乳腺癌患者自我同情的研究进展
Research Progress on Self-Compassion in Breast Cancer Patients
DOI: 10.12677/ns.2025.1412303, PDF,    科研立项经费支持
作者: 朱曼曼, 马湘艳, 皮佳涵, 李春梅*:吉首大学医学院,湖南 吉首;宋秋月:湖南医药学院总医院,湖南 怀化
关键词: 乳腺癌自我同情研究进展综述Breast Cancer Self-Compassion Research Progress Review
摘要: 本文旨在系统回顾和总结近年来关于乳腺癌患者自我同情的研究进展,包括自我同情的概念、测量方法、影响因素、干预措施等方面,为未来开展乳腺癌患者自我同情的相关研究及实践探索提供参考。
Abstract: This paper aims to systematically review and summarize the research progress on self-compassion among breast cancer patients in recent years, including the concept, measurement methods, influencing factors, and intervention measures of self-compassion, to provide references for future research and practical exploration on self-compassion in breast cancer patients.
文章引用:朱曼曼, 马湘艳, 皮佳涵, 宋秋月, 李春梅. 乳腺癌患者自我同情的研究进展[J]. 护理学, 2025, 14(12): 2285-2293. https://doi.org/10.12677/ns.2025.1412303

参考文献

[1] 中国抗癌协会乳腺癌专业委员会, 中华医学会肿瘤学分会乳腺肿瘤学组. 中国抗癌协会乳腺癌诊治指南与规范(2024年版) [J]. 中国癌症杂志, 2023, 33(12): 1092-1187.
[2] Han, B., Zheng, R., Zeng, H., Wang, S., Sun, K., Chen, R., et al. (2024) Cancer Incidence and Mortality in China, 2022. Journal of the National Cancer Center, 4, 47-53. [Google Scholar] [CrossRef] [PubMed]
[3] Soqia, J., Al-shafie, M., Agha, L.Y., Alameer, M.B., Alhomsi, D., Saadoun, R., et al. (2022) Depression, Anxiety and Related Factors among Syrian Breast Cancer Patients: A Cross-Sectional Study. BMC Psychiatry, 22, Article No. 796. [Google Scholar] [CrossRef] [PubMed]
[4] Durosini, I., Triberti, S., Savioni, L., Sebri, V. and Pravettoni, G. (2022) The Role of Emotion-Related Abilities in the Quality of Life of Breast Cancer Survivors: A Systematic Review. International Journal of Environmental Research and Public Health, 19, Article 12704. [Google Scholar] [CrossRef] [PubMed]
[5] Masoumi, S., Amiri, M. and Yousefi Afrashteh, M. (2022) Self-Compassion: The Factor That Explains a Relationship between Perceived Social Support and Emotional Self-Regulation in Psychological Well-Being of Breast Cancer Survivors. Iranian Journal of Psychiatry, 17, 123-135. [Google Scholar] [CrossRef] [PubMed]
[6] 戴倩, 黄远思, 杨索, 等.自我同情对乳腺癌病人心理健康干预效果的Meta分析[J]. 循证护理, 2024, 10(4): 591-596.
[7] Neff, K.D. (2003) Self-Compassion: An Alternative Conceptualization of a Healthy Attitude toward Oneself. Self and Identity, 2, 85-101. [Google Scholar] [CrossRef
[8] Neff, K.D. (2023) Self-Compassion: Theory, Method, Research, and Intervention. Annual Review of Psychology, 74, 193-218. [Google Scholar] [CrossRef] [PubMed]
[9] Neff, K.D. and Dahm, K.A. (2015) Self-Compassion: What It Is, What It Does, and How It Relates to Mindfulness. In: Handbook of Mindfulness and Self-Regulation, Springer, 121-137. [Google Scholar] [CrossRef
[10] Neff, K.D. (2003) The Development and Validation of a Scale to Measure Self-Compassion. Self and Identity, 2, 223-250. [Google Scholar] [CrossRef
[11] 陈健, 燕良轼, 周丽华.中文版自悯量表的信效度研究[J]. 中国临床心理学杂志, 2011, 19(6): 734-736.
