Psychological Distress in Women with Fibromyalgia: The Roles of Body Appreciation, Self-Compassion, and Self-Criticism.

IF 2 3区心理学 Q3 PSYCHOLOGY, CLINICAL

International Journal of Behavioral Medicine Pub Date : 2024-06-17 DOI:10.1007/s12529-024-10302-5

Sigal Levy, Shay Ohayon, Ronit Avitsur, Shulamit Geller

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引用次数: 0

Abstract

Background: While past research detected a direct link between symptoms of fibromyalgia (FM) and psychological distress, body appreciation was suggested as a viable mediator of this link. The aim of the present study was to further develop an explanatory model for the effect of FM on women's psychological distress and identify possible protective and risk factors. Specifically, it was hypothesized that self-compassion would moderate the indirect effect of body appreciation and self-criticism on psychological distress in women with FM.

Method: This study comprised a total of 293 women, aged 20-68 (M = 34.8, SD = 12.3), of whom 146 were women with FM and 147 were heathy controls. All the women completed questionnaires regarding demographic characteristics, depression (PHQ-9), anxiety (GAD-7), self-criticism (DEQ-SC), body appreciation (BAS2), and the self-compassion scale (SCS).

Results: A moderated serial mediation model demonstrated lower body appreciation in participants with FM compared to controls. These lower levels of body appreciation, together with lower levels of self-compassion, were associated with greater self-criticism and, consequently, higher levels of psychological distress.

Conclusions: The results emphasize the role of self-compassion as a protective mechanism against psychological distress among women with FM. Future studies should further investigate the effect of self-compassion-focused interventions on patients with FM.

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纤维肌痛女性患者的心理压力：身体欣赏、自我同情和自我批评的作用。

背景：过去的研究发现纤维肌痛（FM）症状与心理困扰之间存在直接联系，而身体鉴赏力被认为是这种联系的可行中介。本研究旨在进一步建立纤维肌痛对女性心理困扰影响的解释模型，并确定可能的保护因素和风险因素。具体而言，研究假设自我同情将缓和身体欣赏和自我批评对患有 FM 的女性心理困扰的间接影响：本研究共有 293 名女性参加，年龄在 20-68 岁之间（中位数 = 34.8，标准差 = 12.3），其中 146 人为 FM 女性患者，147 人为健康对照组。所有女性都填写了有关人口特征、抑郁（PHQ-9）、焦虑（GAD-7）、自我批评（DEQ-SC）、身体欣赏（BAS2）和自我同情量表（SCS）的问卷：结果：调节性串行调解模型显示，与对照组相比，患有 FM 的参与者对身体的欣赏水平较低。这些较低的身体鉴赏力水平以及较低的自我同情水平与较高的自我批判性有关，从而导致较高的心理困扰水平：研究结果强调了自我同情作为一种保护机制对患有 FM 的女性心理困扰的作用。未来的研究应进一步探讨以自我同情为重点的干预措施对 FM 患者的影响。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

International Journal of Behavioral Medicine PSYCHOLOGY, CLINICAL-

CiteScore

5.20

自引率

3.70%

发文量

期刊介绍： The International Journal of Behavioral Medicine (IJBM) is the official scientific journal of the International Society for Behavioral Medicine (ISBM). IJBM seeks to present the best theoretically-driven, evidence-based work in the field of behavioral medicine from around the globe. IJBM embraces multiple theoretical perspectives, research methodologies, groups of interest, and levels of analysis. The journal is interested in research across the broad spectrum of behavioral medicine, including health-behavior relationships, the prevention of illness and the promotion of health, the effects of illness on the self and others, the effectiveness of novel interventions, identification of biobehavioral mechanisms, and the influence of social factors on health. We welcome experimental, non-experimental, quantitative, qualitative, and mixed-methods studies as well as implementation and dissemination research, integrative reviews, and meta-analyses.