{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,26]],"date-time":"2026-03-26T05:21:52Z","timestamp":1774502512556,"version":"3.50.1"},"reference-count":65,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2026,2,28]],"date-time":"2026-02-28T00:00:00Z","timestamp":1772236800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,2,28]],"date-time":"2026-02-28T00:00:00Z","timestamp":1772236800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Cancer Reports"],"published-print":{"date-parts":[[2026,3]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Pain and cancer\u2010related fatigue (CRF) are common and debilitating symptoms among breast cancer survivors, significantly impairing quality of life. Psychological factors, including attachment styles, mindfulness skills, and cognitive emotion regulation strategies (CERS), are essential for symptom management.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Aims<\/jats:title>\n                    <jats:p>This study examined the predictive roles of attachment styles, mindfulness skills, and CERS on pain perception and CRF severity in women with early\u2010stage breast cancer.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods and Results<\/jats:title>\n                    <jats:p>A descriptive\u2010correlational design was applied to 201 women recruited from Tehran Shohada Hospital. Participants completed the Adult Attachment Styles (AAS), Kentucky Inventory of Mindfulness Skills (KIMS), Cognitive Emotion Regulation Questionnaire\u2010Short (CERQ\u2010Short), McGill Pain Questionnaire (MPQ), and Fatigue Severity Scale (FSS). Regression analyses revealed that attachment styles accounted for 20% of the variance in pain perception and 24% in CRF, with secure attachment reducing and ambivalent attachment exacerbating symptoms. Mindfulness skills explained 45% of pain perception and 26% of CRF variance, with accepting without judgment being the strongest predictor. CERS contributed to 46% of the variance in pain perception and 21% in CRF, with adaptive strategies mitigating and maladaptive strategies amplifying symptoms.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Promoting secure attachment, cultivating mindfulness skills, particularly accepting without judgment, and training adaptive CERS can significantly alleviate pain and fatigue in breast cancer survivors. These findings underscore the value of psychological interventions in enhancing treatment outcomes and quality of life in this population.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/cnr2.70471","type":"journal-article","created":{"date-parts":[[2026,3,8]],"date-time":"2026-03-08T10:40:35Z","timestamp":1772966435000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Healing the Mind to Ease Pain and Fatigue: The Role of Attachment, Mindfulness, and Cognitive Emotion Regulation in Early\u2010Stage Breast Cancer Survivors"],"prefix":"10.1002","volume":"9","author":[{"ORCID":"https:\/\/orcid.org\/0009-0002-8403-033X","authenticated-orcid":false,"given":"Kiumars","family":"Soleymani","sequence":"first","affiliation":[{"name":"Department of Psychology Islamic Azad University  Saveh Iran"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9840-231X","authenticated-orcid":false,"given":"Fatemeh","family":"Sadeghi","sequence":"additional","affiliation":[{"name":"Department of Psychology Islamic Azad University  Tehran Iran"},{"name":"Department of Mental Health, Mofid Children's Hospital Shahid Beheshti University of Medical Sciences  Tehran Iran"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9604-8804","authenticated-orcid":false,"given":"Rasool","family":"Hamidi Choolabi","sequence":"additional","affiliation":[{"name":"Department of Psychology Ahrar Institute of Technology and Higher Education  Rasht Iran"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2026,2,28]]},"reference":[{"key":"e_1_2_12_2_1","volume-title":"Global Cancer Observatory: Cancer Today (Version 1.1)","author":"Ferlay J.","year":"2024"},{"key":"e_1_2_12_3_1","doi-asserted-by":"publisher","DOI":"10.1002\/cncr.28058"},{"key":"e_1_2_12_4_1","doi-asserted-by":"publisher","DOI":"10.1200\/JCO.2013.52.4827"},{"key":"e_1_2_12_5_1","doi-asserted-by":"publisher","DOI":"10.3389\/fonc.2022.759272"},{"key":"e_1_2_12_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.mcna.2017.06.007"},{"key":"e_1_2_12_7_1","doi-asserted-by":"publisher","DOI":"10.2147\/JPR.S409798"},{"key":"e_1_2_12_8_1","doi-asserted-by":"publisher","DOI":"10.3389\/fpsyg.2022.1085837"},{"key":"e_1_2_12_9_1","doi-asserted-by":"publisher","DOI":"10.5334\/pb.1057"},{"key":"e_1_2_12_10_1","doi-asserted-by":"publisher","DOI":"10.1002\/pon.5068"},{"key":"e_1_2_12_11_1","doi-asserted-by":"publisher","DOI":"10.1177\/1043454220944126"},{"key":"e_1_2_12_12_1","doi-asserted-by":"publisher","DOI":"10.3389\/fpsyg.2022.873849"},{"key":"e_1_2_12_13_1","doi-asserted-by":"publisher","DOI":"10.1080\/1047840X.2015.989751"},{"key":"e_1_2_12_14_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12912-023-01342-5"},{"key":"e_1_2_12_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.pain.2009.02.013"},{"key":"e_1_2_12_16_1","doi-asserted-by":"publisher","DOI":"10.1002\/pon.5214"},{"key":"e_1_2_12_17_1","doi-asserted-by":"publisher","DOI":"10.3389\/fpsyg.2022.949446"},{"key":"e_1_2_12_18_1","doi-asserted-by":"publisher","DOI":"10.1177\/1534735402238188"},{"key":"e_1_2_12_19_1","doi-asserted-by":"publisher","DOI":"10.1177\/0265407598153002"},{"key":"e_1_2_12_20_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.paid.2016.06.026"},{"key":"e_1_2_12_21_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.cpr.2009.06.005"},{"key":"e_1_2_12_22_1","doi-asserted-by":"publisher","DOI":"10.3389\/fpsyg.2017.00220"},{"key":"e_1_2_12_23_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11764-020-00903-w"},{"key":"e_1_2_12_24_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpainsymman.2020.02.017"},{"key":"e_1_2_12_25_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpsychores.2019.109916"},{"key":"e_1_2_12_26_1","doi-asserted-by":"publisher","DOI":"10.2298\/VSP180205178K"},{"issue":"2","key":"e_1_2_12_27_1","first-page":"41","article-title":"The Role of Coping Strategies and Cognitive Emotion Regulation in Well\u2010Being of Patients With Cancer","volume":"21","author":"Seyed Tabaee R.","year":"2017","journal-title":"J Inflamm Dis"},{"key":"e_1_2_12_28_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13643-019-1230-2"},{"issue":"2","key":"e_1_2_12_29_1","first-page":"227","article-title":"Emotional Distress and Cognitive Emotion Dysregulation as Psychological Factors in Cancer Related Fatigue Among Nigerian Cancer Patients","volume":"9","author":"Onyedibe M. 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