[12] 刘月, 汤婷, 孙国珍, 等. 自我同情评估工具的研究进展[J]. 中华现代护理杂志, 2021, 27(29): 4041-4045.
[13] Raes, F., Pommier, E., Neff, K.D. and Van Gucht, D. (2011) Construction and Factorial Validation of a Short Form of the Self‐Compassion Scale. Clinical Psychology & Psychotherapy, 18, 250-255. [Google Scholar] [CrossRef] [PubMed]
[14] Meng, R., Yu, Y., Chai, S., Luo, X., Gong, B., Liu, B., et al. (2019) Examining Psychometric Properties and Measurement Invariance of a Chinese Version of the Self-Compassion Scale-Short Form (SCS-SF) in Nursing Students and Medical Workers. Psychology Research and Behavior Management, 12, 793-809. [Google Scholar] [CrossRef] [PubMed]
[15] Chen, Y., Liu, R., Xiao, J., Wang, Y., Yang, Y., Fan, H., et al. (2024) Effects of Online Mindful Self-Compassion Intervention on Negative Body Image in Breast Cancer Patients: A Randomized Controlled Trail. European Journal of Oncology Nursing, 72, Article ID: 102664. [Google Scholar] [CrossRef] [PubMed]
[16] Zhu, L., Yao, J., Wang, J., Wu, L., Gao, Y., Xie, J., et al. (2019) The Predictive Role of Self-Compassion in Cancer Patients’ Symptoms of Depression, Anxiety, and Fatigue: A Longitudinal Study. Psycho-Oncology, 28, 1918-1925. [Google Scholar] [CrossRef] [PubMed]
[17] Hölzel, B.K., Carmody, J., Evans, K.C., Hoge, E.A., Dusek, J.A., Morgan, L., et al. (2010) Stress Reduction Correlates with Structural Changes in the Amygdala. Social Cognitive and Affective Neuroscience, 5, 11-17. [Google Scholar] [CrossRef] [PubMed]
[18] Leary, M.R., Tate, E.B., Adams, C.E., Batts Allen, A. and 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. [Google Scholar] [CrossRef] [PubMed]
[19] Breines, J.G., Thoma, M.V., Gianferante, D., Hanlin, L., Chen, X. and Rohleder, N. (2014) Self-Compassion as a Predictor of Interleukin-6 Response to Acute Psychosocial Stress. Brain, Behavior, and Immunity, 37, 109-114. [Google Scholar] [CrossRef] [PubMed]
[20] Arch, J.J., Brown, K.W., Dean, D.J., Landy, L.N., Brown, K.D. and Laudenslager, M.L. (2014) Self-Compassion Training Modulates Alpha-Amylase, Heart Rate Variability, and Subjective Responses to Social Evaluative Threat in Women. Psychoneuroendocrinology, 42, 49-58. [Google Scholar] [CrossRef] [PubMed]
[21] Todorov, N., Sherman, K.A. and Kilby, C.J. (2019) Self‐Compassion and Hope in the Context of Body Image Disturbance and Distress in Breast Cancer Survivors. Psycho-Oncology, 28, 2025-2032. [Google Scholar] [CrossRef] [PubMed]
[22] Abdollahi, A., Taheri, A. and Allen, K.A. (2020) Self-Compassion Moderates the Perceived Stress and Self-Care Behaviors Link in Women with Breast Cancer. Psycho-Oncology, 29, 927-933. [Google Scholar] [CrossRef] [PubMed]
[23] Yarnell, L.M., Stafford, R.E., Neff, K.D., Reilly, E.D., Knox, M.C. and Mullarkey, M. (2015) Meta-Analysis of Gender Differences in Self-Compassion. Self and Identity, 14, 499-520. [Google Scholar] [CrossRef
[24] 张吴辉. 中青年乳腺癌病人经验性回避在自我同情与社会参与间的中介效应[J]. 全科护理, 2025, 23(6): 1176-1180.
