Skip to main content
Top
Gepubliceerd in: Mindfulness 5/2016

02-07-2016 | ORIGINAL PAPER

Modifying Affective and Cognitive Responses Regarding Body Image Difficulties in Breast Cancer Survivors Using a Self-Compassion-Based Writing Intervention

Auteurs: Astrid Przezdziecki, Kerry A. Sherman

Gepubliceerd in: Mindfulness | Uitgave 5/2016

Log in om toegang te krijgen
share
DELEN

Deel dit onderdeel of sectie (kopieer de link)

  • Optie A:
    Klik op de rechtermuisknop op de link en selecteer de optie “linkadres kopiëren”
  • Optie B:
    Deel de link per e-mail

Abstract

The body image-related concerns of breast cancer survivors following treatment are not always adequately addressed. Self-compassion, which is the capacity to adopt a kind, caring attitude to oneself in times of difficulty, has been linked to decreased psychological distress. The aim of this study was to determine the affective and cognitive impact of a self-compassionate writing activity regarding adverse bodily changes. Female breast cancer survivors (N = 105) were recruited through an Australian consumer organization and completed an initial background questionnaire including Depression, Anxiety and Stress Scale, Body Image Scale, Body Appreciation Scale and Self-Compassion Scale. Participants were then randomly allocated to either a self-compassion-focused (experimental) or unstructured writing (control) condition regarding their experiences of body image difficulties after cancer treatment. Ratings of affect and cognition were assessed immediately prior to, and following, completion of the paper-based writing activity. Multivariate analysis of covariance (MANCOVA), controlling for pre-intervention levels of affect and cognition, indicated a significant main effect for the experimental condition, F(2, 104) = 4.70, p = 0.01, and η p 2 = 0.08. Univariate tests revealed significantly lower negative affect and greater self-compassionate attitude in experimental compared to control participants. Writing according to self-compassionate-focused prompts resulted in lower levels of negative affect and an increased self-compassionate attitude during exposure to difficult memories related to body image, compared with unstructured writing about these experiences. These findings provide preliminary evidence for the usefulness of a relatively simple and inexpensive self-compassionate writing intervention to address body image-related issues in breast cancer survivors, with potential application of this model to many other client settings.
Literatuur
go back to reference Adams, C., & Leary, M. (2007). Promoting self-compassionate attitudes toward eating among restrictive and guilty eaters. Journal of Social and Clinical Psychology, 26, 1120–1144.CrossRef Adams, C., & Leary, M. (2007). Promoting self-compassionate attitudes toward eating among restrictive and guilty eaters. Journal of Social and Clinical Psychology, 26, 1120–1144.CrossRef
go back to reference Adams, C., Benitez, L., Kinsaul, J., McVay, M., Barbry, A., Thibodeaux, A., & Copeland, A. (2013). Effects of brief mindfulness instructions on reactions to body image stimuli among female smokers: an experimental study. Nicotine & Tobacco Research, 15, 376–384. doi:10.1093/ntr133.CrossRef Adams, C., Benitez, L., Kinsaul, J., McVay, M., Barbry, A., Thibodeaux, A., & Copeland, A. (2013). Effects of brief mindfulness instructions on reactions to body image stimuli among female smokers: an experimental study. Nicotine & Tobacco Research, 15, 376–384. doi:10.​1093/​ntr133.CrossRef
