{"title":"应对长期的covid耻辱：自我同情和自我冷漠的作用。","authors":"Maor Shani, Kilian Wübbelt","doi":"10.1177/20551029251349409","DOIUrl":null,"url":null,"abstract":"<p><p>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; <i>M</i> <sub><i>age</i></sub> = 43.27, <i>SD</i> = 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.</p>","PeriodicalId":55856,"journal":{"name":"Health Psychology Open","volume":"12 ","pages":"20551029251349409"},"PeriodicalIF":1.3000,"publicationDate":"2025-07-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12311885/pdf/","citationCount":"0","resultStr":"{\"title\":\"Coping with long-COVID stigma: The role of self-compassion and self-coldness.\",\"authors\":\"Maor Shani, Kilian Wübbelt\",\"doi\":\"10.1177/20551029251349409\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><p>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; <i>M</i> <sub><i>age</i></sub> = 43.27, <i>SD</i> = 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.</p>\",\"PeriodicalId\":55856,\"journal\":{\"name\":\"Health Psychology Open\",\"volume\":\"12 \",\"pages\":\"20551029251349409\"},\"PeriodicalIF\":1.3000,\"publicationDate\":\"2025-07-26\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12311885/pdf/\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Health Psychology Open\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.1177/20551029251349409\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"2025/1/1 0:00:00\",\"PubModel\":\"eCollection\",\"JCR\":\"Q3\",\"JCRName\":\"PSYCHOLOGY, CLINICAL\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Health Psychology Open","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1177/20551029251349409","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2025/1/1 0:00:00","PubModel":"eCollection","JCR":"Q3","JCRName":"PSYCHOLOGY, CLINICAL","Score":null,"Total":0}
Coping with long-COVID stigma: The role of self-compassion and self-coldness.
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; Mage = 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.
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.
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