Chronic illness-related cognitive fusion explains the impact of body dissatisfaction and shame on depression symptoms in breast cancer patients

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Fältnamn	Indikatorer	Metadata
000		04831naa a2200457 4500
001		oai:DiVA.org:oru-109224
003		SwePub
008		231019s2018 \| \|\|\|\|\|\|\|\|\|\|\|000 \|\|eng\|
024	7	a https://urn.kb.se/resolve?urn=urn:nbn:se:oru:diva-1092242 URI
024	7	a https://doi.org/10.1002/cpp.23232 DOI
040		a (SwePub)oru
041		a engb eng
042		9 SwePub
072	7	a ref2 swepub-contenttype
072	7	a art2 swepub-publicationtype
100	1	a Trindade, Inês A.,d 1990-u CINEICC—Cognitive and Behavioural Centre for Research and Intervention, Faculty of Psychology and Educational Sciences, University of Coimbra, Coimbra, Portugal4 aut0 (Swepub:oru)ite
245	1 0	a Chronic illness-related cognitive fusion explains the impact of body dissatisfaction and shame on depression symptoms in breast cancer patients
264		c 2018-09-12
264	1	b John Wiley & Sons,c 2018
338		a print2 rdacarrier
500		a Fundacao para a Ciencia e a Tecnologia, Grant/Award Number: SFRH/BD/101906/2014; Portuguese Foundation for Science and Technology, Grant/Award Number: SFRH/BD/101906/2014.
520		a Breast cancer is linked to psychological distress and mood disorders that are in turn associated with higher psychological dysfunction and decreased breast cancer survival. It is considered that psychological health in breast cancer is considerably affected by body image impairment, which in turn seems to be highly associated with shame. However, the impact of these variables on mental health may not be direct. The current study aimed to explore a comprehensive model regarding the role of chronic illness-related cognitive fusion in the relationship of body image dissatisfaction and chronic illness-related shame with depression symptoms. The sample was composed of 75 women with nonmetastatic breast cancer, recruited in a Radiotherapy Service in central Portugal. The conducted path model presented an excellent fit and accounted for 59% of the variance of depressive symptomatology. Further, it demonstrated that body image dissatisfaction's impact on depressed mood is significantly explained by the mechanisms of chronic illness-related shame and chronic illness-related cognitive fusion. It was also revealed that chronic illness-related cognitive fusion additionally mediated the impact of chronic illness-related shame on depression. These findings are suggestive of the importance of body image and chronic illness shame in the determination of breast cancer patients' depression symptoms and also the central role of chronic illness-related cognitive fusion in these relationships. Therefore, the implementation of acceptance and defusion-based psychotherapeutic interventions to improve mental health in cancer patients seems to be of great importance.
650	7	a SAMHÄLLSVETENSKAPx Psykologix Tillämpad psykologi0 (SwePub)501022 hsv//swe
650	7	a SOCIAL SCIENCESx Psychologyx Applied Psychology0 (SwePub)501022 hsv//eng
650	7	a MEDICIN OCH HÄLSOVETENSKAPx Klinisk medicinx Cancer och onkologi0 (SwePub)302032 hsv//swe
650	7	a MEDICAL AND HEALTH SCIENCESx Clinical Medicinex Cancer and Oncology0 (SwePub)302032 hsv//eng
650	7	a MEDICIN OCH HÄLSOVETENSKAPx Klinisk medicinx Psykiatri0 (SwePub)302152 hsv//swe
650	7	a MEDICAL AND HEALTH SCIENCESx Clinical Medicinex Psychiatry0 (SwePub)302152 hsv//eng
653		a body image
653		a breast cancer
653		a cognitive fusion
653		a depression
653		a shame
700	1	a Marta-Simões, Joanau CINEICC—Cognitive and Behavioural Centre for Research and Intervention, Faculty of Psychology and Educational Sciences, University of Coimbra, Coimbra, Portugal4 aut
700	1	a Ferreira, Cláudiau CINEICC—Cognitive and Behavioural Centre for Research and Intervention, Faculty of Psychology and Educational Sciences, University of Coimbra, Coimbra, Portugal4 aut
700	1	a Pinto-Gouveia, Joséu CINEICC—Cognitive and Behavioural Centre for Research and Intervention, Faculty of Psychology and Educational Sciences, University of Coimbra, Coimbra, Portugal4 aut
710	2	a CINEICC—Cognitive and Behavioural Centre for Research and Intervention, Faculty of Psychology and Educational Sciences, University of Coimbra, Coimbra, Portugal4 org
773	0	t Clinical Psychology and Psychotherapyd : John Wiley & Sonsg 25:6, s. 886-893q 25:6<886-893x 1063-3995x 1099-0879
856	4	u https://estudogeral.sib.uc.pt/bitstream/10316/80775/1/Chronic%20illness-related%20cognitive%20fusion%20explains%20the%20impact%20of%20body%20dissatisfaction%20and%20shame%20on%20depression%20symptoms%20in%20breast%20cancer%20patients.pdf
856	4 8	u https://urn.kb.se/resolve?urn=urn:nbn:se:oru:diva-109224
856	4 8	u https://doi.org/10.1002/cpp.2323

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Av författaren/redakt...: Trindade, Inês A ...; Marta-Simões, Jo ...; Ferreira, Cláudi ...; Pinto-Gouveia, J ...

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