Department of Psychology, Macquarie University, Sydney, Australia.
Centre for Emotional Health, Department of Psychology, Macquarie University, Sydney, Australia.
Psychooncology. 2019 Oct;28(10):2025-2032. doi: 10.1002/pon.5187. Epub 2019 Aug 14.
Greater hope and self-compassion have individually been associated with lower psychological distress in women with breast cancer. Self-compassion is also associated with lower body image distress in this population, yet it is unknown whether hope also has this association. This study aimed to investigate the extent to which hope accounts for body image distress and psychological distress in breast cancer survivors alone, and in direct comparison to self-compassion.
A total of 195 women were recruited from the Breast Cancer Network Australia and completed a cross-sectional online anonymous questionnaire containing self-report measures of body image (Body Image Scale), self-compassion (Self Compassion Scale-SF), hope (State Hope Scale), psychological distress (depression, anxiety, stress; DASS), and demographic/medical questions.
Self-compassion and hope were inversely correlated with all outcomes. Hierarchical linear regression analyses indicated that self-compassion and hope uniquely explained variance in all outcomes with different magnitudes of strength. Comparison of standardised betas indicated (a) Body image distress-self-compassion (B = -.355) vs hope (B = -.161); (b) Stress-self-compassion (B = -.562) vs hope (B = -.287); (c) Depression-hope (B = -.447) vs self-compassion (B = -.374); (d) Anxiety-hope (B = -.406) vs self-compassion (B = -.249).
The unique contribution of self-compassion and hope in explaining body image distress and psychological distress suggests that combined, hope-focused components of therapy may be suitable additions to the growing array of self-compassion-based psychosocial interventions to address body image and psychological distress concerns of women with breast cancer.
希望和自我同情与乳腺癌女性的心理困扰呈负相关。在这一人群中，自我同情也与身体意象困扰有关，但尚不清楚希望是否也有这种关联。本研究旨在探讨希望在乳腺癌幸存者中单独存在时，以及与自我同情直接比较时，对身体意象困扰和心理困扰的解释程度。
从澳大利亚乳腺癌网络招募了 195 名女性，她们完成了一项横断面在线匿名问卷，其中包含身体意象（身体意象量表）、自我同情（自我同情量表-SF）、希望（状态希望量表）、心理困扰（抑郁、焦虑、压力；DASS）和人口统计学/医学问题的自我报告措施。
自我同情和希望与所有结果呈负相关。层次线性回归分析表明，自我同情和希望单独解释了所有结果的差异，其强度不同。标准化β的比较表明：（a）身体意象困扰-自我同情（B=-.355）与希望（B=-.161）；（b）压力-自我同情（B=-.562）与希望（B=-.287）；（c）抑郁-希望（B=-.447）与自我同情（B=-.374）；（d）焦虑-希望（B=-.406）与自我同情（B=-.249）。
自我同情和希望在解释身体意象困扰和心理困扰方面的独特贡献表明，希望为重点的治疗方法的综合可能是对越来越多的基于自我同情的心理社会干预措施的适当补充，以解决乳腺癌女性的身体意象和心理困扰问题。
