Coping with long-COVID stigma: The role of self-compassion and self-coldness.

IF 1.3 Q3 PSYCHOLOGY, CLINICAL

Health Psychology Open Pub Date : 2025-07-26 eCollection Date: 2025-01-01 DOI:10.1177/20551029251349409

Maor Shani, Kilian Wübbelt

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引用次数: 0

Abstract

Long COVID has been associated with stigmatization, prompting exploration of coping mechanisms. This cross-sectional study examined whether self-compassion and self-coldness mediate long-COVID stigma's effects on well-being. We surveyed 201 German adults with long-COVID (89% female; M _age = 43.27, SD = 10.57). Most were officially diagnosed (88%), and 93% still experienced long-COVID symptoms at the time of survey. Measures included stigma, self-compassion, self-coldness, subjective well-being (SWB), and flourishing. Long-COVID stigma negatively correlated with SWB and flourishing. Higher self-compassion and lower self-coldness predicted better outcomes. Internalized stigma predicted lower flourishing through decreased self-compassion and increased self-coldness. In contrast, enacted stigma was associated with higher SWB and flourishing through lower self-coldness. Overall, mediation effects via self-coldness were significantly stronger than those via self-compassion, particularly in flourishing. These findings highlight the interplay between stigma, self-relating, and well-being, indicating both adaptive and maladaptive pathways. Interventions promoting self-compassion and reducing self-coldness may support holistic long-COVID care.

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应对长期的covid耻辱：自我同情和自我冷漠的作用。

长期以来，COVID与污名化有关，促使人们探索应对机制。这项横断面研究调查了自我同情和自我冷漠是否介导了长期covid耻辱对幸福感的影响。我们调查了201名长covid的德国成年人(89%为女性；M年龄= 43.27,SD = 10.57)。大多数人被正式诊断（88%），93%的人在调查时仍然经历了长期的covid症状。测量包括耻辱、自我同情、自我冷漠、主观幸福感和繁荣。长冠病耻感与SWB和繁盛呈负相关。更高的自我同情和更低的自我冷漠预示着更好的结果。内化的耻辱通过减少自我同情和增加自我冷淡来预测更低的繁荣。相比之下，制定的柱头与较高的主观幸福感和通过较低的自我冷淡而繁荣相关。总体而言，自我冷淡的中介效应显著强于自我同情的中介效应，尤其是在繁荣时期。这些发现强调了病耻感、自我关联和幸福感之间的相互作用，表明了适应和不适应途径。促进自我同情和减少自我冷漠的干预措施可以支持全面的长期covid护理。

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来源期刊

Health Psychology Open Psychology-Clinical Psychology

CiteScore

5.90

自引率

0.00%

发文量

审稿时长

12 weeks

期刊介绍： Health Psychology Open (HPO) is an international, peer-reviewed, open access, online-only journal providing rapid publication. HPO is dedicated to publishing cutting-edge research in health psychology from around the world. HPO seeks to provide a platform for both traditional empirical analyses and more qualitative and/or critically oriented approaches to health psychology. All areas of health psychology are covered, but these topics are of particular interest: Clinical health psychology Critical health psychology Community health psychology Health psychology practice Health psychology through a social, cultural or regional lens The journal particularly favours papers that focus on health psychology in practice, including submissions concerning community and/or clinical applications and interventions. Review articles are also welcomed. There is no fixed limit to the length of manuscripts, which is normally strictly limited in other journals, for example HPO’s sister journal, Journal of Health Psychology (JHP). Studies published in this journal are required to obtain ethical approval from an Institutional Review Board. Such approval must include informed, signed consent by all research participants. Any manuscript not containing an explicit statement concerning ethical approval and informed consent will not be considered.