{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,5]],"date-time":"2026-10-05T06:52:49Z","timestamp":1791183169511,"version":"4.1.0"},"reference-count":33,"publisher":"Cambridge University Press (CUP)","license":[{"start":{"date-parts":[[2026,10,5]],"date-time":"2026-10-05T00:00:00Z","timestamp":1791158400000},"content-version":"unspecified","delay-in-days":277,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["cambridge.org"],"crossmark-restriction":true},"short-container-title":["Pall Supp Care"],"published-print":{"date-parts":[[2026]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec id=\"S1478951526103502_sec1a\">\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>This study investigated the predictive relationship between self-compassion and spiritual well-being among palliative care caregivers, exploring internal resources to mitigate care burden and existential distress in end-of-life settings.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S1478951526103502_sec2b\">\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This descriptive, cross-sectional, and correlational study was conducted between March and September 2025 with 138 family caregivers in a palliative care unit. Sample size was determined via a priori power analysis ensuring 95% power. Data were obtained using the Introductory Characteristics Form, the Self-Compassion Scale (SCS), and the Spiritual Well-Being Scale. Data analysis involved descriptive statistics, Pearson correlation analysis, and simple linear regression.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S1478951526103502_sec3c\">\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      The mean self-compassion score was 79.94\u00a0\u00b1\u00a011.68, and the mean spiritual well-being total score was 109.26\u00a0\u00b1\u00a013.59. Subscale scores were 63.05\u00a0\u00b1\u00a09.93 (transcendence), 28.10\u00a0\u00b1\u00a03.91 (harmony with nature), and 18.11\u00a0\u00b1\u00a05.28 (anomie). A positive, moderate correlation existed between total self-compassion and spiritual well-being (\n                      <jats:italic>r<\/jats:italic>\n                      \u00a0=\u00a00.349,\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0&lt;\u00a00.001). Significant associations were also identified across the transcendence (\n                      <jats:italic>r<\/jats:italic>\n                      \u00a0=\u00a00.217,\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0=\u00a00.011), harmony with nature (\n                      <jats:italic>r<\/jats:italic>\n                      \u00a0=\u00a00.213,\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0=\u00a00.012), and anomie (\n                      <jats:italic>r<\/jats:italic>\n                      \u00a0=\u00a00.333,\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0&lt;\u00a00.001) subscales. Regression analysis confirmed that self-compassion positively predicted spiritual well-being (\n                      <jats:italic>\u03b2<\/jats:italic>\n                      \u00a0=\u00a00.349,\n                      <jats:italic>t<\/jats:italic>\n                      \u00a0=\u00a04.349,\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0&lt;\u00a00.001), accounting for 11.2% of the total variance (\n                      <jats:italic>R<\/jats:italic>\n                      <jats:sup>2<\/jats:sup>\n                      \u00a0=\u00a00.112,\n                      <jats:italic>F<\/jats:italic>\n                      \u00a0=\u00a018.910,\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0&lt;\u00a00.001).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S1478951526103502_sec4d\">\n                    <jats:title>Significance of results<\/jats:title>\n                    <jats:p>Self-compassion is a critical internal resource for finding spiritual meaning amidst end-of-life stressors. Fostering compassionate attitudes can alleviate anomie and emotional burnout among caregivers. Palliative care nurses should integrate mindfulness-based self-compassion interventions into support programs to bolster caregiver well-being and enhance care quality.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1017\/s1478951526103502","type":"journal-article","created":{"date-parts":[[2026,10,5]],"date-time":"2026-10-05T06:33:11Z","timestamp":1791181991000},"update-policy":"https:\/\/doi.org\/10.1017\/policypage","source":"Crossref","is-referenced-by-count":0,"title":["The relationship between self-compassion and spiritual well-being among caregivers of palliative care patients"],"prefix":"10.1017","volume":"24","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7221-0814","authenticated-orcid":false,"given":"G\u00fcls\u00fcm","family":"Kehribar","sequence":"first","affiliation":[{"name":"Karamano\u011flu Mehmetbey University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2724-5580","authenticated-orcid":false,"given":"H\u00fcsna","family":"\u00d6zveren","sequence":"additional","affiliation":[{"name":"K\u0131r\u0131kkale University"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"56","published-online":{"date-parts":[[2026,10,5]]},"reference":[{"key":"S1478951526103502_ref9","volume-title":"Statistical Power Analysis for the Behavioral Sciences","author":"Cohen","year":"1988"},{"key":"S1478951526103502_ref27","doi-asserted-by":"publisher","DOI":"10.1590\/0034-7167-2017-0873"},{"key":"S1478951526103502_ref26","unstructured":"Rasby, SO (2025) Self-compassion has to be the heartbeat of how I move through life: A mixed methods study of family caregiver emotional well-being. Doctoral dissertation, University of Nebraska, Lincoln."