go back to reference Alberts, H., Thewissen, R., & Raes, L. (2012). Dealing with problematic eating behavior. The effects of a mindfulness-based intervention on eating behavior, food cravings, dichotomous thinking and body image concern. Appetite, 58, 847–851. doi:10.1016/j.appet.2012.01.009.CrossRef Alberts, H., Thewissen, R., & Raes, L. (2012). Dealing with problematic eating behavior. The effects of a mindfulness-based intervention on eating behavior, food cravings, dichotomous thinking and body image concern. Appetite, 58, 847–851. doi:10.​1016/​j.​appet.​2012.​01.​009.CrossRef
go back to reference Albertson, E., Neff, K., Dill-Shackleford, K. (2014). Self-compassion and body dissatisfaction in women: A randomized controlled trial of a brief meditation intervention. Mindfulness; Published online 25 January 2014. doi:10.1007/s12671-014-0277-3 Albertson, E., Neff, K., Dill-Shackleford, K. (2014). Self-compassion and body dissatisfaction in women: A randomized controlled trial of a brief meditation intervention. Mindfulness; Published online 25 January 2014. doi:10.1007/s12671-014-0277-3
go back to reference Avalos, L., Tylka, T., & Wood-Barcalow, N. (2005). The body appreciation scale: development and psychometric evaluation. Body Image, 2, 285–297.CrossRefPubMed Avalos, L., Tylka, T., & Wood-Barcalow, N. (2005). The body appreciation scale: development and psychometric evaluation. Body Image, 2, 285–297.CrossRefPubMed
go back to reference Banfield, S., & McCabe, M. (2002). An evaluation of the construct of body image. Adolescence, 37(146), 373–393.PubMed Banfield, S., & McCabe, M. (2002). An evaluation of the construct of body image. Adolescence, 37(146), 373–393.PubMed
go back to reference Birnie, K., Speca, M., & Carlson, L. (2010). Exploring self-compassion and empathy in the context of mindfulness-based stress reduction (MBSR). Stress and Health, 26, 359–371. doi:10.1002/smi.1305.CrossRef Birnie, K., Speca, M., & Carlson, L. (2010). Exploring self-compassion and empathy in the context of mindfulness-based stress reduction (MBSR). Stress and Health, 26, 359–371. doi:10.​1002/​smi.​1305.CrossRef
go back to reference Cash, T., & Fleming, E. (2002). Body image and social relations. In T. Cash & T. Pruzinsky (Eds.), Body image: a handbook of theory, research and clinical practice (pp. 277–286). New York: Guilford Press. Cash, T., & Fleming, E. (2002). Body image and social relations. In T. Cash & T. Pruzinsky (Eds.), Body image: a handbook of theory, research and clinical practice (pp. 277–286). New York: Guilford Press.
go back to reference Dahl, J., Plumb, J., Stewart, I., & Lundgren, T. (2009). The art and science of valuing in psychotherapy: helping clients discover, explore and commit to valued action using acceptance and commitment therapy. Oakland: New Harbinger. Dahl, J., Plumb, J., Stewart, I., & Lundgren, T. (2009). The art and science of valuing in psychotherapy: helping clients discover, explore and commit to valued action using acceptance and commitment therapy. Oakland: New Harbinger.
go back to reference Ferlay, J., Shin, H.-R., Bray, F., Forman, D., Mathers, C., & Parkin, D. M. (2010). Estimates of worldwide burden of cancer in 2008: GLOBOCAN 2008. International Journal of Cancer, 127, 2893–2917. doi:10.1002/ijc.25516.CrossRefPubMed Ferlay, J., Shin, H.-R., Bray, F., Forman, D., Mathers, C., & Parkin, D. M. (2010). Estimates of worldwide burden of cancer in 2008: GLOBOCAN 2008. International Journal of Cancer, 127, 2893–2917. doi:10.​1002/​ijc.​25516.CrossRefPubMed
go back to reference Fobair, P., Stewart, S., Chang, S., D’Onoforio, C., Banks, P., & Bloom, J. (2006). Body image and sexual problems in young women with breast cancer. Psycho-Oncology, 15, 579–594. doi:10.1002/pon.991.CrossRef Fobair, P., Stewart, S., Chang, S., D’Onoforio, C., Banks, P., & Bloom, J. (2006). Body image and sexual problems in young women with breast cancer. Psycho-Oncology, 15, 579–594. doi:10.​1002/​pon.​991.CrossRef
