{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,27]],"date-time":"2026-08-27T06:17:52Z","timestamp":1787811472716,"version":"build-2784847793"},"reference-count":28,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T00:00:00Z","timestamp":1787011200000},"content-version":"vor","delay-in-days":17,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2026,8,1]],"date-time":"2026-08-01T00:00:00Z","timestamp":1785542400000},"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":["Nursing Open"],"published-print":{"date-parts":[[2026,8]]},"abstract":"ABSTRACT<\/jats:title>\n \n Aim<\/jats:title>\n This study aimed to investigate the impact of chronic illness self\u2010care management on negative automatic thoughts among individuals with chronic conditions.<\/jats:p>\n <\/jats:sec>\n \n Design<\/jats:title>\n A descriptive cross\u2010sectional design was employed.<\/jats:p>\n <\/jats:sec>\n \n Methods<\/jats:title>\n \n The study was conducted between January 5 and May 20, 2023, with 439 individuals diagnosed with chronic diseases (including circulatory, nervous and endocrine system disorders) residing in Turkey. Participants were selected utilising a non\u2010probability convenience sampling method. Data were collected entirely through virtual outreach and web\u2010based survey methodologies meticulously structured in accordance with the CHERRIES and STROBE guidelines. Data collection instruments included a Socio\u2010demographic Information Form, the Self\u2010Care Management in Chronic Diseases Scale (SCMCDS) and the Automatic Thoughts Questionnaire (ATQ). Parametric data were analysed using descriptive statistics, independent samples\n t<\/jats:italic>\n \u2010tests, one\u2010way ANOVA with Benjamini\u2013Hochberg False Discovery Rate (FDR) correction, Pearson correlation and multiple linear regression analysis.\n <\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n \n The mean age of the participants was 49.28\u2009\u00b1\u200918.53. Total ATQ scores exhibited statistically significant differences based on income status, occupation, mental health status, quality of life, smoking habits and alcohol consumption (\n p<\/jats:italic>\n \u2009<\u20090.05). A low\u2010level, statistically significant negative association was identified between the global Negative Automatic Thoughts Scale and the global Chronic Illness Self\u2010Care Management Scale [\n r<\/jats:italic>\n (439)\u2009=\u2009\u22120.159,\n p<\/jats:italic>\n \u2009<\u20090.05]. Multiple linear regression analysis indicated that self\u2010care management sub\u2010dimensions significantly predicted negative automatic thoughts, collectively accounting for 37.9% of the explained variance [\n F<\/jats:italic>\n (2, 436)\u2009=\u2009134.480,\n p<\/jats:italic>\n \u2009<\u20090.05,\n R<\/jats:italic>\n 2<\/jats:sup>\n adj<\/jats:sub>\n \u2009=\u20090.379]. According to the standardised regression coefficients, social protection (\n \u03b2<\/jats:italic>\n \u2009=\u2009\u22120.597,\n p<\/jats:italic>\n \u2009<\u20090.05) and self\u2010protection (\n \u03b2<\/jats:italic>\n \u2009=\u20090.352,\n p<\/jats:italic>\n \u2009<\u20090.05) emerged as the significant predictors within the multivariate model.\n <\/jats:p>\n <\/jats:sec>\n \n Conclusion<\/jats:title>\n Enhanced global self\u2010care management substantially diminishes negative automatic thoughts in individuals with chronic conditions, primarily driven by the adaptive capacity of social protection mechanisms. Comprehensive nurse\u2010led counselling programs, specific task\u2010oriented screening tools and targeted cognitive\u2010behavioural interventions should be systematically integrated into primary healthcare services to reduce immediate cognitive distortions, mitigate anxiety\u2010induced hypervigilance and enhance functional self\u2010care behaviours across health networks.<\/jats:p>\n <\/jats:sec>\n \n Patient or Public Contribution<\/jats:title>\n Participants voluntarily contributed data regarding their self\u2010care management practices and negative automatic thoughts. Neither the patients nor the public were involved in the study design, conduct, reporting, or dissemination plans.<\/jats:p>\n <\/jats:sec>","DOI":"10.1002\/nop2.70756","type":"journal-article","created":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T19:44:46Z","timestamp":1787082286000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Self\u2010Care Management and Negative Automatic Thoughts Among Individuals With Chronic Diseases: A Cross\u2010Sectional Study"],"prefix":"10.1002","volume":"13","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2753-2843","authenticated-orcid":false,"given":"Fuat","family":"Kahraman","sequence":"first","affiliation":[{"name":"Department of Nursing, Faculty of Health Science Igd\u0131r University Igd\u0131r Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1793-0522","authenticated-orcid":false,"given":"Erkan","family":"Durar","sequence":"additional","affiliation":[{"name":"Department of Nursing, Faculty of Health Science Igd\u0131r University Igd\u0131r Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7559-4187","authenticated-orcid":false,"given":"Mustafa","family":"Durmu\u015f","sequence":"additional","affiliation":[{"name":"Department of Nursing, Faculty of Health Science Mu\u015f Alparslan University Mu\u015f Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,8,18]]},"reference":[{"key":"e_1_2_15_2_1","doi-asserted-by":"publisher","DOI":"10.1002\/jclp.23563"},{"key":"e_1_2_15_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.pec.2019.08.038"},{"key":"e_1_2_15_4_1","doi-asserted-by":"publisher","DOI":"10.1093\/abm\/kaaf073"},{"issue":"2","key":"e_1_2_15_5_1","first-page":"33","article-title":"Relationship Between Disease Perceptions and Quality of Life of Individuals With Chronic Obstructive Pulmonary Disease","volume":"5","author":"\u00c7avu\u015fo\u011flu E.","year":"2022","journal-title":"Eurasian Journal of Health Sciences"},{"key":"e_1_2_15_6_1","unstructured":"Cohen J.1988.\u201cStatistical Power Analysis for the Behavioral Sciences (Vol. 20.06.2023).\u201dfile:\/\/\/C:\/Users\/ASUS\/Downloads\/10.4324_9780203771587_previewpdf.pdf."},{"issue":"1","key":"e_1_2_15_7_1","first-page":"57","article-title":"Investigation of the Relationship Between Disease Perception, Death Anxiety and Self\u2010Care Power in COPD Patients","volume":"8","author":"Demir G\u00f6kmen B.","year":"2022","journal-title":"Ad\u0131yaman University Journal of Health Sciences"},{"key":"e_1_2_15_8_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365\u20102850.2009.01388.x"},{"key":"e_1_2_15_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.outlook.2023.101996"},{"key":"e_1_2_15_10_1","doi-asserted-by":"publisher","DOI":"10.1111\/ijn.70070"},{"issue":"1","key":"e_1_2_15_11_1","first-page":"175","article-title":"Senuzun, Validity and Reliability of Turkish Version of the Self Care Management Process in Chronic Illness","volume":"7","author":"Han\u00e7erlio\u011flu S.","year":"2018","journal-title":"Gumushane University Journal of Health Sciences"},{"key":"e_1_2_15_12_1","doi-asserted-by":"publisher","DOI":"10.1007\/BF01178214"},{"key":"e_1_2_15_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.pec.2023.107760"},{"key":"e_1_2_15_14_1","doi-asserted-by":"publisher","DOI":"10.1188\/20.ONF.E73-E85"},{"key":"e_1_2_15_15_1","first-page":"150","volume-title":"Measurement of Nursing Outcomes: Self Care and Coping","author":"Jones L. 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