{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,8]],"date-time":"2026-03-08T19:47:05Z","timestamp":1772999225307,"version":"3.50.1"},"reference-count":40,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2026,2,7]],"date-time":"2026-02-07T00:00:00Z","timestamp":1770422400000},"content-version":"vor","delay-in-days":6,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,2,1]],"date-time":"2026-02-01T00:00:00Z","timestamp":1769904000000},"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":["Psycho-Oncology"],"published-print":{"date-parts":[[2026,2]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>Rumination is a common cognitive response in cancer patients, influencing psychological adjustment. This study examined the associations between intrusive and deliberate rumination and self\u2010compassion in individuals undergoing cancer treatment, using structural equation modeling (SEM).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A cross\u2010sectional correlational study was conducted with 202 adult cancer patients undergoing active treatment at a public hospital. Participants completed validated self\u2010report instruments: the Event\u2010Related Rumination Inventory and the Brief Self\u2010Compassion Inventory. Data were analyzed using descriptive statistics, Pearson correlation, and SEM.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      The SEM results indicated that intrusive rumination was significantly and negatively associated with self\u2010compassion (\n                      <jats:italic>\u03b2<\/jats:italic>\n                      \u00a0=\u00a0\u22120.828,\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0&lt;\u00a00.001), whereas deliberate rumination showed a significant positive association with self\u2010compassion (\n                      <jats:italic>\u03b2<\/jats:italic>\n                      \u00a0=\u00a00.753,\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0&lt;\u00a00.001). The model explained 60.3% of the variance in self\u2010compassion. Subgroup analyses showed that self\u2010compassion and deliberate rumination were higher among participants with higher education and those who were employed, while intrusive rumination was higher in patients with prior metastasis or relapse.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>The findings underscore the need to distinguish between adaptive and maladaptive forms of rumination in cancer care. Targeting intrusive rumination and supporting deliberate reflection may represent important considerations for psychosocial care.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/pon.70389","type":"journal-article","created":{"date-parts":[[2026,2,7]],"date-time":"2026-02-07T15:28:42Z","timestamp":1770478122000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["The Relationship Between Intrusive and Deliberate Rumination and Self\u2010Compassion in Cancer Patients: A Structural Equation Modeling Study"],"prefix":"10.1002","volume":"35","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6128-4666","authenticated-orcid":false,"given":"Sinem","family":"\u00d6calan","sequence":"first","affiliation":[{"name":"Faculty of Nursing Psychiatric Nursing Department Hacettepe University  Ankara T\u00fcrkiye"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9656-7858","authenticated-orcid":false,"given":"Mustafa Sabri","family":"Kovanc\u0131","sequence":"additional","affiliation":[{"name":"Faculty of Nursing Psychiatric Nursing Department Hacettepe University  Ankara T\u00fcrkiye"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2026,2,7]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.31067\/0.2018.22"},{"key":"e_1_2_11_3_1","first-page":"1","volume-title":"Ruminative Thoughts","author":"Tesser 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