The Relationship Between Self‐Blame for the Onset of a Chronic Physical Health Condition and Emotional Distress: A Systematic Literature Review

Callebaut, Leah; Molyneux, Philip; Alexander, Tim

doi:10.1002/cpp.2061

Cited by 31 publications

(20 citation statements)

References 112 publications

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“…Our metasynthesis showed that important themes raised by the participants, namely acceptance of the condition, increased emotion-regulation skills and reduced feelings of isolation, were only marginally represented in the quantitative outcome measures. Being diagnosed with a long-term physical condition does indeed entail an increased risk for higher depression and anxiety (Clarke & Currie, 2009;Patten, 2001), but it can also involve acceptance of and coping with the condition (Ambrosio et al, 2015), isolation (Ohman, Soderberg, & Lundman, 2003), self-blame (Callebaut, Molyneux, & Alexander, 2017) and emotion-regulation (Wierenga, Lehto, & Given, 2017) and it may be important to measure these outcomes. Furthermore, compassion-based interventions target both mental health difficulties and mental health resources (Bohlmeijer & Westerhof, in press), yet resources such as mental well-being (e.g.…”

Section: Discussionmentioning

confidence: 99%

“…In the meantime, daily life goes on and basic housing, financial and employment issues and social problems interact with the demands of the illness and may interfere with the capacity for active coping behaviour (Van Houtum, Rijken, & Groenewegen, 2015). In response to the challenges of living with a long-term physical condition, many people report blaming themselves for their perceived role in causing or exacerbating their condition and this self-blame may further increase distress (Callebaut, Molyneux, & Alexander, 2017).…”

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confidence: 99%

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Compassion-based interventions for people with long-term physical conditions: a mixed methods systematic review

Austin

Drossaert

Schroevers

et al. 2020

Psychology & Health

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Objective: Compassion-based interventions show promise in enhancing well-being and reducing distress, but little is known about their applications for people with long-term physical conditions. This study explores compassion-based interventions for this population: what are their differing elements (content, structure, tailoring, use of technology), feasibility and acceptability, effects and experienced benefits? Design: A mixed-methods systematic review was conducted. Four bibliographic databases were searched without study design restrictions. Meta-synthesis was used to integrate quantitative results of effects and qualitative results of experienced benefits. Results: Twenty studies met the inclusion criteria. Most studies targeted people with cancer or persistent pain. Interventions were either comprehensive with 6-12 face-to-face sessions, or brief based on a single compassion exercise. Feasibility and accessibility were highly rated by participants. Amongst a plethora of outcomes, reductions in depression and anxiety were the most common findings. Our qualitative synthesis yielded experienced benefits of (1) acceptance of the condition; (2) improved emotion regulation skills; (3) reduced feelings of isolation. There was minimal overlap between quantitative and qualitative outcomes. Conclusion: While the field is still in its infancy, this review highlights the potential benefits of compassion-based interventions for people with long-term physical conditions and discusses recommendations for further intervention research and development.

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Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

Compassion-based interventions for people with long-term physical conditions: a mixed methods systematic review

Austin

Drossaert

Schroevers

et al. 2020

Psychology & Health

View full text Add to dashboard Cite

show abstract

“…Furthermore, patients lacked understanding about the purpose of the tasks and thought it was strange and not credible. In particular, in the domain of somatic diseases, psychosocial treatments offered to alleviate psychosomatic symptoms such as fatigue are known to evoke feelings of self-blame in patients [19]. Taking into account the possible resistance in stakeholders with regard to CBM, it seems essential to involve patients and health care professionals throughout the design process [20].…”

Section: Introductionmentioning

confidence: 99%

Cognitive Bias Modification Training to Improve Implicit Vitality in Patients With Breast Cancer: App Design Using a Cocreation Approach

