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The Relationship Between Intrusive and Deliberate Rumination and Self-Compassion in Cancer Patients: A Structural
Sinem Öcalan1, Mustafa Sabri Kovancı1
1Faculty of Nursing, Psychiatric Nursing Department, Hacettepe University, Ankara, Türkiye.
Psycho-Oncology
|February 7, 2026
Summary
Intrusive rumination negatively impacts self-compassion in cancer patients, while deliberate rumination positively affects it. Understanding these distinct rumination types is key for improving psychosocial care in cancer survivors.
Area of Science:
- Psychology
- Oncology
- Health Psychology
Background:
- Rumination is a frequent cognitive process in cancer patients.
- It significantly influences their psychological adjustment during treatment.
Purpose of the Study:
- To investigate the relationship between intrusive and deliberate rumination and self-compassion.
- To analyze these associations in adult cancer patients undergoing active treatment using structural equation modeling (SEM).
Main Methods:
- A cross-sectional correlational study involved 202 adult cancer patients.
- Validated self-report measures, including the Event-Related Rumination Inventory and Brief Self-Compassion Inventory, were used.
- Descriptive statistics, Pearson correlation, and SEM were employed for data analysis.
Main Results:
- Intrusive rumination showed a significant negative association with self-compassion (β = -0.828, p < 0.001).
- Deliberate rumination demonstrated a significant positive association with self-compassion (β = 0.753, p < 0.001).
- The model accounted for 60.3% of the variance in self-compassion, with higher education and employment linked to higher self-compassion and deliberate rumination.
Conclusions:
- The study highlights the importance of differentiating between adaptive (deliberate) and maladaptive (intrusive) rumination in cancer care.
- Interventions should consider targeting intrusive rumination and fostering deliberate reflection to enhance psychosocial well-being.
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