go back to reference Freitas, A., Gollwitzer, P., & Trope, Y. (2004). The influence of abstract and concrete mindsets on anticipating and guiding others’ self-regulatory efforts. Journal of Experimental Social Psychology, 40, 739–752. doi:10.1016/j.jesp.2004.04.003.CrossRef Freitas, A., Gollwitzer, P., & Trope, Y. (2004). The influence of abstract and concrete mindsets on anticipating and guiding others’ self-regulatory efforts. Journal of Experimental Social Psychology, 40, 739–752. doi:10.​1016/​j.​jesp.​2004.​04.​003.CrossRef
go back to reference Gale, C., Gilbert, P., Read, N., & Goss, K. (2014). An evaluation of the impact of introducing compassion focused therapy to a standard treatment program for people with eating disorders. Clinical Psychology and Psychotherapy, 21, 1–12. doi:10.1002/cpp.1806.CrossRefPubMed Gale, C., Gilbert, P., Read, N., & Goss, K. (2014). An evaluation of the impact of introducing compassion focused therapy to a standard treatment program for people with eating disorders. Clinical Psychology and Psychotherapy, 21, 1–12. doi:10.​1002/​cpp.​1806.CrossRefPubMed
go back to reference Galiano-Castillo, N., Ariza-Garcia, A., Cantarero-Villanueva, I., Fernandez-Lao, C., Diaz-Rodriguez, L., & Arroyo-Morales, M. (2014). Depressed mood in breast cancer survivors: associations with physical activity, cancer-related fatigue, quality of life and fitness level. European Journal of Oncology Nursing, 18, 206–210. doi:10.1016/j.ejon.2013.10.008.CrossRef Galiano-Castillo, N., Ariza-Garcia, A., Cantarero-Villanueva, I., Fernandez-Lao, C., Diaz-Rodriguez, L., & Arroyo-Morales, M. (2014). Depressed mood in breast cancer survivors: associations with physical activity, cancer-related fatigue, quality of life and fitness level. European Journal of Oncology Nursing, 18, 206–210. doi:10.​1016/​j.​ejon.​2013.​10.​008.CrossRef
go back to reference Germer, C. (2009). The mindful path to self compassion. New York: Guildford. Germer, C. (2009). The mindful path to self compassion. New York: Guildford.
go back to reference Gho, S., Steele, J., Jones, S., & Munro, B. (2013). Self-reported side effects of breast cancer treatment: a cross sectional study of incidence, associations and the influence of exercise. Cancer Causes and Control, 24(3), 517–528. doi:10.1007/s10552-012-0142-4.CrossRefPubMed Gho, S., Steele, J., Jones, S., & Munro, B. (2013). Self-reported side effects of breast cancer treatment: a cross sectional study of incidence, associations and the influence of exercise. Cancer Causes and Control, 24(3), 517–528. doi:10.​1007/​s10552-012-0142-4.CrossRefPubMed
go back to reference Gilbert, P. (2005). Compassion and cruelty: a biopsychosocial approach. In P. Gilbert (Ed.), Compassion: conceptualisations, research and use in psychotherapy (pp. 9–74). London: Routledge. Gilbert, P. (2005). Compassion and cruelty: a biopsychosocial approach. In P. Gilbert (Ed.), Compassion: conceptualisations, research and use in psychotherapy (pp. 9–74). London: Routledge.
go back to reference Gilbert, P., & Irons, C. (2005). Therapies for shame and self-attacking, using cognitive, behavioural, emotional imagery, and compassionate mind training. In P. Gilbert (Ed.), Compassion: conceptualisations, research and use in psychotherapy (pp. 9–74). London: Routledge. Gilbert, P., & Irons, C. (2005). Therapies for shame and self-attacking, using cognitive, behavioural, emotional imagery, and compassionate mind training. In P. Gilbert (Ed.), Compassion: conceptualisations, research and use in psychotherapy (pp. 9–74). London: Routledge.
