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Chronic illness-related cognitive fusion explains the impact of body dissatisfaction and shame on depression symptoms in breast cancer patients
CINEICC—Cognitive and Behavioural Centre for Research and Intervention, Faculty of Psychology and Educational Sciences, University of Coimbra, Coimbra, Portugal.ORCID iD: 0000-0003-1208-2077
CINEICC—Cognitive and Behavioural Centre for Research and Intervention, Faculty of Psychology and Educational Sciences, University of Coimbra, Coimbra, Portugal.
CINEICC—Cognitive and Behavioural Centre for Research and Intervention, Faculty of Psychology and Educational Sciences, University of Coimbra, Coimbra, Portugal.
CINEICC—Cognitive and Behavioural Centre for Research and Intervention, Faculty of Psychology and Educational Sciences, University of Coimbra, Coimbra, Portugal.
2018 (English)In: Clinical Psychology and Psychotherapy, ISSN 1063-3995, E-ISSN 1099-0879, Vol. 25, no 6, p. 886-893Article in journal (Refereed) Published
Abstract [en]

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.

Place, publisher, year, edition, pages
John Wiley & Sons, 2018. Vol. 25, no 6, p. 886-893
Keywords [en]
body image, breast cancer, cognitive fusion, depression, shame
National Category
Applied Psychology Cancer and Oncology Psychiatry
Identifiers
URN: urn:nbn:se:oru:diva-109224DOI: 10.1002/cpp.2323ISI: 000452842300014Scopus ID: 2-s2.0-85053428105OAI: oai:DiVA.org:oru-109224DiVA, id: diva2:1806077
Note

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.

Available from: 2023-10-19 Created: 2023-10-19 Last updated: 2023-11-02Bibliographically approved

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Trindade, Inês A.

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