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Attachment styles, self‐compassion, and psychological adjustment in long‐term breast cancer survivors
Abstract
Objective: The increasing numbers of breast cancer survivors highlight the importance of delineating factors that identify women who are at risk of poor psychological adjustment in the long term. In breast cancer survivors, higher attachment anxiety and attachment avoidance have been associated with poorer psychological adjustment. Moreover, there is evidence that self‐compassion, a kind manner of treating oneself during difficulties, is associated with psychological adjustment in this population. This study aimed to extend the association between attachment styles and psychological adjustment to the context of long‐term breast cancer survivors and to determine whether lower self‐compassion underlies this association. Methods: Participants (N = 82) were recruited through emailed invitations to members of the Review and Survey Group of Breast Cancer Network Australia. Following online consent, participants completed measures assessing attachment styles, self‐compassion, psychological stress, and the perceived negative impact of cancer. Bootstrapping analyses using the PROCESS macro were used to test the significance of indirect effects. Results: As hypothesised, correlational analyses revealed that higher attachment anxiety and attachment avoidance were significantly and positively associated with stress and perceived negative impact of cancer. Bootstrapping analyses revealed significant indirect effects of attachment anxiety and attachment avoidance (on both stress and perceived negative impact of cancer) through lower self‐compassion. Conclusions: These findings suggest that self‐compassion training may be useful for enhancing the psychological adjustment of long‐term breast cancer survivors. Future longitudinal and experimental studies in more diverse samples are needed to confirm causal directionality of these relationships and to expand upon these findings.
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One study suggests low self-worth, negative emotions, suppression of painful thoughts and an anxious or avoidant attachment style can make engaging with mindfulness and developing self-compassion difficult for individuals with cancer.
“one study suggests low self‐worth, negative emotions, suppression of painful thoughts and an anxious or avoidant attachment style can make engaging with mindfulness and developing self‐compassion difficult for individuals with cancer”
From Mindfulness for the self-management of negative coping, rumination and fears of compassion in people with cancer: An exploratory study (2023) · cites this paper as [31]
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Metadata
- Authors
- Arambasic, J., Sherman, K. A., Elder, E., & Breast Cancer Network Australia
- Affiliations
- Macquarie University (AU)
- Westmead Hospital (AU)
- Corresponding author
- Sherman, Kerry A.
- Venue
- Psycho-Oncology
- Publisher
- Wiley
- Published
- 2019-04-11
- Volume
- 28
- Issue
- 5
- Pages
- 1134-1141
- ISSN
- 1057-9249 (ISSN-L)
- 1099-1611
- OpenAlex
- W2925050241
- Cited by
- 66
- References
- 42
- Citations by year
- 2026: 2 · 2025: 10 · 2024: 15 · 2023: 8 · 2022: 12 · 2021: 8 · 2020: 7 · 2019: 3
- FWCI
- 3.13
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Psycho-Oncology (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Oncology › Cancer survivorship and care
- Social Sciences › Psychology › Clinical Psychology › Mindfulness and Compassion Interventions
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Women's cancer prevention and management
- Keywords
- breast cancer survivors, attachment styles, attachment anxiety, attachment avoidance, self-compassion, psychological adjustment, psychological stress, self-compassion training
- MeSH terms
- Emotional Adjustment, Cancer Survivors, Adaptation, Psychological, Aged, Anxiety, Australia, Breast Neoplasms, Empathy, Female, Humans, Middle Aged, Object Attachment, Surveys and Questionnaires, Stress, Psychological
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