go back to reference Gilbert, P., & Proctor, S. (2006). Compassionate mind training for people with high shame and self-criticism: overview and pilot study of a group therapy approach. Clinical Psychology and Psychotherapy, 13, 353–379.CrossRef Gilbert, P., & Proctor, S. (2006). Compassionate mind training for people with high shame and self-criticism: overview and pilot study of a group therapy approach. Clinical Psychology and Psychotherapy, 13, 353–379.CrossRef
go back to reference Gilbert, P., McEwan, K., Gibbons, L., Chotai, S., Duarte, J., & Matos, M. (2012). Fears of compassion and happiness in relation to alexithymia, mindfulness and self-criticism. Psychology and Psychotherapy: Theory, Research and Practice, 85, 374–390. doi:10.1111/j.2044-8341.2011.02046x.CrossRef Gilbert, P., McEwan, K., Gibbons, L., Chotai, S., Duarte, J., & Matos, M. (2012). Fears of compassion and happiness in relation to alexithymia, mindfulness and self-criticism. Psychology and Psychotherapy: Theory, Research and Practice, 85, 374–390. doi:10.​1111/​j.​2044-8341.​2011.​02046x.CrossRef
go back to reference Gollwitzer, P., Heckhausen, H., & Steller, B. (1990). Deliberate and implemental mindsets: cognitive tuning towards congruous thoughts and information. Journal of Personality and Social Psychology, 59, 1119–1127.CrossRef Gollwitzer, P., Heckhausen, H., & Steller, B. (1990). Deliberate and implemental mindsets: cognitive tuning towards congruous thoughts and information. Journal of Personality and Social Psychology, 59, 1119–1127.CrossRef
go back to reference Hayes, S., Rye, S., Battistutta, D., DiSipio, T., & Newman, B. (2010). Upper-body morbidity following breast cancer treatment is common, may persist longer-term and adversely influences quality of life. Health and Quality of Life Outcomes, 8, 92. doi:10.1186/1477-7525-8-92.CrossRefPubMedCentral Hayes, S., Rye, S., Battistutta, D., DiSipio, T., & Newman, B. (2010). Upper-body morbidity following breast cancer treatment is common, may persist longer-term and adversely influences quality of life. Health and Quality of Life Outcomes, 8, 92. doi:10.​1186/​1477-7525-8-92.CrossRefPubMedCentral
go back to reference Hayes, S., Strosahl, K., & Wilson, K. (2012). Acceptance and commitment therapy: the process and practice of mindful change (2nd ed.). New York: The Guilford Press. Hayes, S., Strosahl, K., & Wilson, K. (2012). Acceptance and commitment therapy: the process and practice of mindful change (2nd ed.). New York: The Guilford Press.
go back to reference Henry, E., Schlegel, R., Talley, A., Molix, L., & Bettencourt, A. (2010). The feasibility and effectiveness of expressive writing for rural and urban breast cancer survivors. Oncology Nursing Forum, 37, 749–757. doi:10.1188/10.ONF.749-757.CrossRefPubMed Henry, E., Schlegel, R., Talley, A., Molix, L., & Bettencourt, A. (2010). The feasibility and effectiveness of expressive writing for rural and urban breast cancer survivors. Oncology Nursing Forum, 37, 749–757. doi:10.​1188/​10.​ONF.​749-757.CrossRefPubMed
go back to reference Hopwood, P., Lee, A., Shenton, A., Baildam, A., Brain, A., Lalloo, F., Evans, G., & Howell, A. (2000). Clinical follow-up after bilateral risk reducing (“prophylactic”) mastectomy: mental health and body image outcomes. Psycho-Oncology, 9, 462–472.CrossRefPubMed Hopwood, P., Lee, A., Shenton, A., Baildam, A., Brain, A., Lalloo, F., Evans, G., & Howell, A. (2000). Clinical follow-up after bilateral risk reducing (“prophylactic”) mastectomy: mental health and body image outcomes. Psycho-Oncology, 9, 462–472.CrossRefPubMed
go back to reference Hopwood, P., Fletcher, I., Lee, A., & Al Ghazal, S. (2001). A body image scale for use with cancer patients. European Journal of Cancer, 37, 189–197.CrossRefPubMed Hopwood, P., Fletcher, I., Lee, A., & Al Ghazal, S. (2001). A body image scale for use with cancer patients. European Journal of Cancer, 37, 189–197.CrossRefPubMed
go back to reference Iqbal, M., Iqbal, M., & Kamal, K. (2014). The frequency of malignancy of breast lumps on FNAC in females under 35 years of age. Annals of King Edward Medical University, 20, 13–18. Iqbal, M., Iqbal, M., & Kamal, K. (2014). The frequency of malignancy of breast lumps on FNAC in females under 35 years of age. Annals of King Edward Medical University, 20, 13–18.
