{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,27]],"date-time":"2026-05-27T13:10:39Z","timestamp":1779887439158,"version":"3.53.1"},"reference-count":44,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2026,5,22]],"date-time":"2026-05-22T00:00:00Z","timestamp":1779408000000},"content-version":"vor","delay-in-days":21,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T00:00:00Z","timestamp":1777593600000},"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":[[2026,5]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Breast cancer primarily affects women from all countries around the world. Psychological flexibility is a personal resource that helps cancer patients accept the disease, reduce emotional distress, and enhance self\u2010esteem. Scarcely explored within this type of breast cancer, it might help women survivors in their daily lives.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Aims<\/jats:title>\n                    <jats:p>This study investigates whether trait psychological flexibility in women survivors of breast cancer has benefits for their daytime levels of evening self\u2010esteem, anxiety, and expressive suppression.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      A total of 94 women (47 breast cancer survivors and 47 controls) completed full diary surveys twice daily for five consecutive workdays (\n                      <jats:italic>n<\/jats:italic>\n                      \u00a0=\u00a0470 daily data). The diary used a two\u2010level design: 5\u2010day repeated measures (Level 1, day\u2010level) nested within persons (Level 2, person\u2010level), employing a within\u2010person approach.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Multilevel analyses showed main effects of daily morning negative affect on daily evening self\u2010esteem, anxiety, and expressive suppression in the breast cancer group, as well as main effects of trait psychological flexibility on all outcomes for both groups. Cross\u2010level interactions showed that on days when women survivors of breast cancer experienced high levels of daily morning negative affect, those low (vs. high) in trait psychological flexibility decreased their levels of daily evening self\u2010esteem and increased daily evening anxiety and expressive suppression.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>A within\u2010person approach is relevant for understanding psychological flexibility among breast cancer survivors. It has a dual beneficial function for their self\u2010esteem and for negative emotional dynamics daily.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/pon.70494","type":"journal-article","created":{"date-parts":[[2026,5,23]],"date-time":"2026-05-23T06:20:21Z","timestamp":1779517221000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["A Cross\u2010Level Diary Study of Psychological Flexibility and Its Effects on Self\u2010Esteem and Negative Emotional Dynamics in Women Survivors of Breast Cancer"],"prefix":"10.1002","volume":"35","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1689-4195","authenticated-orcid":false,"given":"Isabel","family":"Carmona\u2010Cobo","sequence":"first","affiliation":[{"name":"Departamento de Psicolog\u00eda Universidad de Ja\u00e9n  Ja\u00e9n Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M. Modesta","family":"Ballesteros","sequence":"additional","affiliation":[{"name":"Unidad de Oncolog\u00eda M\u00e9dica Hospital Universitario de Ja\u00e9n  Ja\u00e9n Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0767-445X","authenticated-orcid":false,"given":"Cristina","family":"Camilo","sequence":"additional","affiliation":[{"name":"Centro de Investiga\u00e7\u00e3o e Interven\u00e7\u00e3o Social ISCTE\u2010IUL  Lisboa Portugal"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M. 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