausible mediators.</p></section><section xml:id="pon3230-sec-0002"><title type="main">Methods</title><p>Members of a nationwide breast cancer consumer network were invited to participate. A total of 279 women who had finished active cancer treatment completed the online survey. Assessments included the Body Image Scale; Self‐compassion Scale; Depression, Anxiety and Stress Scale and items measuring perceived normative pressure and comfort with one's weight. Possible mediating effects of proposed variables on the body image–distress relationship were assessed.</p></section><section xml:id="pon3230-sec-0003"><title type="main">Results</title><p>Tests using a bootstrapping approach with multiple mediators were significant for self‐compassion on distress. Body image disturbance was indirectly associated with distress through low self‐compassion.</p></section><section xml:id="pon3230-sec-0004"><title type="main">Conclusions</title><p>Body image disturbance and lower self‐compassion were associated with increased psychological distress among these breast cancer survivors. This study provides preliminary evidence for a mediating role of self‐compassion between body image disturbance and psychological distress, suggesting a potentially protective effect of higher levels of self‐compassion for women at risk of experiencing body image disturbance. Copyright © 2012 John Wiley & Sons, Ltd.</p></section></abstract></abstractGroup></contentMeta></header></component></istex:document></istex:metadataXml><mods version="3.6"><titleInfo lang="en"><title>My changed body: breast cancer, body image, distress and self‐compassion</title></titleInfo><titleInfo type="abbreviated" lang="en"><title>My changed body: breast cancer, body image, distress and self‐compassion</title></titleInfo><titleInfo type="alternative" contentType="CDATA" lang="en"><title>My changed body: breast cancer, body image, distress and self‐compassion</title></titleInfo><name type="personal"><namePart type="given">Astrid</namePart><namePart type="family">Przezdziecki</namePart><affiliation>Centre for Emotional Health, Department of Psychology, Macquarie University, Sydney, NSW, Australia</affiliation><affiliation>Cancer Therapy Centre, Liverpool Hospital, NSW, Sydney, Australia</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Kerry A.</namePart><namePart type="family">Sherman</namePart><affiliation>Centre for Emotional Health, Department of Psychology, Macquarie University, Sydney, NSW, Australia</affiliation><affiliation>Westmead Breast Cancer Institute, Westmead Hospital, NSW, Sydney, Australia</affiliation><affiliation>E-mail: Kerry.Sherman@mq.edu.au</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Andrew</namePart><namePart type="family">Baillie</namePart><affiliation>Centre for Emotional Health, Department of Psychology, Macquarie University, NSW, Sydney, Australia</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Alan</namePart><namePart type="family">Taylor</namePart><affiliation>Centre for Emotional Health, Department of Psychology, Macquarie University, NSW, Sydney, Australia</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Elizabeth</namePart><namePart type="family">Foley</namePart><affiliation>Mind Potential, NSW, Sydney, Australia</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Kellie</namePart><namePart type="family">Stalgis‐Bilinski</namePart><affiliation>Westmead Breast Cancer Institute, Westmead Hospital, NSW, Sydney, Australia</affiliation><role><roleTerm type="text">author</roleTerm></role></name><typeOfResource>text</typeOfResource><genre type="article" displayLabel="article"></genre><originInfo><publisher>Blackwell Publishing Ltd</publisher><dateIssued encoding="w3cdtf">2013-08</dateIssued><dateCreated encoding="w3cdtf">2012-11-19</dateCreated><dateCaptured encoding="w3cdtf">2012-02-23</dateCaptured><dateValid encoding="w3cdtf">2012-11-02</dateValid><copyrightDate encoding="w3cdtf">2013</copyrightDate></originInfo><language><languageTerm type="code" authority="rfc3066">en</languageTerm><languageTerm type="code" authority="iso639-2b">eng</languageTerm></language><physicalDescription><internetMediaType>text/html</internetMediaType></physicalDescription><abstract>Bodily changes after breast cancer treatment can lead to long‐term distress. Self‐compassion, the ability to be kind to oneself, is an internal resource that may enhance a woman's ability to adjust to cancer‐related bodily changes. The aim of the present study was to test the hypothesis that self‐compassion mediates the relationship between body image and distress, controlling for alternate plausible mediators.</abstract><abstract>Members of a nationwide breast cancer consumer network were invited to participate. A total of 279 women who had finished active cancer treatment completed the online survey. Assessments included the Body Image Scale; Self‐compassion Scale; Depression, Anxiety and Stress Scale and items measuring perceived normative pressure and comfort with one's weight. Possible mediating effects of proposed variables on the body image–distress relationship were assessed.</abstract><abstract>Tests using a bootstrapping approach with multiple mediators were significant for self‐compassion on distress. Body image disturbance was indirectly associated with distress through low self‐compassion.</abstract><abstract>Body image disturbance and lower self‐compassion were associated with increased psychological distress among these breast cancer survivors. This study provides preliminary evidence for a mediating role of self‐compassion between body image disturbance and psychological distress, suggesting a potentially protective effect of higher levels of self‐compassion for women at risk of experiencing body image disturbance. Copyright © 2012 John Wiley & Sons, Ltd.</abstract><subject><genre>keywords</genre><topic>oncology</topic><topic>cancer</topic><topic>breast cancer</topic><topic>body image</topic><topic>psychological distress</topic><topic>self‐compassion</topic></subject><relatedItem type="host"><titleInfo><title>Psycho‐Oncology</title></titleInfo><titleInfo type="abbreviated"><title>Psycho‐Oncology</title></titleInfo><genre type="journal">journal</genre><subject><genre>article-category</genre><topic>Paper</topic></subject><identifier type="ISSN">1057-9249</identifier><identifier type="eISSN">1099-1611</identifier><identifier type="DOI">10.1002/(ISSN)1099-1611</identifier><identifier type="PublisherID">PON</identifier><part><date>2013</date><detail type="volume"><caption>vol.</caption><number>22</number></detail><detail type="issue"><caption>no.</caption><number>8</number></detail><extent unit="pages"><start>1872</start><end>1879</end><total>8</total></extent></part></relatedItem><identifier type="istex">557ED33F2DE75EE4D6103D74EECFCC2763D3FEB6</identifier><identifier type="DOI">10.1002/pon.3230</identifier><identifier type="ArticleID">PON3230</identifier><accessCondition type="use and reproduction" contentType="copyright">Copyright © 2013 John Wiley & Sons, Ltd.Copyright © 2012 John Wiley & Sons, Ltd.</accessCondition><recordInfo><recordContentSource>WILEY</recordContentSource></recordInfo></mods></metadata><serie></serie></istex></record>Pour manipuler ce document sous Unix (Dilib)
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