Evidence map›Paper›PMID 37380871›Full record

ArticleSupportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer2023

The relationship between psychological flexibility, self-compassion, and posttraumatic growth in cancer patients in the COVID-19 pandemic.

Ipek Özönder Ünal, Caglar Ünal, Tomris Duymaz, Cetin Ordu

Abstract read
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In one paragraph

Article in Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 pooled it
4.4field-weighted citation impact, top 5% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

7 citing papers in PubMed, 1 synthesis or guideline pooled it, 14 citations in OpenAlex.

  1. The Mechanisms Underlying the Relationship Between Self-Compassion and Psychological Outcomes in Adult Populations: A Systematic Review.Stress and health : journal of the International Society for the Investigation of Stress · 2025
    Pooled it
  2. Article
  3. Article
  4. Article
  5. Post-Traumatic Growth in Adult Cancer Survivors: A Scoping Review of Psychological Factors, Predictors, and Interventions.International journal of psychology : Journal international de psychologie · 2025
    Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors at 4 institutions in 1 country.

Ipek Özönder ÜnalDepartment of Psychiatry, Tuzla State Hospital, Içmeler Mahallesi, Piri Reis Caddesi, No: 74 Tuzla, Istanbul, Turkey. ipekozonder@gmail.com.
Caglar ÜnalDepartment of Medical Oncology, Istanbul Lutfi Kirdar City Hospital, Cevizli, D-100 Güney Yanyol, Cevizli Mevkii No: 47, 34865 Kartal, Istanbul, Turkey.
Tomris DuymazDepartment of Physiotherapy & Rehabilitation, Istanbul Bilgi University, İnönü Cad. No: 72 Kuştepe 34387 Şişli, Istanbul, Turkey.
Cetin OrduDepartment of Medical Oncology, Gayrettepe Florence Nightingale Hospital, Cemil Aslan Güder Sk. No: 8, 34349 Beşiktaş, Istanbul, Turkey.
Dr Lütfi Kırdar Kartal Eğitim ve Araştırma Hastanesi · TRIstanbul Bilgi University · TRIstanbul Florence Nightingale Hospital · TRPiri Reis University · TR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe COVID-19 pandemic may have an important long-term emotional impact on patients with cancer diagnosis, as they are in the high-risk group. We aimed to evaluate the relationship between self-compassion, psychological flexibility, and posttraumatic growth, and to examine whether psychological flexibility may serve as a mediator between self-compassion and posttraumatic growth.

methodsTwo hundred fifty-three patients with cancer were included in the study. Sociodemographic and Clinical Features Data Form, Self-Compassion Scale (SCS), Freiburg Mindfulness Inventory (FMI), Acceptance and Action Questionnaire-II (AAQ-II), Cognitive Fusion Questionnaire (CFQ), and Posttraumatic Growth Inventory (PTGI) were applied to all patients.

resultsThe multivariate analysis with independent variable SCS, FMI, AAQ-II, and CFQ scores explains 49% of the variance in PTGI (F(4,248) = 60,585, p < 0.001). SC and FMI scores were found to have a positive and AAQ-II and CFQ scores a negative predictive effect on PTGI scores. The partial mediational effect of psychological flexibility on the relationship between self-compassion and posttraumatic growth was found to be statistically significant.

conclusionIn traumatic life events such as pandemics, the importance of self-compassion for posttraumatic growth and the mediator role of psychological flexibility in this relationship should be considered in order to manage the treatment process in cancer patients. These patients are more affected by the pandemic due to the nature of their malignancy and the strict protective measures they must follow as members of a high-risk group. The significance of therapies focused on psychological flexibility should be emphasized in comprehensive biopsychosocial approaches for the management of cancer patients.

Indexed as

COVID-19NeoplasmsPosttraumatic Growth, PsychologicalHumansPandemicsSelf-CompassionCancerCOVID-19Emotional adjustmentPosttraumatic growthPsychological traumaSelf-compassion

Identifiers

PMID37380871
OpenAlexW4382362017

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.