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Self-compassion and parenting efficacy among mothers who are breast cancer survivors: Implications for psychological distress.

ABSTRACT: Mothers who are breast cancer survivors may experience psychological distress in relation to diminished parenting efficacy. Self-compassion may protect mothers from psychological distress, yet little is known about self-compassion in this population. The extent to which self-warmth (self-kindness, mindfulness and sense of common humanity) and self-coldness (self-judgement, isolation and over-identification) dimensions of self-compassion moderate parenting efficacy in predicting depression, anxiety and stress was examined in a sample of 95 mothers who were breast cancer survivors. Independently, poorer parenting efficacy was associated with more depression and stress symptoms. Within regression models, self-coldness was a direct predictor of depression, anxiety and stress, while self-warmth moderated the relationship between parenting efficacy and stress. Self-warmth presents as a potential protective factor for stress associated with poor parenting efficacy, while self-coldness is a potential direct risk factor for psychological distress. Mothers who are breast cancer survivors may benefit from self-compassion focused psychosocial interventions.

SUBMITTER: Kuswanto CN

PROVIDER: S-EPMC11005311 | biostudies-literature | 2024 Apr

REPOSITORIES: biostudies-literature

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Self-compassion and parenting efficacy among mothers who are breast cancer survivors: Implications for psychological distress.

Kuswanto Carissa Nadia CN Stafford Lesley L Schofield Penelope P Sharp Jessica J

Journal of health psychology 20240123 5

Mothers who are breast cancer survivors may experience psychological distress in relation to diminished parenting efficacy. Self-compassion may protect mothers from psychological distress, yet little is known about self-compassion in this population. The extent to which self-warmth (self-kindness, mindfulness and sense of common humanity) and self-coldness (self-judgement, isolation and over-identification) dimensions of self-compassion moderate parenting efficacy in predicting depression, anxie ...[more]

PMID: 38262920

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Project description:BackgroundThe majority of breast cancer survivors (BCSs) experience body image concerns following treatment. Body Image distress (BID) is associated with psychological distress and diminished quality of life. A web-based self-compassion focused writing activity (My Changed Body - MyCB) reduces BID in BCSs, yet limited research exists on participant characteristics associated with such intervention adherence. Self-compassion-based meditations are also efficacious in reducing BID in non-BCS populations. This parallel, double-blind pilot randomised controlled trial aimed to assess the feasibility and acceptability of MyCB, with and without an additional meditation component, on BID and related psychological outcomes in BCSs. The trial was registered with the Australian and New Zealand Clinical Trials Registry (#ACTRN12619001693112).MethodsBCSs were randomly allocated to MyCB (n = 39), MyCB + Meditation (MyCB + M) (n = 17) or an expressive writing (EW) active control arm (n = 23). The primary outcome was BID. Secondary outcomes were body appreciation, affect (positive and negative), psychological distress (depression, anxiety and stress) and self-compassion (state and trait). Assessments were completed online at baseline, post-intervention and 1-month.ResultsAdherence to the MyCB writing (45%) and meditation (50%) was modest, and acceptability was high for both MyCB and MyCB + M. Intent to treat linear mixed model analyses indicated: Post-intervention - state self-compassion and positive affect increased for MyCB compared to EW; 1-month: BID scores decreased across all conditions; trait self-compassion increased and anxiety decreased for MyCB + M compared to MyCB and EW.ConclusionThese findings provide preliminary evidence for the efficacy and potential clinical use of the MyCB brief web-based self-compassion intervention alone and with the addition of meditation, to increase self-compassion and psychological wellbeing in BCSs.

Project description:Early maternal sensitivity to child distress is predictive of child subsequent social-emotional adjustment. A mother's global parenting self-efficacy shapes her adaptive responses to child challenging behaviors (e.g., negative emotions). However, little is known about the antecedents of maternal self-efficacy in managing child distress. Using longitudinal data from a diverse sample of 259 primiparous mothers and their toddlers, we tested a model predicting maternal self-efficacy in managing toddler distress. Mothers' remembered childhood experiences of maternal nonsupportive emotional socialization were positively associated with their self-reports of attachment avoidance and anxiety. Furthermore, a negative link between mothers' self-reports of attachment avoidance and their self-efficacy in managing toddler distress was identified when toddlers displayed higher negative affect. Most importantly, a conditional indirect pathway was found. That is, only when toddlers displayed higher negative affect, mothers' remembered early experiences of maternal nonsupportive emotional socialization were negatively associated with their self-efficacy in managing toddler distress through a positive association with their self-reports of attachment avoidance. Although maternal attachment assessed with Adult Attachment Interview was also included in analyses as a parallel mediator to self-reported attachment, no relevant effects emerged. These results suggest that by disrupting attachment development, parents' early emotion socialization experiences hold long-standing implications for their subsequent confidence in managing child distress. Child distress as a threatening, attachment-related stimulus may contextualize such effects via interfering with the operation of caregiving system, especially for avoidant parents. Such findings may inform the designs of more targeted interventions to assist first-time mothers in navigating emotionally evocative challenges during toddlerhood. (PsycInfo Database Record (c) 2023 APA, all rights reserved).

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Self-compassion and parenting efficacy among mothers who are breast cancer survivors: Implications for psychological distress.

Publications

Self-compassion and parenting efficacy among mothers who are breast cancer survivors: Implications for psychological distress.

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