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Updated: May 22, 2025

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Published on: March 1, 2024
Self-Compassion and Medical Coping Modes of Patients With Rheumatoid Arthritis: Mediating Role of Personal Mastery
Wenyan Wu1,2,3, Jieyu Zhang1,2, Xiuli Wang1,2
1Department of Rheumatology, The Second Hospital of Shanxi Medical University, Taiyuan, China.
Aim:
To test the mediating role of personal mastery in the relationship between self-compassion and medical coping modes in patients with rheumatoid arthritis (RA).
Design:
A cross-sectional questionnaire survey was administered.
Methods:
We enrolled a convenience sampling of patients with RA from a Class A tertiary hospital. Date were collected from May 2023 to April 2024. Using self-compassion, medical coping modes, and personal mastery self-reported questionnaires. The data were analysed using correlation analyses, multiple linear regression analysis and structural equation modelling.
Results:
A total of 245 participants were included in this study. Personal mastery was an independent predictor of medical coping modes (β = 0.15, SE = 0.07, 95% CI [0.01, 0.30]). Significant correlations were identified between self-compassion, personal mastery, and medical coping strategies among these patients. Personal mastery was found to mediate the relationship between self-compassion and confrontation (β = 0.724, 95%CI: 0.367-1.081, p < 0.05) and avoidance coping strategies (β = -0.179, 95%CI: -0.336 to -0.022, p < 0.05). Additionally, self-compassion was directly linked to resignation coping (β = -0.309, 95%CI: -0.515 to -0.136, p < 0.05), with no mediation effect observed.
Conclusion:
Personal mastery mediates the impact of self-compassion on the adoption of medical coping strategies among RA patients. Self-compassion is shown to have a direct influence on personal mastery. It is imperative for healthcare providers to consider the self-compassion and personal mastery of their patients, encouraging adaptive coping mechanisms to enhance life quality.
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