},{"key":"S1478951526103502_ref29","doi-asserted-by":"publisher","DOI":"10.1002\/pon.3987"},{"key":"S1478951526103502_ref11","doi-asserted-by":"publisher","DOI":"10.2224\/sbp.2008.36.9.1151"},{"key":"S1478951526103502_ref32","doi-asserted-by":"publisher","DOI":"10.1017\/S1478951521000353"},{"key":"S1478951526103502_ref8","volume-title":"Data Analysis Handbook for Social Sciences","author":"B\u00fcy\u00fck\u00f6zt\u00fcrk","year":"2007"},{"key":"S1478951526103502_ref21","doi-asserted-by":"publisher","DOI":"10.1089\/jpm.2024.0267"},{"key":"S1478951526103502_ref1","article-title":"Anxiety, care burden and spiritual well-being among caregivers of patients with cancer","author":"Altinel","year":"2025","journal-title":"BMJ Supportive and Palliative Care"},{"key":"S1478951526103502_ref14","doi-asserted-by":"publisher","DOI":"10.1111\/scs.70038"},{"key":"S1478951526103502_ref24","doi-asserted-by":"publisher","DOI":"10.1080\/15298860309027"},{"key":"S1478951526103502_ref25","doi-asserted-by":"publisher","DOI":"10.1097\/NJH.0000000000000586"},{"key":"S1478951526103502_ref23","first-page":"74","article-title":"Impact of caregivers\u2019 burden of cancer patients on their psychological well-being: Role of self-compassion","volume":"3","author":"Nargis","year":"2025","journal-title":"Journal of Social Signs Review"},{"key":"S1478951526103502_ref19","doi-asserted-by":"publisher","DOI":"10.1097\/NJH.0000000000000584"},{"key":"S1478951526103502_ref5","doi-asserted-by":"publisher","DOI":"10.1080\/07347332.2025.2570787"},{"key":"S1478951526103502_ref2","doi-asserted-by":"publisher","DOI":"10.1017\/S1478951515000450"},{"key":"S1478951526103502_ref7","doi-asserted-by":"publisher","DOI":"10.1186\/s12877-025-06413-7"},{"key":"S1478951526103502_ref28","doi-asserted-by":"publisher","DOI":"10.1017\/S1478951518000160"},{"key":"S1478951526103502_ref22","doi-asserted-by":"publisher","DOI":"10.3389\/fpsyt.2023.1180317"},{"key":"S1478951526103502_ref16","doi-asserted-by":"publisher","DOI":"10.1093\/her\/cyae005"},{"key":"S1478951526103502_ref10","doi-asserted-by":"publisher","DOI":"10.1186\/s12889-024-18321-3"},{"key":"S1478951526103502_ref4","doi-asserted-by":"publisher","DOI":"10.5505\/tjo.2024.4230"},{"key":"S1478951526103502_ref17","doi-asserted-by":"publisher","DOI":"10.3390\/healthcare13141644"},{"key":"S1478951526103502_ref12","doi-asserted-by":"publisher","DOI":"10.1080\/09699260.2021.1972722"},{"key":"S1478951526103502_ref31","doi-asserted-by":"publisher","DOI":"10.1002\/pon.70420"},{"key":"S1478951526103502_ref30","volume-title":"Using Multivariate Statistics","author":"Tabachnick","year":"2013"},{"key":"S1478951526103502_ref6","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpainsymman.2006.01.009"},{"key":"S1478951526103502_ref20","doi-asserted-by":"publisher","DOI":"10.14475\/jhpc.2025.28.3.115"},{"key":"S1478951526103502_ref3","doi-asserted-by":"publisher","DOI":"10.1186\/s13063-026-09621-7"},{"key":"S1478951526103502_ref18","doi-asserted-by":"publisher","DOI":"10.12968\/ijpn.2018.24.2.80"},{"key":"S1478951526103502_ref13","doi-asserted-by":"publisher","DOI":"10.12738\/spc.2017.1.0022"},{"key":"S1478951526103502_ref15","doi-asserted-by":"publisher","DOI":"10.3389\/fpsyg.2023.1059605"},{"key":"S1478951526103502_ref33","first-page":"1","article-title":"Exploring burden of care and psychological well-being of caregiver of cancer patients: Mediating role of self-compassion","volume":"14","author":"Zainab","year":"2025","journal-title":"Bulletin of Business and Economics"}],"container-title":["Palliative and Supportive Care"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S1478951526103502","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,10,5]],"date-time":"2026-10-05T06:33:14Z","timestamp":1791181994000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S1478951526103502\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026]]},"references-count":33,"alternative-id":["S1478951526103502"],"URL":"https:\/\/doi.org\/10.1017\/s1478951526103502","relation":{},"ISSN":["1478-9515","1478-9523"],"issn-type":[{"value":"1478-9515","type":"print"},{"value":"1478-9523","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026]]},"assertion":[{"value":"\u00a9 The Author(s), 2026. Published by Cambridge University Press.","name":"copyright","label":"Copyright","group":{"name":"copyright_and_licensing","label":"Copyright and Licensing"}},{"value":"This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http:\/\/creativecommons.org\/licenses\/by\/4.0), which permits unrestricted re-use, distribution and reproduction, provided the original article is properly cited.","name":"license","label":"License","group":{"name":"copyright_and_licensing","label":"Copyright and Licensing"}},{"value":"This content has been made available to all.","name":"free","label":"Free to read"}],"article-number":"e233"}}