go back to reference Jazaieri, H., Jinpa, G., McGonigal, K., Rosenberg, E., Finkelstein, J., Simon-Thomas, E., Cullen, M., Doty, J., Gross, J., & Goldin, P. (2013). Enhancing compassion: a randomized controlled trial of a compassion cultivation training program. Journal of Happiness Studies, 14, 1113–1126. doi:10.1007/s10902-012-9373-2.CrossRef Jazaieri, H., Jinpa, G., McGonigal, K., Rosenberg, E., Finkelstein, J., Simon-Thomas, E., Cullen, M., Doty, J., Gross, J., & Goldin, P. (2013). Enhancing compassion: a randomized controlled trial of a compassion cultivation training program. Journal of Happiness Studies, 14, 1113–1126. doi:10.​1007/​s10902-012-9373-2.CrossRef
go back to reference Jim, S., Andrykowski, M., Munster, P., & Jacobsen, P. (2007). Physical symptoms/side effects during breast cancer treatment predict post treatment distress. Annals of Behavioral Medicine, 34(2), 200–208. doi:10.1007/BF02872674.CrossRef Jim, S., Andrykowski, M., Munster, P., & Jacobsen, P. (2007). Physical symptoms/side effects during breast cancer treatment predict post treatment distress. Annals of Behavioral Medicine, 34(2), 200–208. doi:10.​1007/​BF02872674.CrossRef
go back to reference Johnson, E., & O’Brien, K. (2013). Self-compassion soothes the savage ego-threat system: effects on negative affect, shame, rumination, and depressive symptoms. Journal of Social and Clinical Psychology, 32, 939–963. doi:10.1521/jscp.2013.32.9.939.CrossRef Johnson, E., & O’Brien, K. (2013). Self-compassion soothes the savage ego-threat system: effects on negative affect, shame, rumination, and depressive symptoms. Journal of Social and Clinical Psychology, 32, 939–963. doi:10.​1521/​jscp.​2013.​32.​9.​939.CrossRef
go back to reference Kabat-Zinn, J. (2009). Full catastrophe living: how to cope with stress, pain and illness using mindfulness meditation. New York: Dell Publishing. Kabat-Zinn, J. (2009). Full catastrophe living: how to cope with stress, pain and illness using mindfulness meditation. New York: Dell Publishing.
go back to reference Leary, M., Tate, E., Adams, C., Allen, A., & Hancock, J. (2007). Self-compassion and reactions to unpleasant self-relevant events: the implications of treating oneself kindly. Journal of Personality and Social Psychology, 92, 887–904. doi:10.1037/0022-3514.92.5.887.CrossRefPubMed Leary, M., Tate, E., Adams, C., Allen, A., & Hancock, J. (2007). Self-compassion and reactions to unpleasant self-relevant events: the implications of treating oneself kindly. Journal of Personality and Social Psychology, 92, 887–904. doi:10.​1037/​0022-3514.​92.​5.​887.CrossRefPubMed
go back to reference Levin, M., & Hayes, S. (2009). ACT, RFT and contextual behavioral science. In J. Blackledge, J. Ciarrochi, & F. Deane (Eds.), Acceptance and commitment therapy: contemporary theory, research and practice (pp. 1–40). Bowen Hills: Australian Academic Press. Levin, M., & Hayes, S. (2009). ACT, RFT and contextual behavioral science. In J. Blackledge, J. Ciarrochi, & F. Deane (Eds.), Acceptance and commitment therapy: contemporary theory, research and practice (pp. 1–40). Bowen Hills: Australian Academic Press.
