Suchergebnisse

AbstractObjectiveThis study aimed to explore the mediating role of self‐compassion and self‐forgiveness among college students who initiated a romantic breakup.BackgroundsThe focus of research on romantic relationship breakups is typically on the rejected partner, while the initiator (responsible or rejector) of the breakup is neglected. To fully understand the romantic relationship breakup, we must look at this event as a whole.MethodCollege students across eight universities (N = 464) who sought treatment for depression at university psychological service centers after initiation of a romantic breakup were referred for possible inclusion in the research. Of these referred students, 347 (women = 68%, mean age = 22.62 ± 3.69 years, range: 18–35) fulfilled the inclusion criteria and completed a battery of questionnaires (Enright Self‐Forgiveness Inventory, Self‐Compassion Scale‐Short Form, Breakup Distress Scale, and Beck Depression Inventory—II). Structural equation modeling was used to evaluate the hypothesized mediation model.ResultsWe found a strong association between breakup distress and depressive symptoms among romantic breakup initiators mediated by self‐compassion and self‐forgiveness. Self‐compassion influenced the mediating role of self‐forgiveness between breakup distress and depressive symptoms (R2 = 58%).Conclusion and implicationsThe findings suggest that college students who initiate a romantic breakup are at risk for depression despite the reason for or time since the breakup. Thus, their suffering and pain need to be acknowledged. When initiators choose to be self‐compassionate after a breakup, it may promote self‐forgiveness as a path toward emotional healing.

Abstract: Background: Low adherence to treatment is the most common cause of uncontrolled hypertension. Evidence suggests that illness perceptions and the physician-patient relationship may have a combined effect on treatment adherence. Aims: We investigated the roles of illness perceptions and the physician-patient relationship in medication and lifestyle modification adherence, and explained them using patients' experiences with essential hypertension.Method: In this mixed methods explanatory sequential study, we used questionnaires to assess illness perceptions, the physician-patient relationship, and adherence to medication and lifestyle modification guidance ( N = 112) in the first quantitative phase. Based on the results of regression analyses, the second qualitative phase was planned. We collected data from three patients through interviews, observations and journals, and conducted within-case and cross-case analyses. Finally, we integrated quantitative and qualitative findings. Results: The physician-patient relationship was an independent predictor of medication adherence (95% confidence interval [CI]: 0.29 to 5.89), whereas both illness perceptions (95% CI: −0.32 to −0.04) and the physician-patient relationship (95% CI: 1.05 to 9.48) were independent predictors of adherence to lifestyle modification guidance. Qualitative themes, reflecting the patient's experience of the concepts explored in this study, explained the quantitative results. Mixing methods revealed high consistency between quantitative and qualitative findings. Limitations: Limitations are the inability to infer causal associations among variables and indirect measurement of medication adherence. Conclusion: Shared decision-making on antihypertensive medications promotes medication adherence. Specifically, the illness perception, perceived illness controllability, and non-judgemental patients' acceptance within a satisfying physician-patient relationship empower patients to adhere to lifestyle modification guidance.