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Structural model of self-conscious emotions and health-related quality of life in non-metastatic breast cancer women

The mediating role of body image psychological inflexibility and self-compassion

Bibliographic Data

ID5646435
AuthorsShahrzad Kasaei Nasab (0009-0000-8232-564X, Kashan University of Medical Sciences), Hamid Amiri (0000-0002-2184-9199, Kashan University of Medical Sciences), Abdollah Omidi (0000-0001-5538-7693, Kashan University of Medical Sciences), Mostafa Sarvizadeh (Kashan University of Medical Sciences)
Year2025
Pages13591053251380032-13591053251380032
Publication date2025-10-23
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueJournal of Health Psychology (JOURNAL)
Journal identifiersISSN: 1359-1053 • E-ISSN: 1461-7277
PublisherSAGE Publications Inc (PUBLISHER)
DOI10.1177/13591053251380032
PMID41127949
OpenAlexW4415464478
LanguageEN
References cited59

Breast cancer profoundly impacts physical and psychological well-being, yet the role of self-conscious emotions in health-related quality of life (HRQoL) and body image remains underexplored. This study examined the relationships between SCEs (HRQoL) and mediators (self-compassion, body image inflexibility (BII)) among 302 Iranian women with breast cancer (2023-2024). This cross-sectional design employed structural equation modeling with the Body and Appearance Self-Conscious Emotions Scale (BASES), Functional Assessment of Cancer Therapy-Breast (FACT-B), Body Image Psychological Inflexibility Scale (BIPIS), and Self-Compassion Scale-Short Form (SC-SF). The data were analyzed via partial least squares with SPSS 27 and SmartPLS 4. Self-compassion mediated BASES's effects on BII and HRQoL, but BII did not mediate BASES-HRQoL. Notably, self-compassion showed significant negative mediation effects. The findings highlight self-compassion's complex role, unexpectedly inversely influencing (HRQoL) and BII. The study underscores the need for nuanced psychological interventions addressing self-compassion's dual influence to optimize well-being in breast cancer care

Art Therapy and Mental Health · Mindfulness and Compassion Interventions · Music Therapy and Health

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