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The impact of illne...
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Trindade, Inês A.,1990-CINEICC—Cognitive‐Behavioural Research Centre for Research and Intervention, Faculty of Psychology and Education Sciences, University of Coimbra, Coimbra, Portugal
(author)
The impact of illness-related shame on psychological health and social relationships : Testing a mediational model in students with chronic illness
- Article/chapterEnglish2018
Publisher, publication year, extent ...
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2018-01-26
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John Wiley & Sons,2018
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LIBRIS-ID:oai:DiVA.org:oru-109229
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https://urn.kb.se/resolve?urn=urn:nbn:se:oru:diva-109229URI
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https://doi.org/10.1002/cpp.2175DOI
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Language:English
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Summary in:English
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Subject category:ref swepub-contenttype
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Subject category:art swepub-publicationtype
Notes
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FCT (Portuguese Foundation for Science and Technology), Grant/Award Number: SFRH/BD/101906/2014
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This study explores the impact of illness-related shame on the quality of social relationships and psychological health in chronic patients. We aimed to examine the roles of fear of receiving compassion from others and experiential avoidance as potential mediators of this relationship. Although some studies have demonstrated the negative impact of chronic illness-related shame on psychological functioning, the mechanisms that may underlie this link remain understudied. The sample was comprised by 115 college students, which had been diagnosed with at least 1 chronic illness. Participants completed self-report measures on an online platform. This study's design was cross-sectional. A path analysis was conducted using structural equation modelling. Results showed that the impact of illness-related shame on both psychological health (R-2=.45) and the quality of social relationships (R-2=.33) was fully accounted by fear of compassion from others and experiential avoidance. This model revealed an excellent fit. Fear of receiving compassion from others was the main mediator of the illness-related shame link with the quality of social relationships (=-.22). The main mediator of the association between shame-related chronic illness and psychological health was experiential avoidance (=-.21).This study shed light on possible psychological mechanisms linking feelings of shame associated with having a chronic condition and impaired social relationships and mental health. On one hand, resisting feelings of compassion and care from others and, on the other hand, avoiding difficult internal experiences and situations that might trigger them seem to underlie the impact of shame on psychological and social functioning in chronic patients.
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Duarte, JoanaCINEICC—Cognitive‐Behavioural Research Centre for Research and Intervention, Faculty of Psychology and Education Sciences, University of Coimbra, Coimbra, Portugal
(author)
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Ferreira, CláudiaCINEICC—Cognitive‐Behavioural Research Centre for Research and Intervention, Faculty of Psychology and Education Sciences, University of Coimbra, Coimbra, Portugal
(author)
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Coutinho, MarianaFaculty of Psychology and Education Sciences, University of Coimbra, Coimbra, Portugal
(author)
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Pinto-Gouveia, JoséCINEICC—Cognitive‐Behavioural Research Centre for Research and Intervention, Faculty of Psychology and Education Sciences, University of Coimbra, Coimbra, Portugal
(author)
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CINEICC—Cognitive‐Behavioural Research Centre for Research and Intervention, Faculty of Psychology and Education Sciences, University of Coimbra, Coimbra, PortugalFaculty of Psychology and Education Sciences, University of Coimbra, Coimbra, Portugal
(creator_code:org_t)
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In:Clinical Psychology and Psychotherapy: John Wiley & Sons25:3, s. 408-4141063-39951099-0879
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