{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,22]],"date-time":"2026-10-22T11:40:32Z","timestamp":1792669232461,"version":"4.5.0"},"reference-count":61,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2026,10,22]],"date-time":"2026-10-22T00:00:00Z","timestamp":1792627200000},"content-version":"vor","delay-in-days":21,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T00:00:00Z","timestamp":1790812800000},"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":[[2026,10]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>Young adults with cancer (YACs) experience psychological and psychosocial challenges related to cancer. In this qualitative study, we identified self\u2010conscious emotions of guilt, shame and pride associated with psychosocial challenges in a sample of recent cancer survivors. We aim to inform the adaptation of psychotherapy interventions to support psychological adjustment to cancer through the regulation of self\u2010conscious emotions.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We recruited 35\u00a0YACs (English\u2010speaking, age 18\u201339, completed treatment 2\u20135\u00a0years prior) through YA cancer advocacy organizations. Participants completed a virtual semi\u2010structured interview focused on personal identity, self\u2010conscious emotions, and close relationships. We coded and analyzed the data using reflexive thematic analysis guided by the theory of self\u2010conscious emotions and a narrative identity framework.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Participants endorsed guilt, shame, and pride related to cancer and described the motivational impact of each on their relationships. Themes included: (1) Guilt, encompassing imposter syndrome, survivors' guilt, and guilt for perceived burden on caregivers, financial toxicity, disrupted milestones, and self\u2010care. Guilt undermined relational closeness through the perception of \u201cfalling behind\u201d peers and coping through social withdrawal. (2) Shame, centering on worsened body image and loss of physical function, was exacerbated by \u201cbody positivity\u201d pressures. Effects of shame included reluctance toward intimacy and disclosure. (3) Pride emerged as a key driver in rebuilding personal identity, arising from awareness of resilience, recommitment to goals, and expansion of survivors' personal identity through empathy and advocacy.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Based on these findings, we offer adaptations of psychotherapy tools to address guilt and shame, and to optimize pride.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/pon.70624","type":"journal-article","created":{"date-parts":[[2026,10,22]],"date-time":"2026-10-22T11:06:42Z","timestamp":1792667202000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Self\u2010Conscious Emotions and Social Isolation Among Young Adult Cancer Survivors"],"prefix":"10.1002","volume":"35","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0788-852X","authenticated-orcid":false,"given":"Zeba N.","family":"Ahmad","sequence":"first","affiliation":[{"name":"Department of Psychiatry Health Promotion and Resiliency Intervention Research Center Massachusetts General Hospital and the Mongan Institute  Boston Massachusetts USA"},{"name":"Harvard Medical School Department of Psychiatry  Boston Massachusetts USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0006-2553-9549","authenticated-orcid":false,"given":"Emmanuelle Ziva","family":"Rosenthal","sequence":"additional","affiliation":[{"name":"Department of Psychiatry Health Promotion and Resiliency Intervention Research Center Massachusetts General Hospital and the Mongan Institute  Boston Massachusetts USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jennifer S.","family":"Ford","sequence":"additional","affiliation":[{"name":"Hunter College and the Graduate Center City University of New York  New York New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,10,22]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.3390\/cancers13194847"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.3390\/healthcare11131897"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1177\/1043454220919713"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejca.2007.05.031"},{"key":"e_1_2_9_6_1","volume-title":"The self\u2010conscious Emotions: Theory and Research","author":"Tracy J. 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