go back to reference Lim, D., Condon, P., DeSteno, D. (2015). Mindfulness and compassion: an examination of mechanism and scalability. PLoS ONE; Published online 17 February 2015. doi:10.1371/journal.pone.0118221 Lim, D., Condon, P., DeSteno, D. (2015). Mindfulness and compassion: an examination of mechanism and scalability. PLoS ONE; Published online 17 February 2015. doi:10.1371/journal.pone.0118221
go back to reference Lovibond, P., & Lovibond, S. (1995). The structure of negative emotional states: comparison of the depression anxiety stress scales (DASS) with the beck depression and anxiety inventories. Behaviour Research And Therapy, 33(3), 335–343.CrossRefPubMed Lovibond, P., & Lovibond, S. (1995). The structure of negative emotional states: comparison of the depression anxiety stress scales (DASS) with the beck depression and anxiety inventories. Behaviour Research And Therapy, 33(3), 335–343.CrossRefPubMed
go back to reference MacBeth, A., & Gumley, A. (2012). Exploring compassion: a meta-analysis of the association between self-compassion and psychopathology. Clinical Psychology Review, 32, 545–552.CrossRefPubMed MacBeth, A., & Gumley, A. (2012). Exploring compassion: a meta-analysis of the association between self-compassion and psychopathology. Clinical Psychology Review, 32, 545–552.CrossRefPubMed
go back to reference Mantzios, M., & Wilson, J. (2015). Exploring mindfulness and mindfulness with self-compassion-centered interventions to assist weight loss: theoretical considerations and preliminary results of a randomized pilot study. Mindfulness, 6, 824–835. doi:10.1007/s12671-014-0325-z.CrossRef Mantzios, M., & Wilson, J. (2015). Exploring mindfulness and mindfulness with self-compassion-centered interventions to assist weight loss: theoretical considerations and preliminary results of a randomized pilot study. Mindfulness, 6, 824–835. doi:10.​1007/​s12671-014-0325-z.CrossRef
go back to reference 'Martin, M., Staggers, S., & Anderson, C. (2011). The relationship between cognitive flexibility with dogmatism, intellectual flexibility, preference for consistency and self-compassion. Communication Research Reports, 28, 275–280. doi:10.1080/08824096.2011.587555.CrossRef 'Martin, M., Staggers, S., & Anderson, C. (2011). The relationship between cognitive flexibility with dogmatism, intellectual flexibility, preference for consistency and self-compassion. Communication Research Reports, 28, 275–280. doi:10.​1080/​08824096.​2011.​587555.CrossRef
go back to reference Moreira, H., Silva, S., & Canavarro, M. (2010). The role of appearance investment in the adjustment of women with breast cancer. Psycho-Oncology, 19, 959–966. doi:10.1002/pon.1647.CrossRef Moreira, H., Silva, S., & Canavarro, M. (2010). The role of appearance investment in the adjustment of women with breast cancer. Psycho-Oncology, 19, 959–966. doi:10.​1002/​pon.​1647.CrossRef
go back to reference Neff, K. (2003a). Self-compassion: an alternative conceptualization of a healthy attitude toward oneself. Self and Identity, 4, 263–287.CrossRef Neff, K. (2003a). Self-compassion: an alternative conceptualization of a healthy attitude toward oneself. Self and Identity, 4, 263–287.CrossRef
go back to reference Neff, K. (2003b). Development and validation of a scale to measure self-compassion. Self and Identity, 2, 223–250.CrossRef Neff, K. (2003b). Development and validation of a scale to measure self-compassion. Self and Identity, 2, 223–250.CrossRef
go back to reference Neff, K., & Tirch, D. (2013). Self-compassion and ACT. In T. Kashdan & J. Ciarrochi (Eds.), Mindfulness, acceptance and positive psychology: the seven foundations of wellbeing (pp. 78–106). Oakland: Context Press. Neff, K., & Tirch, D. (2013). Self-compassion and ACT. In T. Kashdan & J. Ciarrochi (Eds.), Mindfulness, acceptance and positive psychology: the seven foundations of wellbeing (pp. 78–106). Oakland: Context Press.