[25] Shaw, L.K., Sherman, K.A., Fitness, J. and Elder, E. (2018) Factors Associated with Romantic Relationship Formation Difficulties in Women with Breast Cancer. Psycho-Oncology, 27, 1270-1276. [Google Scholar] [CrossRef] [PubMed]
[26] 李若宁. 乳腺癌患者自我同情状况及其与健康相关生活质量的相关性研究[D]: [硕士学位论文]. 济南: 山东中医药大学, 2024.
[27] 叶春丽, 谢小玲, 罗美莲, 等. 乳腺癌术后患者癌症复发恐惧与疾病不确定感、社会支持的相关性[J]. 解放军护理杂志, 2019, 36(11): 23-26.
[28] 李若宁, 吕利明. 乳腺癌患者自我同情状况及影响因素分析[J]. 护理学杂志, 2023, 38(19): 82-85+90.
[29] 王君, 王雪辉, 万凯弋, 等. 乳腺癌患者术后自我形象紊乱的相关危险因素分析[J]. 检验医学与临床, 2023, 20(2): 246-249.
[30] 张慧, 郑蔚, 张苇, 等. 康复期乳腺癌患者自我怜悯现状及影响因素[J]. 河南医学研究, 2023, 32(1): 74-78.
[31] Sherman, K.A., Woon, S., French, J. and Elder, E. (2016) Body Image and Psychological Distress in Nipple‐Sparing Mastectomy: The Roles of Self‐Compassion and Appearance Investment. Psycho-Oncology, 26, 337-345. [Google Scholar] [CrossRef] [PubMed]
[32] 卢玉云. 乳腺癌术后患者自我同情水平现状及其影响因素分析[D]: [硕士学位论文]. 湖州: 湖州师范学院, 2024.
[33] Gomaa Abdelrasheed, N.S., Petkov, I., Kaur, H., Sharma, A., Prasad, K.D.V., Nazarova, D., et al. (2025) Mediating Role of Self-Compassion in the Relationship between Psychological Flexibility and Psychological Well-Being in Women with Breast Cancer. Psychology, Health & Medicine, 2025, 1-16.
[34] Alizadeh, S., Khanahmadi, S., Vedadhir, A., et al. (2018) The Relationship between Resilience with Self-Compassion, Social Support and Sense of Belonging in Women with Breast Cancer. Asian Pacific Journal of Cancer Prevention, 19, 2469-2474.
[35] 王建花, 白萍, 魏永婷. 北京市某三甲医院乳腺癌患者术后病耻感现状及其与自我同情的关系[J]. 医学与社会, 2024, 37(6): 138-144.
[36] Gilbert, P. and Procter, S. (2006) Compassionate Mind Training for People with High Shame and Self-Criticism: Overview and Pilot Study of a Group Therapy Approach. Clinical Psychology & Psychotherapy, 13, 353-379. [Google Scholar] [CrossRef
[37] Haj Sadeghi, Z., Yazdi-Ravandi, S. and Pirnia, B. (2018) Compassion-Focused Therapy on Levels of Anxiety and Depression among Women with Breast Cancer: A Randomized Pilot Trial. International Journal of Cancer Management, 11, e67019. [Google Scholar] [CrossRef
[38] Trindade, I.A., Ferreira, C. and Pinto-Gouveia, J. (2020) Acceptability and Preliminary Test of Efficacy of the Mind Programme in Women with Breast Cancer: An Acceptance, Mindfulness, and Compassion-Based Intervention. Journal of Contextual Behavioral Science, 15, 162-171. [Google Scholar] [CrossRef
[39] Wei, L., Yang, X., Sun, S., Yu, Y., Xie, J., Zhao, J., et al. (2022) Fear-Focused Self-Compassion Therapy for Young Breast Cancer Patients’ Fear of Cancer Recurrence: Study Protocol of a Randomized Controlled Trial. Frontiers in Psychiatry, 13, Article 941459. [Google Scholar] [CrossRef] [PubMed]
[40] Przezdziecki, A., Alcorso, J. and Sherman, K.A. (2016) My Changed Body: Background, Development and Acceptability of a Self-Compassion Based Writing Activity for Female Survivors of Breast Cancer. Patient Education and Counseling, 99, 870-874. [Google Scholar] [CrossRef] [PubMed]
[41] Hutcherson, C.A., Seppala, E.M. and Gross, J.J. (2008) Loving-Kindness Meditation Increases Social Connectedness. Emotion, 8, 720-724. [Google Scholar] [CrossRef] [PubMed]