Wolbers¹,

Bode²,

Siemerink³

et al. 2021

JMIR Form Res

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Background More than 50% of all patients with breast cancer experience fatigue symptoms during and after their treatment course. Recent evidence has shown that fatigue is partly driven by cognitive biases such as the self-as-fatigued identity bias, which may be corrected with computer-based cognitive bias modification (CBM) techniques. Objective The aim of this study was to design a CBM-training app by adopting a cocreation approach. Methods Semistructured interviews were conducted with 7 health care professionals, 3 patients with breast cancer, and 2 patient advocates. The aim of the interviews was to collect input for the design of the CBM training, taking the values and preferences of the stakeholders into account, and to determine the timing and implementation of the training in the treatment course. Results Overall, the interviews showed that the concept of CBM was accepted among all stakeholders. Important requirements were revealed such as the training needs to be simple and undemanding, yet engaging and persuasive. Based on the results, an eHealth app IVY (Implicit VitalitY) was created. The findings from the interviews suggested that IVY should be offered early in the breast cancer treatment course and should be carefully aligned with clinical treatment. Conclusions The findings of this study show that using CBM as a preventive approach to target cancer-related fatigue is an innovative technique, and this approach was embraced by breast cancer stakeholders. Our study suggests that CBM training has several benefits such as being easy to use and potentially increasing perceived self-control in patients.

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“…75,[109][110][111] A further possibility may be the nature of blame, concepts of responsibility and a negative spiral of disempowerment with anxiety. [112][113][114] A different explanation might be a statistical artifact from fallible ascertainment of intent leading to misclassification bias.…”

Section: Researchmentioning

confidence: 99%

Death and long-term disability after gun injury: a cohort analysis

Raza

Thiruchelvam

Redelmeier

2020

cmajo

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Guns can be useful for hunting excursions, sport shooting and self-defence. Canadians living in wilderness regions rely on guns for securing food and protecting themselves against animal attacks. 1 However, a large downside of guns is the risk of injury. In Canada, mortality from gun injuries amounts to 800 total deaths annually, equivalent to a rate of 23 deaths per million per year. 2 An estimated 700 fewer Canadians would die from gun injury each year if per capita mortality rates in Canada matched those in the United Kingdom. 3,4 Some countries have a higher mortality from gun injuries, including the United States with a rate of about 200 deaths per million population per year. 5 Many people survive gun injury, which means mortality rates may underestimate the total health losses. 6 For example, some patients with through-and-through brain injuries (i.e., from a bullet that has passed through leaving entry and exit wounds) stay alive but reside in long-term care institutions. 7 The intensity of pain or neurologic deficits associated with gun injury can be severe and lasting. 8 Up to half of those with gun injury show anxiety, depression or other signs of stress while in hospital. 9,10 Disfigurement can lead to further complications. 11 Conversely, some patients view survivorship as a source of personal pride, community prestige or divine intervention. 12,13 However, aside from reports after military combat, rigorous studies are near-silent about long-term prognosis and instead focus on acute care survival. [14][15][16] The aim of this study was to examine whether the risks of death and long-term disability are substantial after gun injury, contrary to the rapid recoveries depicted in some action movies. Moreover, we hypothesized that intentional gun injury, relative to unintentional gun injury, would lead to a greater burden of long-term disability because of the differences in wound anatomy, patient characteristics, injury circumstances, trauma severity, counterfactual reasoning, psychological outrage and community supports. [17][18][19] Herein we explore this distinction and apply population-wide health care databases to examine long-term outcomes for patients who survive gun injury.

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The Relationship Between Self‐Blame for the Onset of a Chronic Physical Health Condition and Emotional Distress: A Systematic Literature Review

Cited by 31 publications

References 112 publications

Compassion-based interventions for people with long-term physical conditions: a mixed methods systematic review

Compassion-based interventions for people with long-term physical conditions: a mixed methods systematic review

Cognitive Bias Modification Training to Improve Implicit Vitality in Patients With Breast Cancer: App Design Using a Cocreation Approach

Death and long-term disability after gun injury: a cohort analysis

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