go back to reference Neff, K., Hsieh, Y., & Dejitthirat, K. (2005). Self-compassion, achievement goals and coping with academic failure. Self and Identity, 4, 263–287.CrossRef Neff, K., Hsieh, Y., & Dejitthirat, K. (2005). Self-compassion, achievement goals and coping with academic failure. Self and Identity, 4, 263–287.CrossRef
go back to reference Neff, K., Kirkpatrick, K., & Rude, S. (2007). Self-compassion and adaptive psychological functioning. Journal of Research in Personality, 41, 139–154.CrossRef Neff, K., Kirkpatrick, K., & Rude, S. (2007). Self-compassion and adaptive psychological functioning. Journal of Research in Personality, 41, 139–154.CrossRef
go back to reference Pauwels, E., Charlier, C., Bourdeaudhuij, I., Lechner, L., & Van Hoof, E. (2013). Care needs after primary breast cancer treatment. Survivors’ associated sociodemographic and medical characteristics. Psycho-Oncology, 22(1), 125–132. doi:10.1002/pon.2069.CrossRefPubMed Pauwels, E., Charlier, C., Bourdeaudhuij, I., Lechner, L., & Van Hoof, E. (2013). Care needs after primary breast cancer treatment. Survivors’ associated sociodemographic and medical characteristics. Psycho-Oncology, 22(1), 125–132. doi:10.​1002/​pon.​2069.CrossRefPubMed
go back to reference Pearson, A., Follette, V., & Hayes, S. (2012). A pilot study of acceptance and commitment therapy as a workshop intervention for body dissatisfaction and disordered eating attitudes. Cognitive and Behavioral Practice, 19, 181–197.CrossRef Pearson, A., Follette, V., & Hayes, S. (2012). A pilot study of acceptance and commitment therapy as a workshop intervention for body dissatisfaction and disordered eating attitudes. Cognitive and Behavioral Practice, 19, 181–197.CrossRef
go back to reference Pennebaker, J. (1997). Writing about emotional experiences as a therapeutic process. Psychological Science, 8, 162–166.CrossRef Pennebaker, J. (1997). Writing about emotional experiences as a therapeutic process. Psychological Science, 8, 162–166.CrossRef
go back to reference Pinto-Gouveia, J., Duarte, C., Matos, M., & Fraquas, S. (2014). The protective role of self-compassion in relation to psychopathology symptoms and quality of life in chronic and cancer patients. Clinical Psychology and Psychotherapy, 21, 311–323. doi:10.1002/cpp.1838.CrossRefPubMed Pinto-Gouveia, J., Duarte, C., Matos, M., & Fraquas, S. (2014). The protective role of self-compassion in relation to psychopathology symptoms and quality of life in chronic and cancer patients. Clinical Psychology and Psychotherapy, 21, 311–323. doi:10.​1002/​cpp.​1838.CrossRefPubMed
go back to reference Prowse, E., Bore, M., & Dyer, S. (2013). Eating disorder symptomatology, body image and mindfulness: findings in a non-clinical sample. Clinical Psychologist, 17, 77–87. doi:10.1111/cp.12008.CrossRef Prowse, E., Bore, M., & Dyer, S. (2013). Eating disorder symptomatology, body image and mindfulness: findings in a non-clinical sample. Clinical Psychologist, 17, 77–87. doi:10.​1111/​cp.​12008.CrossRef
