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We examined whether self\u2010compassion predicted lower anxiety and depression symptoms in survivors and whether this might be mediated by lower worry and rumination. The design was a cross\u2010sectional survey using self\u2010report measures. Female adult BCa survivors of mixed stages who had finished primary surgical, radiotherapy, or chemotherapy treatments completed self\u2010compassion subscales and worry, rumination, and anxiety and depression scales. Higher self\u2010compassion subscale scores were negatively associated with anxiety and depression. Depressive brooding and worry mediated any effects of self\u2010kindness and mindfulness on depression and anxiety, whereas common humanity directly predicted lower depression scores. Findings are consistent with the view that self\u2010compassion reduces threat\u2010related rumination and worry in BCa survivors, consequently reducing anxiety and depression. This may form a basis for prevention and treatment.<\/jats:p>","DOI":"10.1002\/cpp.2399","type":"journal-article","created":{"date-parts":[[2019,11,22]],"date-time":"2019-11-22T16:33:22Z","timestamp":1574440402000},"page":"1-10","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":46,"title":["Could worry and rumination mediate relationships between self\u2010compassion and psychological distress in breast cancer survivors?"],"prefix":"10.1002","volume":"27","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6142-0995","authenticated-orcid":false,"given":"Stephen L.","family":"Brown","sequence":"first","affiliation":[{"name":"Department of Psychological Sciences University of Liverpool  Liverpool UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maria","family":"Hughes","sequence":"additional","affiliation":[{"name":"Department of Psychological Sciences University of Liverpool  Liverpool UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sophie","family":"Campbell","sequence":"additional","affiliation":[{"name":"Department of Psychological Sciences University of Liverpool  Liverpool UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M. Gemma","family":"Cherry","sequence":"additional","affiliation":[{"name":"Department of Psychological Sciences University of Liverpool  Liverpool UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2019,12,4]]},"reference":[{"key":"e_1_2_5_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-3999(01)00296-3"},{"key":"e_1_2_5_3_1","doi-asserted-by":"publisher","DOI":"10.1037\/ccp0000186"},{"key":"e_1_2_5_4_1","unstructured":"Breast Cancer Care UK. (2018).Facts and statistics 2018. Retrieved 11 November 2018 fromhttps:\/\/www.breastcancercare.org.uk\/about\u2010us\/media\/facts\u2010statistics"},{"key":"e_1_2_5_5_1","doi-asserted-by":"publisher","DOI":"10.1002\/pon.4715"},{"key":"e_1_2_5_6_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10549-004-1005-9"},{"key":"e_1_2_5_7_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.38343.670868.D3"},{"key":"e_1_2_5_8_1","doi-asserted-by":"publisher","DOI":"10.1080\/15374410709336568"},{"key":"e_1_2_5_9_1","unstructured":"Cancer Research UK. (2018).Breast cancer survival statistics. Retrieved 11 November 2018 fromhttps:\/\/www.cancerresearchuk.org\/health\u2010professional\/cancer\u2010statistics\/statistics\u2010by\u2010cancer\u2010type\/breast\u2010cancer\/survival"},{"key":"e_1_2_5_10_1","doi-asserted-by":"publisher","DOI":"10.1002\/pon.1761"},{"key":"e_1_2_5_11_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1745-6924.2009.01141.x"},{"key":"e_1_2_5_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(00)02821-X"},{"key":"e_1_2_5_13_1","doi-asserted-by":"publisher","DOI":"10.1002\/pon.4601"},{"key":"e_1_2_5_14_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1471-6712.2012.01003.x"},{"key":"e_1_2_5_15_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1467-9280.2008.02150.x"},{"key":"e_1_2_5_16_1","doi-asserted-by":"publisher","DOI":"10.1038\/sj.bjc.6604091"},{"key":"e_1_2_5_17_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.paid.2008.12.010"},{"key":"e_1_2_5_18_1","doi-asserted-by":"publisher","DOI":"10.1080\/02699930500220066"},{"key":"e_1_2_5_19_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11764-015-0512-5"},{"key":"e_1_2_5_20_1","doi-asserted-by":"publisher","DOI":"10.1007\/s12160-015-9689-0"},{"key":"e_1_2_5_21_1","volume-title":"The mindful path to self\u2010compassion: Freeing yourself from destructive thoughts and emotions","author":"Germer C. 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