[42] Galante, J., Galante, I., Bekkers, M. and Gallacher, J. (2014) Effect of Kindness-Based Meditation on Health and Well-Being: A Systematic Review and Meta-Analysis. Journal of Consulting and Clinical Psychology, 82, 1101-1114. [Google Scholar] [CrossRef] [PubMed]
[43] Wren, A.A., Shelby, R.A., Soo, M.S., Huysmans, Z., Jarosz, J.A. and Keefe, F.J. (2019) Preliminary Efficacy of a Lovingkindness Meditation Intervention for Patients Undergoing Biopsy and Breast Cancer Surgery: A Randomized Controlled Pilot Study. Supportive Care in Cancer, 27, 3583-3592. [Google Scholar] [CrossRef] [PubMed]
[44] Boyle, C.C., Stanton, A.L., Ganz, P.A., Crespi, C.M. and Bower, J.E. (2017) Improvements in Emotion Regulation Following Mindfulness Meditation: Effects on Depressive Symptoms and Perceived Stress in Younger Breast Cancer Survivors. Journal of Consulting and Clinical Psychology, 85, 397-402. [Google Scholar] [CrossRef] [PubMed]
[45] Dodds, S.E., Pace, T.W.W., Bell, M.L., Fiero, M., Negi, L.T., Raison, C.L., et al. (2015) Feasibility of Cognitively-Based Compassion Training (CBCT) for Breast Cancer Survivors: A Randomized, Wait List Controlled Pilot Study. Supportive Care in Cancer, 23, 3599-3608. [Google Scholar] [CrossRef] [PubMed]
[46] Gonzalez-Hernandez, E., Romero, R., Campos, D., Burychka, D., Diego-Pedro, R., Baños, R., et al. (2018) Cognitively-Based Compassion Training (CBCT) in Breast Cancer Survivors: A Randomized Clinical Trial Study. Integrative Cancer Therapies, 17, 684-696. [Google Scholar] [CrossRef] [PubMed]
[47] Willems, R.A., Bolman, C.A.W., Lechner, L., Mesters, I., Gunn, K.M., Skrabal Ross, X., et al. (2020) Online Interventions Aimed at Reducing Psychological Distress in Cancer Patients: Evidence Update and Suggestions for Future Directions. Current Opinion in Supportive & Palliative Care, 14, 27-39. [Google Scholar] [CrossRef] [PubMed]
[48] Sherman, K.A., Przezdziecki, A., Alcorso, J., Kilby, C.J., Elder, E., Boyages, J., et al. (2018) Reducing Body Image-Related Distress in Women with Breast Cancer Using a Structured Online Writing Exercise: Results from the My Changed Body Randomized Controlled Trial. Journal of Clinical Oncology, 36, 1930-1940. [Google Scholar] [CrossRef] [PubMed]
[49] Mifsud, A., Pehlivan, M.J., Fam, P., O’Grady, M., van Steensel, A., Elder, E., et al. (2021) Feasibility and Pilot Study of a Brief Self-Compassion Intervention Addressing Body Image Distress in Breast Cancer Survivors. Health Psychology and Behavioral Medicine, 9, 498-526. [Google Scholar] [CrossRef] [PubMed]
[50] Hoffman, C. and Baker, B. (2023) Effects of Mindful Self-Compassion Program on Psychological Well-Being and Levels of Compassion in People Affected by Breast Cancer. Alternative Therapies, Health and Medicine, 29, 36-41.
[51] Světlák, M., Malatincová, T., Halámková, J., Barešová, Z., Lekárová, M., Vigašová, D., et al. (2023) The Effectiveness of Three Mobile-Based Psychological Interventions in Reducing Psychological Distress and Preventing Stress-Related Changes in the Psycho-Neuro-Endocrine-Immune Network in Breast Cancer Survivors: Study Protocol for a Randomised Controlled Trial. Internet Interventions, 32, Article ID: 100628. [Google Scholar] [CrossRef] [PubMed]