go back to reference Przezdziecki, A., Sherman, K., Baillie, A., Taylor, A., Foley, E., & Staglis-Bilinski, K. (2013). My changed body: breast cancer, body image, distress and self-compassion. Psycho-Oncology, 22, 1872–1879. doi:10.1002/pon.3230.CrossRefPubMed Przezdziecki, A., Sherman, K., Baillie, A., Taylor, A., Foley, E., & Staglis-Bilinski, K. (2013). My changed body: breast cancer, body image, distress and self-compassion. Psycho-Oncology, 22, 1872–1879. doi:10.​1002/​pon.​3230.CrossRefPubMed
go back to reference Raes, F. (2011). The effect of self-compassion on the development of depression symptoms in a non-clinical sample. Mindfulness, 2, 33–36.CrossRef Raes, F. (2011). The effect of self-compassion on the development of depression symptoms in a non-clinical sample. Mindfulness, 2, 33–36.CrossRef
go back to reference Sackey, H., Sandelin, K., Frisell, J., Wickman, M., & Brandberg, Y. (2010). Ductal carcinoma in situ of the breast: long-term follow up of health related quality of life, emotional reactions and body image. European Journal of Surgical Oncology, 36(8), 756–762. doi:10.1016/j.ejso.2010.06.016.CrossRefPubMed Sackey, H., Sandelin, K., Frisell, J., Wickman, M., & Brandberg, Y. (2010). Ductal carcinoma in situ of the breast: long-term follow up of health related quality of life, emotional reactions and body image. European Journal of Surgical Oncology, 36(8), 756–762. doi:10.​1016/​j.​ejso.​2010.​06.​016.CrossRefPubMed
go back to reference Slatcher, R., & Pennebaker, J. (2006). How do I love thee? Let me count the words: the social effects of expressive writing. Psychological Science, 17, 660–664.CrossRefPubMed Slatcher, R., & Pennebaker, J. (2006). How do I love thee? Let me count the words: the social effects of expressive writing. Psychological Science, 17, 660–664.CrossRefPubMed
go back to reference Thompson, J., Heinberg, L., Altabe, M., & Tantleff-Dunn, S. (1999). Exacting beauty: theory, assessment, and treatment of body image disturbance. Washington DC: American Psychological Association.CrossRef Thompson, J., Heinberg, L., Altabe, M., & Tantleff-Dunn, S. (1999). Exacting beauty: theory, assessment, and treatment of body image disturbance. Washington DC: American Psychological Association.CrossRef
go back to reference Wilson, K., & Murrell, A. (2004). Values work in acceptance and commitment therapy: setting a course for behavioral treatment. In S. Hayes, V. Follette, & M. Linehan (Eds.), Acceptance and commitment therapy and the new behavior therapies: mindfulness, acceptance and relationship (pp. 120–151). New York: Guilford Press. Wilson, K., & Murrell, A. (2004). Values work in acceptance and commitment therapy: setting a course for behavioral treatment. In S. Hayes, V. Follette, & M. Linehan (Eds.), Acceptance and commitment therapy and the new behavior therapies: mindfulness, acceptance and relationship (pp. 120–151). New York: Guilford Press.
Metagegevens
Titel
Modifying Affective and Cognitive Responses Regarding Body Image Difficulties in Breast Cancer Survivors Using a Self-Compassion-Based Writing Intervention
Auteurs
Astrid Przezdziecki
Kerry A. Sherman
Publicatiedatum
02-07-2016
Uitgeverij
Springer US
Gepubliceerd in
Mindfulness / Uitgave 5/2016
Print ISSN: 1868-8527
Elektronisch ISSN: 1868-8535
DOI
https://doi.org/10.1007/s12671-016-0557-1

Andere artikelen Uitgave 5/2016

Mindfulness 5/2016 Naar de uitgave